Gabapentin drug level test 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

HC Quest 11878 Gabapentin Non-Blood Definitive Assay Urine

Troy, NY

See all hospitals reporting CPT 80355 →

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How this price compares nationally

Samaritan Hospital’s median price of $180 is 537% above the median hospital's median price ($28), higher than 91% of the 1,476 hospitals reporting CPT 80355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80355 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 41 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	Anthem empire medicaid facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
2	Excellus empire medicaid facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
3	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$17	$18	$2	10%	—	$17 – $21
4	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$34	$34	—	—	—	$34 – $34
5	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$34	$34	—	—	—	$34 – $34
6	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$57	$62	$6	10%	—	$57 – $71
7	Anthem empire bcbs medicare advantage facility · fee schedule · both	$112	$112	—	—	—	$112 – $112
8	Excellus blue shield of ne new york medicare adv facility · fee schedule · both	$114	$114	—	—	—	$114 – $114
9	Highmark blue shield of ne new york medicare adv facility · fee schedule · both	$114	$114	—	—	—	$114 – $114
10	UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both	$117	$117	—	—	—	$117 – $117
11	Aetna aetna medicare advantage facility · fee schedule · both	$121	$121	—	—	—	$121 – $121
12	WellCare wellcare medicare advantage facility · fee schedule · both	$125	$125	—	—	—	$125 – $125
13	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$147	$147	—	—	—	$147 – $147
14	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
15	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
16	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
17	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
18	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
19	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
20	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
21	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
22	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
23	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
24	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
25	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180

Page 1 of 2 · 41 rates

Last updated: Mar 31, 2026

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