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 210-240CC MOD PROF SMTH RND NATRELLE
Plymouth, IN
See all hospitals reporting HCPCS C1789 →Price type
Plymouth Medical Center’s median price of $2.1k is about the same as the median hospital's median price ($2.1k), higher than 50% 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: 8 payers, 11 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 | Anthem anthem bcbs medicaid hhw hcc facility · case rate · both | $524.16 | $524.16 | $524.16 – $524.16 |
| 2 | Anthem anthem bcbs medicaid hip facility · case rate · both | $524.16 | $524.16 | $524.16 – $524.16 |
| 3 | Caresource caresource medicaid facility · case rate · both | $524.16 | $524.16 | $524.16 – $524.16 |
| 4 | UnitedHealthcare united healthcare medicaid facility · case rate · both | $524.16 | $524.16 | $524.16 – $524.16 |
| 5 | UnitedHealthcare united healthcare charter facility · percent of total billed charges · bothfrom % of charges | $934.88 | $974.31 | $4.05 – $1,748 |
| 6 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $1,838 | $1,916 | $7.96 – $3,436 |
| 7 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $1,876 | $1,955 | $8.13 – $3,506 |
| 8 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $1,876 | $1,955 | $8.13 – $3,506 |
| 9 | Cigna sagamore facility · percent of total billed charges · bothfrom % of charges | $2,078 | $2,165 | $9.00 – $3,884 |
| 10 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $2,597 | $2,706 | $11.25 – $4,855 |
| 11 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $2,597 | $2,706 | $11.25 – $4,855 |
Last updated: Mar 31, 2026
See Smooth low-profile rectangular tissue expander, 160-320 cc pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.