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
INTRDCR MAX XTRA GW 8.5FX12CM MAXIMUM XTRA HEMOSTASIS
Stafford Springs, CT
See all hospitals reporting HCPCS C1894 →Price type
Johnson Memorial Hospital’s median price of $120 is 39% below the median hospital's median price ($196), higher than 28% 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: 15 payers, 19 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 whole health facility · percent of total billed charges · bothfrom % of charges | $81.82 | $200.63 | $0.01 – $8,967 |
| 2 | Anthem anthem individual pathway hmo ppo facility · percent of total billed charges · bothfrom % of charges | $102.47 | $245.10 | $0.02 – $11,137 |
| 3 | Cigna evernorth facility · percent of total billed charges · bothfrom % of charges | $103.13 | $246.68 | $0.02 – $11,209 |
| 4 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $102.27 | $250.78 | $0.02 – $11,209 |
| 5 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $105.82 | $253.10 | $0.02 – $11,500 |
| 6 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $109.75 | $262.50 | $0.02 – $11,927 |
| 7 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $109.75 | $262.50 | $0.02 – $11,927 |
| 8 | Anthem anthem bluecare prime facility · percent of total billed charges · bothfrom % of charges | $119.00 | $284.64 | $0.02 – $12,933 |
| 9 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $120.67 | $288.62 | $0.02 – $13,114 |
| 10 | Anthem anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 11 | Blue Cross Blue Shield anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 12 | Carefirst anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 13 | Excellus anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 14 | Highmark anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 15 | Kaiser anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 16 | Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 17 | Premera anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 18 | Regence anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
| 19 | Wellmark anthem facility · percent of total billed charges · bothfrom % of charges | $132.22 | $316.26 | $0.02 – $14,370 |
Last updated: Mar 31, 2026
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