Supplies, drugs & other prices at Samaritan Hospital
Troy, NY · every code in this section with a posted price and a Medicare benchmark.
81 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,954.55 | $3,007 | 2.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,782.30 | $2,742 | 4.1× |
| Adm tocilizu covid-19 1st (M0249) | $611.65 | $941 | 1.1× |
| Adm tocilizu covid-19 2nd (M0250) | $611.65 | $941 | 1.1× |
| Admin hepatitis b vaccine (G0010) | $55.25 | $85 | 0.9× |
| Admin influenza virus vac (G0008) | $165.75 | — | 2.8× |
| Admin pneumococcal vaccine (G0009) | $404.30 | — | 6.9× |
| Alcohol/subs interv 15-30mn (G0396) | $101.40 | $156 | 2.2× |
| Alcohol/subs interv >30 min (G0397) | $152.10 | $234 | 0.7× |
| Annual alcohol screen 15 min (G0442) | $14.95 | $23 | 0.3× |
| Behavior counsel obesity 15m (G0447) | $14.30 | $22 | 0.1× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$3,889.70–$7,841.11 | — | varies |
| Ca screen;pelvic/breast exam (G0101) | $141.05 | — | 1.1× |
| Chemo extend iv infus w/pump (G0498) | $582.40 | $896 | 1.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$3,651.08–$3,857.75 | — | varies |
| Colorectal scrn; hi risk ind (G0105) | $3,894.15 | — | 3.4× |
| Covid-19 lab test non-cdc (U0002) | $129.35 | $199 | 2.5× |
| Cysto impl 4 or more (C9740) | $14,896.26 | — | 1.3× |
| Cystoscopy prostatic imp 1-3 (C9739) | $15,093.75 | — | 2.3× |
| Demonstrate use home inr mon (G0248) | $226.20 | $348 | 1.4× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$223.60–$226.85 | — | varies |
| Diab manage trn per indiv (G0108) | $234.65 | $361 | 4.2× |
| Direct refer hospital observ (G0379) | $1,522.66 | — | 2.0× |
| Drug test def 1-7 classes (G0480) | $1,363.70 | — | 11.9× |
| Ekg tracing for initial prev (G0404) | $22.10 | $34 | 0.6× |
| Elec stim other than wound (G0283) | $127.40 | $196 | 10.0× |
| Endo outlet restrict w/tube (C9785) | $14,649.89 | — | 1.1× |
| Extraction erupted tooth/exr (D7140) | $6,919.93 | — | 8.6× |
| Facility svs dental rehab (G0330) | $7,881.53 | — | 1.9× |
| Fecal blood scrn immunoassay (G0328) | $61.10 | $94 | 3.4× |
| Fecal microbiota prep instil (G0455) | $2,986.10 | $4,594 | 2.6× |
| Fern test (Q0114) | $32.50 | $50 | 3.3× |
| Followup eval of foot pt lop (G0246) | $530.40 | — | 3.2× |
| Hbot, full body chamber, 30m (G0277) | $1,603.55 | — | 9.3× |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
$5.20–$62.40 | $8–$96 | varies |
| Hepb screen high risk indiv (G0499) range across 2 matching MRF lines |
$92.30–$94.90 | $142–$146 | varies |
| Hiv combination assay (G0475) | $1,346.80 | — | 55.9× |
| Home sleep test/type 3 porta (G0399) | $436.80 | $672 | 1.6× |
| Hopd mntl hlt, 15-29 min (C7900) | $243.75 | $375 | 5.2× |
| Hopd mntl hlt, 30-60 min (C7901) | $338 | $520 | 2.7× |
| Hopd mntl hlt, grp (C7903) | $232.05 | $357 | 5.0× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$75.40–$732.55 | — | varies |
| Init/sub psych care m 1st 30 (G2214) | $73.45 | $113 | 0.6× |
| Initial foot exam pt lops (G0245) | $213.85 | $329 | 1.3× |
| Initial preventive exam (G0402) | $263.90 | — | 1.6× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$3,054.35–$4,582.50 | $4,699–$7,050 | varies |
| Instlj fecal microbiota ssp (0780T) | $18,979.64 | — | 114.3× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) range across 3 matching MRF lines |
$92.30–$101.40 | $142–$156 | varies |
| Mra w/cont, abd (C8900) | $3,203.20 | $4,928 | 7.4× |
| Mra w/o fol w/cont, abd (C8902) | $3,429.40 | $5,276 | 7.9× |
| Mra w/o fol w/cont, chest (C8911) | $3,344.25 | $5,145 | 7.7× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$2,539.55–$3,809 | $3,907–$5,860 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $3,610.10 | $5,554 | 8.3× |
| Mri w/o fol w/cont, breast, (C8908) | $4,158.05 | $6,397 | 9.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,589.60 | $3,984 | 5.9× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $19,145.25 | — | 4.7× |
| Obtaining screen pap smear (Q0091) | $523.25 | — | 14.5× |
| Oth resp proc, group (G0239) | $100.10 | $154 | 2.1× |
| Pathogen test for platelets (P9100) | $105.95 | $163 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $18,968.30 | $29,182 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $11,382.15 | $17,511 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $19,454.50 | $29,930 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $11,382.15 | $17,511 | 0.8× |
| Post 2 srfc resinbased cmpst (D2392) | $6,919.93 | — | 8.6× |
| Post 3 srfc resinbased cmpst (D2393) | $6,919.93 | — | 8.6× |
| Ppps, subseq visit (G0439) | $107.25 | $165 | 0.8× |
| Prefab stnlss steel crwn pri (D2930) | $6,919.93 | — | 8.6× |
| Prolonged iv inf, req pump (C8957) | $594.75 | $915 | 2.2× |
| Psa screening (G0103) | $66.30 | $102 | 3.4× |
| Revasc intra lithotrip-ather (C9766) | $17,330.30 | $26,662 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $17,330.30 | $26,662 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $10,710.70 | $16,478 | 0.7× |
| Revasc lithotrip-stent-ather (C9767) | $17,330.30 | $26,662 | 0.8× |
| Risk ascvd tst once pr 12 mo (G0537) | $68.90 | $106 | 1.5× |
| Screen cerv/vag thin layer (G0123) | $68.25 | $105 | 3.4× |
| Tee w or w/o fol w/cont, mon (C8927) | $1,391 | $2,140 | 1.4× |
| Therapeutic procd strg endur (G0237) | $102.70 | $158 | 2.8× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$152.75–$229.45 | $235–$353 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $1,954.55 | $3,007 | 2.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,778.40 | $2,736 | 2.1× |
| Visit to determ ldct elig (G0296) | $14.95 | $23 | 0.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.