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
SIZER GMEL IMP MOD +400CC UHP RSZ-5400S
Garrison, ND
See all hospitals reporting HCPCS C1789 →Price type
Garrison Memorial Hospital’s median price of $1.7k is 15% below the median hospital's median price ($2.1k), higher than 38% 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, 13 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 | Humana medicare|all plans fee schedule · outpatient | $1,095 | $1,290 | $60.00 – $2,953 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $1,095 | $1,290 | $60.00 – $2,953 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1,095 | $1,290 | $60.00 – $2,953 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $1,117 | $1,316 | $61.20 – $3,012 |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $1,621 | $1,909 | $88.80 – $4,371 |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $1,621 | $1,909 | $88.80 – $4,371 |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1,905 | $2,245 | $104.40 – $5,138 |
| 8 | Medica commercial|all plans fee schedule · inpatient | $1,905 | $2,245 | $104.40 – $5,138 |
| 9 | Medica commercial|all plans fee schedule · outpatient | $1,905 | $2,245 | $104.40 – $5,138 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $1,971 | $2,322 | $108.00 – $5,316 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $1,971 | $2,322 | $108.00 – $5,316 |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $2,081 | $2,451 | $114.00 – $5,611 |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $2,081 | $2,451 | $114.00 – $5,611 |
Last updated: Feb 28, 2026
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