CHECK OUT FOR ORTHO/PROST.USE at Samaritan Medical Center

Watertown, NY

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Payers reporting CPT 97762-GO at Samaritan Medical Center

Negotiated rates from the hospital’s own file: 2 payers, 2 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	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
2	UnitedHealthcare commercial facility · case rate · outpatient	$275	$275	—	—	—	$275 – $275

Last updated: Feb 2, 2026

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CPT 97762-GO