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Samaritan Hospital of Troy, New York

2215 Burdett Avenue, Troy, NY 12180 · (518) 427-3402

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Albany, NY metroPart of Trinity Health · 52 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-03-31

325,068 price rows for 61 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 6 lines · metro median $82

$82
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $2,809

$2,809
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines · metro median $1,420

$1,420
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 3 lines · metro median $2,376

$2,376
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 3 lines · metro median $3,656

$3,656
cash
Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 6 lines · metro median $5,860

$5,860
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · lowest of 3 lines · metro median $13,742

$13,742
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 42 lines · metro median $14

$14
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 9 lines · metro median $465

$465
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 9 lines · metro median $506

$506
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 9 lines · metro median $551

$551
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 6 lines · metro median $55

$55
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 9 lines · metro median $120

$120
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 9 lines · metro median $404

$404
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 9 lines · metro median $37

$37
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 12 lines · metro median $366

$458
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $165

$471
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 9 lines · metro median $1,451

$1,451
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 39 lines · metro median $14

$14
cash
Group psychotherapy

CPT 90853 · lowest of 15 lines · metro median $61

$61
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392 · lowest of 3 lines · metro median $15,570

$15,570
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · lowest of 3 lines · metro median $17,364

$17,364
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 9 lines · metro median $1,157

$1,157
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 3 lines · metro median $1,220

$5,765
cash
Left heart catheterization

CPT 93452 · lowest of 3 lines · metro median $5,760

$5,760
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 18 lines · metro median $77

$77
cash
Liver function panel

CPT 80076 · lowest of 3 lines · metro median $74

$74
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $3,597

$3,597
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 9 lines · metro median $539

$2,252
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 3 lines · metro median $2,380

$2,380
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 9 lines · metro median $507

$507
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473 · lowest of 3 lines · metro median $20,727

$20,727
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines · metro median $222

$222
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $425

$425
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines · metro median $462

$462
cash
PSA test (prostate)

CPT 84153 · lowest of 12 lines · metro median $66

$66
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 24 lines · metro median $8

$8
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $83

$83
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 6 lines · metro median $349

$349
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 15 lines · metro median $130

$130
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 12 lines · metro median $130

$130
cash
Prostate biopsy

CPT 55700 · lowest of 9 lines · metro median $328

$328
cash
Prostate removal (laparoscopic)

CPT 55866 · lowest of 6 lines · metro median $3,025

$3,601
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 18 lines · metro median $14

$14
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 9 lines · metro median $157

$172
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 9 lines · metro median $184

$184
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 9 lines · metro median $272

$315
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 9 lines · metro median $930

$930
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 12 lines · metro median $329

$329
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 3 lines · metro median $370

$10,221
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 9 lines · metro median $1,544

$1,544
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines · metro median $213

$1,492
cash
TSH test (thyroid)

CPT 84443 · lowest of 18 lines · metro median $94

$94
cash
Transvaginal ultrasound

CPT 76830 · lowest of 12 lines · metro median $308

$276
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines · metro median $1,238

$1,238
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 6 lines · metro median $309

$309
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 9 lines · metro median $301

$301
cash
Urinalysis with microscope

CPT 81001 · lowest of 12 lines · metro median $70

$11
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · lowest of 3 lines · metro median $9,534

$9,805
cash
Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 6 lines · metro median $5,277

$5,277
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 9 lines · metro median $625

$131
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.