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
BREAST SPECTRUM 650ML 354-2515
Booneville, AR
See all hospitals reporting HCPCS C1789 →Price type
Mercy Hospital Booneville’s median price of $650 is 68% below the median hospital's median price ($2.1k), higher than 11% 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: 13 payers, 18 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 | Aetna hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $418.00 | $391.33 | $240.50 – $1,000 |
| 2 | Humana hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $418.00 | $391.33 | $240.50 – $1,000 |
| 3 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 4 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 5 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 6 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 7 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 8 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 9 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 10 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $492.07 | $460.68 | $283.12 – $1,177 |
| 11 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $493.95 | $462.44 | $284.20 – $1,182 |
| 12 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $506.78 | $474.45 | $291.58 – $1,212 |
| 13 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $511.80 | $479.15 | $294.47 – $1,224 |
| 14 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $516.65 | $483.69 | $297.26 – $1,236 |
| 15 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $678.83 | $635.52 | $390.57 – $1,624 |
| 16 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $1,087 | $1,017 | $625.30 – $2,600 |
| 17 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,338 | $1,252 | $769.60 – $3,200 |
| 18 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $1,421 | $1,331 | $817.70 – $3,400 |
Last updated: Jun 8, 2026
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