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
RETRIEVAL BALLOON 12.0MM/15.0MM 4691
Opelousas, LA
See all hospitals reporting HCPCS C1773 →Price type
Opelousas General Main Campus’s median price of $5 is 100% below the median hospital's median price ($1.0k), higher than 1% of the 1,437 hospitals reporting HCPCS C1773. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 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 | Bcbs La hmo blue connect facility · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs La hmo smart blue facility · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs La ppohmo facility · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bcbs La traditional facility · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $158 | $141 | $92 | 65% | — | $2 – $245 |
| 6 | WellCare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $315 | $281 | $183 | 65% | — | $4 – $490 |
| 7 | MultiPlan commercial facility · percent of total billed charges · bothfrom % of charges | $457 | $408 | $266 | 65% | — | $6 – $710 |
| 8 | Humana commercial facility · percent of total billed charges · bothfrom % of charges | $513 | $457 | $298 | 65% | — | $7 – $796 |
Last updated: Mar 5, 2026
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