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
HEMOSTAT HMSPRY 7F/220CM
Georgetown, TX
See all hospitals reporting HCPCS C1052 →Price type
St. David's Georgetown Hospital’s median price of $17.1k is 420% above the median hospital's median price ($3.3k), higher than 96% of the 937 hospitals reporting HCPCS C1052. 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, 38 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 mybluehealth fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Blue Cross Blue Shield ppo fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 7 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $93 | 4% | — | $2.3k – $2.5k |
| 8 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $93 | 4% | — | $2.3k – $2.5k |
| 9 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $93 | 4% | — | $2.3k – $2.5k |
| 10 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $93 | 4% | — | $2.3k – $2.5k |
| 11 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | $315 | 4% | — | $7.9k – $8.5k |
| 12 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | $315 | 4% | — | $7.9k – $8.5k |
| 13 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | $315 | 4% | — | $7.9k – $8.5k |
| 14 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $9.3k | $9.3k | $355 | 4% | — | $8.9k – $9.6k |
| 15 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $9.3k | $9.3k | $355 | 4% | — | $8.9k – $9.6k |
| 16 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | $396 | 4% | — | $9.9k – $10.7k |
| 17 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | $396 | 4% | — | $9.9k – $10.7k |
| 18 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | $396 | 4% | — | $9.9k – $10.7k |
| 19 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $12.0k | $12.0k | $461 | 4% | — | $11.5k – $12.5k |
| 20 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $13.4k | $13.4k | $514 | 4% | — | $12.9k – $13.9k |
| 21 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $13.4k | $13.4k | $514 | 4% | — | $12.9k – $13.9k |
| 22 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $14.0k | $14.0k | $539 | 4% | — | $13.5k – $14.6k |
| 23 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $14.5k | $14.5k | $555 | 4% | — | $13.9k – $15.0k |
| 24 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $15.4k | $15.4k | $591 | 4% | — | $14.8k – $16.0k |
| 25 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $15.5k | $15.5k | $594 | 4% | — | $14.9k – $16.1k |
Last updated: Sep 1, 2026
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