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
ROD 5.5 RELINE-C COCR 3.5 X 5.0 200/500 TRANS 3949608
PAUL, MN
See all hospitals reporting HCPCS C1789 →Price type
Gillette Children's Specialty Healthcare’s median price of $1.8k is 12% below the median hospital's median price ($2.1k), higher than 42% 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, 17 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 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $789.28 | $789.28 | $581.92 – $996.63 |
| 2 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $800.26 | $800.26 | $590.01 – $1,011 |
| 3 | Ucare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,156 | $1,156 | $852.00 – $1,459 |
| 4 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,549 | $1,549 | $1,142 – $1,956 |
| 5 | Medica managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,629 | $1,629 | $1,201 – $2,057 |
| 6 | Medica managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,629 | $1,629 | $1,201 – $2,057 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,728 | $1,728 | $1,274 – $2,182 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,728 | $1,728 | $1,274 – $2,182 |
| 9 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,733 | $1,733 | $1,278 – $2,189 |
| 10 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,733 | $1,733 | $1,278 – $2,189 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,038 | $2,038 | $1,502 – $2,573 |
| 12 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,138 | $2,138 | $1,576 – $2,700 |
| 13 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,138 | $2,138 | $1,576 – $2,700 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,167 | $2,167 | $1,598 – $2,736 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,167 | $2,167 | $1,598 – $2,736 |
| 16 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,456 | $2,456 | $1,811 – $3,101 |
| 17 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,456 | $2,456 | $1,811 – $3,101 |
Last updated: Jan 1, 2026
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