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
DILATOR SHTH REG BLK SZ C 9.5F BYRD TFE LR-TEFBES003
Troy, NY
See all hospitals reporting HCPCS C1893 →Price type
Samaritan Hospital’s median price of $235 is 53% below the median hospital's median price ($504), higher than 26% of the 1,307 hospitals reporting HCPCS C1893. 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, 26 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 facility · percent of total billed charges · bothfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 3 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $155 | $241 | $241 | 100% | — | $0 – $965 |
| 4 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $155 | $241 | $241 | 100% | — | $0 – $965 |
| 5 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 6 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 7 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 8 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 9 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 10 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 11 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 12 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 13 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 14 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 15 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 16 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $213 | $331 | $332 | 100% | — | $0 – $1.3k |
| 17 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $326 | $467 | $504 | 108% | — | $0 – $2.4k |
| 18 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $310 | $482 | $481 | 100% | — | $0 – $1.9k |
| 19 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $329 | $509 | $514 | 101% | — | $0 – $2.1k |
| 20 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $349 | $543 | $542 | 100% | — | $0 – $2.2k |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $349 | $543 | $542 | 100% | — | $0 – $2.2k |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $349 | $543 | $542 | 100% | — | $0 – $2.2k |
| 23 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $388 | $603 | $602 | 100% | — | $0 – $2.4k |
| 24 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $388 | $603 | $602 | 100% | — | $0 – $2.4k |
| 25 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $388 | $603 | $602 | 100% | — | $0 – $2.4k |
Last updated: Mar 31, 2026
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