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 550-590 CC P5.8-6.4 CM HIGH PROFILE ROUND STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE NATRELLE SALINE OD13.3-13.1 CM
Sparta, NC
See all hospitals reporting HCPCS C1789 →Price type
Alleghany County Memorial Hospital, Inc’s median price of $378 is 82% below the median hospital's median price ($2.1k), higher than 5% 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: 8 payers, 14 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $272.00 | $281.77 | $109.48 – $6,120 |
| 2 | Ambetter individual market facility · percent of total billed charges · outpatientfrom % of charges | $272.00 | $281.77 | $109.48 – $6,120 |
| 3 | Amerihealth Caritas hmo facility · percent of total billed charges · outpatientfrom % of charges | $272.00 | $281.77 | $109.48 – $6,120 |
| 4 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $272.00 | $281.77 | $109.48 – $6,120 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $342.16 | $354.46 | $137.72 – $7,699 |
| 6 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $342.16 | $354.46 | $137.72 – $7,699 |
| 7 | Bcbs Nc blue value facility · percent of total billed charges · outpatientfrom % of charges | $435.20 | $450.84 | $175.17 – $9,792 |
| 8 | Bcbs Nc hmo facility · percent of total billed charges · outpatientfrom % of charges | $435.20 | $450.84 | $175.17 – $9,792 |
| 9 | Bcbs Nc ppo facility · percent of total billed charges · outpatientfrom % of charges | $435.20 | $450.84 | $175.17 – $9,792 |
| 10 | UnitedHealthcare all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $620.00 | $642.28 | $249.55 – $13,950 |
| 11 | Cigna all plans facility · percent of total billed charges · inpatientfrom % of charges | $672.00 | $696.15 | $270.48 – $15,120 |
| 12 | Cigna all plans facility · percent of total billed charges · outpatientfrom % of charges | $672.00 | $696.15 | $270.48 – $15,120 |
| 13 | Medcost ppo facility · percent of total billed charges · inpatientfrom % of charges | $736.00 | $762.45 | $296.24 – $16,560 |
| 14 | Medcost ppo facility · percent of total billed charges · outpatientfrom % of charges | $736.00 | $762.45 | $296.24 – $16,560 |
Last updated: Aug 12, 2025
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.