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 BREAST 465-505 CC P5.6-6.1 CM HIGH PROFILE ROUND STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE NATRELLE SALINE OD12.5-12.6 CM
Charlotte, NC
See all hospitals reporting HCPCS C1789 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $370 is 82% below the median hospital's median price ($2.1k), higher than 5% 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: 12 payers, 37 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 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $81.20 | $84.12 | $32.68 – $1,827 |
| 2 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $82.72 | $85.70 | $33.29 – $1,861 |
| 3 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $119.68 | $123.98 | $48.17 – $2,693 |
| 4 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $148.40 | $153.73 | $59.73 – $3,339 |
| 5 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $197.52 | $204.62 | $79.50 – $4,444 |
| 6 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $212.00 | $219.62 | $85.33 – $4,770 |
| 7 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $232.40 | $240.75 | $93.54 – $5,229 |
| 8 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $242.40 | $251.11 | $97.57 – $5,454 |
| 9 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $259.92 | $269.26 | $104.62 – $5,848 |
| 10 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $273.60 | $283.43 | $110.12 – $6,156 |
| 11 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $288.80 | $299.18 | $116.24 – $6,498 |
| 12 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $290.40 | $300.84 | $116.89 – $6,534 |
| 13 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $321.60 | $333.16 | $129.44 – $7,236 |
| 14 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $325.60 | $337.30 | $131.05 – $7,326 |
| 15 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $346.40 | $358.85 | $139.43 – $7,794 |
| 16 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $346.40 | $358.85 | $139.43 – $7,794 |
| 17 | Aetna north carolina preferred plus commercial percent of total billed charges · inpatientfrom % of charges | $359.20 | $372.11 | $144.58 – $8,082 |
| 18 | Cigna hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $363.20 | $376.25 | $146.19 – $8,172 |
| 19 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $366.40 | $379.57 | $147.48 – $8,244 |
| 20 | UnitedHealthcare hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $376.80 | $390.34 | $151.66 – $8,478 |
| 21 | Aetna broad network percent of total billed charges · inpatientfrom % of charges | $404.80 | $419.35 | $162.93 – $9,108 |
| 22 | Cigna hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $414.40 | $429.29 | $166.80 – $9,324 |
| 23 | Medcost ultra percent of total billed charges · inpatientfrom % of charges | $430.40 | $445.87 | $173.24 – $9,684 |
| 24 | Medcost ultra percent of total billed charges · outpatientfrom % of charges | $430.40 | $445.87 | $173.24 – $9,684 |
| 25 | Medcost ppo percent of total billed charges · inpatientfrom % of charges | $478.40 | $495.59 | $192.56 – $10,764 |
Last updated: Dec 5, 2025
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.