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 FLEXOR CHKFLO 12FRX80CM KCFW-12.0-38-80-RB
Troy, NY
See all hospitals reporting HCPCS C1894 →Price type
Samaritan Hospital’s median price of $101 is 48% below the median hospital's median price ($196), higher than 22% 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, 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 | $73.00 | $66.50 | $17.95 – $84.89 |
| 2 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $73.00 | $66.50 | $17.95 – $84.89 |
| 3 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $66.34 | $159.16 | $0.01 – $7,185 |
| 4 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $66.34 | $159.16 | $0.01 – $7,185 |
| 5 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 6 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 7 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 8 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 9 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 10 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 11 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 12 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 13 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 14 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 15 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 16 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $86.88 | $218.13 | $0.02 – $9,879 |
| 17 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $123.53 | $308.37 | $0.02 – $17,963 |
| 18 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $132.68 | $318.32 | $0.02 – $14,370 |
| 19 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $134.27 | $336.08 | $0.03 – $15,268 |
| 20 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $149.27 | $358.11 | $0.03 – $16,166 |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $149.27 | $358.11 | $0.03 – $16,166 |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $149.27 | $358.11 | $0.03 – $16,166 |
| 23 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $165.86 | $397.90 | $0.03 – $17,963 |
| 24 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $165.86 | $397.90 | $0.03 – $17,963 |
| 25 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $165.86 | $397.90 | $0.03 – $17,963 |
Last updated: Mar 31, 2026
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