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
1036658 - EXPANDER TISS 250 CC STYLE 133S-MV-T SMTH SUT TAB PORT FND
Burlington, WI
See all hospitals reporting HCPCS C1789 →Price type
Aurora Medical Center Burlington’s median price of $2.2k is 6% above the median hospital's median price ($2.1k), higher than 52% 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $1,759 | $1,713 | $1,621 – $1,759 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,094 | $1,982 – $2,150 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,094 | $1,982 – $2,150 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,094 | $1,982 – $2,150 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,094 | $1,982 – $2,150 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $2,171 | $2,115 | $2,002 – $2,171 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $2,171 | $2,115 | $2,002 – $2,171 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $2,171 | $2,115 | $2,002 – $2,171 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $2,352 | $2,291 | $2,168 – $2,352 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $2,714 | $2,644 | $2,502 – $2,714 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $2,714 | $2,644 | $2,502 – $2,714 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $2,714 | $2,644 | $2,502 – $2,714 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $2,714 | $2,644 | $2,502 – $2,714 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $2,989 | $2,911 | $2,756 – $2,989 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2,989 | $2,911 | $2,756 – $2,989 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $3,047 | $2,968 | $2,809 – $3,047 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $3,047 | $2,968 | $2,809 – $3,047 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $3,062 | $2,982 | $2,822 – $3,062 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $3,062 | $2,982 | $2,822 – $3,062 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $3,076 | $2,996 | $2,836 – $3,076 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $3,076 | $2,996 | $2,836 – $3,076 |
Last updated: Nov 21, 2025
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