3D radiation therapy treatment planning with dose-volume histogram 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 Radiotherapy Plan 3d W/Volume Histogram|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 $583 is 64% below the median hospital's median price ($1.6k), higher than 11% of the 1,962 hospitals reporting CPT 77295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77295 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 75 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	$86	$86	—	—	—	$86 – $86
2	Anthem empire medicaid facility · fee schedule · both	$111	$111	—	—	—	$111 – $111
3	Excellus empire medicaid facility · fee schedule · both	$111	$111	—	—	—	$111 – $111
4	Humana tricare professional · fee schedule · both	$206	$206	—	—	—	$206 – $206
5	Tricare tricare professional · fee schedule · both	$206	$206	—	—	—	$206 – $206
6	Aetna aetna medicare advantage professional · fee schedule · both	$220	$220	—	—	—	$220 – $220
7	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$235	$235	—	—	—	$235 – $235
8	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$235	$235	—	—	—	$235 – $235
9	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$292	$292	—	—	—	$292 – $292
10	UnitedHealthcare uhc empire professional · fee schedule · both	$383	$383	—	—	—	$383 – $383
11	Aetna aetna professional · fee schedule · both	$417	$417	—	—	—	$417 – $417
12	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
13	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
14	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
15	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	1–10	$583 – $583
16	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
17	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
18	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
19	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
20	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
21	Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
22	Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
23	First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
24	Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
25	Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583

Page 1 of 3 · 75 rates

Last updated: Mar 31, 2026

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