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
Cath Reperfusion 5max Ace
Booneville, AR
See all hospitals reporting HCPCS C1887 →Price type
Mercy Hospital Booneville’s median price of $56 is 81% below the median hospital's median price ($290), higher than 8% of the 1,610 hospitals reporting HCPCS C1887. 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, 22 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 hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23.50 | $120.15 | $7.50 – $1,237 |
| 2 | Humana hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23.50 | $120.15 | $7.50 – $1,237 |
| 3 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 4 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 5 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 6 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 7 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 8 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 9 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 10 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $27.66 | $141.44 | $8.83 – $1,456 |
| 11 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $27.77 | $141.98 | $8.86 – $1,461 |
| 12 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $28.49 | $145.67 | $9.09 – $1,499 |
| 13 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $28.77 | $147.11 | $9.18 – $1,514 |
| 14 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $29.05 | $148.50 | $9.27 – $1,529 |
| 15 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $38.16 | $195.12 | $12.18 – $2,008 |
| 16 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $56.40 | $288.35 | $18.00 – $2,968 |
| 17 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $56.40 | $288.35 | $18.00 – $2,968 |
| 18 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $61.10 | $312.38 | $19.50 – $3,216 |
| 19 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $75.20 | $384.47 | $24.00 – $3,958 |
| 20 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $79.90 | $408.50 | $25.50 – $4,205 |
| 21 | Anthem hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $84.60 | $432.53 | $27.00 – $4,452 |
| 22 | Blue Cross Blue Shield hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $84.60 | $432.53 | $27.00 – $4,452 |
Last updated: Jun 8, 2026
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