CMS Price Transparency Data

X-ray, lower back

Facility: Samaritan Hospital of Troy, New York

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$83
about 0.8× the $107 Medicare rate · typically $38–$171
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $83 Hospital's list price $82

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.

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 $25 - $961 23%
Blue Cross Blue Shieldmajor $27 - $300 25%
Aetnamajor $27 - $156 25%
Cignamajor $27 - $179 25%
Humanamajor $12 - $156 11%
Kaiser Permanentemajor $27 - $156 25%
Ambetter (Centene) $27 - $156 25%
AmeriHealth $27 - $156 25%
AvMed $27 - $156 25%
Bright Health $27 - $156 25%
CareSource $27 - $156 25%
Clover Health $27 - $156 25%
Dean Health Plan $27 - $156 25%
Fidelis Care $27 - $235 25%
Friday Health $27 - $156 25%
GEHA $27 - $156 25%
Geisinger $27 - $156 25%
Harvard Pilgrim $27 - $156 25%
Health Net $27 - $156 25%
HealthLink $27 - $156 25%
HealthPartners $27 - $179 25%
Independent Health $27 - $817 25%
MagnaCare $27 - $817 25%
Medica $27 - $156 25%
Medical Mutual $27 - $156 25%
Meridian $27 - $156 25%
Moda Health $27 - $156 25%
Molina $27 - $156 25%
MVP Health Care $27 - $172 25%
Oscar Health $27 - $156 25%
PacificSource $27 - $156 25%
Paramount $27 - $156 25%
Presbyterian $27 - $156 25%
Priority Health $27 - $179 25%
Providence Health Plan $27 - $156 25%
Sanford Health Plan $27 - $156 25%
Security Health Plan $27 - $156 25%
SelectHealth $27 - $156 25%
Sentara $27 - $156 25%
Tufts Health Plan $27 - $179 25%
UCare $27 - $156 25%
UniCare $27 - $300 25%
UPMC Health Plan $27 - $156 25%
WellCare $27 - $156 25%
WellMed $27 - $156 25%
WellSense $27 - $156 25%
+ 1048 smaller / regional plans $12 - $961
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

Facility Profile & Credentials

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