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 420 CC P5.9 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD11.75 CM
Concord, NC
See all hospitals reporting HCPCS C1789 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $383 is 81% 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, 38 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 | $98.16 | $101.69 | $39.51 – $2,209 |
| 2 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $100.00 | $103.60 | $40.25 – $2,250 |
| 3 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $101.84 | $105.50 | $40.99 – $2,291 |
| 4 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $138.72 | $143.71 | $55.83 – $3,121 |
| 5 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $190.48 | $197.32 | $76.67 – $4,286 |
| 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 | $250.64 | $259.65 | $100.88 – $5,639 |
| 10 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $290.40 | $300.84 | $116.89 – $6,534 |
| 11 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $321.60 | $333.16 | $129.44 – $7,236 |
| 12 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $325.60 | $337.30 | $131.05 – $7,326 |
| 13 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $332.00 | $343.93 | $133.63 – $7,470 |
| 14 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $346.40 | $358.85 | $139.43 – $7,794 |
| 15 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $346.40 | $358.85 | $139.43 – $7,794 |
| 16 | UnitedHealthcare hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $354.40 | $367.14 | $142.65 – $7,974 |
| 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 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $371.20 | $384.54 | $149.41 – $8,352 |
| 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 | Magellan behavioral health percent of total billed charges · outpatientfrom % of charges | $480.00 | $497.25 | $193.20 – $10,800 |
Last updated: Dec 1, 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.