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CMS Price Transparency Data Hospital file updated: 2026-03-31

Vaginal delivery (full package)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 59400 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
$2,587Fair BaseRate (0.42× Market)
Position vs. 1.00× Fair Price58% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $1,074 compared to the $2,587 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Quality Benchmark
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score60/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 0.42× fair market pricing.

The BaseRate · fair price medium confidence
A fair price for this
$2,587
about 1.2× the $2,214 Medicare rate · typically $1,382–$4,815
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,074
Below the fair price — a good deal
about $1,513 under the fair price · 0.5× Medicare
Medicare pays $2,214 Fair price $2,587 This hospital $1,074 Cash price $5,669 Hospital's list price $5,669

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 7 of 8 other NY hospitals charge more for the same procedure.

Cheapest $1,044 Priciest $2,032

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

Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Vaginal delivery (full package) is about $2,587 (about 1.2× the $2,214 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $1,074, or about $5,669 in cash — below the fair price — a good deal. Located in Troy, NY.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $5,277 - $6,060 238%
Blue Cross Blue Shieldmajor $5,277 - $6,060 238%
Aetnamajor $5,277 - $6,060 238%
Cignamajor $5,277 - $6,060 238%
Humanamajor $1,074 - $6,060 49%
Kaiser Permanentemajor $5,277 - $6,060 238%
Ambetter (Centene) $5,277 - $6,060 238%
AmeriHealth $5,277 - $6,060 238%
AvMed $5,277 - $6,060 238%
Bright Health $5,277 - $6,060 238%
CareSource $5,277 - $6,060 238%
Clover Health $5,277 - $6,060 238%
Dean Health Plan $5,277 - $6,060 238%
Fidelis Care $5,277 - $6,060 238%
Friday Health $5,277 - $6,060 238%
GEHA $5,277 - $6,060 238%
Geisinger $5,277 - $6,060 238%
Harvard Pilgrim $5,277 - $6,060 238%
Health Net $5,277 - $6,060 238%
HealthLink $5,277 - $6,060 238%
HealthPartners $5,277 - $6,060 238%
Independent Health $5,277 - $6,060 238%
MagnaCare $5,277 - $6,060 238%
Medica $5,277 - $6,060 238%
Medical Mutual $5,277 - $6,060 238%
Meridian $5,277 - $6,060 238%
Moda Health $5,277 - $6,060 238%
Molina $5,277 - $6,060 238%
MVP Health Care $5,277 - $6,060 238%
Oscar Health $5,277 - $6,060 238%
PacificSource $5,277 - $6,060 238%
Paramount $5,277 - $6,060 238%
Presbyterian $5,277 - $6,060 238%
Priority Health $5,277 - $6,060 238%
Providence Health Plan $5,277 - $6,060 238%
Sanford Health Plan $5,277 - $6,060 238%
Security Health Plan $5,277 - $6,060 238%
SelectHealth $5,277 - $6,060 238%
Sentara $5,277 - $6,060 238%
Tufts Health Plan $5,277 - $6,060 238%
UCare $5,277 - $6,060 238%
UniCare $5,277 - $6,060 238%
UPMC Health Plan $5,277 - $6,060 238%
WellCare $5,277 - $6,060 238%
WellMed $5,277 - $6,060 238%
WellSense $5,277 - $6,060 238%
+ 1046 smaller / regional plans $854 - $6,060
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: 3 / 5 Stars
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals

Other Procedures at Samaritan Hospital of Troy, New York

Compare: Vaginal delivery (full package) at other NY hospitals

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

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Samaritan Hospital of Troy, New York (Zero PHI Required)

CMS CCN: 330180
CPT 59400
Fair BaseRate™ $2,587
Medicare Rate $2,214
Self-Pay Cash $5,669
Insurer Median $1,074
Pre-filled with Samaritan Hospital of Troy, New York’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $2,058 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,058

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $2,058).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $5,669

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Samaritan Hospital of Troy, New York's published 45 CFR § 180 self-pay cash rate is $5,669 (vs. $1,074 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,082 Above Fair BaseRate

Negotiate Toward $2,587 Fair BaseRate ($2,214 Medicare)

Your bill ($5,669) is $3,082 above the denoised Fair BaseRate ($2,587) and 2.6× the $2,214 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 330180

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (141338544_samaritan-hospital_standardcharges.zip!141338544_Samaritan-Hospital_standardcharges.csv) Verify on CMS Medicare.gov (CCN 330180) ↗ CMS HCRIS Cost Reports ↗
Published MRF File141338544_samaritan-hospital_standardcharges.zip!141338544_Samaritan-Hospital_standardcharges.csv
Publication / Vintage2026-03-31 · 249.83 MB
Validated Rate Rows25,280,445 (CMS v3.0.0)
File Integrity Digest28e0d97d56067ffa7c60…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy