RC 921

Peripheral vascular lab testing 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 Scan Duplex Lower Extremity Arteries Complete Bilateral|TECHNICAL COMPONENT

Troy, NY

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $436 is 8% below the median hospital's median price ($475), higher than 46% of the 2,007 hospitals reporting RC 921. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 921 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 67 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$77	$68	$16	23%	—	$35 – $90
2	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient	$83	$83	$6	7%	—	$77 – $90
3	Anthem empire medicaid facility · fee schedule · both	$100	$88	$20	23%	—	$45 – $116
4	Excellus empire medicaid facility · fee schedule · both	$100	$88	$20	23%	—	$45 – $116
5	Anthem empire medicaid facility · fee schedule · outpatient	$108	$108	$8	7%	—	$100 – $116
6	Excellus empire medicaid facility · fee schedule · outpatient	$108	$108	$8	7%	—	$100 – $116
7	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$211	$186	$43	23%	—	$95 – $245
8	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$211	$186	$43	23%	—	$95 – $245
9	Anthem empire bcbs medicare advantage facility · other · both	$145	$199	$77	39%	3–30	$128 – $292
10	UnitedHealthcare united healthcare medicare advantage facility · other · both	$133	$200	$80	40%	145–181	$133 – $304
11	Anthem empire bcbs medicare advantage facility · other · outpatient	$210	$210	$82	39%	1–10	$128 – $292
12	Aetna aetna medicare advantage facility · other · both	$176	$217	$83	38%	40	$138 – $315
13	WellCare wellcare medicare advantage facility · other · both	$143	$218	$86	40%	1–10	$143 – $326
14	UnitedHealthcare united healthcare medicare advantage facility · other · outpatient	$218	$218	$85	39%	12	$133 – $304
15	Aetna aetna medicare advantage facility · other · outpatient	$227	$227	$89	39%	15	$138 – $315
16	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$228	$228	$17	7%	—	$211 – $245
17	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$228	$228	$17	7%	—	$211 – $245
18	Excellus blue shield of ne new york medicare adv facility · other · both	$183	$229	$87	38%	—	$144 – $328
19	Highmark blue shield of ne new york medicare adv facility · other · both	$183	$229	$87	38%	4–40	$144 – $328
20	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$262	$231	$54	23%	—	$118 – $305
21	WellCare wellcare medicare advantage facility · other · outpatient	$234	$234	$91	39%	1–10	$143 – $326
22	Excellus blue shield of ne new york medicare adv facility · other · outpatient	$236	$236	$92	39%	—	$144 – $328
23	Highmark blue shield of ne new york medicare adv facility · other · outpatient	$236	$236	$92	39%	1–10	$144 – $328
24	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · outpatient	$284	$284	$21	7%	—	$262 – $305
25	WellCare wellcare ep 1&2 medicaid facility · other · both	$209	$322	$126	39%	—	$209 – $477

Page 1 of 3 · 67 rates

Last updated: Mar 31, 2026

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