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 CEMENT COBALT MED VIS W/GENTAMYCIN (402439)
Sandwich, IL
See all hospitals reporting HCPCS C1889 →Price type
Northwestern Medicine Valley West Hospital’s median price of $1.6k is 32% below the median hospital's median price ($2.3k), higher than 40% of the 1,507 hospitals reporting HCPCS C1889. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | Blue Cross Blue Shield vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $233.55 | $468.15 | $68.60 – $4,277 |
| 2 | Cigna Healthspring vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $233.55 | $468.15 | $68.60 – $4,277 |
| 3 | Blue Cross Blue Shield vwh blue cross medicare advt percent of total billed charges · outpatientfrom % of charges | $643.12 | $1,289 | $188.91 – $11,777 |
| 4 | Humana vwh medicare percent of total billed charges · outpatientfrom % of charges | $643.12 | $1,289 | $188.91 – $11,777 |
| 5 | Aetna vwh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $859.75 | $1,723 | $252.54 – $15,744 |
| 6 | Aetna vwh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $1,178 | $2,361 | $346.00 – $21,571 |
| 7 | Cigna vwh cigna alternative percent of total billed charges · outpatientfrom % of charges | $1,533 | $3,074 | $450.40 – $28,080 |
| 8 | Cigna vwh cigna broad percent of total billed charges · outpatientfrom % of charges | $1,635 | $3,277 | $480.23 – $29,939 |
| 9 | UnitedHealthcare vwh uhc core percent of total billed charges · outpatientfrom % of charges | $1,699 | $3,406 | $499.12 – $31,117 |
| 10 | Blue Cross Blue Shield vwh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $1,892 | $3,793 | $555.79 – $34,650 |
| 11 | Blue Cross Blue Shield vwh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $2,044 | $4,098 | $600.53 – $37,439 |
| 12 | Blue Cross Blue Shield vwh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $2,044 | $4,098 | $600.53 – $37,439 |
| 13 | Blue Cross Blue Shield vwh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $2,132 | $4,274 | $626.38 – $39,051 |
| 14 | Blue Cross Blue Shield vwh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $2,205 | $4,420 | $647.76 – $40,384 |
| 15 | Aetna vwh aetna percent of total billed charges · outpatientfrom % of charges | $2,214 | $4,437 | $650.25 – $40,539 |
| 16 | UnitedHealthcare vwh uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges | $2,264 | $4,539 | $665.16 – $41,469 |
| 17 | Aetna vwh aetna asa percent of total billed charges · outpatientfrom % of charges | $2,346 | $4,702 | $689.02 – $42,956 |
| 18 | MultiPlan vwh phcs percent of total billed charges · outpatientfrom % of charges | $2,708 | $5,428 | $795.41 – $49,589 |
| 19 | Blue Cross Blue Shield vwh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $2,765 | $5,543 | $812.31 – $50,642 |
| 20 | MultiPlan vwh multiplan percent of total billed charges · outpatientfrom % of charges | $2,962 | $5,937 | $869.98 – $54,238 |
| 21 | First Health vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $3,385 | $6,785 | $994.26 – $61,986 |
| 22 | MultiPlan vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $3,385 | $6,785 | $994.26 – $61,986 |
| 23 | UnitedHealthcare vwh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $3,385 | $6,785 | $994.26 – $61,986 |
Last updated: Apr 1, 2026
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