CMS Price Transparency Data

Injection procedure for pain management

Facility: Samaritan Hospital of Troy, New York

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$742

about 1.0× the $721 Medicare rate · typically $438–$2,036

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,858

Well above the fair price

about $1,116 over the fair price · 2.6× Medicare

Medicare pays $721 Fair price $742 This hospital $1,858 Cash price $3,818 Hospital's list price $5,875

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $664 Priciest $1,858

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

A fair price for a Injection procedure for pain management is about $742 (about 1.0× the $721 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $1,858, or about $3,818 in cash — well 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 $742. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$278 - $7,050	39%
Blue Cross Blue Shieldmajor	$251 - $7,050	35%
Aetnamajor	$933 - $3,068	129%
Cignamajor	$3,995	554%
Fidelis Care	$1,586	220%
GEHA	$3,068	425%
Harvard Pilgrim	$4,583	635%
HealthPartners	$3,995	554%
Independent Health	$3,994 - $5,992	554%
MagnaCare	$3,994 - $5,992	554%
Medical Mutual	$3,068	425%
MVP Health Care	$2,742 - $3,217	380%
Priority Health	$3,995	554%
Tufts Health Plan	$3,995	554%
UniCare	$278	39%
+ 22 smaller / regional plans	$278 - $7,050

Government programs also on file: Medicare, Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,818), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0260.

Insurance Before you use insurance

Call your insurance company to confirm Samaritan Hospital of Troy, New York is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0260.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Samaritan Hospital of Troy, New York

Compare: Injection procedure for pain management at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.