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
KIT EXPANDER TISSUE 450ML MED MENTOR PLUS STRL LF
Langhorne, PA
See all hospitals reporting HCPCS C1789 →Price type
St Mary Medical Center’s median price of $5.5k is 168% above the median hospital's median price ($2.1k), higher than 92% 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: 13 payers, 18 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 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $933.30 | $1,051 | $722.43 – $1,674 |
| 2 | Cigna cigna exchange facility · percent of total billed charges · bothfrom % of charges | $979.96 | $1,104 | $758.55 – $1,757 |
| 3 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $1,352 | $1,367 | $13.94 – $2,522 |
| 4 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $1,522 | $1,853 | $24.48 – $4,283 |
| 5 | UnitedHealthcare uhc community plan medicaid facility · percent of total billed charges · bothfrom % of charges | $1,676 | $1,888 | $1,297 – $3,006 |
| 6 | Oscar oscar medicare advantage facility · percent of total billed charges · bothfrom % of charges | $1,896 | $1,916 | $8.25 – $3,536 |
| 7 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $2,212 | $2,235 | $9.63 – $4,125 |
| 8 | UnitedHealthcare united healthcare options facility · percent of total billed charges · bothfrom % of charges | $3,059 | $3,090 | $13.31 – $5,705 |
| 9 | Blue Cross Blue Shield independence blue cross trad indemnity facility · percent of total billed charges · bothfrom % of charges | $4,902 | $4,953 | $21.33 – $9,143 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $5,688 | $5,747 | $24.75 – $10,608 |
| 11 | Anthem independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
| 12 | Blue Cross Blue Shield independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
| 13 | Carefirst independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
| 14 | Excellus independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
| 15 | Highmark independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
| 16 | Premera independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
| 17 | Regence independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
| 18 | Wellmark independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $5,699 | $5,758 | $24.80 – $10,629 |
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.