CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$129
about 1.1× the $118 Medicare rate · typically $78–$196
modeled estimate · not a bill or quote
What this hospital charges insurers
$167
Above the fair price
about $38 over the fair price · 1.4× Medicare
Medicare pays $118 Fair price $129 This hospital $167 Cash price $254 Hospital's list price $286

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 $69 Priciest $167

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

A fair price for a New patient office visit (30-44 min) is about $129 (about 1.1× the $118 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $167, or about $254 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 $129. 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 $57 - $286 48%
Blue Cross Blue Shieldmajor $27 - $369 23%
Aetnamajor $73 - $286 62%
Cignamajor $286 - $588 243%
Humanamajor $101 - $286 86%
Kaiser Permanentemajor $286 243%
Ambetter (Centene) $286 243%
AmeriHealth $286 243%
AvMed $286 243%
Bright Health $286 243%
CareSource $286 243%
Clover Health $286 243%
Dean Health Plan $286 243%
Fidelis Care $125 - $286 106%
Friday Health $286 243%
GEHA $206 - $286 175%
Geisinger $286 243%
Harvard Pilgrim $286 243%
Health Net $286 243%
HealthLink $286 243%
HealthPartners $286 - $588 243%
Independent Health $286 243%
MagnaCare $286 243%
Medica $286 243%
Medical Mutual $286 243%
Meridian $286 243%
Moda Health $286 243%
Molina $286 243%
MVP Health Care $286 - $527 243%
Oscar Health $286 243%
PacificSource $286 243%
Paramount $286 243%
Presbyterian $286 243%
Priority Health $286 - $588 243%
Providence Health Plan $286 243%
Sanford Health Plan $286 243%
Security Health Plan $286 243%
SelectHealth $286 243%
Sentara $286 243%
Tufts Health Plan $286 - $588 243%
UCare $286 243%
UniCare $87 - $286 74%
UPMC Health Plan $286 243%
WellCare $286 243%
WellMed $286 243%
WellSense $286 243%
+ 1048 smaller / regional plans $25 - $588
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

Estimate your out-of-pocket cost

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