Complete bone survey X-rays 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 Xr Bone Survey Complete|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 $228 is 12% above the median hospital's median price ($203), higher than 54% of the 2,563 hospitals reporting CPT 77075. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77075 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$42	$42	—	—	—	$42 – $42
2	Anthem empire medicaid facility · fee schedule · both	$54	$54	—	—	—	$54 – $54
3	Excellus empire medicaid facility · fee schedule · both	$54	$54	—	—	—	$54 – $54
4	Humana tricare professional · fee schedule · inpatient	$56	$56	$32	58%	—	$24 – $88
5	Humana tricare professional · fee schedule · outpatient	$56	$56	$32	58%	—	$24 – $88
6	Tricare tricare professional · fee schedule · inpatient	$56	$56	$32	58%	—	$24 – $88
7	Tricare tricare professional · fee schedule · outpatient	$56	$56	$32	58%	—	$24 – $88
8	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$114	$114	—	—	—	$114 – $114
9	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$114	$114	—	—	—	$114 – $114
10	Anthem empire bcbs medicare advantage facility · other · both	$128	$128	—	—	—	$128 – $128
11	UnitedHealthcare united healthcare medicare advantage facility · other · both	$133	$133	—	—	—	$133 – $133
12	Aetna aetna medicare advantage facility · other · both	$138	$138	—	—	—	$138 – $138
13	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$141	$141	—	—	—	$141 – $141
14	WellCare wellcare medicare advantage facility · other · both	$143	$143	—	—	—	$143 – $143
15	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
16	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
17	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
18	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
19	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	1–10	$58 – $228
20	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
21	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
22	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
23	Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
24	Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228
25	Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$143	$143	$85	59%	—	$58 – $228

Page 1 of 5 · 108 rates

Last updated: Mar 31, 2026

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