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.
Original text from hospital filings
PR Lead
Troy, NY
See all hospitals reporting CPT 83655 →Price type
Samaritan Hospital’s median price of $39 is 96% above the median hospital's median price ($20), higher than 74% of the 2,661 hospitals reporting CPT 83655. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Anthem empire bcbs medicare advantage facility · fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Excellus blue shield of ne new york medicare adv facility · fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Highmark blue shield of ne new york medicare adv facility · fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 4 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Humana tricare professional · fee schedule · inpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Humana tricare professional · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | Tricare tricare professional · fee schedule · inpatient | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Tricare tricare professional · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Aetna aetna medicare advantage facility · fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Anthem empire medicaid facility · fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Excellus empire medicaid facility · fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 12 | WellCare wellcare medicare advantage facility · fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 13 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 14 | WellCare wellcare ep 1&2 medicaid facility · fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 15 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 16 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Anthem empire bcbs blue access facility · fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 22 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 24 | Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 25 | Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
Last updated: Mar 31, 2026
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