Samaritan Hospital Of Troy, New York — procedure prices

Published prices for 248 procedures at Samaritan Hospital Of Troy, New York (Troy, NY), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
Abdominal fluid drain (paracentesis) $3,208 $2,603 $225 $284
Abscess incision and drainage $619 $827 $468 $174
Achilles tendon repair $11,147 — $6,181 $624
ACL knee reconstruction $11,875 — $6,181 $889
Adenoid removal (adenoidectomy) $24,117 — $8,806 $204
Aldosterone test $135 $207 $132 $41
Alpha-fetoprotein (AFP) test $112 $172 $62 $17
Ammonia blood test $29 $44 $47 $15
Amylase test $83 $127 $24 $6
Ankle fracture repair $9,649 — $6,181 $608
Annual physical (established patient) $307 $249 $308 —
Annual physical (new patient) $356 $331 $338 —
Anoscopy $144 $221 $1,486 $129
Arterial blood gas (ABG) $86 $132 $85 $26
Barium swallow study $71 $71 $66 $107
Bartholin cyst removal $243 $202 $478 $182
Basic metabolic panel $155 $126 $28 $8
Bilirubin blood test $94 $83 $18 $5
Bladder function test (urodynamics) $545 $839 $2,886 $345
Blood clotting test (PT/INR) $15 $53 $14 $4
Blood glucose test $57 $56 $14 $5
Blood transfusion $1,119 $1,185 $957 $47
Blood type and screen $34 $52 $45 $10
Blood type test $71 $109 $14 $3
BNP (heart failure) test $533 $820 $144 $39
Bone density scan (DEXA) $520 $800 $97 $39
Bone marrow biopsy $207 $193 $179 $172
Breast biopsy $1,294 $1,294 $684 $478
Breast MRI $282 $260 $282 $216
Breast reconstruction $10,595 — $14,311 $1,227
Breast reduction $12,984 — $12,306 $980
Breast ultrasound $217 $217 $168 $92
Bronchoscopy $366 $332 $332 $303
Bunion surgery (bunionectomy) $13,049 — $6,181 $883
Burn treatment $1,993 $3,066 $3,068 $129
C-reactive protein (CRP) $135 $208 $19 $5
CA 19-9 tumor marker test $109 $167 $75 $21
CA-125 ovarian marker test $308 $474 $76 $21
Capsule endoscopy $4,038 $6,213 $2,818 $802
Cardiac catheterization $4,614 $6,877 $729 $1,049
Cardiac MRI $3,468 $5,336 $1,147 $322
Cardiac rehabilitation $265 $407 $93 $26
Cardioversion $1,004 $910 $305 $155
Carotid artery ultrasound $160 $219 $98 $156
Carpal tunnel release $1,121 $1,058 $1,121 $483
Cataract surgery $4,663 — $10,089 $547
CEA tumor marker test $194 $299 $70 $19
Celiac disease test $39 $60 $33 $12
Central line placement $213 $213 $176 $238
Cesarean section (C-section) $14,331 — $12,184 $7,552
Chemotherapy infusion $517 $541 $461 $81
Chest fluid drain (thoracentesis) $4,701 $3,779 $278 $311
Chest tube insertion $391 $391 $328 $143
Chickenpox (varicella) vaccine $242 $242 $242 —
Clotting time test (PTT) $81 $125 $22 $6
Colon resection (colectomy) $2,908 $2,908 $2,873 $1,238
Colonoscopy $641 $529 $551 $480
Colostomy $2,605 $2,605 $2,605 $1,122
Complex wound repair $857 $1,020 $695 $390
Contraceptive implant (Nexplanon) $212 $265 $287 $115
Copper blood test $237 $365 $46 $12
Corneal transplant $15,431 — $15,114 $1,066
Cortisol test $143 $220 $60 $16
COVID-19 PCR test $129 $199 $149 $51
CT angiography of the chest $2,128 $1,749 $224 $281
CT angiography of the head $1,240 $1,061 $215 $274
CT colonography (virtual colonoscopy) $280 $577 $280 $835
CT scan of the abdomen $228 $228 $207 $230
CT scan of the abdomen and pelvis $2,294 $1,888 $215 $300
CT scan of the arm $244 $244 $204 $199
CT scan of the head $1,420 $1,170 $131 $148
CT scan of the neck (cervical spine) $1,672 $1,362 $125 $168
CT scan of the pelvis $199 $175 $143 $226
CT scan of the sinuses $156 $148 $131 $152
D-dimer test $369 $567 $37 $10
Defibrillator (ICD) implant $8,295 $12,762 $10,210 $798
Developmental screening (child) $27 $28 $28 —
