Chest ultrasound 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 US Chest|PROFESSIONAL COMPONENT

Troy, NY

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $130 is 26% below the median hospital's median price ($175), higher than 33% of the 2,632 hospitals reporting CPT 76604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76604 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 106 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	$21	$21	—	—	—	$21 – $21
2	Anthem empire medicaid facility · fee schedule · both	$27	$27	—	—	—	$27 – $27
3	Excellus empire medicaid facility · fee schedule · both	$27	$27	—	—	—	$27 – $27
4	Humana tricare professional · fee schedule · inpatient	$38	$38	$14	36%	—	$25 – $52
5	Humana tricare professional · fee schedule · outpatient	$38	$38	$14	36%	—	$25 – $52
6	Tricare tricare professional · fee schedule · inpatient	$38	$38	$14	36%	—	$25 – $52
7	Tricare tricare professional · fee schedule · outpatient	$38	$38	$14	36%	—	$25 – $52
8	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$57	$57	—	—	—	$57 – $57
9	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$57	$57	—	—	—	$57 – $57
10	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$71	$71	—	—	—	$71 – $71
11	Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both	$104	$104	—	—	—	$104 – $104
12	Carefirst blue shield of ne new york hmo facility · fee schedule · both	$104	$104	—	—	—	$104 – $104
13	Highmark blue shield of ne new york hmo facility · fee schedule · both	$104	$104	—	—	—	$104 – $104
14	Wellmark blue shield of ne new york hmo facility · fee schedule · both	$104	$104	—	—	—	$104 – $104
15	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
16	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
17	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
18	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	3–30	$71 – $146
19	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	2–20	$71 – $146
20	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
21	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
22	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
23	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
24	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146
25	Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$109	$109	$38	35%	—	$71 – $146

Page 1 of 5 · 106 rates

Last updated: Mar 31, 2026

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