Montefiore Mount Vernon Hospital
Montefiore Mount Vernon Hospital in Mount Vernon, NY publishes cash prices for 312 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 270 of 307 procedures and below it for 37. By typical cash price it ranks #86 of 114 New York hospitals and #53 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
12 North Seventh Avenue, Mount Vernon, NY 10550 Collected Sep 29, 2026 Source price file (914) 664-8000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 330086 · CMS hospital register NPI 1992131320
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Montefiore Mount Vernon Hospital in Mount Vernon, NY:
- Nov 8, 2024 Warning notice
- Feb 12, 2025 Corrective action plan requested
- Mar 26, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W O W DYE | $3,043.95 | $4,683.00 | $218.95–$3,858.61 | 136% above | 35% |
| Abdominal X-ray, 2 views CPT 74019 HC X RAY EXAM ABDOMEN 2 VIEWS | $349.70 | $538.00 | $15.15–$486.77 | 36% above | 35% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE S COMPLETE XR EACH | $267.15 | $411.00 | $12.63–$405.19 | 34% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W O DYE | $358.80 | $552.00 | $130.50–$2,044.28 | 51% below | 35% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY | $869.05 | $1,337.00 | $60.60–$1,917.19 | 9% below | 35% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNIL INCLUD AXILLA LIMITED | $238.55 | $367.00 | $26.93–$405.19 | 3% below | 35% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD PELV W O W DYE | $1,215.50 | $1,870.00 | $179.25–$1,624.38 | 22% below | 35% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD | $2,289.30 | $3,522.00 | $218.95–$5,304.55 | 119% above | 35% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK | $1,590.55 | $2,447.00 | $218.95–$5,328.61 | 40% above | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST | $2,225.60 | $3,424.00 | $141.40–$4,460.24 | 76% above | 35% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W 3D IMAGE | $1,895.40 | $2,916.00 | $127.57–$1,624.38 | 84% above | 35% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W O DYE W CA TEST | $238.55 | $367.00 | $105.65–$405.19 | 45% above | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS W O CONTRAST | $3,190.85 | $4,909.00 | $69.38–$1,110.94 | 196% above | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELV W CONTRAST | $3,465.15 | $5,331.00 | $109.01–$1,624.38 | 122% above | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELV 1 REGNS | $3,781.05 | $5,817.00 | $138.11–$1,624.38 | 113% above | 35% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W DYE | $2,791.10 | $4,294.00 | $171.70–$2,846.06 | 154% above | 35% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W O DYE | $1,951.30 | $3,002.00 | $130.50–$2,098.16 | 128% above | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W O DYE | $1,576.25 | $2,425.00 | $121.20–$2,123.66 | 103% above | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD BRAIN W O DYE | $1,359.80 | $2,092.00 | $111.23–$1,747.32 | 71% above | 35% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD BRAIN W DYE | $1,602.90 | $2,466.00 | $146.45–$2,143.60 | 73% above | 35% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD BRAIN W O W DYE | $1,418.95 | $2,183.00 | $181.12–$2,642.48 | 37% above | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W O DYE | $1,411.80 | $2,172.00 | $130.50–$2,189.01 | 69% above | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE W O DYE | $1,326.65 | $2,041.00 | $130.50–$2,189.01 | 50% above | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W DYE | $773.50 | $1,190.00 | $171.70–$2,532.93 | 18% below | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC EXTRACRANIAL BILAT STUDY | $832.65 | $1,281.00 | $109.08–$1,110.94 | — | 35% |
| Chest X-ray, 2 views CPT 71046 HC X RAY EXAM CHEST 2 VIEWS | $263.25 | $405.00 | $15.15–$405.19 | 30% above | 35% |
| Chest X-ray, single view CPT 71045 HC X RAY EXAM CHEST 1 VIEW | $267.15 | $411.00 | $10.10–$405.19 | 44% above | 35% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X RAY EXAM OF COLLAR BONE | $267.15 | $411.00 | $10.10–$405.19 | 32% above | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US EXAM ABDO BACK WALL COMP | $709.15 | $1,091.00 | $60.60–$884.45 | 77% above | 35% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS | $759.20 | $1,168.00 | $72.72–$1,424.29 | 34% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W O DYE | $1,288.95 | $1,983.00 | $130.50–$2,189.01 | 55% above | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W DYE | $1,661.40 | $2,556.00 | $171.70–$2,659.74 | 46% above | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $508.30 | $782.00 | $97.97–$625.60 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER EXTREMITY ARTERY COMPLETE BILAT STUDY | $1,076.40 | $1,656.00 | $109.08–$1,324.80 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX SCAN EXT VEINS COMPLETE BILATERAL STUDY | $1,005.55 | $1,547.00 | $109.08–$1,237.60 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W DOPPLER COMPLETE WITH CONTRAST | $2,108.60 | $3,244.00 | $137.13–$2,544.16 | 96% above | 35% |
