WHEELCHAIR MANAGEMENT EA.15MIN at Samaritan Medical Center

Watertown, NY

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Pricing by billing methodology

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Payers reporting CPT 97542-GO at Samaritan Medical Center

Negotiated rates from the hospital’s own file: 4 payers, 7 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	Excellus medicare advantage facility · case rate · outpatient	$30	$30	—	—	—	$30 – $30
2	WellCare medicare advantage facility · case rate · outpatient	$30	$30	—	—	—	$30 – $30
3	Aetna medicare advantage facility · case rate · outpatient	$31	$31	—	—	—	$31 – $31
4	UnitedHealthcare medicare advantage facility · case rate · outpatient	$31	$31	—	—	—	$31 – $31
5	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
6	Excellus commercial facility · case rate · outpatient	$139	$139	—	—	—	$139 – $139
7	UnitedHealthcare commercial facility · case rate · outpatient	$275	$275	—	—	—	$275 – $275

Last updated: Feb 2, 2026

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