Gouverneur Hospital
77 West Barney Street, Gouverneur, NY · Rochesterregional · · NPI 1629409925
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ventilator Management (first day) CPT 94002 | $363.36 | $559.01 | not published | 0 |
| Version cephalic external CPT 59412 | $6,395.56 | $9,839.32 | not published | 0 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.52 – $13.68 | 2 |
| Very long chain fatty acids CPT 82726 | not published | not published | $19.16 – $256.87 | 4 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $162.72 | $250.34 | $58.57 – $58.57 | 1 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $5.14 – $5.66 | 2 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | not published | not published | $6.76 – $8.20 | 2 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | not published | not published | $6.59 – $20.40 | 2 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $7.90 – $227.48 | 4 |
| Virus isolation addl studies ea CPT 87253 | $42.69 | $65.67 | $19.59 – $262.73 | 4 |
| Vitamin b-12 CPT 82607 | $123.09 | $189.37 | $12.63 – $196.13 | 4 |
| Vitamin D Test CPT 82306 | $142.85 | $219.77 | $28.71 – $384.98 | 4 |
| Vkorc1 gene CPT 81355 | not published | not published | $85.55 – $1,147.15 | 3 |
| Volume measurement urine timed CPT 81050 | $22.72 | $34.95 | $3.53 – $47.34 | 3 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $1.83 – $2.38 | 3 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | not published | not published | $1.06 – $3.60 | 2 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $4,956.31 – $5,562.00 | 2 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | not published | not published | $1,016.67 – $1,016.67 | 1 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $44.64 | $68.67 | $59.74 – $59.74 | 1 |
| Warde 1003990 aldosterone CPT 82088 | $50.58 | $77.81 | $39.53 – $530.00 | 4 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $58.75 | $90.38 | $25.55 – $361.57 | 4 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $95.24 | $146.52 | $12.51 – $167.78 | 4 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $72.55 | $111.62 | $18.58 – $328.41 | 4 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | not published | not published | $15.04 – $201.60 | 4 |
| Warde 1015200 kappa light chain free CPT 83521 | $36.49 | $56.14 | $10.46 – $224.62 | 4 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $128.58 | $197.82 | $5.96 – $104.31 | 4 |
| Warde 3008005 oligoclonal bands CPT 83916 | not published | not published | $26.57 – $356.24 | 3 |
| Warde 3016000 west nile virus antibody CPT 86788 | $38.34 | $58.98 | $8.11 – $219.15 | 4 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $28.06 | $43.17 | $13.96 – $187.16 | 4 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $151.65 | $233.31 | $11.88 – $159.33 | 3 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $32.61 | $50.17 | $8.63 – $115.76 | 4 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $115.38 | $177.50 | $5.91 – $233.85 | 4 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $308.03 | $473.89 | $138.35 – $1,855.07 | 3 |
| Warde 3400852 arsenic CPT 82175 | $78.75 | $121.15 | $18.40 – $246.73 | 4 |
| Warde 3708165 mercury urine CPT 83825 | $178.39 | $274.44 | $15.77 – $211.48 | 4 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $35.88 | $55.20 | $11.40 – $239.31 | 4 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $24.36 | $37.48 | $6.98 – $156.72 | 4 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $65.93 | $101.43 | $7.86 – $105.35 | 3 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $140.67 | $216.41 | $37.46 – $502.30 | 4 |
| Warde aldolase CPT 82085 | $78.75 | $121.15 | $9.42 – $126.29 | 3 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $32.90 | $50.61 | $14.14 – $219.41 | 4 |
| Warde amiodarone therapeutic drug level CPT 80151 | $36.35 | $55.92 | $10.61 – $242.44 | 4 |
| Warde analysis gene hfe common variants CPT 81256 | $165.22 | $254.18 | $63.40 – $850.09 | 3 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $512.10 | $787.84 | $159.04 – $2,132.50 | 4 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $210.39 | $323.67 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $75.31 | $115.86 | $23.23 – $502.30 | 4 |
| Warde apolipoprotein b CPT 82172 | $51.59 | $79.37 | $16.09 – $274.30 | 4 |
| Warde bile acids CPT 82239 | $28.59 | $43.99 | $13.18 – $222.67 | 4 |
| Warde cadmium blood CPT 82300 | $247.24 | $380.37 | $15.96 – $307.47 | 4 |
