CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$83
about 0.4× the $224 Medicare rate · typically $12–$280
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
Above the fair price
about $14 over the fair price · 0.4× Medicare
Medicare pays $224 Fair price $83 This hospital $97 Cash price $88 Hospital's list price $110

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

On the higher side — 7 of 8 other NY hospitals charge less.

Cheapest $43 Priciest $101

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $83 (about 0.4× the $224 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $97, or about $88 in cash — above the fair price. Located in Troy, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $83. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4 - $629 2%
Blue Cross Blue Shieldmajor $3 - $629 1%
Aetnamajor $23 - $289 10%
Cignamajor $23 - $97 10%
Humanamajor $6 - $47 3%
Kaiser Permanentemajor $23 - $47 10%
Ambetter (Centene) $23 - $47 10%
AmeriHealth $23 - $47 10%
AvMed $23 - $47 10%
Bright Health $23 - $47 10%
CareSource $23 - $47 10%
Clover Health $23 - $47 10%
Dean Health Plan $23 - $47 10%
Fidelis Care $23 - $492 10%
Friday Health $23 - $47 10%
GEHA $23 - $47 10%
Geisinger $23 - $47 10%
Harvard Pilgrim $23 - $47 10%
Health Net $23 - $47 10%
HealthLink $23 - $47 10%
HealthPartners $23 - $97 10%
Independent Health $23 - $167 10%
MagnaCare $23 - $167 10%
Medica $23 - $47 10%
Medical Mutual $23 - $47 10%
Meridian $23 - $47 10%
Moda Health $23 - $47 10%
Molina $23 - $47 10%
MVP Health Care $23 - $87 10%
Oscar Health $23 - $47 10%
PacificSource $23 - $47 10%
Paramount $23 - $47 10%
Presbyterian $23 - $47 10%
Priority Health $23 - $97 10%
Providence Health Plan $23 - $47 10%
Sanford Health Plan $23 - $47 10%
Security Health Plan $23 - $47 10%
SelectHealth $23 - $47 10%
Sentara $23 - $47 10%
Tufts Health Plan $23 - $97 10%
UCare $23 - $47 10%
UniCare $23 - $629 10%
UPMC Health Plan $23 - $47 10%
WellCare $23 - $47 10%
WellMed $23 - $47 10%
WellSense $23 - $47 10%
+ 1048 smaller / regional plans $3 - $629
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

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