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
ELECTRODE DEFIBRILLATOR EMBLEM S-ICD L45 CM OD11.5 FR SUBCUTANEOUS TRIPOLAR
Quitman, TX
See all hospitals reporting HCPCS C1896 →Price type
Quitman Hospital, LLC’s median price of $4.5k is 27% below the median hospital's median price ($6.1k), higher than 34% of the 1,161 hospitals reporting HCPCS C1896. 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, 29 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 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 12 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 14 | Blue Cross Blue Shield blue cross hmo of texas [115504] facility · percent of total billed charges · bothfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 16 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 17 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 18 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 19 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 20 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 21 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 22 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 23 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 24 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 25 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
Last updated: Feb 12, 2026
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