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 Sanford Health Plan 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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61 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1,133 | $1,104 – $1,162 |
| 2 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,133 | $1,104 – $1,162 |
| 3 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1,133 | $1,104 – $1,162 |
| 4 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,133 | $1,104 – $1,162 |
| 5 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1,133 | $1,104 – $1,162 |
| 6 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,133 | $1,104 – $1,162 |
| 7 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 8 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 9 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 10 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 11 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 12 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 13 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 14 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 15 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 16 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 17 | Fairview Health Services Princeton, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 18 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 19 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · inpatient | 1 | $2,451 | $114.00 – $5,611 |
| 20 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · outpatient | 1 | $2,451 | $114.00 – $5,611 |
| 21 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 22 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 23 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 24 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,797 | $1,797 – $1,797 |
| 25 | MERCY MEDICAL CENTER Williston, ND fee schedule · inpatient | 1 | $1,557 | $507.00 – $2,462 |
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