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
STENT BILIARY CORDIS PALMAZ STAINLESS STEEL XL L40 MM OD10 MM DELIVERY SYSTEM UNMOUNT CLOSED CELL BALLOON EXPAND STERILE LATEX FREE POWERFLEX PLUS CATHETER TRANSHEPATIC
Quitman, TX
See all hospitals reporting HCPCS C1877 →Price type
Quitman Hospital, LLC’s median price of $690 is 68% below the median hospital's median price ($2.2k), higher than 15% of the 1,151 hospitals reporting HCPCS C1877. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 19 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 blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 2 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 3 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 4 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 5 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 6 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 8 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $394 | $394 | — | — | — | $394 – $394 |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $394 | $394 | — | — | — | $394 – $394 |
| 10 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $442 | $442 | — | — | — | $442 – $442 |
| 11 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $690 | $690 | — | — | — | $690 – $690 |
| 12 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $690 | $690 | — | — | — | $690 – $690 |
| 13 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $690 | $690 | — | — | — | $690 – $690 |
| 14 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Feb 12, 2026
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