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
REPLIFORM TISSUE 2 X 4CM REGENERATION MATRIX TT
Malone, NY
See all hospitals reporting HCPCS C1889 →Price type
Alice Hyde Medical Center’s median price of $657 is 72% below the median hospital's median price ($2.3k), higher than 23% 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: 5 payers, 8 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 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $477.48 | $477.48 | $397.88 – $557.07 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $562.74 | $562.74 | $468.93 – $656.54 |
| 3 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $562.74 | $562.74 | $468.93 – $656.54 |
| 4 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $562.74 | $562.74 | $468.93 – $656.54 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $562.74 | $562.74 | $468.93 – $656.54 |
| 6 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,426 | $1,426 | $1,188 – $1,663 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,482 | $1,482 | $1,235 – $1,729 |
| 8 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,528 | $1,528 | $1,273 – $1,783 |
Last updated: Sep 8, 2026
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