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
IMP MAMM RND MOD GEL 600ML 354-6007
Houston, TX
See all hospitals reporting HCPCS C1789 →Price type
Chi St. Luke's Health Baylor College Of Medicine Medical Center’s median price of $4.5k is 118% above the median hospital's median price ($2.1k), higher than 87% 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: 9 payers, 52 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 | Blue Cross Blue Shield commercial|blue advantage exchange fee schedule · outpatient | $2,145 | $2,257 | $0.21 – $4,509 |
| 2 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $2,145 | $2,257 | $0.21 – $4,509 |
| 3 | Blue Cross Blue Shield commercial|blue advantage exchange fee schedule · inpatient | $2,350 | $2,472 | $0.23 – $4,939 |
| 4 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $2,350 | $2,472 | $0.23 – $4,939 |
| 5 | Aetna commercial|kelseycare fee schedule · inpatient | $2,554 | $2,687 | $0.25 – $5,368 |
| 6 | Aetna commercial|kelseycare fee schedule · outpatient | $2,554 | $2,687 | $0.25 – $5,368 |
| 7 | Blue Cross Blue Shield commercial|premier fee schedule · outpatient | $2,656 | $2,795 | $0.26 – $5,583 |
| 8 | Optum medicare|all plans fee schedule · outpatient | $2,758 | $2,902 | $0.27 – $5,798 |
| 9 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $2,758 | $2,902 | $0.27 – $5,798 |
| 10 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $2,861 | $3,010 | $0.28 – $6,012 |
| 11 | Aetna commercial|hmo fee schedule · inpatient | $2,963 | $3,117 | $0.29 – $6,227 |
| 12 | Aetna commercial|hmo fee schedule · outpatient | $2,963 | $3,117 | $0.29 – $6,227 |
| 13 | Aetna commercial|ppo fee schedule · inpatient | $2,963 | $3,117 | $0.29 – $6,227 |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $2,963 | $3,117 | $0.29 – $6,227 |
| 15 | Blue Cross Blue Shield commercial|premier fee schedule · inpatient | $2,963 | $3,117 | $0.29 – $6,227 |
| 16 | Cigna commercial|hmo fee schedule · inpatient | $3,065 | $3,225 | $0.30 – $6,442 |
| 17 | Cigna commercial|hmo fee schedule · outpatient | $3,065 | $3,225 | $0.30 – $6,442 |
| 18 | Cigna commercial|ppo fee schedule · inpatient | $3,065 | $3,225 | $0.30 – $6,442 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $3,065 | $3,225 | $0.30 – $6,442 |
| 20 | Cigna commercial|surefit fee schedule · inpatient | $3,065 | $3,225 | $0.30 – $6,442 |
| 21 | Cigna commercial|surefit fee schedule · outpatient | $3,065 | $3,225 | $0.30 – $6,442 |
| 22 | UnitedHealthcare commercial|charter fee schedule · inpatient | $3,167 | $3,332 | $0.31 – $6,656 |
| 23 | UnitedHealthcare commercial|charter fee schedule · outpatient | $3,167 | $3,332 | $0.31 – $6,656 |
| 24 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $3,371 | $3,547 | $0.33 – $7,086 |
| 25 | Blue Cross Blue Shield commercial|ppo trad fee schedule · outpatient | $3,371 | $3,547 | $0.33 – $7,086 |
Last updated: Feb 28, 2026
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.