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 TISS SILTEX MD 550CC 354-7214
Council Bluffs, IA
See all hospitals reporting HCPCS C1789 →Price type
Alegent Health Bergan Mercy Health System’s median price of $981 is 52% below the median hospital's median price ($2.1k), higher than 17% 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, 7 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 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $955.08 | $1,113 | $36.44 – $2,717 |
| 2 | Phcs commercial|all plans fee schedule · inpatient | $1,474 | $1,717 | $56.24 – $4,193 |
| 3 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $1,536 | $1,790 | $58.61 – $4,371 |
| 4 | Medica commercial|open access fee schedule · outpatient | $1,557 | $1,814 | $59.40 – $4,430 |
| 5 | Phcs commercial|all plans fee schedule · outpatient | $1,557 | $1,814 | $59.40 – $4,430 |
| 6 | MultiPlan commercial|all plans fee schedule · inpatient | $1,765 | $2,056 | $67.32 – $5,020 |
| 7 | MultiPlan commercial|all plans fee schedule · outpatient | $1,765 | $2,056 | $67.32 – $5,020 |
Last updated: Feb 28, 2026
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