Hysteroscopy with endometrial biopsy or polyp removal 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 Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C|ASSISTANT SURGEON|MULTIPLE PROCEDURES

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $498 is 86% below the median hospital's median price ($3.5k), higher than 9% of the 2,166 hospitals reporting CPT 58558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 58558 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	Aetna aetna medicare advantage professional · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
2	Aetna aetna professional · fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
3	Humana tricare professional · fee schedule · both	$17	$45	$41	90%	—	$17 – $103
4	Tricare tricare professional · fee schedule · both	$17	$45	$41	90%	—	$17 – $103
5	Anthem empire medicaid facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
6	Excellus empire medicaid facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
7	Aetna aetna medicare advantage professional · fee schedule · both	$17	$48	$43	90%	—	$17 – $109
8	Humana tricare professional · fee schedule · outpatient	$60	$60	$43	72%	—	$17 – $103
9	Tricare tricare professional · fee schedule · outpatient	$60	$60	$43	72%	—	$17 – $103
10	Aetna aetna professional · fee schedule · both	$27	$75	$67	90%	—	$27 – $169
11	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
12	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
13	Humana tricare professional · fee schedule · inpatient	$103	$103	—	—	—	$103 – $103
14	Tricare tricare professional · fee schedule · inpatient	$103	$103	—	—	—	$103 – $103
15	Aetna aetna medicare advantage professional · fee schedule · inpatient	$109	$109	—	—	—	$109 – $109
16	Aetna aetna professional · fee schedule · inpatient	$169	$169	—	—	—	$169 – $169
17	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
18	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
19	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
20	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
21	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
22	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
23	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
24	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498
25	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$80	$219	$197	90%	—	$80 – $498

Page 1 of 6 · 145 rates

Last updated: Mar 31, 2026

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See Hysteroscopy with endometrial biopsy or polyp removal pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.