Office visit, established patient (20-29 min)
Facility: Samaritan Hospital of Troy, New York
Billing Code: 99213 (CPT)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $96 (about 1.0× the $95 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $143, or about $231 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 $96. 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
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 | $46 - $231 | 48% |
| Blue Cross Blue Shieldmajor | $53 - $295 | 56% |
| Aetnamajor | $59 - $231 | 62% |
| Cignamajor | $231 - $409 | 243% |
| Humanamajor | $70 - $231 | 74% |
| Kaiser Permanentemajor | $231 | 243% |
| Ambetter (Centene) | $231 | 243% |
| AmeriHealth | $231 | 243% |
| AvMed | $231 | 243% |
| Bright Health | $231 | 243% |
| CareSource | $231 | 243% |
| Clover Health | $231 | 243% |
| Dean Health Plan | $231 | 243% |
| Fidelis Care | $101 - $231 | 106% |
| Friday Health | $231 | 243% |
| GEHA | $143 - $231 | 150% |
| Geisinger | $231 | 243% |
| Harvard Pilgrim | $231 | 243% |
| Health Net | $231 | 243% |
| HealthLink | $231 | 243% |
| HealthPartners | $231 - $409 | 243% |
| Independent Health | $231 | 243% |
| MagnaCare | $231 | 243% |
| Medica | $231 | 243% |
| Medical Mutual | $231 | 243% |
| Meridian | $231 | 243% |
| Moda Health | $231 | 243% |
| Molina | $231 | 243% |
| MVP Health Care | $103 - $231 | 108% |
| Oscar Health | $231 | 243% |
| PacificSource | $231 | 243% |
| Paramount | $231 | 243% |
| Presbyterian | $231 | 243% |
| Priority Health | $231 - $409 | 243% |
| Providence Health Plan | $231 | 243% |
| Sanford Health Plan | $231 | 243% |
| Security Health Plan | $231 | 243% |
| SelectHealth | $231 | 243% |
| Sentara | $231 | 243% |
| Tufts Health Plan | $231 - $409 | 243% |
| UCare | $231 | 243% |
| UniCare | $175 - $231 | 184% |
| UPMC Health Plan | $231 | 243% |
| WellCare | $231 | 243% |
| WellMed | $231 | 243% |
| WellSense | $231 | 243% |
| + 1048 smaller / regional plans | $45 - $409 |
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.
Other Procedures at Samaritan Hospital of Troy, New York
Compare: Office visit, established patient (20-29 min) at other NY hospitals
- Oswego Hospital · Oswego $56
- UPMC Chautauqua at Wca · Jamestown $59
- Westchester Medical Center · Valhalla $63
- St John's Episcopal Hospital at South Shore · Far Rockaway $64
- St James Hospital · Hornell $65
- St John's Riverside Hospital · Yonkers $65
- Wyckoff Heights Medical Center · Brooklyn $66
- Suny/Stony Brook University Hospital · Stony Brook $66
Insurance negotiated median for the same procedure, sorted lowest first.