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
PR Endometrial Sampling W/WO Endocervical Sampling W/O Cervical Dilation
Troy, NY
See all hospitals reporting CPT 58100 →Price type
Samaritan Hospital’s median price of $260 is 1% above the median hospital's median price ($257), higher than 51% of the 2,076 hospitals reporting CPT 58100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 82 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 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Tricare tricare professional · fee schedule · inpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Humana tricare professional · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Tricare tricare professional · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 6 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 7 | UnitedHealthcare uhc empire professional · fee schedule · inpatient | $69 | $69 | — | — | — | $69 – $69 |
| 8 | Aetna aetna professional · fee schedule · inpatient | $79 | $79 | — | — | — | $79 – $79 |
| 9 | UnitedHealthcare uhc empire professional · fee schedule · outpatient | $81 | $81 | — | — | 1–10 | $81 – $81 |
| 10 | Aetna aetna professional · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 11 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 12 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 13 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 14 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 15 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $133 | $133 | — | — | — | $133 – $133 |
| 16 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 17 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 18 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 19 | Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 20 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 21 | Anthem empire bcbs medicare advantage facility · other · both | $247 | $247 | — | — | — | $247 – $247 |
| 22 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $257 | $257 | — | — | 1–10 | $257 – $257 |
| 23 | Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 24 | Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 25 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
Last updated: Mar 31, 2026
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