Massena Hospital Inc
Massena Hospital Inc in Massena, NY publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
1 Hospital Drive, Massena, NY 13662 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 COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST | $3,013.15 | $4,635.62 | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST | $3,013.15 | $4,635.62 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD_BRAIN WO CONTRAST | $1,078.52 | $1,659.26 | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD_BRAIN WO CONTRAST | $1,078.52 | $1,659.26 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,694.54 | $2,606.99 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,694.54 | $2,606.99 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $566.53 | $871.59 | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI | $566.53 | $871.59 | 35% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $413.20 | $635.69 | 35% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $413.20 | $635.69 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY ANY JOINT WO CONTRAST | $2,082.27 | $3,203.49 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY ANY JOINT WO CONTRAST | $2,082.27 | $3,203.49 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY ANY JOINT WO _ W CONTRAST | $3,121.77 | $4,802.72 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY ANY JOINT WO _ W CONTRAST | $3,121.77 | $4,802.72 | 35% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WO CONTRAST | $2,435.40 | $3,746.77 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WO CONTRAST | $2,435.40 | $3,746.77 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO _ W CONTRAST | $3,516.47 | $5,409.96 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO _ W CONTRAST | $3,516.47 | $5,409.96 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST | $2,427.68 | $3,734.90 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST | $2,427.68 | $3,734.90 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANT UTERUS_ AFTER 1ST TRIMESTER_ SINGLE OR 1ST GESTATION | $307.57 | $473.19 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANT UTERUS_ AFTER 1ST TRIMESTER_ SINGLE OR 1ST GESTATION | $307.57 | $473.19 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $413.20 | $635.69 | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $413.20 | $635.69 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 HC US ECHOGRAPHY_TRANSVAGINAL | $740.36 | $1,139.01 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US ECHOGRAPHY_TRANSVAGINAL | $740.36 | $1,139.01 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ECHOGRAPHY_ ABDOMINAL_ COMPLETE | $759.63 | $1,168.66 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ECHOGRAPHY_ ABDOMINAL_ COMPLETE | $759.63 | $1,168.66 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $425.65 | $654.84 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $425.65 | $654.84 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL _8_ | $75.48 | $116.13 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL _8_ | $75.48 | $116.13 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $115.64 | $177.90 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $115.64 | $177.90 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH AUTO DIFFERENTIAL | $52.29 | $80.45 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFFERENTIAL | $52.29 | $80.45 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC _HEMOGRAM _ PLT_ | $38.30 | $58.93 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC _HEMOGRAM _ PLT_ | $38.30 | $58.93 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL _14_ | $124.48 | $191.51 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL _14_ | $124.48 | $191.51 | 35% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $120.41 | $185.25 | 35% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $120.41 | $185.25 | 35% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL _7_ | $104.94 | $161.45 | 35% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL _7_ | $104.94 | $161.45 | 35% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $366.77 | $564.26 | 35% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $366.77 | $564.26 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA_ FREE | $75.48 | $116.13 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA_ FREE | $75.48 | $116.13 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA_ TOTAL | $58.56 | $90.10 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA_ TOTAL | $58.56 | $90.10 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $58.56 | $90.10 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $58.56 | $90.10 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $47.87 | $73.64 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $47.87 | $73.64 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE _TSH_ | $113.80 | $175.07 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE _TSH_ | $113.80 | $175.07 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS _ ROUTINE | $48.26 | $74.25 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS _ ROUTINE | $48.26 | $74.25 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS WO MICROSCOPY | $31.69 | $48.75 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS WO MICROSCOPY | $31.69 | $48.75 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINE DIPSTICK_ NON_AUTOMATED | $23.72 | $36.49 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE DIPSTICK_ NON_AUTOMATED | $23.72 | $36.49 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJECTION EPIDURAL_SUBARACHNOID