SelfPayRates — hospital cash prices, from the source
Cash prices at 3 facilities across 3 cities for code 84153, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Gouverneur Hospital
GOUVERNEUR, NY HC PSA_ TOTAL |
$58.56 | $90.10 | 35% | — file |
|
| Massena Hospital Inc
MASSENA, NY HC PSA_ TOTAL |
$58.56 | $90.10 | 35% | Apr 1, 2026 file |
|
| Canton-Potsdam Hospital
POTSDAM, NY HC PSA_ TOTAL |
$69.08 | $106.28 | 35% | Apr 1, 2026 file |
Outpatient: lowest $58.56, median $58.56, highest $69.08 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $58.56. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.