Full face mask for positive airway pressure device 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

MASK FULLFACE PERFORMATRAK LG 10/CA

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 $30 is 74% below the median hospital's median price ($115), higher than 1% of the 725 hospitals reporting HCPCS A7030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A7030 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 13 payers, 24 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 uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$22	$21	$0	1%	—	$21 – $22
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$22	$21	$0	1%	—	$21 – $22
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$30	$29	$0	1%	—	$29 – $30
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$41	$41	$12	29%	—	$29 – $54
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$43	$43	$0	1%	—	$42 – $43
17	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$46	$46	$0	1%	—	$45 – $46
18	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$48	$48	$1	1%	—	$47 – $49
19	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$48	$48	$1	1%	—	$47 – $49
20	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$48	$48	$1	1%	—	$47 – $49
21	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$54	$54	$1	1%	—	$53 – $54
22	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$54	$54	$1	1%	—	$53 – $54
23	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$54	$54	$1	1%	—	$53 – $54
24	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$54	$54	$1	1%	—	$53 – $54

Last updated: Mar 31, 2026

Compare to other hospitals

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