| Elbow X-ray, 2 views CPT 73070 HC X RAY EXAM OF ELBOW 2 VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 34% above | 35% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X RAY EXAM OF ELBOW COMPLETE MIN 3 VIEWS | $267.15 | $411.00 | $12.63–$405.19 | 32% above | 35% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT EAR FOSSA W O DYE | $1,127.10 | $1,734.00 | $121.20–$2,540.81 | 53% above | 35% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X RAY EXAM OF FOREARM 2 VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 32% above | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING | $873.60 | $1,344.00 | $104.78–$1,861.38 | 13% below | 35% |
| Hand X-ray, 2 views CPT 73120 HC X RAY EXAM OF HAND 2 VIEWS | $358.80 | $552.00 | $10.10–$486.77 | 92% above | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X RAY EXAM OF HEEL MIN 2 VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 46% above | 35% |
| Knee X-ray, 3 views CPT 73562 HC X RAY EXAM OF KNEE 3 VIEWS | $267.15 | $411.00 | $15.15–$405.19 | 32% above | 35% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X RAY EXAM KNEE 4 OR MORE | $358.80 | $552.00 | $20.20–$486.77 | 30% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W O DYE | $358.80 | $552.00 | $130.50–$2,047.80 | 50% below | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ECHO OF ABDOMEN | $843.70 | $1,298.00 | $40.40–$1,038.40 | 157% above | 35% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US XTR NON VASC LMTD | $399.75 | $615.00 | $9.97–$486.77 | 63% above | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LW DOSE LNG CA SCR C | $1,540.50 | $2,370.00 | $35.18–$486.77 | 254% above | 35% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X RAY EXAM OF LOWER LEG 2 VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 32% above | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIOGRAPHY HEAD W O DYE | $3,496.35 | $5,379.00 | $226.11–$5,094.08 | 182% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W O DYE | $759.20 | $1,168.00 | $212.80–$4,514.29 | 25% below | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT LWR EXTR W O W DYE | $1,215.50 | $1,870.00 | $402.34–$8,987.20 | 34% below | 35% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W O DYE | $2,740.40 | $4,216.00 | $203.99–$4,161.81 | 165% above | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W O W DYE | $3,556.80 | $5,472.00 | $353.58–$9,025.52 | 116% above | 35% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W O DYE | $3,093.35 | $4,759.00 | $204.96–$4,718.31 | 197% above | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN STEM W O W DYE | $3,898.05 | $5,997.00 | $333.52–$9,212.65 | 136% above | 35% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W O DYE | $2,908.10 | $4,474.00 | $199.36–$4,600.83 | 157% above | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W O W DYE | $4,678.70 | $7,198.00 | $333.87–$9,212.65 | 182% above | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI CHEST SPINE W O DYE | $3,031.60 | $4,664.00 | $199.02–$4,600.83 | 199% above | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI NECK SPINE W O W DYE | $4,742.40 | $7,296.00 | $334.58–$9,212.65 | 193% above | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI NECK SPINE W O DYE | $2,764.45 | $4,253.00 | $198.67–$4,201.10 | 175% above | 35% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W O W DYE | $4,643.60 | $7,144.00 | $352.19–$9,025.52 | 200% above | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W O DYE | $2,803.45 | $4,313.00 | $238.57–$4,665.12 | 173% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPR EXTREM W O DYE | $759.20 | $1,168.00 | $213.15–$4,428.09 | 37% below | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC X RAY EXAM NECK SPINE 4 5VWS | $690.95 | $1,063.00 | $20.20–$850.40 | 151% above | 35% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W DYE | $1,543.10 | $2,374.00 | $171.70–$2,512.48 | 56% above | 35% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W O DYE | $1,304.55 | $2,007.00 | $130.50–$2,027.12 | 64% above | 35% |
| Neck soft tissue X-ray CPT 70360 HC X RAY EXAM OF NECK SOFT TISSUE | $358.15 | $551.00 | $10.10–$440.80 | 86% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT | $2,863.90 | $4,406.00 | $241.13–$6,028.02 | 22% above | 35% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W O DYE | $656.50 | $1,010.00 | $130.50–$2,189.01 | 20% below | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED | $551.20 | $848.00 | $40.40–$764.52 | 103% above | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US EXAM PELVIC COMPLETE | $892.45 | $1,373.00 | $55.55–$812.21 | 123% above | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US 14 WKS SNGL FETUS | $358.80 | $552.00 | $55.55–$915.37 | 3% above | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US 14 WKS SINGLE FETUS | $358.80 | $552.00 | $55.55–$783.53 | 15% above | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS S | $358.80 | $552.00 | $25.25–$553.92 | 24% above | 35% |
