MRI of upper arm without contrast dye 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 MRI Upper Extremity Other Than Joint W/O Contrast|PROFESSIONAL COMPONENT

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $751 is 11% above the median hospital's median price ($677), higher than 52% of the 2,557 hospitals reporting CPT 73218. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73218 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 107 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	$165	$165	$107	65%	—	$58 – $271
2	Humana tricare professional · fee schedule · outpatient	$165	$165	$107	65%	—	$58 – $271
3	Tricare tricare professional · fee schedule · inpatient	$165	$165	$107	65%	—	$58 – $271
4	Tricare tricare professional · fee schedule · outpatient	$165	$165	$107	65%	—	$58 – $271
5	Anthem empire bcbs medicare advantage facility · other · both	$292	$292	—	—	—	$292 – $292
6	UnitedHealthcare united healthcare medicare advantage facility · other · both	$304	$304	—	—	3–30	$304 – $304
7	Aetna aetna medicare advantage facility · other · both	$315	$315	—	—	—	$315 – $315
8	WellCare wellcare medicare advantage facility · other · both	$326	$326	—	—	—	$326 – $326
9	Excellus blue shield of ne new york medicare adv facility · other · both	$328	$328	—	—	—	$328 – $328
10	Highmark blue shield of ne new york medicare adv facility · other · both	$328	$328	—	—	—	$328 – $328
11	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$415	$415	—	—	—	$415 – $415
12	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
13	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
14	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
15	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
16	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
17	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
18	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
19	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
20	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
21	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
22	Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
23	First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
24	Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751
25	Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$459	$459	$292	64%	—	$167 – $751

Page 1 of 5 · 107 rates

Last updated: Mar 31, 2026

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