RC 490

Mohs micrographic surgery to remove tumor 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

HC Biopsy Endometrial Sampling

Troy, NY

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $1.9k is 21% below the median hospital's median price ($2.4k), higher than 40% of the 800 hospitals reporting RC 490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 490 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 16 payers, 33 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	First Health first health facility · percent of total billed charges · bothfrom % of charges	$110	$117	$15	13%	—	$104 – $138
2	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$110	$117	$15	13%	—	$104 – $138
3	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$123	$132	$17	13%	—	$117 – $155
4	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$123	$132	$17	13%	—	$117 – $155
5	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$137	$146	$18	13%	—	$130 – $172
6	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$137	$146	$18	13%	—	$130 – $172
7	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$137	$146	$18	13%	—	$130 – $172
8	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$137	$146	$18	13%	—	$130 – $172
9	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$137	$146	$18	13%	—	$130 – $172
10	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$133	$160	$38	24%	—	$133 – $214
11	WellCare wellcare ep 1&2 medicaid facility · other · both	$404	$472	$97	20%	—	$404 – $609
12	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$452	$544	$130	24%	—	$452 – $727
13	Anthem empire bcbs blue access facility · other · both	$522	$610	$125	20%	—	$522 – $787
14	Anthem empire bcbs hmo epo ppo indemnity facility · other · both	$581	$679	$139	20%	—	$581 – $875
15	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · both	$581	$679	$139	20%	—	$581 – $875
16	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · both	$581	$679	$139	20%	—	$581 – $875
17	Wellmark empire bcbs hmo epo ppo indemnity facility · other · both	$581	$679	$139	20%	—	$581 – $875
18	Highmark blue shield of ne new york ascend facility · other · both	$1.6k	$1.4k	$310	22%	—	$977 – $1.6k
19	Blue Cross Blue Shield blue shield of ne new york hmo facility · other · both	$2.5k	$2.2k	$472	22%	—	$1.5k – $2.5k
20	Carefirst blue shield of ne new york hmo facility · other · both	$2.5k	$2.2k	$472	22%	—	$1.5k – $2.5k
21	Highmark blue shield of ne new york hmo facility · other · both	$2.5k	$2.2k	$472	22%	—	$1.5k – $2.5k
22	Wellmark blue shield of ne new york hmo facility · other · both	$2.5k	$2.2k	$472	22%	—	$1.5k – $2.5k
23	Blue Cross Blue Shield blue shield of ne new york ppo facility · other · both	$3.1k	$2.7k	$590	22%	—	$1.9k – $3.1k
24	Carefirst blue shield of ne new york ppo facility · other · both	$3.1k	$2.7k	$590	22%	—	$1.9k – $3.1k
25	Excellus blue shield of ne new york ppo facility · other · both	$3.1k	$2.7k	$590	22%	—	$1.9k – $3.1k

Page 1 of 2 · 33 rates

Last updated: Mar 31, 2026

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