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
MONITOR CARDIAC INSERT ASSERT IQ 3
Troy, NY
See all hospitals reporting HCPCS C1764 →Price type
Samaritan Hospital’s median price of $4.4k is 50% below the median hospital's median price ($8.7k), higher than 12% of the 1,433 hospitals reporting HCPCS C1764. 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 | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 2 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 3 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 4 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 5 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 6 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 7 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 8 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 9 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 10 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 11 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 12 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 13 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 14 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 15 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 16 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 17 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $4.3k | $3.8k | $1.4k | 36% | — | $28 – $4.8k |
| 18 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $6.5k | $7.3k | $3.5k | 48% | — | $39 – $12.1k |
| 19 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $8.6k | $7.6k | $2.8k | 36% | — | $57 – $9.7k |
| 20 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $9.7k | $8.5k | $3.1k | 36% | — | $64 – $10.9k |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $9.7k | $8.5k | $3.1k | 36% | — | $64 – $10.9k |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $9.7k | $8.5k | $3.1k | 36% | — | $64 – $10.9k |
| 23 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $10.8k | $9.5k | $3.4k | 36% | — | $71 – $12.1k |
| 24 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $10.8k | $9.5k | $3.4k | 36% | — | $71 – $12.1k |
| 25 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $10.8k | $9.5k | $3.4k | 36% | — | $71 – $12.1k |
Last updated: Mar 31, 2026
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