CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Samaritan Hospital of Troy, New York

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.6× the $19 Medicare rate · typically $20–$56
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $30 Cash price $66 Hospital's list price $102

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.

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 $14 - $102 73%
Blue Cross Blue Shieldmajor $19 - $102 98%
Aetnamajor $20 - $63 104%
Cignamajor $46 238%
Fidelis Care $35 181%
GEHA $63 326%
Harvard Pilgrim $48 249%
HealthPartners $46 238%
Independent Health $87 451%
MagnaCare $87 451%
Medical Mutual $63 326%
MVP Health Care $21 109%
Priority Health $46 238%
Tufts Health Plan $46 238%
UniCare $50 259%
+ 22 smaller / regional plans $18 - $102
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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