Cayuga Medical Center at Ithaca
Cayuga Medical Center at Ithaca in Ithaca, NY publishes cash prices for 50 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Click a procedure to compare it with other hospitals nearby.
101 Dates Drive, Ithaca, NY 14850 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 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | $772.80 | $3,864.00 | 80% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast | $279.30 | $1,396.50 | 80% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast | $401.10 | $2,005.50 | 80% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $138.60 | $693.00 | 80% |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic | $111.30 | $556.50 | 80% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Ext Low Jnt W/O Con | $779.10 | $3,895.50 | 80% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip W and WO IV Contrast | $934.50 | $4,672.50 | 80% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MRI Brain WO Contrast | $770.70 | $3,853.50 | 80% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast | $837.90 | $4,189.50 | 80% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast | $890.40 | $4,452.00 | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First | $186.90 | $934.50 | 80% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening | $113.40 | $567.00 | 80% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $888.30 | $4,441.50 | 80% |
| Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal | $136.50 | $682.50 | 80% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen | $193.20 | $966.00 | 80% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $115.50 | $577.50 | 80% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge | $21.42 | $107.10 | 80% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge | $26.67 | $133.35 | 80% |
| Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge | $12.81 | $64.05 | 80% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc | $10.50 | $52.50 | 80% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Additional Charge | $10.50 | $52.50 | 80% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge | $27.30 | $136.50 | 80% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge | $27.93 | $139.65 | 80% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge | $25.62 | $128.10 | 80% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel - Bundled Charge | $124.81 | $624.03 | 80% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free | $47.88 | $239.40 | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa Screening | $47.88 | $239.40 | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa | $47.88 | $239.40 | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Additional Charge | $7.14 | $35.70 | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt | $33.03 | $165.17 | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr | $12.18 | $60.90 | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Prothrombin Mixing Study | $19.53 | $97.65 | 80% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $50.40 | $252.00 | 80% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Bundled Charge | $22.26 | $111.30 | 80% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic | $24.98 | $124.92 | 80% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only | $12.60 | $63.00 | 80% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope - POCT Urinalysis Dipstick | $9.87 | $49.35 | 80% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope | $12.60 | $63.00 | 80% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy | $876.01 | $4,380.03 | 80% |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $879.00 | $4,394.99 | 80% |
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy | $821.24 | $4,106.21 | 80% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Cath Left Heart Cath Inject Vetriculography, Image Supervise/ | $1,690.50 | $8,452.50 | 80% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $432.60 | $2,163.00 | 80% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Leve | $514.50 | $2,572.50 | 80% |
| Prostate biopsy CPT 55700 HC Biopsy of Prostate,Needle/Punch | $1,635.63 | $8,178.16 | 80% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple - Egd | $818.84 | $4,094.22 | 80% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic | $832.86 | $4,164.30 | 80% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC Electrocardiogram Complete | $48.30 | $241.50 | 80% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W Phys | $89.46 | $447.30 | 80% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $68.00 | $340.00 | 80% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Minutes | $62.16 | $310.80 | 80% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Minutes | $84.84 | $424.20 | 80% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New 60 Minutes | $151.20 | $756.00 | 80% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Preventive Visit,New,18-39 | $37.80 | $189.00 | 80% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy Patient &/ Family 30 Minutes | $48.72 | $243.60 | 80% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy Patient &/ Family 45 Minutes | $99.96 | $499.80 | 80% |
Source file: https://cayugahealth.pt.panaceainc.com/MRFDownload/CayugaHealth/CayugaHealth