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 MAMMARY MODERATE CLASSIC PROFILE SMOOTH MEMORYGEL 255 ML GEL ROUND
Burlington, VT
See all hospitals reporting HCPCS C1789 →Price type
University of Vermont Medical Center Inc’s median price of $2.7k is 30% above the median hospital's median price ($2.1k), higher than 67% 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: 5 payers, 9 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 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,046 | $952.81 | $375.14 – $1,652 |
| 2 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $1,794 | $1,633 | $643.10 – $2,833 |
| 3 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2,242 | $2,042 | $803.88 – $3,541 |
| 4 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,915 | $2,654 | $1,045 – $4,603 |
| 5 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,375 | $3,073 | $1,210 – $5,329 |
| 6 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,676 | $3,347 | $1,318 – $5,805 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,679 | $3,350 | $1,319 – $5,809 |
| 8 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $6,213 | $6,213 | $6,213 – $6,213 |
| 9 | Bcbs Vt indemnity facility · fee schedule · outpatient | $7,957 | $7,957 | $7,957 – $7,957 |
Last updated: Oct 12, 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.