RC 920

Sleep study for young child starting positive airway pressure 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 Polysomnography Sleep Staging >=4 Parameters Age >=6 Years

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $412 is 24% above the median hospital's median price ($333), higher than 59% of the 1,932 hospitals reporting RC 920. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 920 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 16 payers, 68 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	Anthem empire medicaid facility · fee schedule · both	$17	$17	—	—	—	$17 – $17
2	Excellus empire medicaid facility · fee schedule · both	$17	$17	—	—	—	$17 – $17
3	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$36	$36	—	—	—	$36 – $36
4	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$36	$36	—	—	—	$36 – $36
5	Highmark blue shield of ne new york ascend facility · fee schedule · both	$57	$74	$43	59%	—	$35 – $147
6	Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both	$71	$109	$66	60%	—	$45 – $214
7	Carefirst blue shield of ne new york hmo facility · fee schedule · both	$71	$109	$66	60%	—	$45 – $214
8	Highmark blue shield of ne new york hmo facility · fee schedule · both	$71	$109	$66	60%	—	$45 – $214
9	Wellmark blue shield of ne new york hmo facility · fee schedule · both	$71	$109	$66	60%	—	$45 – $214
10	Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both	$89	$137	$83	60%	—	$56 – $268
11	Carefirst blue shield of ne new york ppo facility · fee schedule · both	$89	$137	$83	60%	—	$56 – $268
12	Excellus blue shield of ne new york ppo facility · fee schedule · both	$89	$137	$83	60%	—	$56 – $268
13	Highmark blue shield of ne new york ppo facility · fee schedule · both	$89	$137	$83	60%	—	$56 – $268
14	Premera blue shield of ne new york ppo facility · fee schedule · both	$89	$137	$83	60%	—	$56 – $268
15	Regence blue shield of ne new york ppo facility · fee schedule · both	$89	$137	$83	60%	—	$56 – $268
16	Wellmark blue shield of ne new york ppo facility · fee schedule · both	$89	$137	$83	60%	—	$56 – $268
17	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$231	$231	$138	60%	—	$93 – $370
18	Cigna cigna facility · fee schedule · both	$264	$236	$125	53%	—	$72 – $392
19	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$41	$289	$306	106%	—	$13 – $698
20	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
21	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
22	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
23	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
24	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
25	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370

Page 1 of 3 · 68 rates

Last updated: Mar 31, 2026

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