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
1074087 - IMPLANT BRST 325 ML P3.8 CM MODERATE PLUS PRFL HI PRJ RND
Green Bay, WI
See all hospitals reporting HCPCS C1789 →Price type
Aurora BayCare Medical Center’s median price of $2.1k is about the same as the median hospital's median price ($2.1k), higher than 50% 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: 6 payers, 21 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $1,502 | $1,596 | $1,239 – $2,741 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $1,835 | $1,951 | $1,514 – $3,350 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $1,835 | $1,951 | $1,514 – $3,350 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $1,835 | $1,951 | $1,514 – $3,350 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $1,835 | $1,951 | $1,514 – $3,350 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $1,854 | $1,970 | $1,530 – $3,384 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $1,854 | $1,970 | $1,530 – $3,384 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $1,854 | $1,970 | $1,530 – $3,384 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $2,009 | $2,135 | $1,657 – $3,666 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $2,318 | $2,463 | $1,912 – $4,229 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $2,318 | $2,463 | $1,912 – $4,229 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $2,318 | $2,463 | $1,912 – $4,229 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $2,318 | $2,463 | $1,912 – $4,229 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $2,552 | $2,712 | $2,106 – $4,658 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2,552 | $2,712 | $2,106 – $4,658 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $2,602 | $2,765 | $2,146 – $4,748 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2,602 | $2,765 | $2,146 – $4,748 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $2,614 | $2,778 | $2,157 – $4,771 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2,614 | $2,778 | $2,157 – $4,771 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $2,627 | $2,791 | $2,167 – $4,793 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $2,627 | $2,791 | $2,167 – $4,793 |
Last updated: Nov 21, 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.