Massena Hospital
1 Hospital Drive, Massena, NY · Rochesterregional · · NPI 1972604460
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 |
|---|---|---|---|---|
| Insert cath pleura without image CPT 32556 | $4,688.19 | $7,212.60 | not published | 0 |
| Insert drug delivery implant CPT 11981 | $286.42 | $440.64 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $175.56 | $270.09 | not published | 0 |
| Insertion catheter bladder non indwelling CPT 51701 | $184.45 | $283.77 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,754.76 | $2,699.63 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,643.10 | $4,066.31 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,269.17 | $1,952.57 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $6,886.74 | $10,594.99 | not published | 0 |
| Insert pessary/other device CPT 57160 | $425.69 | $654.91 | not published | 0 |
| Insitu hybridization auto CPT 88367 | not published | not published | $269.07 – $269.07 | 1 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $269.07 – $269.07 | 1 |
| Insitu hybridization manual CPT 88368 | not published | not published | $269.07 – $269.07 | 1 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $226.30 | $348.15 | $269.07 – $269.07 | 1 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $291.90 | $449.08 | $269.07 – $269.07 | 1 |
| Ins picad w subq port 5yr> CPT 36571 | $70.06 | $107.78 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,475.90 | $2,270.61 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,704.03 | $7,236.97 | not published | 0 |
| Insulin suppression panel CPT 80432 | not published | not published | $165.34 – $1,278.03 | 3 |
| Insulin tolerance panel CPT 80434 | not published | not published | $285.03 – $2,199.61 | 2 |
| Insulin tolerance panel CPT 80435 | not published | not published | $103.00 – $794.86 | 2 |
| Insulin total CPT 83525 | $139.21 | $214.17 | $11.43 – $88.21 | 3 |
| Interdental fixation CPT 21110 | $3,431.73 | $5,279.58 | not published | 0 |
| Interrog dev eval icpms ip CPT 93290 | $93.91 | $144.48 | not published | 0 |
| Interrog device eval heart CPT 93289 | $93.91 | $144.48 | not published | 0 |
| Interrog evl pm/ldls pm ip CPT 93288 | $93.91 | $144.48 | not published | 0 |
| Intracranial limited study CPT 93888 | $291.05 | $447.77 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $983.79 | $1,513.53 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $47.98 | $73.82 | $15.08 – $116.37 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $579.00 | $890.77 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.19 | $0.29 | not published | 0 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $58.38 – $58.38 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $58.38 – $58.38 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $58.38 – $58.38 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $58.38 – $58.38 | 1 |
| Iron CPT 83540 | $61.89 | $95.22 | $6.47 – $49.93 | 3 |
| Iron binding capacity CPT 83550 | $88.37 | $135.96 | $7.62 – $67.45 | 3 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $53.09 | 3 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.51 | $0.79 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $141.78 | $218.13 | not published | 0 |
| IV Fluids (each additional hour) CPT 96361 | $122.03 | $187.74 | not published | 0 |
| IV Fluids (first hour) CPT 96360 | $351.29 | $540.45 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $122.03 | $187.74 | not published | 0 |
| IV Medicine Infusion (additional drug) CPT 96367 | $122.03 | $187.74 | not published | 0 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $210.68 | $324.12 | not published | 0 |
| IV Medicine Infusion (first hour) CPT 96365 | $213.27 | $328.11 | not published | 0 |
| IV Push Injection (each additional drug) CPT 96375 | $228.91 | $352.17 | not published | 0 |
| IV Push Injection (first drug) CPT 96374 | $67.69 | $104.14 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $476.61 | $733.24 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $393.43 | $605.27 | $168.34 – $1,429.21 | 3 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $330.16 | $507.94 | not published | 0 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $339.13 | $521.74 | not published | 0 |
| John cunningham antibody CPT 86711 | $45.82 | $70.50 | $16.89 – $130.34 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $314.20 | $483.39 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $119.38 | 2 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $29.85 | $45.92 | $8.17 – $63.05 | 2 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $0.95 | $1.46 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,000.68 | $1,539.51 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $740.36 | $1,139.01 | not published | 0 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $58.82 | $90.50 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $321.96 | $495.32 | $124.87 – $963.63 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $3,121.77 | $4,802.72 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $2,294.38 | $3,529.82 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,082.27 | $3,203.49 | not published | 0 |
| Knee X-ray CPT 73564 | $261.65 | $402.54 | not published | 0 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $241.52 | $371.57 | not published | 0 |
| Knee X-ray (3 views, both knees) CPT 73562 | $219.69 | $337.99 | not published | 0 |
| Kras gene addl variants CPT 81276 | not published | not published | $179.24 – $1,491.33 | 3 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.25 – $1,491.33 | 3 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,611.58 | $2,479.36 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $38.30 | $58.93 | $6.04 – $46.61 | 3 |
| Lactated ringers intravenous solution HCPCS J7120 | $427.64 | $657.90 | not published | 0 |
| Lactic acid CPT 83605 | $123.36 | $189.78 | $11.57 – $89.29 | 3 |
| Lactoferrin fecal qualitative CPT 83630 | $107.17 | $164.88 | $7.88 – $152.03 | 3 |
| Lactoferrin fecal quant CPT 83631 | $148.77 | $228.88 | $17.08 – $151.49 | 3 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $64.64 | $99.44 | not published | 0 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $670.66 | $1,031.79 | not published | 0 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $332.95 – $332.95 | 1 |
| Lead capillary CPT 83655 | $91.34 | $140.53 | $12.11 – $93.45 | 3 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $377.68 | $581.04 | not published | 0 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,489.08 | $2,290.90 | not published | 0 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,181.27 | $1,817.34 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | $41.54 | $63.91 | $20.05 – $154.73 | 2 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $322.27 | 2 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $377.68 | $581.04 | not published | 0 |
| Leishmania antibody CPT 86717 | not published | not published | $12.16 – $94.53 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $80.18 | 2 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,570.26 | $3,954.24 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $165.70 | $254.92 | $13.25 – $102.25 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $28.65 | $44.07 | $14.69 – $113.36 | 2 |
| Lipase CPT 83690 | $70.70 | $108.77 | $6.89 – $53.17 | 3 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $261.30 | 2 |
| Lipoprotein blood quant CPT 83704 | $66.67 | $102.57 | $34.19 – $263.85 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $27.79 | $42.75 | $7.62 – $63.20 | 3 |
| Lipoprotein direct measurement ldl CPT 83721 | $106.07 | $163.19 | $10.50 – $81.03 | 2 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $263.85 | 2 |
| Listeria monocytogenes CPT 86723 | $26.94 | $41.45 | $12.16 – $101.79 | 3 |
| Lithium therapeutic drug level CPT 80178 | $58.92 | $90.64 | $6.61 – $51.01 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $158.58 – $1,359.68 | 3 |
| Liver Function Test CPT 80076 | $104.94 | $161.45 | $8.17 – $63.05 | 3 |
| Low cost skin substitute app HCPCS C5277 | $1,433.06 | $2,204.70 | not published | 0 |
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.