Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
GUIDEWIRE 1.6MM DIA X 150MM
Sandwich, IL
See all hospitals reporting HCPCS C1769 →Price type
Northwestern Medicine Valley West Hospital’s median price of $213 is 6% above the median hospital's median price ($200), higher than 52% of the 1,788 hospitals reporting HCPCS C1769. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $32.70 | $35.66 | $7.24 – $163.11 |
| 2 | Cigna Healthspring vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $32.70 | $35.66 | $7.24 – $163.11 |
| 3 | Blue Cross Blue Shield vwh blue cross medicare advt percent of total billed charges · outpatientfrom % of charges | $90.04 | $98.20 | $19.93 – $449.13 |
| 4 | Humana vwh medicare percent of total billed charges · outpatientfrom % of charges | $90.04 | $98.20 | $19.93 – $449.13 |
| 5 | Aetna vwh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $120.37 | $131.28 | $26.64 – $600.42 |
| 6 | Aetna vwh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $164.91 | $179.86 | $36.50 – $822.62 |
| 7 | Cigna vwh cigna alternative percent of total billed charges · outpatientfrom % of charges | $214.67 | $234.13 | $47.51 – $1,071 |
| 8 | Cigna vwh cigna broad percent of total billed charges · outpatientfrom % of charges | $228.89 | $249.63 | $50.66 – $1,142 |
| 9 | UnitedHealthcare vwh uhc core percent of total billed charges · outpatientfrom % of charges | $237.89 | $259.45 | $52.65 – $1,187 |
| 10 | Blue Cross Blue Shield vwh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $264.90 | $288.91 | $58.63 – $1,321 |
| 11 | Blue Cross Blue Shield vwh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $286.23 | $312.17 | $63.35 – $1,428 |
| 12 | Blue Cross Blue Shield vwh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $286.23 | $312.17 | $63.35 – $1,428 |
| 13 | Blue Cross Blue Shield vwh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $298.55 | $325.61 | $66.07 – $1,489 |
| 14 | Blue Cross Blue Shield vwh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $308.74 | $336.72 | $68.33 – $1,540 |
| 15 | Aetna vwh aetna percent of total billed charges · outpatientfrom % of charges | $309.92 | $338.01 | $68.59 – $1,546 |
| 16 | UnitedHealthcare vwh uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges | $317.03 | $345.76 | $70.16 – $1,581 |
| 17 | Aetna vwh aetna asa percent of total billed charges · outpatientfrom % of charges | $328.41 | $358.17 | $72.68 – $1,638 |
| 18 | MultiPlan vwh phcs percent of total billed charges · outpatientfrom % of charges | $379.11 | $413.47 | $83.90 – $1,891 |
| 19 | Blue Cross Blue Shield vwh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $387.17 | $422.26 | $85.69 – $1,931 |
| 20 | MultiPlan vwh multiplan percent of total billed charges · outpatientfrom % of charges | $414.65 | $452.23 | $91.77 – $2,068 |
| 21 | First Health vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $473.89 | $516.84 | $104.88 – $2,364 |
| 22 | MultiPlan vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $473.89 | $516.84 | $104.88 – $2,364 |
| 23 | UnitedHealthcare vwh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $473.89 | $516.84 | $104.88 – $2,364 |
Last updated: Apr 1, 2026
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