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
IMPL BREAST 300-325ML TEXTURE SILTEX SALINE P3.7CM MODERATE
Sullivan, MO
See all hospitals reporting HCPCS C1789 →Price type
Missouri Baptist Sullivan Hospital’s median price of $1.4k is 30% below the median hospital's median price ($2.1k), higher than 28% 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: 11 payers, 29 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 bjc hb medicare advantra mhs percent of total billed charges · bothfrom % of charges | $481.25 | $524.58 | $88.55 – $885.50 |
| 2 | Aetna bjc hb medicare gold advantage mhs percent of total billed charges · bothfrom % of charges | $481.25 | $524.58 | $88.55 – $885.50 |
| 3 | Humana bjc hb medicare humana mhs percent of total billed charges · bothfrom % of charges | $485.63 | $529.35 | $89.36 – $893.55 |
| 4 | UnitedHealthcare bjc hb medicare uhc mhs percent of total billed charges · bothfrom % of charges | $490.00 | $534.12 | $90.16 – $901.60 |
| 5 | Blue Cross Blue Shield bjc hb medicare anthem advantage mhs percent of total billed charges · bothfrom % of charges | $510.13 | $556.06 | $93.86 – $938.63 |
| 6 | Medica bjc hb medicare wellfirst mhs percent of total billed charges · bothfrom % of charges | $514.94 | $561.31 | $94.75 – $947.49 |
| 7 | Devoted bjc hb medicare devoted mhs percent of total billed charges · bothfrom % of charges | $528.28 | $575.85 | $97.20 – $972.04 |
| 8 | UnitedHealthcare bjc hb united health care rural percent of total billed charges · bothfrom % of charges | $875.00 | $962.31 | $700.00 – $1,610 |
| 9 | Aetna bjc hb aetna carelink ifp rural percent of total billed charges · bothfrom % of charges | $997.50 | $1,087 | $183.54 – $1,835 |
| 10 | Cigna bjc hb cigna local plus rural percent of total billed charges · bothfrom % of charges | $1,332 | $1,452 | $245.12 – $2,451 |
| 11 | Blue Cross Blue Shield bjc hb anthem preferred mhs percent of total billed charges · bothfrom % of charges | $1,350 | $1,471 | $248.34 – $2,483 |
| 12 | Cigna bjc hb cigna special rural percent of total billed charges · bothfrom % of charges | $1,361 | $1,483 | $250.36 – $2,504 |
| 13 | Blue Cross Blue Shield bjc hb anthem choice rural percent of total billed charges · bothfrom % of charges | $1,428 | $1,557 | $262.83 – $2,628 |
| 14 | Blue Cross Blue Shield bjc hb anthem access rural percent of total billed charges · bothfrom % of charges | $1,446 | $1,576 | $266.05 – $2,661 |
| 15 | Humana bjc hb humana choicecare rural percent of total billed charges · bothfrom % of charges | $1,455 | $1,586 | $267.66 – $2,677 |
| 16 | Cigna bjc hb cigna hmo/ppo rural percent of total billed charges · bothfrom % of charges | $1,503 | $1,638 | $276.52 – $2,765 |
| 17 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $1,625 | $1,772 | $299.06 – $2,991 |
| 18 | Aetna bjc hb first health rural percent of total billed charges · bothfrom % of charges | $1,625 | $1,772 | $299.06 – $2,991 |
| 19 | First Health bjc hb first health rural percent of total billed charges · bothfrom % of charges | $1,625 | $1,772 | $299.06 – $2,991 |
| 20 | UnitedHealthcare bjc hb first health rural percent of total billed charges · bothfrom % of charges | $1,625 | $1,772 | $299.06 – $2,991 |
| 21 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $1,641 | $1,788 | $301.88 – $3,019 |
| 22 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $1,641 | $1,788 | $301.88 – $3,019 |
| 23 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $1,641 | $1,788 | $301.88 – $3,019 |
| 24 | Phcs bjc hb phcs rural percent of total billed charges · bothfrom % of charges | $1,641 | $1,788 | $301.88 – $3,019 |
| 25 | Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges | $1,750 | $1,908 | $322.00 – $3,220 |
Last updated: Dec 15, 2025
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