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
AMPLATZER TALLISMAN PFO OCCLUDER 35-25MM
Gary, IN
See all hospitals reporting HCPCS C1817 →Price type
The Methodist Hospitals, Inc.’s median price of $524 is 96% below the median hospital's median price ($13.5k), higher than 2% of the 1,125 hospitals reporting HCPCS C1817. 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, 22 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem individual on exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Caresource caresource facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 11 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 12 | UnitedHealthcare navigate and core payer facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $524 | $524 | — | — | — | $524 – $524 |
| 14 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $524 | $524 | — | — | — | $524 – $524 |
| 15 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $524 | $524 | — | — | — | $524 – $524 |
| 16 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $524 | $524 | — | — | — | $524 – $524 |
| 17 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.1k | $216 | 2% | — | $9.0k – $9.5k |
| 18 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.8k | $9.9k | $234 | 2% | — | $9.8k – $10.3k |
| 19 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $14.6k | $14.7k | $350 | 2% | — | $14.6k – $15.4k |
| 20 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $15.9k | $16.1k | $382 | 2% | — | $15.9k – $16.9k |
| 21 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $17.1k | $17.3k | $410 | 2% | — | $17.1k – $18.1k |
| 22 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $17.3k | $17.5k | $416 | 2% | — | $17.3k – $18.3k |
Last updated: Aug 18, 2026
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