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 HITRQ ALL-STAR 3X190CM STR TIP .014 RADIOPQ
Pontiac, MI
See all hospitals reporting HCPCS C1769 →Price type
St Joseph Mercy Oakland’s median price of $128 is 36% below the median hospital's median price ($200), higher than 29% 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: 20 payers, 23 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 bcbs mi local hmo facility · percent of total billed charges · bothfrom % of charges | $60.80 | $116.29 | $0.01 – $1,500 |
| 2 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $82.51 | $157.81 | $0.01 – $2,036 |
| 3 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 4 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 5 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 6 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 7 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 8 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 9 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 10 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 11 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $94.54 | $180.83 | $0.01 – $2,333 |
| 12 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $119.79 | $229.13 | $0.02 – $2,956 |
| 13 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $156.02 | $298.43 | $0.02 – $3,850 |
| 14 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $158.67 | $303.49 | $0.02 – $3,915 |
| 15 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $165.54 | $316.64 | $0.03 – $4,085 |
| 16 | Medical Mutual aetna ppo facility · percent of total billed charges · bothfrom % of charges | $165.54 | $316.64 | $0.03 – $4,085 |
| 17 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $179.82 | $343.95 | $0.03 – $4,437 |
| 18 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $179.82 | $343.95 | $0.03 – $4,437 |
| 19 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $194.10 | $371.27 | $0.03 – $4,790 |
| 20 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $194.10 | $371.27 | $0.03 – $4,790 |
| 21 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $195.98 | $374.86 | $0.03 – $4,836 |
| 22 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $198.34 | $379.36 | $0.03 – $4,894 |
| 23 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $199.34 | $381.28 | $0.03 – $4,919 |
Last updated: Mar 31, 2026
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