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
IMPLANT-BREAST SILICONE-GEL STYLE-410LX LOW-HEIGHT-EXTRA-FULL-PROJECTION-PROFILE TEXTURED STERILE HIGHLY-COHESIVE GUMMY-BEAR-TYPE 405CC
The hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
Filter by billing methodology
Filter by billing class
386 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5,567 | $5,567 – $5,567 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176.28 | $176.28 – $176.28 |
| 3 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $103.24 | $103.24 – $103.24 |
| 4 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $53.28 | $29.94 – $68.37 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $2,604 | $0.64 – $6,185 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $2,158 | $0.37 – $6,281 |
| 7 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $68.65 | $29.94 – $90.26 |
| 8 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 2 | $63.94 | $15.80 – $90.26 |
| 9 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 2 | $292.23 | $23.17 – $704.30 |
| 10 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 2 | $64.18 | $16.52 – $90.26 |
| 11 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,791 | $2,167 – $4,793 |
| 12 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,299 | $1,530 – $4,793 |
| 13 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,996 | $2,836 – $3,076 |
| 14 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,467 | $2,002 – $3,076 |
| 15 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4,354 | $4,129 – $4,479 |
| 16 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3,585 | $2,914 – $4,479 |
| 17 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3,599 | $3,106 – $3,796 |
| 18 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,964 | $2,192 – $3,796 |
| 19 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,684 | $2,516 – $2,768 |
| 20 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,210 | $1,776 – $2,768 |
| 21 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,377 | $709.75 – $3,076 |
| 22 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 3 | $1,957 | $501.00 – $3,076 |
| 23 | Aurora Medical Center Summit Summit, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,764 | $2,050 – $3,291 |
| 24 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,276 | $1,447 – $3,291 |
| 25 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $5,319 | $3,144 – $5,862 |
← Payers reporting HCPCS C1789 · Snapshot 20261108T055240Z-43b7dac7