Open biopsy of groin lymph nodes at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Biopsy/Excision Lymph Node(S) Open Inguinofemoral Node(S)

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $987 is 76% below the median hospital's median price ($4.0k), higher than 15% of the 1,971 hospitals reporting CPT 38531. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 38531 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 145 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	Humana tricare professional · fee schedule · both	$200	$178	$111	62%	—	$32 – $300
2	Tricare tricare professional · fee schedule · both	$200	$178	$111	62%	—	$32 – $300
3	Humana tricare professional · fee schedule · inpatient	$200	$200	—	—	—	$200 – $200
4	Tricare tricare professional · fee schedule · inpatient	$200	$200	—	—	—	$200 – $200
5	Aetna aetna medicare advantage professional · fee schedule · both	$234	$208	$130	62%	—	$38 – $352
6	Aetna aetna medicare advantage professional · fee schedule · inpatient	$234	$234	—	—	—	$234 – $234
7	Humana tricare professional · fee schedule · outpatient	$250	$250	$50	20%	—	$200 – $300
8	Tricare tricare professional · fee schedule · outpatient	$250	$250	$50	20%	—	$200 – $300
9	Aetna aetna professional · fee schedule · both	$337	$299	$186	62%	—	$54 – $505
10	Aetna aetna professional · fee schedule · inpatient	$337	$337	—	—	—	$337 – $337
11	Aetna aetna medicare advantage professional · fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
12	Anthem empire medicaid facility · fee schedule · outpatient	$373	$373	—	—	—	$373 – $373
13	Excellus empire medicaid facility · fee schedule · outpatient	$373	$373	—	—	—	$373 – $373
14	Aetna aetna professional · fee schedule · outpatient	$505	$505	—	—	—	$505 – $505
15	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$793	$793	—	—	—	$793 – $793
16	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$793	$793	—	—	—	$793 – $793
17	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
18	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
19	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
20	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
21	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
22	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
23	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
24	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k
25	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$987	$1.0k	$742	71%	—	$158 – $2.0k

Page 1 of 6 · 145 rates

Last updated: Mar 31, 2026

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