Ultrasound of the spinal canal 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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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR US Spinal Canal and Contents|PROFESSIONAL COMPONENT

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $143 is 30% below the median hospital's median price ($203), higher than 30% of the 2,287 hospitals reporting CPT 76800. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76800 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 109 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	$50	$50	—	—	—	$50 – $50
2	Humana tricare professional · fee schedule · inpatient	$56	$56	—	—	—	$56 – $56
3	Humana tricare professional · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
4	Tricare tricare professional · fee schedule · inpatient	$56	$56	—	—	—	$56 – $56
5	Tricare tricare professional · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
6	Anthem empire medicaid facility · fee schedule · both	$64	$64	—	—	—	$64 – $64
7	Excellus empire medicaid facility · fee schedule · both	$64	$64	—	—	—	$64 – $64
8	Anthem empire bcbs medicare advantage facility · other · both	$128	$128	—	—	—	$128 – $128
9	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
10	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
11	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
12	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
13	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
14	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
15	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
16	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
17	Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
18	Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
19	Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
20	First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
21	Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
22	Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
23	Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
24	Magellan pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
25	Medcost pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133

Page 1 of 5 · 109 rates

Last updated: Mar 31, 2026

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