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 SM/RND HIGH 355CC SHPX355
Lowell, MA
See all hospitals reporting HCPCS C1789 →Price type
Lowell General Hospital’s median price of $810 is 61% below the median hospital's median price ($2.1k), higher than 13% 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, 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Amerihealth Caritas hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $686.00 | $654.61 | $161.00 – $927.50 |
| 2 | First Health hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $686.00 | $654.61 | $161.00 – $927.50 |
| 3 | Cigna hb xr cigna lgh percent of total billed charges · bothfrom % of charges | $980.00 | $935.16 | $230.00 – $1,325 |
| 4 | UnitedHealthcare hb xr uhc lgh percent of total billed charges · bothfrom % of charges | $1,627 | $1,552 | $381.75 – $2,199 |
| 5 | MultiPlan hb xr claritev lgh percent of total billed charges · bothfrom % of charges | $1,632 | $1,557 | $382.95 – $2,206 |
| 6 | Medicaid hb xr medicaid limited cmsp 100% percent of total billed charges · bothfrom % of charges | $1,960 | $1,870 | $460.00 – $2,650 |
| 7 | Aetna hb xr aetna hmo ppo lgh percent of total billed charges · bothfrom % of charges | $2,322 | $2,215 | $544.87 – $3,139 |
Last updated: Apr 1, 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.