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 MEMORYGEL BOOST P4.1 CM MODERATE PLUS PROFILE OD12.7 CM 390 CC COHESIVE GEL SOFT SMOOTH SURFACE SHELL
Albuquerque, NM
See all hospitals reporting HCPCS C1789 →Price type
Lovelace Health System, LLC’s median price of $3.0k is 47% above the median hospital's median price ($2.1k), higher than 72% 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, 4 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 | Magellan magellan behavioral commercial [289500] facility · percent of total billed charges · bothfrom % of charges | $2,526 | $2,327 | $252.60 – $13,683 |
| 2 | Aetna coventry healthcare [101502] facility · percent of total billed charges · bothfrom % of charges | $4,547 | $4,189 | $454.68 – $24,629 |
| 3 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $4,547 | $4,189 | $454.68 – $24,629 |
| 4 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $4,547 | $4,189 | $454.68 – $24,629 |
Last updated: Mar 31, 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.