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
EXPANDER TISSUE INTEGRA P13 CM TEARDROP L18 CM X W14 CM 1200 CL 2 STAGE ENHANCE TEXTURE SURFACE TANGENT LEFT EXIT STERILE LATEX FREE
Claremore, OK
See all hospitals reporting HCPCS C1789 →Price type
AHS Claremore Hospital, LLC’s median price of $1.8k is 11% below the median hospital's median price ($2.1k), higher than 43% of the 1,315 hospitals reporting HCPCS C1789. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 12 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 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $1,136 | $1,218 | $299.00 – $1,834 |
| 2 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $1,136 | $1,218 | $299.00 – $1,834 |
| 3 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $1,903 | $1,861 | $1,685 – $1,922 |
| 4 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $1,903 | $1,861 | $1,685 – $1,922 |
| 5 | Oscar oscar exchange [608001] facility · percent of total billed charges · bothfrom % of charges | $1,772 | $1,900 | $466.44 – $2,862 |
| 6 | UnitedHealthcare uhc compass hix [206019] facility · percent of total billed charges · bothfrom % of charges | $1,783 | $1,911 | $469.19 – $2,878 |
| 7 | UnitedHealthcare united healthcare charter [206031] facility · percent of total billed charges · bothfrom % of charges | $1,783 | $1,911 | $469.19 – $2,878 |
| 8 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $1,790 | $1,919 | $471.22 – $2,891 |
| 9 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $1,790 | $1,919 | $471.22 – $2,891 |
| 10 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $1,790 | $1,919 | $471.22 – $2,891 |
| 11 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $1,790 | $1,919 | $471.22 – $2,891 |
| 12 | Medica medica quest [291001] facility · percent of total billed charges · bothfrom % of charges | $2,568 | $2,752 | $675.74 – $4,146 |
Last updated: Mar 31, 2026
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