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
SHEATH DIL TIGHTRAIL 9FR X 15.5CM SUB-C
Troy, NY
See all hospitals reporting HCPCS C1773 →Price type
Samaritan Hospital’s median price of $818 is 22% below the median hospital's median price ($1.0k), higher than 38% of the 1,433 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: 13 payers, 24 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 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $575 | $670 | $595 | 89% | — | $106 – $2.4k |
| 2 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $575 | $670 | $595 | 89% | — | $106 – $2.4k |
| 3 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 4 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 5 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 6 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 7 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 8 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 9 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 10 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 11 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 12 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 13 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 14 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $791 | $921 | $818 | 89% | — | $146 – $3.3k |
| 15 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $839 | $1.3k | $1.3k | 97% | — | $146 – $6.1k |
| 16 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $1.1k | $1.3k | $1.2k | 89% | — | $212 – $4.9k |
| 17 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.4k | $1.3k | 89% | — | $226 – $5.2k |
| 18 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.5k | $1.3k | 89% | — | $239 – $5.5k |
| 19 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.5k | $1.3k | 89% | — | $239 – $5.5k |
| 20 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.5k | $1.3k | 89% | — | $239 – $5.5k |
| 21 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.7k | $1.5k | 89% | — | $266 – $6.1k |
| 22 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.7k | $1.5k | 89% | — | $266 – $6.1k |
| 23 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.7k | $1.5k | 89% | — | $266 – $6.1k |
| 24 | Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.7k | $1.5k | 89% | — | $266 – $6.1k |
Last updated: Mar 31, 2026
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