Removal of one or both ovaries and fallopian tubes 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 Salpingo Oophorectomy Complete/Partial Uni/Bil|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $310 is 91% below the median hospital's median price ($3.3k), higher than 1% of the 1,512 hospitals reporting CPT 58720. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 58720 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 111 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	$60	$60	—	—	—	$60 – $60
2	Aetna aetna professional · fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
3	Humana tricare professional · fee schedule · outpatient	$55	$150	$135	90%	—	$55 – $341
4	Tricare tricare professional · fee schedule · outpatient	$55	$150	$135	90%	—	$55 – $341
5	Humana tricare professional · fee schedule · both	$198	$198	$143	72%	—	$55 – $341
6	Tricare tricare professional · fee schedule · both	$198	$198	$143	72%	—	$55 – $341
7	Aetna aetna medicare advantage professional · fee schedule · both	$218	$218	$158	72%	—	$60 – $376
8	Humana tricare professional · fee schedule · inpatient	$290	$223	$132	59%	—	$39 – $341
9	Tricare tricare professional · fee schedule · inpatient	$290	$223	$132	59%	—	$39 – $341
10	Aetna aetna professional · fee schedule · both	$330	$330	$239	72%	—	$91 – $569
11	Aetna aetna medicare advantage professional · fee schedule · inpatient	$376	$376	—	—	—	$376 – $376
12	Aetna aetna professional · fee schedule · inpatient	$569	$569	—	—	—	$569 – $569
13	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
14	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
15	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
16	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
17	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
18	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
19	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
20	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
21	Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
22	Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
23	Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
24	First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k
25	Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$266	$731	$658	90%	—	$266 – $1.7k

Page 1 of 5 · 111 rates

Last updated: Mar 31, 2026

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