RC 881

Ultrafiltration dialysis treatment 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 Dialysis Procedure Other Than Hemodialysis W/ Single Evaluation Ultrafiltration Daily

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $473 is 62% below the median hospital's median price ($1.2k), higher than 23% of the 346 hospitals reporting RC 881. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 881 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 36 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	Highmark blue shield of ne new york ascend facility · fee schedule · both	$240	$240	—	—	—	$240 – $240
2	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$296	$296	—	—	—	$296 – $296
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both	$305	$305	—	—	—	$305 – $305
4	Carefirst blue shield of ne new york hmo facility · fee schedule · both	$305	$305	—	—	—	$305 – $305
5	Highmark blue shield of ne new york hmo facility · fee schedule · both	$305	$305	—	—	—	$305 – $305
6	Wellmark blue shield of ne new york hmo facility · fee schedule · both	$305	$305	—	—	—	$305 – $305
7	Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both	$381	$381	—	—	—	$381 – $381
8	Carefirst blue shield of ne new york ppo facility · fee schedule · both	$381	$381	—	—	—	$381 – $381
9	Excellus blue shield of ne new york ppo facility · fee schedule · both	$381	$381	—	—	—	$381 – $381
10	Highmark blue shield of ne new york ppo facility · fee schedule · both	$381	$381	—	—	—	$381 – $381
11	Premera blue shield of ne new york ppo facility · fee schedule · both	$381	$381	—	—	—	$381 – $381
12	Regence blue shield of ne new york ppo facility · fee schedule · both	$381	$381	—	—	—	$381 – $381
13	Wellmark blue shield of ne new york ppo facility · fee schedule · both	$381	$381	—	—	—	$381 – $381
14	Cigna cigna facility · fee schedule · both	$473	$473	—	—	—	$473 – $473
15	Anthem empire bcbs medicare advantage facility · other · both	$510	$510	—	—	—	$510 – $510
16	UnitedHealthcare united healthcare medicare advantage facility · other · both	$531	$531	—	—	—	$531 – $531
17	Aetna aetna medicare advantage facility · other · both	$551	$551	—	—	—	$551 – $551
18	WellCare wellcare medicare advantage facility · other · both	$569	$569	—	—	—	$569 – $569
19	Excellus blue shield of ne new york medicare adv facility · other · both	$573	$573	—	—	—	$573 – $573
20	Highmark blue shield of ne new york medicare adv facility · other · both	$573	$573	—	—	—	$573 – $573
21	WellCare wellcare ep 1&2 medicaid facility · other · both	$833	$833	—	—	—	$833 – $833
22	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$847	$847	$246	29%	—	$601 – $1.1k
23	First Health first health facility · percent of total billed charges · bothfrom % of charges	$874	$874	—	—	—	$874 – $874
24	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$984	$984	—	—	—	$984 – $984
25	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$984	$984	—	—	—	$984 – $984

Page 1 of 2 · 36 rates

Last updated: Mar 31, 2026

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