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
GW ENDO VISIGLIDE .025INX270CM SUPR ELAST
Ontario, OR
See all hospitals reporting HCPCS C1769 →Price type
Saint Alphonsus Medical Center - Ontario’s median price of $84 is 58% below the median hospital's median price ($200), higher than 14% 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: 19 payers, 26 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 | Aetna medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 2 | Amerihealth Caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 3 | Anthem medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 5 | Carefirst medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 6 | Caresource medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 7 | Cigna medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 8 | Excellus medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 9 | First Health medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 10 | Highmark medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 11 | Humana medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 12 | Kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 13 | Magellan medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 14 | Medicaid medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 15 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 16 | Ucare medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 17 | UnitedHealthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 18 | WellCare medicaid facility · percent of total billed charges · bothfrom % of charges | $77.10 | $157.73 | $0.02 – $2,273 |
| 19 | Blue Cross Blue Shield blue cross of idaho connected care facility · percent of total billed charges · bothfrom % of charges | $197.89 | $404.84 | $0.04 – $5,835 |
| 20 | Blue Cross Blue Shield bci hmo facility · percent of total billed charges · bothfrom % of charges | $218.45 | $446.91 | $0.04 – $6,442 |
| 21 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $226.16 | $462.68 | $0.04 – $6,669 |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $231.30 | $473.20 | $0.05 – $6,820 |
| 23 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $241.58 | $494.23 | $0.05 – $7,124 |
| 24 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $243.38 | $497.91 | $0.05 – $7,177 |
| 25 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $244.15 | $499.48 | $0.05 – $7,199 |
Last updated: Mar 31, 2026
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