One-way prorated ambulance trip 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Travel Fee Prorated 2way/26pts

Troy, NY

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $11 is 4% below the median hospital's median price ($12), higher than 47% of the 666 hospitals reporting HCPCS P9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS P9604 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 41 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	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$2	$3	$6	187%	—	$1 – $26
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$4	$4	$2	43%	—	$2 – $7
3	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$4	$4	$2	43%	—	$2 – $7
4	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$4	$4	$2	43%	—	$2 – $7
5	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$4	$4	$2	43%	—	$2 – $7
6	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$4	$4	$2	43%	—	$2 – $7
7	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$4	$4	$2	43%	—	$2 – $7
8	Anthem empire bcbs blue access facility · percent of total billed charges · bothfrom % of charges	$3	$5	$10	187%	—	$2 – $44
9	Anthem empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$3	$5	$10	187%	—	$2 – $44
10	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$3	$5	$10	187%	—	$2 – $44
11	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$3	$5	$10	187%	—	$2 – $44
12	Wellmark empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$3	$5	$10	187%	—	$2 – $44
13	First Health first health facility · percent of total billed charges · bothfrom % of charges	$3	$6	$10	187%	—	$2 – $46
14	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$4	$6	$12	187%	—	$2 – $52
15	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$4	$6	$12	187%	—	$2 – $52
16	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$4	$6	$12	187%	—	$2 – $52
17	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$4	$7	$13	187%	—	$2 – $58
18	Excellus blue shield of ne new york medicare adv facility · per diem · both	$10	$10	—	—	—	$10 – $10
19	Highmark blue shield of ne new york medicare adv facility · per diem · both	$10	$10	—	—	—	$10 – $10
20	Anthem empire medicaid facility · fee schedule · both	$10	$10	—	—	—	$10 – $10
21	Excellus empire medicaid facility · fee schedule · both	$10	$10	—	—	—	$10 – $10
22	Anthem empire bcbs medicare advantage facility · case rate · both	$11	$11	—	—	—	$11 – $11
23	Aetna aetna medicare advantage facility · per diem · both	$11	$11	—	—	—	$11 – $11
24	UnitedHealthcare united healthcare medicare advantage facility · case rate · both	$11	$11	—	—	—	$11 – $11
25	WellCare wellcare ep 1&2 medicaid facility · case rate · both	$11	$11	—	—	—	$11 – $11

Page 1 of 2 · 41 rates

Last updated: Mar 31, 2026

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