| Rib X-ray, one side, 2 views CPT 71100 HC X RAY EXAM RIBS UNI 2 VIEWS | $267.15 | $411.00 | $15.15–$405.19 | 32% above | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X RAY EXAM UNILAT RIBS CHEST MIN 3 VIEWS | $317.85 | $489.00 | $17.68–$486.77 | 43% above | 35% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $542.10 | $834.00 | $97.97–$667.20 | — | 35% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X RAY EXAM OF SHOULDER COMPLETE MIN 2 VIEWS | $267.15 | $411.00 | $15.15–$405.19 | 31% above | 35% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X RAY EXAM OF SINUSES COMPLETE MIN 3 VIEWS | $335.40 | $516.00 | $20.20–$412.80 | 66% above | 35% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X RAY EXAM OF FEMUR 2 VWS | $267.15 | $411.00 | $9.88–$405.19 | 45% above | 35% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE W O DYE | $1,540.50 | $2,370.00 | $130.50–$2,189.01 | 78% above | 35% |
| Toe X-ray, 2 or more views CPT 73660 HC X RAY EXAM OF TOE S MIN 2 VIEWS | $267.15 | $411.00 | $7.58–$405.19 | 51% above | 35% |
| Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL US NON OB | $837.85 | $1,289.00 | $60.60–$808.77 | 125% above | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC | $358.80 | $552.00 | $60.60–$605.98 | 24% above | 35% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOM COMPLETE | $1,056.25 | $1,625.00 | $60.60–$1,300.00 | 136% above | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM | $1,082.25 | $1,665.00 | $30.30–$822.58 | 207% above | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK | $733.85 | $1,129.00 | $30.30–$781.46 | 122% above | 35% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X RAY EXAM OF HUMERUS | $292.50 | $450.00 | $10.10–$405.19 | 52% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC EXTREMITY STUDY | $238.55 | $367.00 | $93.93–$486.77 | 34% below | 35% |
| Wrist X-ray, 2 views CPT 73100 HC X RAY EXAM OF WRIST 2 VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 46% above | 35% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X RAY EXAM OF WRIST COMPLETE MIN 3 VIEWS | $267.15 | $411.00 | $12.63–$405.19 | 32% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X RAY EXAM HIP UNI 2 3 VIEWS | $267.15 | $411.00 | $12.59–$405.19 | 32% above | 35% |
| X-ray of the abdomen, 1 view CPT 74018 HC X RAY EXAM ABDOMEN 1 VIEW | $267.15 | $411.00 | $10.10–$405.19 | 32% above | 35% |
| X-ray of the ankle, 2 views CPT 73600 HC RAD EXAM ANK AP LAT VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 39% above | 35% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X RAY EXAM OF FINGER S MIN 2 VIEWS | $267.15 | $411.00 | $7.58–$405.19 | 53% above | 35% |
| X-ray of the foot, 2 views CPT 73620 HC X RAY EXAM OF FOOT 2 VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 45% above | 35% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X RAY EXAM OF FOOT COMPLETE MIN 3 VIEWS | $267.15 | $411.00 | $12.63–$405.19 | 38% above | 35% |
| X-ray of the hand, 3 or more views CPT 73130 HC X RAY EXAM OF HAND MIN 3 VIEWS | $267.15 | $411.00 | $12.63–$405.19 | 32% above | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X RAY EXAM OF KNEE 1 OR 2 VIEWS | $267.15 | $411.00 | $10.10–$405.19 | 32% above | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X RAY EXAM L S SPINE 2 3 VWS | $451.75 | $695.00 | $15.15–$556.00 | 64% above | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X RAY EXAM L 2 SPINE 4 VWS | $691.60 | $1,064.00 | $30.30–$851.20 | 130% above | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X RAY EXAM THORAC SPINE 2VIEWS | $419.25 | $645.00 | $15.15–$516.00 | 86% above | 35% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X RAY EXAM OF NASAL BONES COMPLETE MIN 3 VIEWS | $355.55 | $547.00 | $15.15–$437.60 | 96% above | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X RAY EXAM NECK SPINE 2 3 VW | $438.10 | $674.00 | $15.15–$539.20 | 117% above | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X RAY EXAM OF PELVIS 1 OR 2 VIEWS | $358.80 | $552.00 | $12.63–$486.77 | 60% above | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X RAY EXAM SACRUM TAILBONE | $302.25 | $465.00 | $15.15–$405.19 | 65% above | 35% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH | $228.15 | $351.00 | $28.97–$418.26 | 63% above | 35% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINO ALT SGPT | $50.05 | $77.00 | $3.81–$61.60 | 122% above | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE AST SGOT | $50.05 | $77.00 | $3.81–$61.60 | 128% above | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANELACUTE | $432.90 | $666.00 | $83.35–$532.80 | 151% above | 35% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN | $41.60 | $64.00 | $3.71–$53.61 | 128% above | 35% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $335.40 | $516.00 | $30.56–$441.27 | 144% above | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $60.45 | $93.00 | $3.81–$74.40 | 210% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE CRUDE XTRC EA | $48.75 | $75.00 | $2.77–$54.08 | 237% above | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN AFP SERUM | $134.55 | $207.00 | $4.93–$181.63 | 117% above | 35% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $120.90 | $186.00 | $10.93–$157.79 | 129% above | 35% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $80.60 | $124.00 | $3.81–$99.20 | 167% above | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY | $183.95 | $283.00 | $22.66–$226.40 | 293% above | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES | $126.10 | $194.00 | $3.94–$155.20 | 185% above | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC ASSAY OF NATRIURETIC PEPTIDE | $258.05 | $397.00 | $25.81–$367.55 | 110% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC | $25.35 | $39.00 | $6.17–$93.22 | 36% below | 35% |
| Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CA | $114.40 | $176.00 | $5.49–$140.80 | 89% above | 35% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $61.75 | $95.00 | $3.77–$76.00 | 199% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE EXAM BY PATHOLOGIST LEVEL IV | $306.80 | $472.00 | $43.62–$562.79 | 112% above | 35% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA | $83.85 | $129.00 | $6.17–$103.20 | 38% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE | $36.40 | $56.00 | $5.25–$18,107.00 | 146% above | 35% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY GLUCOSE BLOOD QUANT | $31.20 | $48.00 | $2.95–$42.48 | 73% above | 35% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $40.30 | $62.00 | $9.08–$131.06 | 6% below | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN ASSAY | $70.85 | $109.00 | $1.52–$87.20 | 118% above | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $323.70 | $498.00 | $2.24–$619.48 | 112% above | 35% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN | $48.10 | $74.00 | $2.96–$59.20 | 122% above | 35% |
| C-peptide blood test CPT 84681 HC ASSAY OF C PEPTIDE | $140.40 | $216.00 | $15.61–$225.27 | 83% above | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN | $71.50 | $110.00 | $3.11–$88.00 | 170% above | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMPLIFIED PROBE | $89.05 | $137.00 | $65.22–$185.98 | 26% below | 35% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR CA 125 | $39.00 | $60.00 | $15.61–$225.27 | 49% below | 35% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $44.85 | $69.00 | $3.81–$55.80 | 135% above | 35% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $149.50 | $230.00 | $14.22–$205.41 | 114% above | 35% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $139.10 | $214.00 | $6.08–$171.20 | 234% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $115.70 | $178.00 | $16.23–$380.07 | 39% above | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $118.30 | $182.00 | $4.58–$145.60 | 77% above | 35% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W AUTO DIFF WBC | $22.75 | $35.00 | $2.40–$84.18 | 41% below | 35% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED | $16.25 | $25.00 | $2.40–$63.00 | 43% below | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $160.55 | $247.00 | $7.58–$197.60 | 97% above | 35% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $137.80 | $212.00 | $12.23–$176.56 | 171% above | 35% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK CPK | $59.15 | $91.00 | $3.81–$72.80 | 127% above | 35% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE | $80.60 | $124.00 | $3.81–$99.20 | 245% above | 35% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $49.40 | $76.00 | $10.79–$155.89 | 1% below | 35% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUAN | $24.70 | $38.00 | $7.64–$87.75 | 34% below | 35% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE DHEA S | $176.15 | $271.00 | $16.67–$240.68 | 115% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $222.95 | $343.00 | $5.69–$310.08 | 83% above | 35% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $74.10 | $114.00 | $4.58–$91.20 | 102% above | 35% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR CAPSID VCA | $63.05 | $97.00 | $13.61–$196.39 | 43% above | 35% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL | $235.95 | $363.00 | $20.96–$302.55 | 143% above | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC ASSAY OF GONADOTROPIN FSH | $164.45 | $253.00 | $13.94–$202.40 | 140% above | 35% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $67.60 | $104.00 | $8.54–$212.53 | 26% below | 35% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $96.20 | $148.00 | $10.22–$147.51 | 73% above | 35% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $165.10 | $254.00 | $5.23–$203.20 | 336% above | 35% |
| Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM | $100.10 | $154.00 | $9.47–$159.25 | 84% above | 35% |
| Free T3 thyroid hormone test CPT 84481 HC FREE ASSAY FT 3 | $183.95 | $283.00 | $6.82–$226.40 | 144% above | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE | $98.80 | $152.00 | $6.75–$121.60 | 104% above | 35% |
| Free testosterone test CPT 84402 HC ASSAY OF FREE TESTOSTERONE | $74.10 | $114.00 | $19.10–$275.73 | 20% below | 35% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT | $76.70 | $118.00 | $3.81–$94.40 | 189% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE DNA AMP PROB | $116.35 | $179.00 | $16.23–$380.07 | 26% above | 35% |
