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
BONE ANT TIB 2S L>23 FD>6 FRZ
Troy, NY
See all hospitals reporting HCPCS C1762 →Price type
Samaritan Hospital’s median price of $1.7k is 48% below the median hospital's median price ($3.3k), higher than 20% of the 1,512 hospitals reporting HCPCS C1762. 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 | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 2 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 3 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 4 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 5 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 6 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | 209–2,090 | $0 – $13.9k |
| 7 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | 209–2,090 | $0 – $13.9k |
| 8 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 9 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 10 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | 209–2,090 | $0 – $13.9k |
| 11 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 12 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 13 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 14 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 15 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 16 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 17 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.3k | $2.4k | 107% | — | $0 – $13.9k |
| 18 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $2.9k | $4.4k | $5.0k | 116% | — | $1 – $34.7k |
| 19 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $3.2k | $4.5k | $4.8k | 107% | — | $1 – $27.7k |
| 20 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $3.6k | $5.1k | $5.4k | 107% | — | $1 – $31.2k |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $3.6k | $5.1k | $5.4k | 107% | — | $1 – $31.2k |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $3.6k | $5.1k | $5.4k | 107% | — | $1 – $31.2k |
| 23 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $4.0k | $5.6k | $6.1k | 107% | — | $1 – $34.7k |
| 24 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $4.0k | $5.6k | $6.1k | 107% | — | $1 – $34.7k |
| 25 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $4.0k | $5.6k | $6.1k | 107% | — | $1 – $34.7k |
Last updated: Mar 31, 2026
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