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
DEFIB ICD 2 CHMBR GALLANT DR ICD
Troy, NY
See all hospitals reporting HCPCS C1721 →Price type
Samaritan Hospital’s median price of $12.0k is 49% below the median hospital's median price ($23.4k), higher than 15% of the 1,344 hospitals reporting HCPCS C1721. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 26 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 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 2 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 3 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 4 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 5 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 6 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 7 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 8 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 9 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 10 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 11 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 12 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 13 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 14 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 15 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 16 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 17 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $11.2k | $10.8k | $4.0k | 37% | — | $0 – $18k |
| 18 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $18.2k | $20.9k | $10.0k | 48% | — | $0 – $45k |
| 19 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $22.4k | $21.5k | $7.9k | 37% | — | $0 – $36k |
| 20 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $25.2k | $24.2k | $8.9k | 37% | — | $0 – $40.5k |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $25.2k | $24.2k | $8.9k | 37% | — | $0 – $40.5k |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $25.2k | $24.2k | $8.9k | 37% | — | $0 – $40.5k |
| 23 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $28.0k | $26.9k | $9.9k | 37% | — | $0 – $45k |
| 24 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $28.0k | $26.9k | $9.9k | 37% | — | $0 – $45k |
| 25 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $28.0k | $26.9k | $9.9k | 37% | — | $0 – $45k |
Last updated: Mar 31, 2026
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