| H. pylori stool antigen test CPT 87338 HC HPYLORI STOOL EIA | $144.30 | $222.00 | $6.08–$177.60 | 166% above | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 QUANT REVRSE TRNSCRPJ | $250.90 | $386.00 | $63.83–$921.37 | 10% above | 35% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 HIV 2 1 RESULT ANTBDY | $44.85 | $69.00 | $10.28–$148.48 | 10% below | 35% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES | $107.90 | $166.00 | $21.10–$175.10 | 40% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $100.75 | $155.00 | $7.28–$124.00 | 179% above | 35% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $21.45 | $33.00 | $1.52–$26.40 | 49% above | 35% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY TOTAL | $91.00 | $140.00 | $7.65–$130.52 | 109% above | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE ANTIBODY | $94.90 | $146.00 | $7.65–$116.80 | 142% above | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA | $84.50 | $130.00 | $7.75–$111.81 | 126% above | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST | $174.20 | $268.00 | $7.58–$214.40 | 225% above | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C REVRS TRNSCRPJ | $141.05 | $217.00 | $32.13–$463.80 | 8% above | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 TEST | $39.00 | $60.00 | $23.08–$142.74 | 11% above | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 TEST | $55.90 | $86.00 | $10.99–$209.58 | 1% above | 35% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HS | $187.85 | $289.00 | $7.76–$231.20 | 301% above | 35% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE | $128.05 | $197.00 | $13.44–$182.67 | 93% above | 35% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL | $139.10 | $214.00 | $8.57–$171.20 | 230% above | 35% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $49.40 | $76.00 | $3.81–$70.14 | 90% above | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $69.55 | $107.00 | $3.81–$94.74 | 83% above | 35% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $69.55 | $107.00 | $6.51–$86.78 | 3% above | 35% |
| LH (luteinizing hormone) test CPT 83002 HC ASSAY OF GONADOTROPIN LH | $174.85 | $269.00 | $13.89–$215.20 | 156% above | 35% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $98.80 | $152.00 | $7.04–$121.60 | 146% above | 35% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE LD LDH ENZYME | $68.90 | $106.00 | $3.81–$84.80 | 212% above | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $75.40 | $116.00 | $4.36–$92.80 | 168% above | 35% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $67.60 | $104.00 | $5.49–$83.20 | 12% above | 35% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $265.85 | $409.00 | $12.77–$327.20 | 479% above | 35% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $59.15 | $91.00 | $3.81–$72.80 | 139% above | 35% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $150.80 | $232.00 | $9.66–$185.60 | 238% above | 35% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN | $18.20 | $28.00 | $3.59–$56.06 | 45% below | 35% |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY | $95.55 | $147.00 | $6.08–$117.60 | 125% above | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PSA FREE | $75.40 | $116.00 | $13.79–$199.12 | 27% above | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC TOTAL PROSTATE SPEC ANTIGEN | $149.50 | $230.00 | $13.79–$199.12 | 128% above | 35% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATCER VAGTHIN LAYERMAN RESINTER | $63.70 | $98.00 | $19.96–$269.73 | 1% below | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE | $315.25 | $485.00 | $30.96–$446.98 | 145% above | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PART PTT PLASMA WHLE BLD | $16.90 | $26.00 | $4.51–$64.93 | 26% below | 35% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF PHOSPHORUS | $53.95 | $83.00 | $3.56–$66.40 | 163% above | 35% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM | $59.15 | $91.00 | $3.57–$72.80 | 161% above | 35% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $174.20 | $268.00 | $14.54–$214.40 | 144% above | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME FOR LAB | $11.05 | $17.00 | $2.96–$42.56 | 31% below | 35% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN | $134.55 | $207.00 | $38.48–$238.21 | 69% above | 35% |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH D | $99.45 | $153.00 | $2.24–$173.89 | 114% above | 35% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $13.65 | $21.00 | $3.94–$61.49 | 35% below | 35% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $123.50 | $190.00 | $10.79–$155.89 | 187% above | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE RBC AUTOMATED | $8.45 | $13.00 | $1.52–$29.23 | 65% below | 35% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $55.25 | $85.00 | $3.61–$68.00 | 192% above | 35% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $146.25 | $225.00 | $6.68–$180.00 | 345% above | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES | $55.25 | $85.00 | $2.57–$68.00 | 322% above | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOODOCCULTFECAL HGBFECES1 3 SIMULT | $38.35 | $59.00 | $2.57–$172.18 | 15% below | 35% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM | $135.20 | $208.00 | $9.57–$166.40 | 221% above | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREP QUAL | $78.00 | $120.00 | $2.48–$96.00 | 395% above | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASURE | $337.35 | $519.00 | $37.88–$671.08 | 125% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $211.25 | $325.00 | $19.36–$279.60 | 143% above | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY EACH | $232.05 | $357.00 | $10.91–$285.60 | 341% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE | $148.20 | $228.00 | $6.82–$182.40 | 102% above | 35% |
