Samaritan Hospital of Troy, New York
Samaritan Hospital of Troy, New York charges 3.6x the Medicare reimbursement rate across 47 analyzed procedures, reflecting the pricing structure at this nonprofit facility in Troy, NY.
Troy, NY 12180 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
3.61x
Charge / Medicare rate
Max markup
5.72x
Worst procedure
Procedures analyzed
47
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $25,808 | $12,904 | — | 5.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,380 | $10,190 | — | 4.9x |
| DEPRESSIVE NEUROSES | 881 | $22,980 | $11,490 | — | 4.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $51,023 | $25,511 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,708 | $11,854 | — | 4.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $27,737 | $13,868 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $25,832 | $12,916 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $29,848 | $14,924 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,770 | $13,385 | — | 4.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $58,135 | $29,067 | — | 4.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,834 | $10,917 | — | 4.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $38,608 | $19,304 | — | 4.3x |
| SYNCOPE AND COLLAPSE | 312 | $23,015 | $11,508 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $51,006 | $25,503 | — | 4.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $16,586 | $8,293 | — | 4.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $36,228 | $18,114 | — | 4.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,455 | $17,728 | — | 4.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $19,005 | $9,502 | — | 4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,098 | $16,549 | — | 3.9x |
| CELLULITIS WITHOUT MCC | 603 | $19,913 | $9,957 | — | 3.9x |
| RENAL FAILURE WITH CC | 683 | $22,099 | $11,050 | — | 3.8x |
| PSYCHOSES | 885 | $30,426 | $15,213 | — | 3.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $42,994 | $21,497 | — | 3.6x |
| DIABETES WITH MCC | 637 | $36,709 | $18,355 | — | 3.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $28,387 | $14,194 | — | 3.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $24,545 | $12,273 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,702 | $8,351 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $25,923 | $12,962 | — | 3.4x |
| DIABETES WITH CC | 638 | $20,092 | $10,046 | — | 3.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $25,722 | $12,861 | — | 3.2x |
| RENAL FAILURE WITH MCC | 682 | $32,530 | $16,265 | — | 3.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $22,843 | $11,421 | — | 3.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $31,567 | $15,784 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $39,852 | $19,926 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $23,911 | $11,956 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $33,941 | $16,971 | — | 3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $32,401 | $16,201 | — | 3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $20,875 | $10,437 | — | 2.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $38,689 | $19,344 | — | 2.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $32,946 | $16,473 | — | 2.7x |
| CELLULITIS WITH MCC | 602 | $24,802 | $12,401 | — | 2.6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $26,175 | $13,088 | — | 2.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $44,986 | $22,493 | — | 2.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $111,115 | $55,557 | — | 2.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $15,623 | $7,811 | — | 2.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $70,308 | $35,154 | — | 2.2x |
| DISORDERS OF PERSONALITY AND IMPULSE CONTROL | 883 | $19,519 | $9,759 | — | 1.8x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use