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
Pontiac, MI
See all hospitals reporting HCPCS C1789 →Price type
St Joseph Mercy Oakland’s median price of $1.6k is 22% below the median hospital's median price ($2.1k), higher than 34% 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs mi local hmo facility · percent of total billed charges · bothfrom % of charges | $770.65 | $775.83 | $3.35 – $1,373 |
| 2 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $1,046 | $1,053 | $4.54 – $1,863 |
| 3 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 4 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 5 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 6 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 7 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 8 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 9 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 10 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 11 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $1,198 | $1,206 | $5.20 – $2,135 |
| 12 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $1,519 | $1,529 | $6.59 – $2,705 |
| 13 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $1,978 | $1,991 | $8.58 – $3,523 |
| 14 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $2,011 | $2,025 | $8.73 – $3,582 |
| 15 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $2,098 | $2,113 | $9.11 – $3,738 |
| 16 | Medical Mutual aetna ppo facility · percent of total billed charges · bothfrom % of charges | $2,098 | $2,113 | $9.11 – $3,738 |
| 17 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $2,279 | $2,295 | $9.89 – $4,060 |
| 18 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $2,279 | $2,295 | $9.89 – $4,060 |
| 19 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $2,460 | $2,477 | $10.68 – $4,383 |
| 20 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $2,460 | $2,477 | $10.68 – $4,383 |
| 21 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $2,484 | $2,501 | $10.78 – $4,425 |
| 22 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $2,514 | $2,531 | $10.91 – $4,478 |
| 23 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $2,527 | $2,544 | $10.97 – $4,501 |
Last updated: Mar 31, 2026
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