Nicholas H. Noyes Memorial Hospital
Nicholas H. Noyes Memorial Hospital in Dansville, NY publishes cash prices for 58 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
111 Clara Barton Street, Dansville, NY 14437 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abdomen & Pelvis W/Contrast Material | $528.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT Head/Brain W/O Contrast Material | $158.00 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT Pelvis W/Contrast Material | $264.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB Diagnostic Mammography Computer-Aided Detcj Bi | $208.00 | — | — |
| Diagnostic mammogram, one breast CPT 77065 HB Diagnostic Mammography Computer-Aided Detcj Uni | $176.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI Any Jt Lower Extrem W/O Contrast Matrl | $358.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $528.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HB MRI Brain Brain Stem W/O Contrast Material | $358.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI Brain Brain Stem W/O W/Contrast Material | $528.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI Spinal Canal Lumbar W/O Contrast Material | $358.00 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US Preg Uterus After 1st Trimest 1/1st Gestation | $377.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HB Screening Mammography Bi 2-View Breast Inc Cad | $166.00 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL | $55.46 | $93.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HB Ultrasound Transvaginal | $158.00 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HB Ultrasound Transvaginal (Pro) | $218.00 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL | $55.46 | $93.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $191.41 | $321.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HB US Abdominal Real Time W/Image Documentation | $328.00 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $191.41 | $321.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $102.56 | $172.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HB Radex Spine Lumbosacral Minimum 4 Views | $158.00 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $102.56 | $172.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HB Basic Metabolic Panel Calcium Total | $22.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $23.26 | $39.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel | $31.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL | $23.26 | $39.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HB Blood Count Complete Auto&Auto Difrntl Wbc | $14.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HB Blood Count Complete Automated | $15.00 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HB Comprehensive Metabolic Panel | $40.00 | — | — |
| Kidney function blood test panel CPT 80069 HB Renal Function Panel | $10.00 | — | — |
| Liver function blood test panel CPT 80076 HB Hepatic Function Panel | $28.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB Assay of Prostate Specific Antigen Free | $42.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB Prostate Specific Antigen Free | $42.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $50.09 | $84.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $50.09 | $84.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Health Index | $62.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB Assay of Prostate Specific Antigen Total | $62.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB Thromboplastin Time Partial Plasma/Whole Blood | $14.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $19.08 | $32.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $19.08 | $32.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $3.58 | $6.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $12.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $3.58 | $6.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Assay of Thyroid Stimulating Hormone Tsh | $38.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $45.92 | $77.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $45.92 | $77.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HB Urnls Dip Stick/Tablet Reagent Auto Microscopy | $8.00 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 HB Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $4.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HB Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $8.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $9.54 | $16.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $9.54 | $16.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $4.17 | $7.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HB Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $8.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $4.17 | $7.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $3,221.21 | $5,402.00 | 40% |
| Cataract surgery with lens implant inpatient CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $3,221.21 | $5,402.00 | 40% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $546.81 | $917.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $546.81 | $917.00 | 40% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $821.70 | $1,378.00 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $821.70 | $1,378.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $797.85 | $1,338.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $797.85 | $1,338.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $639.23 | $1,072.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HB Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible (Pro) | $977.00 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HB Repair Ing Hernia,5+Y/O,Reducibl | $5,220.00 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $639.23 | $1,072.00 | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,821.10 | $3,054.00 | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 HB PR Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg | $4,800.00 | — | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,821.10 | $3,054.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $210.49 | $353.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB Plc Cath Interlaminar Lmbr/Sac W/Img | $1,024.00 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $210.49 | $353.00 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $531.90 | $892.00 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $531.90 | $892.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $276.68 | $464.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $276.68 | $464.00 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $301.13 | $505.00 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HB Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls (Pro) | $318.00 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HB Shoulder Scope Bone Shaving | $3,344.00 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $301.13 | $505.00 | 40% |
| Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $3,991.04 | $6,693.00 | 40% |
| Total hip replacement inpatient CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $3,991.04 | $6,693.00 | 40% |
| Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $3,874.76 | $6,498.00 | 40% |
| Total knee replacement inpatient CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $3,874.76 | $6,498.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $617.83 | $1,036.10 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $617.83 | $1,036.10 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $472.87 | $793.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $472.87 | $793.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $23.85 | $40.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $23.85 | $40.00 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 HB Fam Psychotherapy W/Pt Present (Pro) | $82.00 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HB Family Psychotherapy W/Patient Present | $110.00 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $181.28 | $304.00 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $181.28 | $304.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 HB Fam Psychotherapy W/O Pt Present (Pro) | $58.00 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HB Family Psychotherapy W/O Patient Present | $110.00 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $174.12 | $292.00 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $174.12 | $292.00 | 40% |
| Group psychotherapy session CPT 90853 HB Group Psychotherapy (Pro) | $28.00 | — | — |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $42.93 | $72.00 | 40% |
| Group psychotherapy session CPT 90853 HB Group Psychotherapy | $123.00 | — | — |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $42.93 | $72.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $113.30 | $190.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $113.30 | $190.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $143.11 | $240.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $143.11 | $240.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $172.93 | $290.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $172.93 | $290.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Px 1/> Areas Each 15 Min Exercises | $42.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Ot Therapeutic Px 1/> Areas Ea 15 Min Exercises | $42.00 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HB Initial Preventive Medicine New Pt Age 18-39yrs | $32.00 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $153.25 | $257.00 | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $153.25 | $257.00 | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HB Initial Preventive Medicine New Patient 40-64yrs | $38.00 | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $191.41 | $321.00 | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $191.41 | $321.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy Patient 30 Minutes (Pro) | $53.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy Patient 30 Minutes | $110.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $122.24 | $205.00 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $122.24 | $205.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy Patient 45 Minutes (Pro) | $83.00 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy Patient 45 Minutes | $110.00 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $161.00 | $270.00 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $161.00 | $270.00 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy Patient 60 Minutes (Pro) | $107.00 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy Patient 60 Minutes | $110.00 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $237.92 | $399.00 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $237.92 | $399.00 | 40% |