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 BRST MOD GEL 405CC
Wilkes-Barre, PA
See all hospitals reporting HCPCS C1789 →Price type
Geisinger Wyoming Valley’s median price of $2.6k is 27% above the median hospital's median price ($2.1k), higher than 65% 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, 18 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 highmark bc/bs - special care percent of total billed charges · outpatientfrom % of charges | $1,008 | $1,161 | $442.30 – $2,346 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $1,118 | $1,288 | $490.78 – $2,603 |
| 6 | Blue Cross Blue Shield highmark bc/bs percent of total billed charges · outpatientfrom % of charges | $1,440 | $1,659 | $631.92 – $3,351 |
| 7 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $1,926 | $2,218 | $845.13 – $4,482 |
| 8 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $2,021 | $2,328 | $886.96 – $4,704 |
| 9 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $2,288 | $2,635 | $1,004 – $5,324 |
| 10 | UnitedHealthcare united healthcare - client specific rate percent of total billed charges · outpatientfrom % of charges | $2,498 | $2,877 | $1,096 – $5,813 |
| 11 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $3,211 | $3,699 | $1,409 – $7,473 |
| 12 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $3,211 | $3,699 | $1,409 – $7,473 |
| 13 | MultiPlan beech street percent of total billed charges · inpatientfrom % of charges | $4,155 | $4,785 | $1,823 – $9,669 |
| 14 | MultiPlan beech street percent of total billed charges · outpatientfrom % of charges | $4,155 | $4,785 | $1,823 – $9,669 |
| 15 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $4,155 | $4,785 | $1,823 – $9,669 |
| 16 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $4,155 | $4,785 | $1,823 – $9,669 |
| 17 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $16,229 | $16,229 | $16,229 – $16,229 |
| 18 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $23,185 | $23,185 | $23,185 – $23,185 |
Last updated: Jul 1, 2026
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