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
GRAFT GORTEX 4-7MM 10CM RS WLG
Muncy, PA
See all hospitals reporting HCPCS C1768 →Price type
UPMC Muncy’s median price of $1.8k is 24% below the median hospital's median price ($2.4k), higher than 40% of the 1,443 hospitals reporting HCPCS C1768. 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, 28 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 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $421 | $497 | $311 | 63% | — | $16 – $1.1k |
| 2 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $433 | $512 | $320 | 63% | — | $17 – $1.1k |
| 3 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $442 | $522 | $326 | 63% | — | $17 – $1.1k |
| 4 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $450 | $532 | $333 | 63% | — | $17 – $1.2k |
| 5 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $561 | $662 | $414 | 63% | — | $21 – $1.4k |
| 6 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.3k | $813 | 63% | — | $42 – $2.8k |
| 7 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.3k | $840 | 63% | — | $43 – $2.9k |
| 8 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.4k | $888 | 63% | — | $46 – $3.1k |
| 9 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.5k | $957 | 63% | — | $49 – $3.3k |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.6k | $988 | 63% | — | $51 – $3.4k |
| 11 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.7k | $1.0k | 63% | — | $54 – $3.6k |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.7k | $1.0k | 63% | — | $54 – $3.6k |
| 13 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.8k | $1.1k | 63% | — | $57 – $3.8k |
| 14 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $2.2k | $1.4k | 63% | — | $71 – $4.8k |
| 15 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.2k | $1.4k | 63% | — | $71 – $4.8k |
| 16 | Amerihealth Caritas medicare facility · per diem · inpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 17 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $2.2k | $1.4k | 63% | — | $72 – $4.9k |
| 18 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.2k | $1.4k | 63% | — | $72 – $4.9k |
| 19 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $2.3k | $1.4k | 63% | — | $73 – $4.9k |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.3k | $1.4k | 63% | — | $73 – $4.9k |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $2.3k | $1.4k | 63% | — | $73 – $5.0k |
| 22 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.3k | $1.4k | 63% | — | $73 – $5.0k |
| 23 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.6k | $1.6k | 63% | — | $83 – $5.6k |
| 24 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.6k | $1.6k | 63% | — | $83 – $5.6k |
| 25 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.6k | $1.6k | 63% | — | $83 – $5.6k |
Last updated: Mar 6, 2026
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