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
XPNDR TISS ARTR+ SUT TAB 600SDC-140H[INDHOR]
Wayne, IN
See all hospitals reporting HCPCS C1789 →Price type
Dupont Hospital LLC’s median price of $5.6k is 174% above the median hospital's median price ($2.1k), higher than 93% 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: 5 payers, 15 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $3,024 | $3,902 | $613.38 – $8,840 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $3,024 | $3,902 | $613.38 – $8,840 |
| 3 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,399 | $4,385 | $689.34 – $9,934 |
| 4 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,399 | $4,385 | $689.34 – $9,934 |
| 5 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $3,464 | $4,470 | $702.63 – $10,126 |
| 6 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $3,464 | $4,470 | $702.63 – $10,126 |
| 7 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $4,185 | $5,400 | $848.85 – $12,233 |
| 8 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $4,962 | $6,403 | $1,006 – $14,505 |
| 9 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $4,962 | $6,403 | $1,006 – $14,505 |
| 10 | UnitedHealthcare uhc apa facility · other · outpatient | $6,554 | $6,789 | $5,899 – $8,210 |
| 11 | UnitedHealthcare uhc options ppo facility · other · outpatient | $6,554 | $6,789 | $5,899 – $8,210 |
| 12 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · inpatientfrom % of charges | $8,052 | $10,390 | $1,633 – $23,536 |
| 13 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · outpatientfrom % of charges | $8,052 | $10,390 | $1,633 – $23,536 |
| 14 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · inpatientfrom % of charges | $8,427 | $10,873 | $1,709 – $24,630 |
| 15 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · outpatientfrom % of charges | $8,427 | $10,873 | $1,709 – $24,630 |
Last updated: Apr 1, 2026
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