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 12.25CM NATRELLE INSPIRA 470ML SRX-470
San Antonio, TX
See all hospitals reporting HCPCS C1789 →Price type
Bexar County Hospital District’s median price of $1.6k is 24% below the median hospital's median price ($2.1k), higher than 32% 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, 17 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 exchange percent of total billed charges · inpatientfrom % of charges | $1,177 | $1,070 | $322.50 – $2,284 |
| 2 | Aetna exchange percent of total billed charges · outpatientfrom % of charges | $1,177 | $1,070 | $322.50 – $2,284 |
| 3 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1,232 | $1,120 | $337.50 – $2,391 |
| 4 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1,232 | $1,120 | $337.50 – $2,391 |
| 5 | Blue Cross Blue Shield hmo percent of total billed charges · inpatientfrom % of charges | $1,369 | $1,245 | $375.00 – $2,656 |
| 6 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1,369 | $1,245 | $375.00 – $2,656 |
| 7 | Blue Cross Blue Shield ppo percent of total billed charges · inpatientfrom % of charges | $1,369 | $1,245 | $375.00 – $2,656 |
| 8 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1,369 | $1,245 | $375.00 – $2,656 |
| 9 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $1,369 | $1,332 | $375.00 – $3,028 |
| 10 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $1,643 | $1,494 | $450.00 – $3,188 |
| 11 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $1,643 | $1,494 | $450.00 – $3,188 |
| 12 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $1,560 | $1,581 | $427.50 – $3,719 |
| 13 | MultiPlan primary network percent of total billed charges · inpatientfrom % of charges | $1,779 | $1,618 | $487.50 – $3,453 |
| 14 | MultiPlan primary network percent of total billed charges · outpatientfrom % of charges | $1,779 | $1,618 | $487.50 – $3,453 |
| 15 | MultiPlan complementary network percent of total billed charges · inpatientfrom % of charges | $1,916 | $1,743 | $525.00 – $3,719 |
| 16 | MultiPlan complementary network percent of total billed charges · outpatientfrom % of charges | $1,916 | $1,743 | $525.00 – $3,719 |
| 17 | Optum transplant percent of total billed charges · outpatientfrom % of charges | $6,844 | $6,224 | $1,875 – $13,281 |
Last updated: Oct 14, 2025
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