| Total IgE blood test CPT 82785 HC ASSAY OF IGE | $130.00 | $200.00 | $9.47–$178.33 | 118% above | 35% |
| Total cholesterol blood test CPT 82465 HC ASSAY BLD SERUM CHOLESTEROL | $73.45 | $113.00 | $3.26–$90.40 | 263% above | 35% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE | $63.05 | $97.00 | $4.32–$77.60 | 120% above | 35% |
| Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY TRIIODOTHYRONINE T3 | $110.50 | $170.00 | $4.32–$153.52 | 96% above | 35% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN | $124.80 | $192.00 | $9.47–$153.60 | 167% above | 35% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS AMPLIF | $120.25 | $185.00 | $16.23–$175.10 | 71% above | 35% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $58.50 | $90.00 | $3.81–$72.00 | 125% above | 35% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT | $83.85 | $129.00 | $6.10–$103.20 | 105% above | 35% |
| Uric acid blood test CPT 84550 HC ASSAY OF BLOOD URIC ACID | $52.65 | $81.00 | $3.39–$64.80 | 121% above | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W SCOPE | $65.00 | $100.00 | $2.38–$80.00 | 141% above | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W O SCOPE | $39.00 | $60.00 | $1.52–$48.00 | 210% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W O SCOPE | $7.80 | $12.00 | $1.52–$27.75 | 25% below | 35% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE | $100.10 | $154.00 | $3.81–$123.20 | 253% above | 35% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $95.55 | $147.00 | $1.52–$117.60 | 263% above | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12 | $113.10 | $174.00 | $9.47–$163.24 | 103% above | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $172.25 | $265.00 | $22.20–$320.54 | 94% above | 35% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VIT D 1 25 DIHYDROXY | $241.15 | $371.00 | $67.38–$416.76 | 145% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN TEST | $137.80 | $212.00 | $9.37–$169.60 | 148% above | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLSD TREAT DISTAL FIBULAR FX | $718.90 | $1,106.00 | $298.34–$18,107.00 | 37% above | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture | $718.90 | — | $298.34–$18,107.00 | 37% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture | $700.70 | — | $210.41–$18,107.00 | 54% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TREAT METATARSAL FRACTURE | $700.70 | $1,078.00 | $210.41–$18,107.00 | 54% above | 35% |
| Cervical biopsy CPT 57500 Biopsy of cervix | $1,820.00 | — | $76.76–$18,107.00 | 24% above | — |
| Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX | $1,820.00 | $2,800.00 | $76.76–$18,107.00 | 24% above | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx dst rdl fx ephys sep wo | $718.90 | — | $307.91–$18,107.00 | 30% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLSD FX DISTALRADIAL ULNA COLLES SMITH | $718.90 | $1,106.00 | $307.91–$18,107.00 | 30% above | 35% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $8,366.15 | — | $188.42–$13,302.00 | 424% above | — |
| Colonoscopy, diagnostic CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $8,366.15 | $12,871.00 | $188.42–$13,302.00 | 424% above | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC BX CURETT OF CERVIX W SCOPE | $859.95 | $1,323.00 | $137.13–$9,640.00 | 30% above | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx curett of cervix w scope | $859.95 | — | $137.13–$9,640.00 | 30% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni | $159.90 | — | $15.35–$18,107.00 | 32% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX | $159.90 | $246.00 | $15.35–$18,107.00 | 32% above | 35% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX UNI | $189.80 | $292.00 | $33.85–$18,107.00 | 46% above | 35% |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni | $189.80 | — | $33.85–$18,107.00 | 46% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining | $562.90 | — | $65.60–$18,107.00 | 22% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $562.90 | $866.00 | $65.60–$18,107.00 | 22% above | 35% |
| IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device | $544.05 | — | $51.99–$18,107.00 | 97% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE | $544.05 | $837.00 | $51.99–$18,107.00 | 97% above | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE SINGLE | $529.10 | $814.00 | $105.03–$18,107.00 | 33% above | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I d abscess simple single | $529.10 | — | $105.03–$18,107.00 | 33% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath ligament | $840.45 | — | $39.78–$18,107.00 | 73% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH LIGAMENT | $840.45 | $1,293.00 | $39.78–$18,107.00 | 73% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain inj joint bursa w o us | $862.55 | — | $46.76–$18,107.00 | 86% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN INJECT MAJOR JOINT BURSA CT | $862.55 | $1,327.00 | $46.76–$18,107.00 | 86% above | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT DRUG IMPLANT DEVICE | $362.70 | $558.00 | $65.25–$18,107.00 | 33% above | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion drug dlvr implant | $362.70 | — | $65.25–$18,107.00 | 33% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain inj joint bursa w o us | $770.25 | — | $38.03–$18,107.00 | 91% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN INJECT INTERMED JOINT BURSA | $770.25 | $1,185.00 | $38.03–$18,107.00 | 91% above | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain inj joint bursa w o us | $750.75 | — | $36.64–$18,107.00 | 79% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN INJECT SMALL JOINT BURSA | $750.75 | $1,155.00 | $36.64–$18,107.00 | 79% above | 35% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL COMPLETE SIMPLE SINGLE | $516.10 | $794.00 | $54.78–$18,107.00 | 59% above | 35% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate | $516.10 | — | $54.78–$18,107.00 | 59% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed | $992.55 | — | $103.28–$18,107.00 | 37% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL NAIL MATRIX PART COMPL PERMANENT | $992.55 | $1,527.00 | $103.28–$18,107.00 | 37% above | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 Inc rmvl fb subq tiss smpl | $992.55 | — | $106.08–$18,107.00 | 54% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $992.55 | $1,527.00 | $106.08–$18,107.00 | 54% above | 35% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT FOREARM HAND STATIC | $372.45 | $573.00 | $40.48–$18,107.00 | 81% above | 35% |
| Short arm splint (forearm and hand) CPT 29125 Apply forearm splint | $372.45 | — | $40.48–$18,107.00 | 81% above | — |
| Short leg cast (below the knee) CPT 29405 HC APPLICATION OF SHORT LEG CAST BELOW KNEE TO TOES | $776.10 | $1,194.00 | $59.67–$18,107.00 | 80% above | 35% |
| Short leg cast (below the knee) CPT 29405 Apply short leg cast | $776.10 | — | $59.67–$18,107.00 | 80% above | — |
| Short leg splint (calf to foot) CPT 29515 Application lower leg splint | $466.70 | — | $49.90–$18,107.00 | 95% above | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION LOWER LEG SPLINT | $466.70 | $718.00 | $49.90–$18,107.00 | 95% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s n ax gen trnk 2 5cm | $529.10 | — | $45.36–$18,107.00 | 40% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMPLE RPR S N AX GEN TRNK 2 5CM | $529.10 | $814.00 | $45.36–$18,107.00 | 40% above | 35% |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $869.70 | — | $48.15–$18,107.00 | 27% above | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $869.70 | $1,338.00 | $48.15–$18,107.00 | 27% above | 35% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS W 15 | $516.10 | $794.00 | $76.07–$18,107.00 | 50% above | 35% |
| Skin tag removal, up to 15 tags CPT 11200 Rmvl skin tags up to inc 15 | $516.10 | — | $76.07–$18,107.00 | 50% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s n ax gen trnk2 6 7 5cm | $529.10 | — | $60.02–$18,107.00 | 34% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMPLE RPR S N AX GEN TRNK2 6 7 5CM | $529.10 | $814.00 | $60.02–$18,107.00 | 34% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE SIMPLE RPR F E E N L M 2 5 CM | $529.10 | $814.00 | $56.88–$18,107.00 | 40% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f e e n l m 2 5 cm | $529.10 | — | $56.88–$18,107.00 | 40% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,036.75 | $1,595.00 | $124.57–$13,302.00 | 7% below | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $1,036.75 | — | $124.57–$13,302.00 | 7% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm | $1,018.55 | — | $61.41–$18,107.00 | 22% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM | $1,018.55 | $1,567.00 | $61.41–$18,107.00 | 22% above | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $915.85 | $1,409.00 | $8.08–$18,107.00 | 22% above | 35% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion bld bld compnt | $915.85 | — | $8.08–$18,107.00 | 22% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $512.85 | $789.00 | $3.03–$1,019.60 | 172% above | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION 1 HR | $1,006.20 | $1,548.00 | $35.35–$1,800.00 | 65% above | 35% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE FIRST HOUR | $2,465.45 | $3,793.00 | $165.00–$3,791.00 | 52% above | 35% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY | $800.15 | $1,231.00 | $35.35–$1,069.59 | 20% above | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $275.60 | $424.00 | $6.63–$339.20 | 100% above | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPT VISIT LVL 1 | $339.95 | $523.00 | $12.54–$3,791.00 | 36% above | 35% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPT VISIT LVL 2 | $434.20 | $668.00 | $43.27–$3,791.00 | 