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
TRMT-SIMPLE 6-10 MEV W MOD 59
Schenectady, NY
See all hospitals reporting CPT 77403 →Price type
Ellis Hospital’s median price of $454 is 13% above the median hospital's median price ($401), higher than 55% of the 247 hospitals reporting CPT 77403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 5 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 | UnitedHealthcare united healthcare facility · percent of total billed charges · inpatientfrom % of charges | $438 | $438 | $0 | 0% | — | $438 – $438 |
| 2 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $438 | $438 | $0 | 0% | — | $438 – $438 |
| 3 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $455 | $455 | $0 | 0% | — | $454 – $455 |
| 4 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $465 | $465 | $0 | 0% | — | $465 – $466 |
| 5 | Tricare tricare facility · fee schedule · outpatient | $548 | $548 | $0 | 0% | — | $547 – $548 |
Last updated: Jun 25, 2026
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