CMS Price Transparency Data

Drug screening test

Facility: Samaritan Hospital of Troy, New York

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$129
about 1.1× the $114 Medicare rate · typically $85–$234
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $129 Cash price $1,364

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $21 - $298 18%
Blue Cross Blue Shieldmajor $16 - $525 14%
Aetnamajor $176 - $372 154%
Fidelis Care $299 261%
GEHA $372 325%
Harvard Pilgrim $286 250%
Medical Mutual $372 325%
MVP Health Care $122 - $131 107%
UniCare $298 260%
+ 14 smaller / regional plans $15 - $372
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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