DHEA-sulfate test $133 $205 $82 $22
Diagnostic mammogram $370 $404 $319 $140
Dilation and curettage (D&C) $597 $554 $511 $298
Droopy eyelid repair (ptosis) $5,455 — $8,204 $745
Drug screen (urine) $42 $65 $34 $17
Echocardiogram $236 $236 $175 $138
Electroencephalogram (EEG) $155 $409 $144 $448
Endometrial biopsy $260 $260 $260 $98
Epidural steroid injection $1,492 $2,295 $2,886 $275
Esophageal dilation $8,004 — $3,068 $522
Estradiol (estrogen) test $229 $352 $103 $28
Eyelid surgery (blepharoplasty) $4,836 — $8,204 $552
Family therapy session $471 $725 $125 $110
Fecal occult blood (stool) test $34 $89 $11 $10
Feeding tube (PEG) placement $504 $465 $426 $178
Ferritin (iron) test $88 $136 $50 $14
Fibrinogen test $16 $24 $32 $10
Flu test $33 $34 $38 $17
Flu vaccine $23 $36 $21 —
Folate (folic acid) test $133 $205 $54 $15
Foreign body removal (skin) $386 $399 $386 $157
Free T4 thyroid test $111 $170 $33 $9
FSH hormone test $135 $207 $68 $19
Gallbladder removal (laparoscopic) $1,636 $1,451 $1,451 $658
Ganglion cyst removal $840 $796 $752 $321
GGT liver test $92 $141 $26 $7
Glucose tolerance test $145 $223 $18 $8
Group therapy session $148 $228 $61 $30
H. pylori test $710 $1,093 $219 $67
Hammertoe repair $7,706 — $6,181 $548
HDL cholesterol test $116 $179 $30 $8
Hemodialysis $1,425 $2,193 $658 $75
Hemoglobin A1c (diabetes test) $27 $57 $27 $10
Hemorrhoid removal $563 $1,204 $608 $338
Hepatitis A vaccine $131 $121 $131 —
Hepatitis B test $88 $136 $38 $10
Hepatitis B vaccine $126 $110 $126 —
Hepatitis C test $107 $164 $52 $14
Hip arthroscopy $11,749 — $9,058 $931
Hip fracture repair $434 $466 $499 $1,120
Hip replacement $2,825 $2,825 $904 $1,162
HIV test $210 $227 $63 $19
Holter heart monitor $210 $542 $65 $26
HPV vaccine $453 $402 $453 —
Hysteroscopy $498 $498 $498 $1,270
Inguinal hernia repair $931 $764 $415 $538
Iron blood test $57 $87 $24 $6
IUD removal $169 $152 $282 $112
Kidney biopsy $320 $320 $320 $492
Kidney removal (nephrectomy) $2,849 $3,077 $2,849 $1,164
Kidney scan (nuclear) $144 $144 $144 $172
Kidney stone shock-wave (lithotripsy) $9,743 $8,219 $1,449 $760
Kidney ultrasound $655 $607 $76 $84
Knee arthroscopy $5,569 — $8,204 $524
Knee joint injection $541 $1,368 $330 $69
Knee replacement $26,145 — $32,722 $18,054
Laminectomy (spine) $12,976 — $16,290 $1,157
LDH test $55 $85 $22 $6
Leg vein ultrasound (Doppler) $984 $800 $71 $150
LH hormone test $118 $181 $68 $19
Lipase test $59 $91 $25 $7
Liver biopsy $224 $224 $224 $288
Liver function panel $74 $114 $30 $8
Lumpectomy (breast) $1,673 $1,562 $1,451 $750
Lung function test (PFT) $97 $222 $64 $37
Mastectomy $2,105 $2,105 $2,105 $1,021
Meniscus repair (knee) $9,432 — $6,181 $714
MMR vaccine $141 $141 $141 —
MRI of the abdomen $1,488 $2,192 $270 $300
MRI of the chest $792 $763 $697 $371
MRI of the knee $265 $265 $265 $315
MRI of the lower back (lumbar spine) $282 $282 $236 $270
MRI of the mid-back (thoracic spine) $282 $282 $236 $271
MRI of the neck (cervical spine) $549 $2,000 $282 $274
MRI of the pelvis $902 $902 $270 $268
MRI of the shoulder $603 $1,385 $266 $313
MRI of the wrist $508 $508 $265 $330
Nebulizer breathing treatment $128 $197 $40 $9
Neck (cervical) spinal fusion $16,207 — $18,891 $1,410
Newborn hospital care $150 $150 $105 $58
Nuchal translucency ultrasound $89 $137 $272 $116
Occupational therapy evaluation $317 $488 $297 $101
Office visit (established patient) $231 $231 $231 $115
Office visit (new patient) $425 $444 $425 $177
Pacemaker insertion $37,709 — $44,968 $15,506
Pap smear (cervical screening) $85 $131 $74 $20
