Samaritan Hospital prices. From its own published file.

Samaritan Hospital in Troy, NY publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

4,048prices published

Mar 2026file last updated

$40.48cash price for emergency visit, high (level 4) (list $253)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$131	$148	$7.72–$3,614
Emergency visit, high (level 4) `99284`	$40.48	$253	$10.10–$3,614
Emergency visit, highest (level 5) `99285`	$367	$367	$111–$4,109
Comprehensive metabolic panel `80053`	$120	$185	$10.10–$299
Basic metabolic panel `80048`	$81.90	$126	$7.32–$126
Complete blood count (CBC) `85025`	$54.60	$84.00	$3.20–$299
Blood draw (venipuncture) `36415`	$16.00	$16.00	$2.70–$41.00
Urinalysis `81001`	$11.00	$11.00	$2.54–$108
Troponin (heart test) `84484`	$75.40	$266	$8.13–$266
EKG tracing `93005`	$183	$281	$5.76–$382
Chest X-ray, 2 views `71046`	$39.83	$86.00	$9.09–$550
CT head without contrast `70450`	$88.00	$88.00	$25.56–$3,256
CT abdomen and pelvis with contrast `74177`	$188	$188	$54.95–$4,322
MRI lower back without contrast `72148`	$153	$153	$44.52–$5,357
Ultrasound, abdomen `76700`	$83.00	$83.00	$24.28–$1,904
IV push, single drug `96374`	$212	$326	$7.32–$611
IV fluids, first hour `96360`	$371	$570	$28.76–$611
Ketorolac injection, 15 mg `J1885`	$3.41	$10.40	$0.29–$10.40
Ondansetron injection `J2405`	$2.31	$7.30	$0.08–$7.30
Colonoscopy, diagnostic `45378`	$538	—	$1.99–$9,047
Upper GI endoscopy with biopsy `43239`	$301	$301	$43.62–$9,047
Knee arthroscopy `29881`	$5,765	—	$3.31–$15,063
Vaginal delivery, routine care `59400`	$5,277	$5,277	$854–$5,277
Cesarean delivery, routine care `59510`	$938	$938	$37.48–$5,860

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Samaritan Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.