19% above | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPT VISIT LVL 3 | $831.35 | $1,279.00 | $72.93–$3,791.00 | 57% above | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPT VISIT LVL 4 | $1,298.70 | $1,998.00 | $123.87–$3,791.00 | 56% above | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPT VISIT LVL 5 | $1,862.25 | $2,865.00 | $165.00–$3,791.00 | 61% above | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST TRACING ONLY | $780.65 | $1,201.00 | $30.30–$1,005.35 | 43% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT | $676.00 | $1,040.00 | $34.52–$18,107.00 | 92% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init | $676.00 | — | $34.52–$18,107.00 | 92% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC THER PROPH DIAG IV INF INIT | $819.00 | $1,260.00 | $35.35–$18,107.00 | 92% above | 35% |
| IV push of a medicine, first drug CPT 96374 HC ECHO THER PROPH DIAG INJ IV PUSH | $676.00 | $1,040.00 | $39.22–$18,107.00 | 165% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER PROPH DIAG INJ SC IM | $204.10 | $314.00 | $13.36–$18,107.00 | 104% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $334.75 | $515.00 | $152.39–$826.42 | 39% above | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION | $146.25 | $225.00 | $35.24–$394.00 | 79% above | 35% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE CONSULTATION 30 MINS | $243.75 | $375.00 | $84.44–$556.00 | 19% above | 35% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE CONSULTATION 40 MINS | $392.60 | $604.00 | $137.48–$556.00 | 32% above | 35% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE CONSULTATION NEW ESTAB PATIENT 80 MIN | $484.90 | $746.00 | $186.68–$700.86 | 49% above | 35% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE VISIT NEW PAT EXPANDED PRBLM FOCUS LVL2 15 29 MINS | $130.65 | $201.00 | $49.90–$556.00 | 19% below | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $358.15 | $551.00 | $101.89–$440.80 | 30% above | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $360.10 | $554.00 | $101.89–$443.20 | 100% above | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $374.40 | $576.00 | $101.89–$460.80 | 56% above | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 1 REGIONS | $157.95 | $243.00 | $27.91–$394.00 | 90% above | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES | $170.30 | $262.00 | $30.36–$394.00 | 126% above | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV VISIT NEW AGE 18 39 | $347.10 | $534.00 | $98.05–$427.20 | 72% above | 35% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV VISIT NEW AGE 40 64 | $377.00 | $580.00 | $119.33–$470.70 | 61% above | 35% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC INIT PM E M NEW PAT 65 YRS | $388.05 | $597.00 | $128.41–$511.71 | 52% above | 35% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREV VISIT EST AGE 18 39 | $280.15 | $431.00 | $89.68–$723.00 | 27% above | 35% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREV VISIT EST AGE 40 64 | $317.85 | $489.00 | $97.35–$788.00 | 27% above | 35% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PER PM REEVAL EST PAT 65 YR99397 | $336.70 | $518.00 | $102.24–$422.94 | 61% above | 35% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PATIENT 30 MINUTES | $300.95 | $463.00 | $68.74–$826.42 | 57% above | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX PATIENT 45 MINUTES | $285.35 | $439.00 | $91.07–$826.42 | 12% above | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX PT FAMILY 60 MINUTES | $300.95 | $463.00 | $134.69–$826.42 | 1% above | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3 10 MIN | $65.65 | $101.00 | $12.56–$174.45 | 46% above | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE VISIT EST PAT HIGH COMPLX LVL5 40 54 MINUTES | $224.25 | $345.00 | $147.95–$569.79 | 10% below | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE VISIT EST PAT EXPANDED PROB FOCUS LVL3 20 29 MINUTES | $160.55 | $247.00 | $68.04–$556.00 | 12% below | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE VISIT EST PAT MOD COMPLX LVL4 20 29 MINUTES | $187.20 | $288.00 | $100.49–$556.00 | 7% below | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE VISIT EST PAT PROB FOCUS LVL2 10 TO 19 MINS | $112.45 | $173.00 | $36.29–$556.00 | 13% below | 35% |
| Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $592.15 | $911.00 | $58.42–$728.80 | 51% above | 35% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $499.20 | $768.00 | $15.15–$1,005.35 | 128% above | 35% |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPONSE SPIROMETRY PRE POST ADMIN | $978.25 | $1,505.00 | $25.25–$1,737.47 | 159% above | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES | $148.20 | $228.00 | $2.37–$394.00 | 72% above | 35% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN IMMUNIZATION ID SQ IM 1 VACCINE | $175.50 | $270.00 | $14.78–$254.00 | 108% above | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN IMMUNIZATION ID SQ IM EACH ADDL VACCINE | $45.50 | $70.00 | $11.14–$120.00 | 1% above | 35% |
Source file: https://assets.montefioreeinstein.org/patient-information/462916938_mount-vernon-hospital_standardcharges.csv