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
4060038 AICD DUAL CHAMBER L4[Omnicell Cath Lab]
Wayne, IN
See all hospitals reporting HCPCS C1721 →Price type
St. Joseph Health System, LLC’s median price of $54.2k is 131% above the median hospital's median price ($23.4k), higher than 89% of the 1,344 hospitals reporting HCPCS C1721. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 20 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 apa facility · other · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 2 | UnitedHealthcare uhc options ppo facility · other · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 3 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $31.8k | $36.6k | $12.1k | 33% | — | $20.0k – $53.0k |
| 4 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $31.8k | $36.6k | $12.1k | 33% | — | $20.0k – $53.0k |
| 5 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $35.7k | $41.1k | $13.6k | 33% | — | $22.5k – $59.5k |
| 6 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $35.7k | $41.2k | $13.6k | 33% | — | $22.5k – $59.6k |
| 7 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $35.7k | $41.2k | $13.6k | 33% | — | $22.5k – $59.6k |
| 8 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $45.3k | $52.2k | $17.3k | 33% | — | $28.5k – $75.5k |
| 9 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $67.0k | $77.1k | $25.5k | 33% | — | $42.2k – $111.6k |
| 10 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $67.9k | $78.3k | $25.9k | 33% | — | $42.8k – $113.2k |
| 11 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $67.9k | $78.3k | $25.9k | 33% | — | $42.8k – $113.2k |
| 12 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $73.8k | $85.1k | $28.2k | 33% | — | $46.5k – $123.1k |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $73.8k | $85.1k | $28.2k | 33% | — | $46.5k – $123.1k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $76.8k | $88.5k | $29.3k | 33% | — | $48.4k – $128.0k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $76.8k | $88.5k | $29.3k | 33% | — | $48.4k – $128.0k |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $78.8k | $90.7k | $30.0k | 33% | — | $49.6k – $131.3k |
| 17 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $98.5k | $113.4k | $37.5k | 33% | — | $62.0k – $164.1k |
| 18 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $98.5k | $113.4k | $37.5k | 33% | — | $62.0k – $164.1k |
| 19 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $98.5k | $113.4k | $37.5k | 33% | — | $62.0k – $164.1k |
| 20 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $98.5k | $113.4k | $37.5k | 33% | — | $62.0k – $164.1k |
Last updated: Apr 1, 2026
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