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 URETERAL ACCESS 11/13FX36CM (250-203)
Sandwich, IL
See all hospitals reporting HCPCS C1894 →Price type
Northwestern Medicine Valley West Hospital’s median price of $544 is 178% above the median hospital's median price ($196), higher than 87% 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, 23 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 | Blue Cross Blue Shield vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $70.28 | $67.68 | $19.36 – $125.98 |
| 2 | Cigna Healthspring vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $70.28 | $67.68 | $19.36 – $125.98 |
| 3 | Blue Cross Blue Shield vwh blue cross medicare advt percent of total billed charges · outpatientfrom % of charges | $202.30 | $229.87 | $53.31 – $664.95 |
| 4 | Humana vwh medicare percent of total billed charges · outpatientfrom % of charges | $202.30 | $229.87 | $53.31 – $664.95 |
| 5 | Aetna vwh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $270.45 | $307.30 | $71.26 – $888.93 |
| 6 | Aetna vwh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $370.54 | $421.03 | $97.64 – $1,218 |
| 7 | Cigna vwh cigna alternative percent of total billed charges · outpatientfrom % of charges | $482.34 | $548.07 | $127.10 – $1,585 |
| 8 | Cigna vwh cigna broad percent of total billed charges · outpatientfrom % of charges | $514.28 | $584.36 | $135.52 – $1,690 |
| 9 | UnitedHealthcare vwh uhc core percent of total billed charges · outpatientfrom % of charges | $534.51 | $607.35 | $140.85 – $1,757 |
| 10 | Blue Cross Blue Shield vwh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $595.20 | $676.31 | $156.84 – $1,956 |
| 11 | Blue Cross Blue Shield vwh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $643.12 | $730.75 | $169.46 – $2,114 |
| 12 | Blue Cross Blue Shield vwh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $643.12 | $730.75 | $169.46 – $2,114 |
| 13 | Blue Cross Blue Shield vwh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $670.80 | $762.21 | $176.76 – $2,205 |
| 14 | Blue Cross Blue Shield vwh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $693.69 | $788.22 | $182.79 – $2,280 |
| 15 | Aetna vwh aetna percent of total billed charges · outpatientfrom % of charges | $696.35 | $791.25 | $183.49 – $2,289 |
| 16 | UnitedHealthcare vwh uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges | $712.32 | $809.39 | $187.70 – $2,341 |
| 17 | Aetna vwh aetna asa percent of total billed charges · outpatientfrom % of charges | $737.88 | $838.43 | $194.44 – $2,425 |
| 18 | MultiPlan vwh phcs percent of total billed charges · outpatientfrom % of charges | $851.81 | $967.88 | $224.46 – $2,800 |
| 19 | Blue Cross Blue Shield vwh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $869.91 | $988.45 | $229.23 – $2,859 |
| 20 | MultiPlan vwh multiplan percent of total billed charges · outpatientfrom % of charges | $931.67 | $1,059 | $245.50 – $3,062 |
| 21 | First Health vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $1,065 | $1,210 | $280.57 – $3,500 |
| 22 | MultiPlan vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $1,065 | $1,210 | $280.57 – $3,500 |
| 23 | UnitedHealthcare vwh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $1,065 | $1,210 | $280.57 – $3,500 |
Last updated: Apr 1, 2026
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