Fetal non-stress test 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.

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Original text from hospital filings

PR Fetal Non Stress Test

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $124 is 54% below the median hospital's median price ($270), higher than 14% of the 2,357 hospitals reporting CPT 59025. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 59025 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 105 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$12	$12	—	—	—	$12 – $12
2	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
3	Anthem empire medicaid facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
4	Anthem empire medicaid facility · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
5	Excellus empire medicaid facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
6	Excellus empire medicaid facility · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
7	Aetna aetna medicare advantage professional · fee schedule · both	$32	$32	$8	26%	—	$24 – $40
8	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$34	$34	—	—	—	$34 – $34
9	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
10	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$34	$34	—	—	—	$34 – $34
11	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
12	Humana tricare professional · fee schedule · both	$35	$35	$5	14%	1–10	$30 – $40
13	Tricare tricare professional · fee schedule · both	$35	$35	$5	14%	—	$30 – $40
14	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$42	$42	—	—	—	$42 – $42
15	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
16	UnitedHealthcare uhc empire professional · fee schedule · both	$54	$54	$13	24%	59	$41 – $67
17	Aetna aetna professional · fee schedule · both	$60	$60	$16	26%	19	$45 – $76
18	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	—	$72 – $124
19	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	—	$72 – $124
20	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	—	$72 – $124
21	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	51–60	$72 – $124
22	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	27–99	$72 – $124
23	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	1–10	$72 – $124
24	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	—	$72 – $124
25	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$98	$98	$26	27%	22	$72 – $124

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Last updated: Mar 31, 2026

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