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
SHEATH ACCESS NAVIGATOR STAINLESS STEEL HYDROPHILIC L28 CM OD11-13 FR URETERAL RADIOPAQUE 2 TAPER DILATOR TIP UNIQUE HUB LATEX FREE URETEROSCOPIC
Montclair, NJ
See all hospitals reporting HCPCS C1894 →Price type
Hackensack Meridian Mountainside Medical Center’s median price of $173 is 11% below the median hospital's median price ($196), higher than 45% of the 1,666 hospitals reporting HCPCS C1894. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 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 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $38.26 | $88.28 | $9.61 – $1,283 |
| 2 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $102.53 | $236.57 | $25.75 – $3,439 |
| 3 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $102.53 | $236.57 | $25.75 – $3,439 |
| 4 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $102.53 | $236.57 | $25.75 – $3,439 |
| 5 | Medicare rehab medicare [163504] facility · percent of total billed charges · bothfrom % of charges | $102.53 | $236.57 | $25.75 – $3,439 |
| 6 | Aetna aetna liberty [101531] facility · percent of total billed charges · bothfrom % of charges | $187.56 | $432.75 | $47.10 – $6,291 |
| 7 | First Health first health network [137501] facility · percent of total billed charges · bothfrom % of charges | $187.56 | $432.75 | $47.10 – $6,291 |
| 8 | Cigna cigna behavioral health [126013] facility · percent of total billed charges · bothfrom % of charges | $200.06 | $461.60 | $50.24 – $6,710 |
| 9 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $212.57 | $490.45 | $53.38 – $7,130 |
| 10 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $212.57 | $490.45 | $53.38 – $7,130 |
| 11 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $212.57 | $490.45 | $53.38 – $7,130 |
| 12 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $212.57 | $490.45 | $53.38 – $7,130 |
| 13 | Aetna aetna ppo [101526] facility · percent of total billed charges · bothfrom % of charges | $219.57 | $506.61 | $55.14 – $7,365 |
| 14 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $232.32 | $536.03 | $58.34 – $7,792 |
| 15 | Cigna cigna hmo pos open access [126018] facility · percent of total billed charges · bothfrom % of charges | $243.20 | $561.13 | $61.07 – $8,157 |
| 16 | Cigna cigna indemnity [126019] facility · percent of total billed charges · bothfrom % of charges | $243.20 | $561.13 | $61.07 – $8,157 |
Last updated: Feb 12, 2026
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