Dura repair graft matrix, 3x3 size 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TISSUE SURGIMEND PRS MESHED 20 CM X 10 CM - COST PER 0.5CM

Troy, NY

See all hospitals reporting HCPCS C9358 →

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How this price compares nationally

Samaritan Hospital’s median price of $18 is 74% below the median hospital's median price ($69), higher than 12% of the 767 hospitals reporting HCPCS C9358. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9358 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	$18	$18	—	—	—	$18 – $18
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
3	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
4	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
5	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
6	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
11	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
12	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
13	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
14	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
15	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
16	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
17	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
18	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$34	$34	$10	29%	—	$24 – $44
19	First Health first health facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
20	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$40	$40	—	—	—	$40 – $40
21	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$40	$40	—	—	—	$40 – $40
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$40	$40	—	—	—	$40 – $40
23	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$44	$44	—	—	—	$44 – $44
24	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$44	$44	—	—	—	$44 – $44
25	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$44	$44	—	—	—	$44 – $44

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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