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
BREAST IMPLANT 354-2514 SALINE
Bloomsburg, PA
See all hospitals reporting HCPCS C1789 →Price type
Geisinger Bloomsburg Hospital’s median price of $1.9k is 9% below the median hospital's median price ($2.1k), higher than 44% 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: 7 payers, 23 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 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $1.47 | $1.47 | $1.47 – $1.47 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 4 | Blue Cross Blue Shield capital - special network rates percent of total billed charges · outpatientfrom % of charges | $720.74 | $641.09 | $344.70 – $1,567 |
| 5 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $674.05 | $711.14 | $523.38 – $1,094 |
| 6 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $1,030 | $915.96 | $492.49 – $2,239 |
| 7 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $1,184 | $1,053 | $566.28 – $2,574 |
| 8 | Blue Cross Blue Shield highmark bc/bs - special care percent of total billed charges · outpatientfrom % of charges | $1,616 | $1,437 | $772.84 – $3,513 |
| 9 | Blue Cross Blue Shield capital - basic network rates percent of total billed charges · outpatientfrom % of charges | $1,798 | $1,599 | $859.93 – $3,909 |
| 10 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $1,812 | $1,612 | $866.58 – $3,939 |
| 11 | Blue Cross Blue Shield highmark percent of total billed charges · outpatientfrom % of charges | $2,308 | $2,053 | $1,104 – $5,018 |
| 12 | Blue Cross Blue Shield highmark bc/bs percent of total billed charges · outpatientfrom % of charges | $2,308 | $2,053 | $1,104 – $5,018 |
| 13 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $2,843 | $2,529 | $1,360 – $6,182 |
| 14 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $2,843 | $2,529 | $1,360 – $6,182 |
| 15 | Blue Cross Blue Shield first priority health percent of total billed charges · outpatientfrom % of charges | $3,033 | $2,698 | $1,450 – $6,593 |
| 16 | Humana humana - commercial percent of total billed charges · inpatientfrom % of charges | $3,812 | $3,391 | $1,823 – $8,288 |
| 17 | Humana humana - commercial percent of total billed charges · outpatientfrom % of charges | $3,812 | $3,391 | $1,823 – $8,288 |
| 18 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $3,812 | $3,391 | $1,823 – $8,288 |
| 19 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $3,812 | $3,391 | $1,823 – $8,288 |
| 20 | UnitedHealthcare united healthcare - all payer rate case rate · inpatient | $3,937 | $3,937 | $3,937 – $3,937 |
| 21 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $8,534 | $8,534 | $8,534 – $8,534 |
| 22 | Blue Cross Blue Shield highmark case rate · inpatient | $12,191 | $12,191 | $12,191 – $12,191 |
| 23 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $12,191 | $12,191 | $12,191 – $12,191 |
Last updated: Jul 1, 2026
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