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
MEMBRANE AMNIOTIC BARRIER 2X4 AM45-2X04
Plainview, NE
See all hospitals reporting HCPCS C1889 →Price type
Alegent Creighton Health’s median price of $1.3k is 46% below the median hospital's median price ($2.3k), higher than 35% of the 1,507 hospitals reporting HCPCS C1889. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 23 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $803.74 | $1,887 | $17.99 – $9,489 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $803.74 | $1,887 | $17.99 – $9,489 |
| 3 | Medica medicare|all plans fee schedule · outpatient | $803.74 | $1,887 | $17.99 – $9,489 |
| 4 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $803.74 | $1,887 | $17.99 – $9,489 |
| 5 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $856.44 | $2,011 | $19.17 – $10,111 |
| 6 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $1,189 | $2,792 | $26.61 – $14,038 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $1,189 | $2,792 | $26.61 – $14,038 |
| 8 | Medica commercial|all other plans fee schedule · inpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 9 | Medica commercial|all other plans fee schedule · outpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 10 | Medica commercial|chi health fee schedule · inpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 11 | Medica commercial|chi health fee schedule · outpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $1,252 | $2,939 | $28.01 – $14,777 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1,252 | $2,939 | $28.01 – $14,777 |
| 14 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $1,252 | $2,939 | $28.01 – $14,777 |
| 15 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $1,252 | $2,939 | $28.01 – $14,777 |
| 16 | Medica commercial|aco fee schedule · inpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 17 | Medica commercial|aco fee schedule · outpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 18 | Medica commercial|open access fee schedule · inpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 19 | Medica commercial|open access fee schedule · outpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $1,291 | $3,032 | $28.90 – $15,244 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $1,291 | $3,032 | $28.90 – $15,244 |
| 22 | Phcs commercial|all plans fee schedule · inpatient | $1,291 | $3,032 | $28.90 – $15,244 |
| 23 | Phcs commercial|all plans fee schedule · outpatient | $1,291 | $3,032 | $28.90 – $15,244 |
Last updated: Feb 28, 2026
See Vascular embolization coil, bare platinum 3D pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.