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 BRST SMTH RND HI 250+50ML
Chelsea, MI
See all hospitals reporting HCPCS C1789 →Price type
St Joseph Mercy Chelsea’s median price of $793 is 61% below the median hospital's median price ($2.1k), higher than 13% 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: 20 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs mi local hmo facility · percent of total billed charges · bothfrom % of charges | $394.38 | $393.96 | $0.96 – $641.06 |
| 2 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 3 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 4 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 5 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 6 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 7 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 8 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 9 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 10 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $612.02 | $611.36 | $1.48 – $994.82 |
| 11 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $769.97 | $769.14 | $1.87 – $1,252 |
| 12 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $774.91 | $774.08 | $1.88 – $1,260 |
| 13 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $873.84 | $872.90 | $2.12 – $1,420 |
| 14 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $906.81 | $905.83 | $2.20 – $1,474 |
| 15 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,096 | $1,095 | $2.66 – $1,782 |
| 16 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,096 | $1,095 | $2.66 – $1,782 |
| 17 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,096 | $1,095 | $2.66 – $1,782 |
| 18 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $1,108 | $1,107 | $2.69 – $1,801 |
| 19 | First Health first health ppo facility · percent of total billed charges · bothfrom % of charges | $1,127 | $1,126 | $2.73 – $1,832 |
| 20 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $1,163 | $1,162 | $2.82 – $1,891 |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1,237 | $1,235 | $3.00 – $2,010 |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $1,237 | $1,235 | $3.00 – $2,010 |
| 23 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $1,649 | $1,647 | $4.00 – $2,680 |
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.