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 Medicaid 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.
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59 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $6,690 | $6,690 – $6,690 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $8,463 | $6,690 – $10,236 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $1,143 | $0.34 – $2,334 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $924.76 | $0.27 – $1,888 |
| 5 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1,766 | $1,766 – $1,766 |
| 6 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $1,871 | $1,238 – $2,625 |
| 7 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $508.29 | $508.29 – $508.29 |
| 8 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $104.17 | $50.40 – $142.50 |
| 9 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $104.17 | $50.40 – $142.50 |
| 10 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $669.02 | $355.48 – $1,230 |
| 11 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $8,815 | $2,772 – $15,000 |
| 12 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1.00 | $1.00 – $1.00 |
| 13 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1.00 | $1.00 – $1.00 |
| 14 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1.00 | $1.00 – $1.00 |
| 15 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1.00 | $1.00 – $1.00 |
| 16 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1.00 | $1.00 – $1.00 |
| 17 | Grossmont Hospital Corporation La Mesa, CA case rate · outpatient | 1 | $15,436 | $15,436 – $15,436 |
| 18 | Grossmont Hospital Corporation La Mesa, CA fee schedule · inpatient | 1 | $1,188 | $192.26 – $1,974 |
| 19 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $301.72 | $1.00 – $4,700 |
| 20 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $3,774 | $189.84 – $9,703 |
| 21 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $3,750 | $246.88 – $11,129 |
| 22 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $337.72 | $238.55 – $489.26 |
| 23 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $4,383 | $0.01 – $8,662 |
| 24 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $2,440 | $849.00 – $3,501 |
| 25 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $1,870 | $460.00 – $2,650 |
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