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 SALINE P4.1-4.9 CM MODERATE PLUS PROFILE ROUND OD10.8-11 CM 275-330 CC STYLE 2000 SMOOTH STERILE
Pryor, OK
See all hospitals reporting HCPCS C1789 →Price type
AHS Pryor Hospital, LLC’s median price of $1.6k is 21% below the median hospital's median price ($2.1k), higher than 35% 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: 7 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 | $622.50 | $622.50 | $622.50 – $622.50 |
| 2 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $622.50 | $622.50 | $622.50 – $622.50 |
| 3 | Oscar oscar exchange [608001] facility · percent of total billed charges · bothfrom % of charges | $971.10 | $971.10 | $971.10 – $971.10 |
| 4 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $1,619 | $1,619 | $1,619 – $1,619 |
| 5 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $1,619 | $1,619 | $1,619 – $1,619 |
| 6 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $1,619 | $1,619 | $1,619 – $1,619 |
| 7 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $1,619 | $1,619 | $1,619 – $1,619 |
| 8 | First Health benveo/ucs [137512] facility · percent of total billed charges · bothfrom % of charges | $1,838 | $1,838 | $1,838 – $1,838 |
| 9 | Medica medica quest [291001] facility · percent of total billed charges · bothfrom % of charges | $1,838 | $1,838 | $1,838 – $1,838 |
| 10 | MultiPlan providence health plan [168004] facility · percent of total billed charges · bothfrom % of charges | $1,838 | $1,838 | $1,838 – $1,838 |
| 11 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $2,049 | $2,049 | $2,049 – $2,049 |
| 12 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $2,049 | $2,049 | $2,049 – $2,049 |
Last updated: Mar 31, 2026
See Smooth low-profile rectangular tissue expander, 160-320 cc pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.