Parathyroid hormone (PTH) test $122 $187 $134 $41
Pelvic ultrasound $386 $519 $125 $78
Physical therapy evaluation $252 $388 $297 $98
Platelet count $58 $89 $16 $4
Pneumonia vaccine $185 $174 $185 —
Pregnancy ultrasound $402 $770 $300 $126
Procalcitonin test $852 $1,310 $125 $27
Prolactin test $180 $277 $71 $19
Prostate test (PSA) $66 $102 $60 $18
Psychiatric evaluation $390 $547 $392 $188
Psychotherapy session $346 $547 $315 $140
Pulmonary rehabilitation $206 $317 $75 $87
Retinal (fundus) photography $69 $69 $69 $37
Retinal detachment repair $8,998 — $14,175 $966
Rheumatoid factor test $94 $145 $28 $6
RSV vaccine $452 $448 $452 —
Scoliosis spine X-ray $74 $475 $39 $58
Screening colonoscopy $521 $466 $466 $378
Screening mammogram $93 $93 $220 $126
Scrotal ultrasound $79 $79 $79 $99
Sedimentation rate (ESR) test $82 $126 $12 $3
Semen analysis $97 $149 $45 $12
Septoplasty (deviated septum) $20,073 — $8,204 $613
Sex hormone binding globulin test $164 $252 $80 $22
Shingles vaccine $299 $267 $299 —
Shoulder arthroscopy $9,920 — $6,181 $962
Sinus surgery (endoscopic) $22,029 — $9,272 $224
Skin biopsy $1,018 $1,167 $321 $121
Skin cancer lesion removal $364 $351 $585 $240
Skin graft $1,818 $1,717 $1,615 $898
Skin lesion freezing (cryotherapy) $31 $47 $172 $36
Sleep study (polysomnography) $966 $4,563 $1,544 $691
Small bowel resection $424 $424 $2,648 $1,136
Soft tissue ultrasound $388 $353 $85 $64
Speech therapy $94 $144 $269 $76
Spinal tap (lumbar puncture) $159 $159 $138 $165
Strabismus (eye muscle) surgery $5,642 — $6,715 $475
Stress echocardiogram $1,026 $1,578 $177 $209
Swallow study $323 $497 $269 $85
Tdap (tetanus) vaccine $75 $73 $75 —
Testosterone test $124 $191 $86 $26
Thyroid removal (thyroidectomy) $12,354 — $6,181 $1,004
Thyroid test (TSH) $107 $165 $62 $17
Thyroid ultrasound $70 $70 $70 $109
Thyroid uptake scan $186 $271 $60 $145
Tilt table test $754 $1,160 $383 $168
Total IgE allergy test $107 $165 $60 $16
Transesophageal echocardiogram (TEE) $278 $1,104 $278 $239
Transvaginal ultrasound $308 $916 $276 $118
Trigger finger release $753 $716 $679 $630
Triglycerides test $120 $185 $21 $6
Turbinate reduction $18,209 — $7,146 $294
Turning a breech baby (version) $4,680 $4,197 $257 $94
Ulnar nerve surgery (elbow) $1,546 $1,458 $1,369 $575
Upper GI endoscopy (EGD) $329 $305 $301 $371
Upper GI series (barium) $105 $105 $99 $128
Uric acid (gout) test $59 $91 $17 $5
Urinalysis $46 $59 $8 $3
Urine microalbumin test $65 $100 $19 $5
Urine pregnancy test $21 $90 $21 $9
Vaginal delivery $9,960 — $11,439 $5,487
Varicose vein ablation $6,571 $5,424 $2,318 $1,018
Vitamin B12 test $159 $244 $55 $15
Vitamin D test $165 $254 $103 $30
Vitrectomy (eye) $7,877 — $10,500 $814
Wart removal $201 $230 $291 $121
Weight-loss (bariatric) surgery $13,486 — $23,415 $11,645
Well-child visit $141 $200 $267 —
Wound debridement $1,993 $1,728 $337 $186
X-ray of the abdomen $103 $107 $54 $36
X-ray of the ankle $504 $410 $95 $37
X-ray of the elbow $517 $795 $83 $33
X-ray of the facial bones $30 $30 $27 $39
X-ray of the foot $330 $275 $87 $34
X-ray of the forearm $403 $620 $75 $29
X-ray of the hand $301 $370 $89 $38
X-ray of the hip $122 $133 $30 $49
X-ray of the knee $204 $197 $63 $42
X-ray of the lower leg $317 $254 $20 $31
X-ray of the neck (cervical spine) $148 $345 $102 $47
X-ray of the ribs $36 $36 $69 $42
X-ray of the shoulder $357 $435 $82 $36
X-ray of the skull $32 $32 $29 $40
X-ray of the wrist $335 $269 $98 $43
Zinc blood test $89 $137 $37 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.