Cystoscopy with treatment 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 Cysto W Fulg of Trigone Blad Neck Prostatic Fossa Urethra/Periurethral

Troy, NY

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $570 is 84% below the median hospital's median price ($3.6k), higher than 11% of the 1,901 hospitals reporting CPT 52214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 52214 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	Anthem empire medicaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
2	Excellus empire medicaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
3	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
4	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
5	Humana tricare professional · fee schedule · inpatient	$78	$78	—	—	—	$78 – $78
6	Humana tricare professional · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
7	Tricare tricare professional · fee schedule · inpatient	$78	$78	—	—	—	$78 – $78
8	Tricare tricare professional · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
9	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
10	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
11	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
12	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
13	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
14	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
15	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
16	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
17	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
18	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
19	Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
20	First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
21	Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
22	Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
23	Kaiser pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
24	Magellan pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
25	Medcost pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441

Page 1 of 5 · 104 rates

Last updated: Mar 31, 2026

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