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 525CC DIA13.9CM P4.7CM SILICONE GEL SMOOTH ROUND MODERATE PLUS XTRA
Mankato 56001-4752
See all hospitals reporting HCPCS C1789 →Price type
Mayo Clinic Health System’s median price of $1.8k is 14% below the median hospital's median price ($2.1k), higher than 39% 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: 15 payers, 31 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 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $384.80 | $387.60 | $36.61 – $551.20 |
| 2 | Ucare pps medicaid ucare [1187] facility · percent of total billed charges · bothfrom % of charges | $384.80 | $387.60 | $36.61 – $551.20 |
| 3 | Medica medica medicare advantage plan msho msc+ cap [1074] facility · percent of total billed charges · bothfrom % of charges | $932.40 | $939.18 | $88.70 – $1,336 |
| 4 | Optum medica ma behavioral health [1353] facility · percent of total billed charges · bothfrom % of charges | $980.50 | $987.63 | $93.28 – $1,405 |
| 5 | Optum medica medicare advantage plan behavioral health [1352] facility · percent of total billed charges · bothfrom % of charges | $1,129 | $1,137 | $107.36 – $1,617 |
| 6 | Blue Cross Blue Shield winona health [1288] facility · percent of total billed charges · bothfrom % of charges | $1,573 | $1,584 | $149.60 – $2,253 |
| 7 | Blue Cross Blue Shield blue cross blue shield blue plus se with skemp [236] facility · percent of total billed charges · bothfrom % of charges | $1,599 | $1,611 | $152.15 – $2,291 |
| 8 | Medica deanhp by medica west mc hmo 88 pct [1265] facility · percent of total billed charges · bothfrom % of charges | $1,628 | $1,640 | $154.88 – $2,332 |
| 9 | Medica medica completehealth and engage [98] facility · percent of total billed charges · bothfrom % of charges | $1,628 | $1,640 | $154.88 – $2,332 |
| 10 | Ucare & swwi ucare ifp [1109] facility · percent of total billed charges · bothfrom % of charges | $1,628 | $1,640 | $154.88 – $2,332 |
| 11 | Blue Cross Blue Shield blue cross blue shield fep [870] facility · percent of total billed charges · bothfrom % of charges | $1,654 | $1,666 | $157.33 – $2,369 |
| 12 | Anthem blue cross blue shield blue plus [227] facility · percent of total billed charges · bothfrom % of charges | $1,684 | $1,696 | $160.16 – $2,412 |
| 13 | Blue Cross Blue Shield blue cross blue shield blue plus [227] facility · percent of total billed charges · bothfrom % of charges | $1,684 | $1,696 | $160.16 – $2,412 |
| 14 | Medica medica non mayo employees group [759] facility · percent of total billed charges · bothfrom % of charges | $1,702 | $1,714 | $161.92 – $2,438 |
| 15 | UnitedHealthcare multi uhc [269] facility · percent of total billed charges · bothfrom % of charges | $1,702 | $1,714 | $161.92 – $2,438 |
| 16 | Healthpartners healthpartners [290] facility · percent of total billed charges · bothfrom % of charges | $1,721 | $1,733 | $163.68 – $2,465 |
| 17 | Medica united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $1,721 | $1,733 | $163.68 – $2,465 |
| 18 | Optum united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $1,721 | $1,733 | $163.68 – $2,465 |
| 19 | Medica & swwi medica choice [86] facility · percent of total billed charges · bothfrom % of charges | $1,739 | $1,752 | $165.44 – $2,491 |
| 20 | Aetna multi aetna [135] facility · percent of total billed charges · bothfrom % of charges | $1,758 | $1,770 | $167.20 – $2,518 |
| 21 | Blue Cross Blue Shield blue cross blue shield tiered network [886] facility · percent of total billed charges · bothfrom % of charges | $1,758 | $1,770 | $167.20 – $2,518 |
| 22 | Cigna cigna [644] facility · percent of total billed charges · bothfrom % of charges | $1,758 | $1,770 | $167.20 – $2,518 |
| 23 | First Health multi aetna [135] facility · percent of total billed charges · bothfrom % of charges | $1,758 | $1,770 | $167.20 – $2,518 |
| 24 | Humana cigna [644] facility · percent of total billed charges · bothfrom % of charges | $1,758 | $1,770 | $167.20 – $2,518 |
| 25 | Medcost cigna [644] facility · percent of total billed charges · bothfrom % of charges | $1,758 | $1,770 | $167.20 – $2,518 |
Last updated: Mar 31, 2026
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