CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $13
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 3.31x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Samaritan Hospital of Troy, New York is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.31x the Medicare baseline. Located in 2215 Burdett Avenue, Troy, NY.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $57 (1450%)
Insurance Median: $13 (331%)
Cash: $57 (1450% of Medicare)
Ins. Median: $13 (331% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 331% of the Medicare baseline (a markup of 231%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $4 - $13 102%
Albany County Correctional Facility $4 102%
Blue Cross Blue Shield $4 - $18 102%
Eddy Seniorcare Pace $4 102%
Hudson Headwaters Pace $4 102%
Medicaid / KanCare $4 - $87 102%
Medicare (plans) $4 - $87 102%
Mvp $4 102%
Nascentia Health Options $4 102%
Nascentia Health Plus $4 102%
Secure Horizons Ma Pffs $4 102%
UnitedHealthcare $4 - $87 102%
Fidelis Care $7 178%
Wellpath $9 229%
Bcn Domestic $10 254%
Blue Care Network $10 254%
Harvard Pilgrim Healthcare $10 254%
Unicare $10 254%
Blue Shield - Ny Highmark Northeastern $11 - $18 280%
1199 National Benefit Fund $13 331%
Allied Benefit Systems $13 331%
Asr Health Benefits $13 331%
Christian Brother Services $13 331%
Geha $13 331%
Lucent Health $13 331%
Luminare Health $13 331%
Medical Mutual $13 331%
Meritain $13 331%
Trustmark Small Business Benefits $13 331%
Blue Shield - Ca $18 458%
Blue Shield - Id (Regence) $18 458%
Blue Shield - Ny Highmark Western $18 458%
Blue Shield - Pa (Highmark) $18 458%
Blue Shield - Wa (Regence) $18 458%
Allegiance $37 - $39 941%
American Postal Workers Secondary $37 - $39 941%
Cigna $37 - $39 941%
Diversified Administrators $37 - $39 941%
Health Partners $37 - $39 941%
Priority Health $37 - $39 941%
Tufts Health Plan $37 - $39 941%
Webtpa $37 - $39 941%
Emblem Health $42 - $44 1069%
Nova $42 - $44 1069%
First Health $66 - $70 1679%
Health Republic $71 - $74 1807%
Independent Health $71 - $74 1807%
Magnacare $71 - $74 1807%
Health New England $75 - $78 1908%
Multiplan $75 - $78 1908%
Phcs $75 - $78 1908%
Carelon Behavioral Health $83 - $87 2112%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2215 Burdett Avenue, Troy, NY 12180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals