Visits & medical services prices at Samaritan Hospital

Troy, NY · every code in this section with a posted price and a Medicare benchmark.

228 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $162.50 $250 1.3×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$16.31–$59.15 $25.10–$91 varies
Advncd Care Plan 30 Min (99497) $320.45 — 2.5×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $145.60 $224 0.5×
Aep neurodiagnostic i&r (92653) $452.40 $696 1.7×
Aep threshold estimation mlt frequencies i&r (92652) $452.40 $696 1.7×
Airway Inhalation Treatment (94640) $577.20 — 2.1×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $330.20 $508 1.3×
Appl modality 1+ areas lllt po pain reduction (97037) $89.70 $138 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $103.35 $159 7.2×
Application Modality 1/> Areas Diathermy (97024) $14.95 $23 2.0×
Application Modality 1/> Areas Infrared (97026) $16.90 $26 2.5×
Application on-body injector (96377) $92.30 $142 1.6×
Assessment of aphasia per hr (96105) $159.90 $246 1.6×
Behavral qualit analys voice (92524) $237.90 $366 2.2×
Biofeedback training any modality (90901) $52.65 $81 1.3×
Breath hydrogen/methane test (91065) $226.20 $348 0.8×
Brief Emotional/Behav Assmt (96127) $173.61 — 3.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $386.10 $594 0.8×
Canalith repositioning proc (95992) $129.35 $199 3.2×
Car seat/bed test 60 min (94780) $129.35 $199 2.8×
Cardiac Stress Tst,Tracing Only (93017) $1,990.95 $3,063 7.4×
Cardiopulmonary resuscitation (92950) $517.40 $796 1.9×
Cardioversion (92960) $1,643.04 — 2.0×
Cardioversion elective internal (92961) $1,003.60 $1,544 1.2×
Care mgmt services behavioral hlth cond 20 mins (99484) $60.45 $93 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $47.45 $73 1.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $8,402.55 $12,927 2.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,223.73 — 2.3×
Cbt 1st hour (94644) $276.90 $426 1.7×
Chemo Anti-Neopl Sq/Im (96401) $172.25 $265 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $172.25 $265 1.9×
Chemo IV infusion addl hr (96415) $185.25 $285 2.1×
Chemo IV push addl drug (96411) $336.05 $517 3.7×
Chemother Prolong Infuse W/Pump (96416) $572 $880 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $172.90 $266 1.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $19,748.98 — 47.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $7,734.15 — 18.8×
Chest Wall Manipulation (94668) $81.25 $125 0.5×
Color/duplex Doppler, complete (93975) $681.85 $1,049 2.3×
Color/duplex Doppler, limited (93976) $438.75 $675 3.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $42.25 $65 1.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $113.10 $174 1.5×
Continuous Pulse Ox (94762) $199.55 $307 1.2×
Coronary Art/Grft Angio S&I (93455) $8,402.55 $12,927 2.1×
Coronary Artery Angio S&I (93454) $8,402.55 $12,927 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $6,119.75 — 22.4×
Cpt initial (94667)
range across 2 matching MRF lines
$78–$91.65 $120–$141 varies
Critical care first hour (99291) $9,477.23 — 9.2×
Debridement Open Wound 20 Sq Cm< (97597) $2,342.60 — 9.4×
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
$488.15–$813.15 $751–$1,251 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,387.10 $2,134 4.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $478.40 $736 3.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $651.95 $1,003 5.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,121.60 — 7.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $700.70 $1,078 5.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,476.15 $2,271 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $984.10 — 7.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $937.30 $1,442 3.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $627.25 $965 4.8×
Duplex Scan Hemodialysis Access (93990) $478.40 $736 3.7×
Duplex up extrem art bilat (93930) $937.30 $1,442 3.1×
Duplex up extrem art unilat/ltd (93931) $625.30 $962 4.8×
ECG/monitoring and analysis (93271) $195 $300 1.6×
Echo Heart Xthoracic,Limited (93308) $1,527.50 $2,350 5.1×
Echo transesophageal (93312) $1,257.10 $1,934 1.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,025.70 $1,578 1.5×
Eeg 41-60 Minutes (95812) $710.45 $1,093 2.6×
EEG awake and asleep (95819) $383.50 $590 1.4×
EEG awake drowsy (95816) $383.50 $590 1.4×
EEG cerebral death evaluation (95824) $947.70 $1,458 2.0×
EEG cont rec w/video by tech min 8 channels (95700) $515.45 $793 1.9×
EEG extended monitoring 61-119 minutes (95813) $763.75 $1,175 2.8×
Eeg Sleep Only (95822) $438.10 $674 1.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $508.30 $782 1.9×
EEG w/o vid ea 12-26hr intmt (95709) $1,004.25 $1,545 2.2×
EEG wo vid ea 12-26hr unmntr (95708) $991.25 $1,525 2.1×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$86.45–$87.75 $133–$135 varies
Electrocardiogram Tracing (93005) $224.90 — 3.1×
Emergency Dept Visit Level 2 (99282) $829.40 — 4.3×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$1,176.50–$1,444.30 — varies
Emergency Dept Visit Level 4 (99284) $2,404.97 — 4.6×
Er level 1 (99281) $383.50 — 3.6×
Er level v (99285) $4,426.82 — 6.0×
Evaluate pt use of inhaler (94664) $1,272.67 — 4.7×
Evaluate Speech Production (92522) $220.35 $339 2.0×
Evaluate Swallowing Function (92610) $323.05 $497 3.8×
Evaluation of speech fluency (92521) $245.70 $378 1.8×
External Ecg Scanning Analysis Report (93226) $732.55 $1,127 9.9×
Extracranial Bilat Study (93880) $1,363.70 $2,098 4.6×
Extracranial Uni/Ltd Study (93882) $221 $340 1.7×
Eye exam w anesth; complete (92018) $2,635.03 — 0.9×
Fundus photography (92250) $87.75 $135 0.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,887 $5,980 3.6×
Gi tract capsule endoscopy (91110) $4,038.45 $6,213 3.6×
Gi tract imaging intraluminal colon i&r (91113) $3,053.70 $4,698 2.6×
Gi wireless capsule measure (91112) $1,831.05 $2,817 1.6×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$54.60–$55.25 $84–$85 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $8,402.55 $12,927 2.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,425.45 $2,193 1.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $217.75 $335 1.3×
Holter monitor recording (93225) $352.30 $542 2.1×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$16.31–$18.20 $25.10–$28 varies
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $109.85 $169 1.5×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $61.75 $95 1.3×
Immunization administration (90471)
range across 2 matching MRF lines
$237.25–$297.70 — varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $962 $1,480 2.1×
Insert/Place Heart Catheter (93503) $3,718 $5,720 1.9×
Iontophoresis 15 min (97033) $139.10 $214 7.3×
Irrig Drug Delivery Device (96523) $127.40 $196 1.7×
IV infusion hydration each additional hour (96361) $2,043.40 — 35.0×
IV infusion hydration initial 31 min-1 hour (96360) $1,140.10 — 4.3×
IV infusion ther proph addl sequential to 1 hr (96367) $25,771.07 — 286.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $11,059.78 — 189.2×
IV push initial (96374) $1,510.14 — 5.7×
L Hrt Art/Grft Angio (93459) $8,402.55 $12,927 2.1×
Lung Function Test (Mbc/Mvv) (94200) $43.55 $67 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $1,255.15 $1,931 4.7×
Mechanical chest wall oscillation per session (94669) $172.90 $266 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $37.70 $58 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $150.80 — 4.1×
Motility study esophagus (91010) $4,219.80 $6,492 9.1×
Motion Fluoroscopy/Swallow (92611) $206.05 $317 2.3×
Multiple Family Group Psychotherapy (90849) $198.90 $306 0.9×
Multiple Sleep Latency Test (95805) $3,904.55 $6,007 3.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $19.50 $30 0.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $5,298.47 — 21.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $677.30 $1,042 1.3×
Neuromuscular Reeducation (97112) $78 $120 2.4×
Newborn resuscitation (99465) $1,276.60 $1,964 1.5×
Nitric oxide expired gas determination (95012) $161.85 $249 3.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $605.80 $932 1.3×
Oral Function Therapy (92526) $157.30 $242 1.9×
Oral Speech Device Eval (92597) $145.60 $224 2.0×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$68.90–$69.55 $106–$107 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $82.55 $127 1.8×
Ot Contrast Bath Ea 15 Min (97034) $50.05 $77 3.6×
Ot eval high complexity (97167) $380.25 $585 3.8×
Ot Eval Low Complex (97165) $252.20 $388 2.5×
Ot Eval Moderate Complexity (97166) $317.20 $488 3.2×
Ot manual therapy 15 min (97140) $83.20 $128 3.0×
Ot paraffin bath (97018) $65.65 $101 10.9×
Ot Prosthetic Training, Each 15 Min (97761) $68.90 $106 1.7×
Ot Re-Eval Est Plan Care (97168) $98.80 $152 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $264.55 $407 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $290.55 $447 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $375.05 $577 1.4×
Peripheral arterial disease rehab per session (93668) $137.15 $211 1.9×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $17,330.30 $26,662 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,496.45 $11,533 1.1×
