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
PAC POWER TRAY II 21-4465-24
San Angelo, TX
See all hospitals reporting HCPCS C1788 →Price type
Shannon River Crest Hospital’s median price of $1.3k is 64% above the median hospital's median price ($763), higher than 75% of the 1,695 hospitals reporting HCPCS C1788. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.2k | $253 | 20% | — | $746 – $1.4k |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.2k | $253 | 20% | — | $746 – $1.4k |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.4k | $276 | 20% | — | $814 – $1.6k |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 5 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.4k | $288 | 20% | — | $848 – $1.6k |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.5k | $299 | 20% | — | $882 – $1.7k |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.5k | $299 | 20% | — | $882 – $1.7k |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.5k | $307 | 20% | — | $905 – $1.8k |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.5k | $307 | 20% | — | $905 – $1.8k |
Last updated: Dec 8, 2025
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