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
INTRO SHEATH PRELUDE 5FR PSI-5F-11-038
Booneville, AR
See all hospitals reporting HCPCS C1894 →Price type
Mercy Hospital Booneville’s median price of $64 is 67% below the median hospital's median price ($196), higher than 8% 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, 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 | $35.50 | $52.03 | $3.75 – $161.50 |
| 2 | Humana hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $35.50 | $52.03 | $3.75 – $161.50 |
| 3 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 4 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 5 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 6 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 7 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 8 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 9 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 10 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $41.79 | $61.25 | $4.41 – $190.12 |
| 11 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $41.95 | $61.49 | $4.43 – $190.84 |
| 12 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $43.04 | $63.09 | $4.55 – $195.80 |
| 13 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $43.47 | $63.71 | $4.59 – $197.74 |
| 14 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $43.88 | $64.31 | $4.64 – $199.61 |
| 15 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $57.65 | $84.50 | $6.09 – $262.28 |
| 16 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $85.20 | $124.88 | $9.00 – $387.60 |
| 17 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $85.20 | $124.88 | $9.00 – $387.60 |
| 18 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $92.30 | $135.28 | $9.75 – $419.90 |
| 19 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $113.60 | $166.50 | $12.00 – $516.80 |
| 20 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $120.70 | $176.91 | $12.75 – $549.10 |
| 21 | Anthem hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $127.80 | $187.32 | $13.50 – $581.40 |
| 22 | Blue Cross Blue Shield hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $127.80 | $187.32 | $13.50 – $581.40 |
Last updated: Jun 8, 2026
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