Phlebotomy therapeutic (99195) $149.50 $230 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $242.45 $373 3.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $206.05 $317 2.8×
Physical Performance Test (97750) $83.20 $128 2.5×
Plethysmography (94726) $338 $520 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,882.15 $7,511 4.6×
Polysom <6 yrs 4/> paramtrs (95782) $2,106 $3,240 2.0×
Prq Card Angio/Athrect 1 Art (92924) $14,288.30 $21,982 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $11,382.15 $17,511 0.8×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$11,382.15 $17,511 0.5×
Psych diag eval w/med srvcs (90792) $355.55 $547 1.6×
Psychiatric diagnostic evaluation (90791) $395.85 $609 1.8×
Psychological tst eval svc phys/qhp first hour (96130) $363.35 $559 1.3×
Pt Eval High Complex (97163) $317.20 $488 3.2×
Pt eval low complex 20 min (97161) $210.60 $324 2.2×
Pt Eval Mod Complex (97162) $252.20 $388 2.6×
Pt gait training 15 min (97116) $72.80 $112 2.5×
Pt mechanical traction (97012)
range across 4 matching MRF lines
$113.10–$115.70 $174–$178 varies
Pt Re-Eval Est Plan Care (97164) $101.40 $156 1.5×
Pulm function test by gas (94727) $386.10 $594 1.4×
Pulmonary service/procedure (94799) $278.85 $429 1.7×
Pulmonary Stress Testing (94618) $237.25 $365 1.4×
R Hrt Art/Grft Angio (93457) $8,402.55 $12,927 2.1×
R hrt coronary artery angio (93456) $8,402.55 $12,927 2.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,402.55 $12,927 2.1×
Remote 30 Day Ecg Rev/Report (93270) $642.85 $989 13.8×
Remote 30 Day Ecg Tech Supp (93229) $271.05 $417 0.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $89.05 $137 1.2×
Right Heart Cath (93451) $8,402.55 $12,927 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $121.55 $187 0.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $221.65 $341 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $79.30 $122 1.7×
Sbsq Psyc Collab Care Mgmt (99493) $146.25 $225 1.2×
Self Care Mngment Training (97535) $70.20 $108 2.2×
Sensory Integration Ea 15 Min (97533) $68.90 $106 1.1×
Sleep study unattended (95806) $832 $1,280 3.1×
Slp caregiver training 1st 30 min (97550) $89.05 $137 1.7×
Speech sound lang comprehen (92523) $392.60 $604 1.7×
Spirometry (94010) $244.40 $376 0.9×
Standardized Cognitive Performance Testing (96125) $246.35 $379 2.4×
Stress Tte Only (93350) $1,040 $1,600 1.5×
Subcutaneous Infusion Each Additional Hour (96370) $78.65 $121 1.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $395.85 $609 1.5×
Surfactant Admin Thru Tube (94610) $445.25 $685 1.6×
Temp transcutaneous pacing (92953) $499.85 $769 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $141.05 $217 6.3×
Ther Ivntj Ea Addl 15 Min (97130) $139.10 $214 6.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$91.65–$92.30 $141–$142 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $71.50 $110 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $307.45 $473 3.0×
Ther/Proph/Diag Inj Ia (96373) $209.30 $322 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $1,379.30 — 15.3×
Ther/Proph/Diag Iv Inf Init (96365) $1,432.53 — 5.4×
Therapeutic Activities (97530) $76.70 $118 2.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $754 $1,160 1.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $55.90 $86 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $42.25 $65 0.9×
Trans Care Mgmt 14 Day Disch (99495) $118.95 $183 0.7×
Trans Care Mgmt 7 Day Disch (99496) $165.10 $254 1.0×
Tte w/doppler, complete (93306) $2,765.75 $4,255 4.1×
Tte W/O Doppler Complete (93307) $1,792.70 $2,758 6.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $93.60 $144 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $53.30 $82 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $14,122.97 — 241.6×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$360.75–$8,286.20 $555–$12,748 varies
Upr/L Xtremity Art 2 Levels (93922) $403 $620 2.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,069.25 $1,645 4.0×
Valvuloplasty aortic valve (92986) $13,504.40 $20,776 1.9×
Vasopneumatic device (97016) $161.20 $248 13.4×
Veeg 2-12 hr unmonitored (95711) $521.30 $802 1.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,021.80 $1,572 2.2×
Veeg Ea 12-26 Hr Unmntr (95714) $995.15 $1,531 2.1×
Veeg ea 12-26hr cont mntr (95716) $1,836.25 $2,825 1.7×
Vent Mgmt Inpat Init Day (94002) $9,708.59 — 12.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $358.80 $552 0.5×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$70.20–$71.50 $108–$110 varies
Whirlpool Therapy (97022) $152.75 $235 9.7×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $109.85 $169 2.4×

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.