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 CNTOUR MED 550ML 354-6214
Missouri Valley, IA
See all hospitals reporting HCPCS C1789 →Price type
Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa’s median price of $1.7k is 18% below the median hospital's median price ($2.1k), higher than 37% 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, 24 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 | Humana medicare|all plans fee schedule · outpatient | $726.69 | $846.62 | $27.72 – $2,067 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $726.69 | $846.62 | $27.72 – $2,067 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $726.69 | $846.62 | $27.72 – $2,067 |
| 4 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $892.79 | $1,040 | $34.06 – $2,540 |
| 5 | Wellmark commercial|hmo fee schedule · inpatient | $1,183 | $1,379 | $45.15 – $3,367 |
| 6 | Wellmark commercial|ppo fee schedule · inpatient | $1,183 | $1,379 | $45.15 – $3,367 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $1,874 | $2,183 | $71.48 – $5,330 |
| 8 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $1,874 | $2,183 | $71.48 – $5,330 |
| 9 | Medica commercial|all other plans fee schedule · inpatient | $1,889 | $2,201 | $72.08 – $5,375 |
| 10 | Medica commercial|all other plans fee schedule · outpatient | $1,889 | $2,201 | $72.08 – $5,375 |
| 11 | Medica commercial|chi health fee schedule · inpatient | $1,889 | $2,201 | $72.08 – $5,375 |
| 12 | Medica commercial|chi health fee schedule · outpatient | $1,889 | $2,201 | $72.08 – $5,375 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $1,972 | $2,298 | $75.24 – $5,611 |
| 14 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1,972 | $2,298 | $75.24 – $5,611 |
| 15 | Medica commercial|aco fee schedule · inpatient | $1,993 | $2,322 | $76.04 – $5,670 |
| 16 | Medica commercial|aco fee schedule · outpatient | $1,993 | $2,322 | $76.04 – $5,670 |
| 17 | Medica commercial|open access fee schedule · inpatient | $1,993 | $2,322 | $76.04 – $5,670 |
| 18 | Medica commercial|open access fee schedule · outpatient | $1,993 | $2,322 | $76.04 – $5,670 |
| 19 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $1,993 | $2,322 | $76.04 – $5,670 |
| 20 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $1,993 | $2,322 | $76.04 – $5,670 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $2,035 | $2,371 | $77.62 – $5,788 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $2,035 | $2,371 | $77.62 – $5,788 |
| 23 | Phcs commercial|all plans fee schedule · inpatient | $2,035 | $2,371 | $77.62 – $5,788 |
| 24 | Phcs commercial|all plans fee schedule · outpatient | $2,035 | $2,371 | $77.62 – $5,788 |
Last updated: Feb 28, 2026
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