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 Healthpartners 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
53 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2,049 | $2,049 – $2,049 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $2,995 | $2,995 – $2,995 |
| 3 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $2,995 | $2,995 – $2,995 |
| 4 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $2,995 | $2,995 – $2,995 |
| 5 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $2,995 | $2,995 – $2,995 |
| 6 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,463 | $1,912 – $4,229 |
| 7 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,299 | $1,530 – $4,229 |
| 8 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,644 | $2,502 – $2,714 |
| 9 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,467 | $2,002 – $2,714 |
| 10 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3,841 | $3,643 – $3,952 |
| 11 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3,585 | $2,914 – $3,952 |
| 12 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3,175 | $2,741 – $3,350 |
| 13 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,964 | $2,192 – $3,350 |
| 14 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,368 | $2,220 – $2,442 |
| 15 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,210 | $1,776 – $2,442 |
| 16 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,097 | $626.25 – $2,714 |
| 17 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 3 | $1,957 | $501.00 – $2,714 |
| 18 | Aurora Medical Center Summit Summit, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2,439 | $1,808 – $2,904 |
| 19 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 3 | $2,276 | $1,447 – $2,904 |
| 20 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4,693 | $2,774 – $5,173 |
| 21 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $4,380 | $2,220 – $5,173 |
| 22 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4,443 | $4,297 – $4,661 |
| 23 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $4,146 | $3,437 – $4,661 |
| 24 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4,249 | $2,628 – $4,818 |
| 25 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3,966 | $2,102 – $4,818 |
← Payers reporting HCPCS C1789 · Snapshot 20261108T055240Z-43b7dac7