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
HC Thrombectomy Mechanical Percutaneous Dialysis Circuit W/ Diagnostic Angiography
Troy, NY
See all hospitals reporting CPT 36904 →Price type
Samaritan Hospital’s median price of $9.6k is 49% above the median hospital's median price ($6.4k), higher than 81% of the 1,983 hospitals reporting CPT 36904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 39 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 | Highmark blue shield of ne new york ascend facility · other · both | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 2 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 3 | Carefirst blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 4 | Highmark blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 5 | Wellmark blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 6 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 7 | Blue Cross Blue Shield blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 8 | Carefirst blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 9 | Excellus blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 10 | Highmark blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 11 | Premera blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 12 | Regence blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 13 | Wellmark blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 14 | Anthem empire bcbs medicare advantage facility · other · both | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 15 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 16 | Aetna aetna medicare advantage facility · other · both | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 17 | WellCare wellcare medicare advantage facility · other · both | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 18 | Excellus blue shield of ne new york medicare adv facility · other · both | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 19 | Highmark blue shield of ne new york medicare adv facility · other · both | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 20 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 21 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 22 | WellCare wellcare ep 1&2 medicaid facility · other · both | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 23 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 24 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 25 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
Last updated: Mar 31, 2026
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