Cystoscopy to remove bladder clots 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 Cystourethroscopy W Irrigation & Evacuation Mulitiple Obstructing Clots

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $608 is 82% below the median hospital's median price ($3.5k), higher than 14% of the 1,918 hospitals reporting CPT 52001. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 52001 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 107 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	$128	$128	—	—	—	$128 – $128
2	Humana tricare professional · fee schedule · inpatient	$128	$128	—	—	—	$128 – $128
3	Humana tricare professional · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
4	Tricare tricare professional · fee schedule · both	$128	$128	—	—	—	$128 – $128
5	Tricare tricare professional · fee schedule · inpatient	$128	$128	—	—	—	$128 – $128
6	Tricare tricare professional · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
7	Aetna aetna medicare advantage professional · fee schedule · both	$134	$134	—	—	—	$134 – $134
8	Aetna aetna professional · fee schedule · both	$206	$206	—	—	—	$206 – $206
9	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
10	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
11	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
12	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
13	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
14	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
15	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
16	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
17	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
18	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
19	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
20	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
21	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
22	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
23	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608
24	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$608	$608	—	—	—	$608 – $608
25	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$608	$608	—	—	—	$608 – $608

Page 1 of 5 · 107 rates

Last updated: Mar 31, 2026

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