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 COHESIVE I P4.6 CM HIGH PROFILE OD11.4 CM 326
Orwigsburg, PA
See all hospitals reporting HCPCS C1789 →Price type
Geisinger St Luke's Hospital - Orwigsburg Campus’s median price of $2.4k is 19% above the median hospital's median price ($2.1k), higher than 60% 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, 8 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 medicare facility · fee schedule · outpatient | $410.37 | $410.37 | $410.37 – $410.37 |
| 2 | Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,051 | $1,043 | $110.34 – $2,115 |
| 3 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,139 | $1,130 | $119.63 – $2,293 |
| 4 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,139 | $1,130 | $119.63 – $2,293 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,809 | $2,787 | $294.98 – $5,655 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,840 | $2,818 | $298.25 – $5,717 |
| 7 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,939 | $2,916 | $308.63 – $5,916 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,949 | $3,918 | $414.71 – $7,950 |
Last updated: Feb 26, 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.