Balloon catheter for kidney procedures 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

DILATOR BLN ACHALASIA 30MMX8CM W/CATH 16FX75CM WCAB-30

Troy, NY

See all hospitals reporting HCPCS C1726 →

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How this price compares nationally

Samaritan Hospital’s median price of $330 is 50% below the median hospital's median price ($662), higher than 19% of the 1,770 hospitals reporting HCPCS C1726. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C1726 at Samaritan Hospital

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	$280	$280	—	—	—	$280 – $280
2	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$280	$280	—	—	—	$280 – $280
3	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$213	$424	$635	150%	—	$8 – $3.5k
4	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$213	$424	$635	150%	—	$8 – $3.5k
5	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
6	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
7	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
8	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
9	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
10	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
11	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
12	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
13	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
14	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
15	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
16	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$293	$582	$873	150%	—	$11 – $4.9k
17	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$392	$821	$1.3k	159%	—	$11 – $8.8k
18	First Health first health facility · percent of total billed charges · bothfrom % of charges	$427	$848	$1.3k	150%	—	$16 – $7.1k
19	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$453	$899	$1.3k	150%	—	$17 – $7.5k
20	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$480	$954	$1.4k	150%	—	$18 – $8.0k
21	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$480	$954	$1.4k	150%	—	$18 – $8.0k
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$480	$954	$1.4k	150%	—	$18 – $8.0k
23	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$533	$1.1k	$1.6k	150%	—	$20 – $8.8k
24	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$533	$1.1k	$1.6k	150%	—	$20 – $8.8k
25	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$533	$1.1k	$1.6k	150%	—	$20 – $8.8k

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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