Upper endoscopy to stop bleeding 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 Egd Flexible Transoral W/Control Bleeding Any Method

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $641 is 69% below the median hospital's median price ($2.1k), higher than 12% of the 2,185 hospitals reporting CPT 43255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43255 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 104 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 · inpatient	$89	$89	—	—	—	$89 – $89
2	Humana tricare professional · fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
3	Tricare tricare professional · fee schedule · inpatient	$89	$89	—	—	—	$89 – $89
4	Tricare tricare professional · fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
5	Anthem empire medicaid facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
6	Excellus empire medicaid facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
7	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$393	$393	—	—	—	$393 – $393
8	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$393	$393	—	—	—	$393 – $393
9	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
10	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
11	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
12	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	1–10	$505 – $505
13	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
14	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
15	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
16	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
17	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
18	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
19	Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
20	First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
21	Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
22	Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
23	Kaiser pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
24	Magellan pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
25	Medcost pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$505	$505	—	—	—	$505 – $505

Page 1 of 5 · 104 rates

Last updated: Mar 31, 2026

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