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
1036650 - EXPANDER TISS 750 CC STYLE 133S SMTH SUT TAB PORT FND W15 CM
Milwaukee, WI
See all hospitals reporting HCPCS C1789 →Price type
Aurora St Lukes Medical Center of Aurora Health Care Metro Inc’s median price of $3.7k is 82% above the median hospital's median price ($2.1k), higher than 82% 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 | $2,784 | $2,879 | $2,784 – $3,020 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $3,403 | $3,519 | $3,403 – $3,692 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $3,403 | $3,519 | $3,403 – $3,692 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $3,403 | $3,519 | $3,403 – $3,692 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $3,403 | $3,519 | $3,403 – $3,692 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $3,437 | $3,554 | $3,437 – $3,729 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $3,437 | $3,554 | $3,437 – $3,729 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $3,437 | $3,554 | $3,437 – $3,729 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $3,724 | $3,850 | $3,724 – $4,040 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $4,297 | $4,443 | $4,297 – $4,661 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $4,297 | $4,443 | $4,297 – $4,661 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $4,297 | $4,443 | $4,297 – $4,661 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $4,297 | $4,443 | $4,297 – $4,661 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $4,732 | $4,893 | $4,732 – $5,134 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $4,732 | $4,893 | $4,732 – $5,134 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $4,824 | $4,988 | $4,824 – $5,233 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $4,824 | $4,988 | $4,824 – $5,233 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $4,847 | $5,011 | $4,847 – $5,258 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $4,847 | $5,011 | $4,847 – $5,258 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $4,870 | $5,035 | $4,870 – $5,283 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $4,870 | $5,035 | $4,870 – $5,283 |
Last updated: Nov 21, 2025
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