| Warde calcitonin CPT 82308 | $134.43 | $206.82 | $25.99 – $348.44 | 4 |
| Warde calculus (stone) infrared CPT 82365 | $82.06 | $126.25 | $12.51 – $167.78 | 4 |
| Warde clozapine therapeutic drug level CPT 80159 | not published | not published | $10.61 – $262.07 | 4 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $90.86 | $139.79 | $21.30 – $285.62 | 3 |
| Warde collagen cross links c-telopeptide CPT 82523 | $185.72 | $285.72 | $18.12 – $242.96 | 4 |
| Warde complement total hemolytic CPT 86162 | $102.56 | $157.78 | $19.58 – $264.29 | 4 |
| Warde copper CPT 82525 | $101.11 | $155.56 | $12.04 – $161.41 | 4 |
| Warde cryoglobulin CPT 82595 | $32.26 | $49.63 | $5.53 – $84.15 | 4 |
| Warde erythropoietin CPT 82668 | $177.65 | $273.31 | $17.23 – $244.39 | 4 |
| Warde estrogen fractionated CPT 82671 | $97.56 | $150.09 | $31.33 – $420.10 | 3 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $26.41 | $40.63 | $7.32 – $157.24 | 4 |
| Warde folic acid rbc CPT 82747 | $43.25 | $66.54 | $12.63 – $229.56 | 4 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $46.17 | $71.03 | $9.41 – $126.16 | 4 |
| Warde gastrin CPT 82941 | $43.96 | $67.63 | $17.10 – $229.30 | 4 |
| Warde growth hormone (hgh) CPT 83003 | $138.83 | $213.59 | $16.17 – $216.81 | 4 |
| Warde haloperidol therapeutic drug level CPT 80173 | $194.52 | $299.26 | $10.61 – $205.24 | 4 |
| Warde helminth antibody strongyloides igg CPT 86682 | not published | not published | $12.62 – $169.21 | 3 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $43.96 | $67.63 | $12.48 – $167.39 | 4 |
| Warde hepatitis a antibody CPT 86708 | $95.24 | $146.52 | $10.10 – $161.15 | 4 |
| Warde hepatitis be antibody CPT 86707 | $49.45 | $76.08 | $10.20 – $150.48 | 4 |
| Warde hepatitis delta agent antibody CPT 86692 | $33.46 | $51.48 | $16.65 – $223.19 | 4 |
| Warde immunofixation electrophoresis urine CPT 86335 | $102.56 | $157.78 | $28.47 – $381.73 | 4 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $60.82 | $93.57 | $10.20 – $149.96 | 4 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $335.54 | $516.21 | $249.73 – $3,348.45 | 4 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $172.54 | $265.45 | $12.63 – $306.56 | 4 |
| Warde lipoprotein (a) CPT 83695 | $142.14 | $218.68 | $13.89 – $186.25 | 3 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $119.40 | $183.70 | $44.92 – $602.32 | 3 |
| Warde mitochondrial antibody each CPT 86381 | $49.63 | $76.35 | $15.42 – $331.01 | 4 |
| Warde neutralization rabies CPT 86382 | $70.33 | $108.20 | $5.05 – $219.93 | 4 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $182.79 | $281.21 | $10.61 – $172.33 | 4 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $48.54 | $74.68 | $13.92 – $298.75 | 4 |
| Warde protein c antigen CPT 85302 | $38.23 | $58.82 | $11.65 – $156.20 | 4 |
| Warde sex hormone binding globulin CPT 84270 | $60.82 | $93.57 | $21.08 – $282.62 | 3 |
| Warde somatomedin CPT 84305 | $117.60 | $180.92 | $20.62 – $276.51 | 4 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $11.62 | $17.88 | $5.08 – $71.53 | 4 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $131.16 | $201.78 | $5.76 – $204.98 | 4 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $468.14 | $720.21 | $49.33 – $661.50 | 3 |
| Warde topiramate therapeutic drug level CPT 80201 | $76.22 | $117.26 | $11.56 – $155.03 | 3 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $267.38 | $411.36 | $25.29 – $339.07 | 4 |
| Warde viscosity CPT 85810 | $23.71 | $36.48 | $11.32 – $151.78 | 4 |
| Warde vitamin a CPT 84590 | $84.99 | $130.75 | $11.26 – $151.00 | 4 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $121.62 | $187.10 | $15.15 – $276.12 | 4 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $211.35 | $325.16 | $27.26 – $365.47 | 4 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $31.46 | $48.40 | $9.59 – $128.63 | 4 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $203.29 | $312.75 | $37.34 – $500.74 | 3 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $20.14 | $30.99 | $13.75 – $184.43 | 4 |
| Warde zinc CPT 84630 | $35.18 | $54.13 | $7.98 – $148.14 | 4 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $117.10 – $1,570.11 | 3 |
| Wbc automated CPT 85048 | $5.36 | $8.25 | $2.46 – $33.04 | 4 |
| Western blot test CPT 84181 | not published | not published | $16.52 – $221.50 | 3 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $17.98 – $241.13 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.