CMS Price Transparency Data

Blood test, vitamin D

Facility: Samaritan Hospital of Troy, New York

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $96
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 3.24x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Samaritan Hospital of Troy, New York is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.24x the Medicare baseline. Located in 2215 Burdett Avenue, Troy, NY.
Cash / Self-Pay
$150

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $150 (507%)
Insurance Median: $96 (324%)
Cash: $150 (507% of Medicare)
Ins. Median: $96 (324% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 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 324% of the Medicare baseline (a markup of 224%). 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
Blue Cross Blue Shield $29 - $136 98%
Albany County Correctional Facility $30 101%
Eddy Seniorcare Pace $30 101%
Medicaid / KanCare $30 - $254 101%
Medicare (plans) $30 - $254 101%
Nascentia Health Options $30 101%
Secure Horizons Ma Pffs $30 101%
UnitedHealthcare $30 - $254 101%
Aetna $31 - $96 105%
Hudson Headwaters Pace $32 108%
Mvp $32 108%
Nascentia Health Plus $33 111%
Fidelis Care $53 179%
Wellpath $67 226%
Harvard Pilgrim Healthcare $74 250%
Bcn Domestic $77 260%
Blue Care Network $77 260%
Unicare $77 260%
Blue Shield - Ny Highmark Northeastern $83 - $136 280%
Allegiance $93 - $114 314%
American Postal Workers Secondary $93 - $114 314%
Cigna $93 - $114 314%
Diversified Administrators $93 - $114 314%
Health Partners $93 - $114 314%
Priority Health $93 - $114 314%
Tufts Health Plan $93 - $114 314%
Webtpa $93 - $114 314%
1199 National Benefit Fund $96 324%
Allied Benefit Systems $96 324%
Asr Health Benefits $96 324%
Christian Brother Services $96 324%
Geha $96 324%
Lucent Health $96 324%
Luminare Health $96 324%
Medical Mutual $96 324%
Meritain $96 324%
Trustmark Small Business Benefits $96 324%
Emblem Health $103 - $127 348%
Nova $103 - $127 348%
Blue Shield - Ca $136 459%
Blue Shield - Id (Regence) $136 459%
Blue Shield - Ny Highmark Western $136 459%
Blue Shield - Pa (Highmark) $136 459%
Blue Shield - Wa (Regence) $136 459%
First Health $165 - $203 557%
Health Republic $175 - $216 591%
Independent Health $175 - $216 591%
Magnacare $175 - $216 591%
Health New England $185 - $229 625%
Multiplan $185 - $229 625%
Phcs $185 - $229 625%
Carelon Behavioral Health $206 - $254 696%

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