LUMBAR_SACRAL WITH IMAGING | $1,589.42 | $2,445.26 | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJECTION EPIDURAL_SUBARACHNOID LUMBAR_SACRAL WITH IMAGING | $1,589.42 | $2,445.26 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANESTH__STEROID_TRANSFORAMINAL EPIDURAL_IMAGE GUIDE_FLUOR_CT__LUMBAR_SACARAL_SINGLE LVL | $2,385.11 | $3,669.40 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANESTH__STEROID_TRANSFORAMINAL EPIDURAL_IMAGE GUIDE_FLUOR_CT__LUMBAR_SACARAL_SINGLE LVL | $2,385.11 | $3,669.40 | 35% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE_ NEEDLE OR PUNCH SINGLE OR MULTIPLE ANY APPROACH | $4,575.47 | $7,039.19 | 35% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE_ NEEDLE OR PUNCH SINGLE OR MULTIPLE ANY APPROACH | $4,575.47 | $7,039.19 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ELECTROCARDIOGRAM COMPLETE | $61.55 | $94.69 | 35% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ELECTROCARDIOGRAM COMPLETE | $61.55 | $94.69 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 HC OMH FAMILY PSYCHOTHERAPY _CONJOINT PSYCHOTHERAPY_ W PATIENT PRESENT | $280.72 | $431.87 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC OMH FAMILY PSYCHOTHERAPY _CONJOINT PSYCHOTHERAPY_ W PATIENT PRESENT | $280.72 | $431.87 | 35% |
| New patient office visit, about 30 minutes CPT 99203 HC OMH E_M NEW PATIENT LEVEL 3 | $110.06 | $169.32 | 35% |
| New patient office visit, about 30 minutes CPT 99203 HC BHN E_M NEW PATIENT LEVEL 3 | $114.47 | $176.11 | 35% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE_OUTPATIENT NEW LOW MDM 30 MINUTES | $226.45 | $348.39 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OMH E_M NEW PATIENT LEVEL 3 | $110.06 | $169.32 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC BHN E_M NEW PATIENT LEVEL 3 | $114.47 | $176.11 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE_OUTPATIENT NEW LOW MDM 30 MINUTES | $226.45 | $348.39 | 35% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE_OUTPATIENT NEW MODERATE MDM 45 MINUTES | $295.61 | $454.78 | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE_OUTPATIENT NEW MODERATE MDM 45 MINUTES | $295.61 | $454.78 | 35% |
| New patient office visit, about 60 minutes CPT 99205 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 5 | $238.19 | $366.44 | 35% |
| New patient office visit, about 60 minutes CPT 99205 HC OMH E_M NEW PATIENT LEVEL 5 | $238.19 | $366.44 | 35% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES | $283.35 | $435.93 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OMH E_M NEW PATIENT LEVEL 5 | $238.19 | $366.44 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 5 | $238.19 | $366.44 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES | $283.35 | $435.93 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS | $67.29 | $103.52 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS | $67.29 | $103.52 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS | $67.29 | $103.52 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS | $67.29 | $103.52 | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 18 THROUGH 39 YEARS | $126.78 | $195.04 | 35% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 18 THROUGH 39 YEARS | $126.78 | $195.04 | 35% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 40 THROUGH 64 YEARS | $155.01 | $238.48 | 35% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 40 THROUGH 64 YEARS | $155.01 | $238.48 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MINUTES WITH PATIENT AND_OR FAMILY MEMBER | $202.25 | $311.16 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 HC OMH PSYCHOTHERAPY_ 30 MINS_ W PATIENT AND_OR FAMILY MEMBER | $210.35 | $323.61 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MINUTES WITH PATIENT AND_OR FAMILY MEMBER | $202.25 | $311.16 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC OMH PSYCHOTHERAPY_ 30 MINS_ W PATIENT AND_OR FAMILY MEMBER | $210.35 | $323.61 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45 MINUTES W PATIENT AND_OR FAMILY MEMBER | $189.60 | $291.69 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HC BHN PSYCHOTHERAPY 45MINS | $197.18 | $303.36 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HC OMH PSYCHOTHERAPY_ 45 MINS_ W PATIENT AND_OR FAMILY MEMBER | $197.18 | $303.36 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 45 MINUTES W PATIENT AND_OR FAMILY MEMBER | $189.60 | $291.69 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC BHN PSYCHOTHERAPY 45MINS | $197.18 | $303.36 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC OMH PSYCHOTHERAPY_ 45 MINS_ W PATIENT AND_OR FAMILY MEMBER | $197.18 | $303.36 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HC OMH PSYCHOTHERAPY_ 60 MINS_ W PATIENT AND_OR FAMILY MEMBER | $197.18 | $303.36 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 60 MINUTES W PATIENT | $351.09 | $540.14 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC OMH PSYCHOTHERAPY_ 60 MINS_ W PATIENT AND_OR FAMILY MEMBER | $197.18 | $303.36 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 60 MINUTES W PATIENT | $351.09 | $540.14 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE | $159.75 | $245.77 | 35% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE | $159.75 | $245.77 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE TO HIGH_ 60 MIN FACE_TO_FACE | $298.91 | $459.86 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE TO HIGH_ 60 MIN FACE_TO_FACE | $298.91 | $459.86 | 35% |
Source file: https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/843134268_massena-hospital-inc_standardcharges.csv