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 X-HI PRO GS10621-420XP
Pahala, HI
See all hospitals reporting HCPCS C1789 →Price type
Kau Hospital’s median price of $717 is 65% below the median hospital's median price ($2.1k), higher than 12% 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: 4 payers, 7 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 facility · percent of total billed charges · outpatientfrom % of charges | $261.64 | $490.76 | $54.25 – $1,163 |
| 2 | Kaiser medicare facility · percent of total billed charges · outpatientfrom % of charges | $261.64 | $490.76 | $54.25 – $1,163 |
| 3 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $261.64 | $490.76 | $54.25 – $1,163 |
| 4 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $286.96 | $538.25 | $59.50 – $1,275 |
| 5 | Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges | $430.44 | $807.37 | $89.25 – $1,913 |
| 6 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $759.60 | $1,425 | $157.50 – $3,375 |
| 7 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $759.60 | $1,425 | $157.50 – $3,375 |
Last updated: Jun 15, 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.