Smooth low-profile rectangular tissue expander, 160-320 cc at Mayo Clinic Florida

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IMPLANT-BREAST SILICONE-GEL STYLE-410LX LOW-HEIGHT-EXTRA-FULL-PROJECTION-PROFILE TEXTURED STERILE HIGHLY-COHESIVE GUMMY-BEAR-TYPE 405CC

Jacksonville, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Mayo Clinic Florida’s median price of $1.3k is 39% below the median hospital's median price ($2.1k), higher than 24% of the 1,315 hospitals reporting HCPCS C1789. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C1789 at Mayo Clinic Florida

Negotiated rates from the hospital’s own file: 15 payers, 37 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	Medica united healthcare [45] facility · percent of total billed charges · bothfrom % of charges	$1,049	$983.13	$44.40 – $2,026
2	Optum united healthcare [45] facility · percent of total billed charges · bothfrom % of charges	$1,049	$983.13	$44.40 – $2,026
3	UnitedHealthcare united healthcare [45] facility · percent of total billed charges · bothfrom % of charges	$1,049	$983.13	$44.40 – $2,026
4	UnitedHealthcare united healthcare gap exception [1381] facility · percent of total billed charges · bothfrom % of charges	$1,049	$983.13	$44.40 – $2,026
5	Blue Cross Blue Shield blue cross blue shield bluecare [1347] facility · percent of total billed charges · bothfrom % of charges	$1,070	$1,003	$45.28 – $2,066
6	Cigna cigna [44] facility · percent of total billed charges · bothfrom % of charges	$1,134	$1,063	$48.00 – $2,190
7	Cigna cigna gap exception [1384] facility · percent of total billed charges · bothfrom % of charges	$1,134	$1,063	$48.00 – $2,190
8	Healthpartners cigna [44] facility · percent of total billed charges · bothfrom % of charges	$1,134	$1,063	$48.00 – $2,190
9	Humana cigna [44] facility · percent of total billed charges · bothfrom % of charges	$1,134	$1,063	$48.00 – $2,190
10	Medcost cigna [44] facility · percent of total billed charges · bothfrom % of charges	$1,134	$1,063	$48.00 – $2,190
11	Medical Mutual cigna [44] facility · percent of total billed charges · bothfrom % of charges	$1,134	$1,063	$48.00 – $2,190
12	Oscar cigna [44] facility · percent of total billed charges · bothfrom % of charges	$1,134	$1,063	$48.00 – $2,190
13	Aetna aetna [29] facility · percent of total billed charges · bothfrom % of charges	$1,172	$1,098	$49.60 – $2,263
14	Medical Mutual aetna [29] facility · percent of total billed charges · bothfrom % of charges	$1,172	$1,098	$49.60 – $2,263
15	Anthem blue cross blue shield [121] facility · percent of total billed charges · bothfrom % of charges	$1,189	$1,114	$50.32 – $2,296
16	Blue Cross Blue Shield blue cross blue shield [121] facility · percent of total billed charges · bothfrom % of charges	$1,189	$1,114	$50.32 – $2,296
17	Blue Cross Blue Shield blue cross blue shield federal retiree [1023] facility · percent of total billed charges · bothfrom % of charges	$1,189	$1,114	$50.32 – $2,296
18	Blue Cross Blue Shield tx blue cross blue shield [1377] facility · percent of total billed charges · bothfrom % of charges	$1,189	$1,114	$50.32 – $2,296
19	Blue Cross Blue Shield cc complex care [766] facility · percent of total billed charges · bothfrom % of charges	$1,229	$1,151	$52.00 – $2,373
20	Healthpartners cc complex care [766] facility · percent of total billed charges · bothfrom % of charges	$1,229	$1,151	$52.00 – $2,373
21	Aetna transplant [697] facility · percent of total billed charges · bothfrom % of charges	$1,418	$1,329	$60.00 – $2,738
22	Cigna tx cigna [839] facility · percent of total billed charges · bothfrom % of charges	$1,418	$1,329	$60.00 – $2,738
23	Humana all other plans [818] facility · percent of total billed charges · bothfrom % of charges	$1,418	$1,329	$60.00 – $2,738
24	Kaiser transplant [694] facility · percent of total billed charges · bothfrom % of charges	$1,418	$1,329	$60.00 – $2,738
25	Medica medica non mayo employees group [758] facility · percent of total billed charges · bothfrom % of charges	$1,512	$1,417	$64.00 – $2,920

Page 1 of 2 · 37 rates

Last updated: Aug 14, 2026

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