CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$130
about 1.0× the $136 Medicare rate · typically $96–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$210
Above the fair price
about $80 over the fair price · 1.5× Medicare
Medicare pays $136 Fair price $130 This hospital $210 Hospital's list price $327

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 $72 Priciest $210

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 (30-39 min) is about $130 (about 1.0× the $136 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $210 — 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 $130. 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 $67 - $327 49%
Blue Cross Blue Shieldmajor $82 - $436 60%
Aetnamajor $87 - $327 64%
Cignamajor $327 - $594 241%
Humanamajor $116 - $327 86%
Kaiser Permanentemajor $327 241%
Ambetter (Centene) $327 241%
AmeriHealth $327 241%
AvMed $327 241%
Bright Health $327 241%
CareSource $327 241%
Clover Health $327 241%
Dean Health Plan $327 241%
Fidelis Care $148 - $327 109%
Friday Health $327 241%
GEHA $237 - $327 175%
Geisinger $327 241%
Harvard Pilgrim $327 241%
Health Net $327 241%
HealthLink $327 241%
HealthPartners $327 - $594 241%
Independent Health $327 241%
MagnaCare $327 241%
Medica $327 241%
Medical Mutual $327 241%
Meridian $327 241%
Moda Health $327 241%
Molina $327 241%
MVP Health Care $159 - $327 117%
Oscar Health $327 241%
PacificSource $327 241%
Paramount $327 241%
Presbyterian $327 241%
Priority Health $327 - $594 241%
Providence Health Plan $327 241%
Sanford Health Plan $327 241%
Security Health Plan $327 241%
SelectHealth $327 241%
Sentara $327 241%
Tufts Health Plan $327 - $594 241%
UCare $327 241%
UniCare $210 - $327 155%
UPMC Health Plan $327 241%
WellCare $327 241%
WellMed $327 241%
WellSense $327 241%
+ 1048 smaller / regional plans $66 - $594
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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