CT scan of colon without contrast 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 CT Colonography Diagnostic W/O Contrast|PROFESSIONAL COMPONENT

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $295 is 19% above the median hospital's median price ($247), higher than 56% of the 1,718 hospitals reporting CPT 74261. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74261 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 108 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	$103	$103	—	—	—	$103 – $103
2	Humana tricare professional · fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
3	Tricare tricare professional · fee schedule · inpatient	$103	$103	—	—	—	$103 – $103
4	Tricare tricare professional · fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
5	Anthem empire bcbs medicare advantage facility · other · both	$128	$128	—	—	—	$128 – $128
6	Anthem empire medicaid facility · fee schedule · both	$129	$129	—	—	—	$129 – $129
7	Excellus empire medicaid facility · fee schedule · both	$129	$129	—	—	—	$129 – $129
8	UnitedHealthcare united healthcare medicare advantage facility · other · both	$133	$133	—	—	—	$133 – $133
9	Aetna aetna medicare advantage facility · other · both	$138	$138	—	—	—	$138 – $138
10	WellCare wellcare medicare advantage facility · other · both	$143	$143	—	—	—	$143 – $143
11	Excellus blue shield of ne new york medicare adv facility · other · both	$144	$144	—	—	—	$144 – $144
12	Highmark blue shield of ne new york medicare adv facility · other · both	$144	$144	—	—	—	$144 – $144
13	WellCare wellcare ep 1&2 medicaid facility · other · both	$209	$209	—	—	—	$209 – $209
14	Anthem empire bcbs blue access facility · other · both	$270	$270	—	—	—	$270 – $270
15	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$274	$274	—	—	—	$274 – $274
16	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$274	$274	—	—	—	$274 – $274
17	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
18	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
19	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
20	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
21	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
22	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
23	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
24	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
25	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$295	$295	—	—	—	$295 – $295

Page 1 of 5 · 108 rates

Last updated: Mar 31, 2026

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