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 |
|---|---|---|---|---|
| One-way allow prorated trip HCPCS P9604 | not published | not published | $14.16 – $14.16 | 1 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $7.58 – $7.58 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $92.45 | 2 |
| Organic acids total quant ea spec CPT 83918 | $50.13 | $77.13 | $23.60 – $182.12 | 3 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,294.95 | $5,069.15 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $201.10 | $309.39 | not published | 0 |
| Osmolality blood CPT 83930 | $121.51 | $186.94 | $6.61 – $51.01 | 3 |
| Osmolality urine CPT 83935 | $14.49 | $22.29 | $6.82 – $52.63 | 3 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $178.50 | 3 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $58.77 | $90.42 | $147.45 – $147.45 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $138.44 | $212.99 | $175.67 – $175.67 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $97.44 | $149.90 | $64.90 – $64.90 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $97.44 | $149.90 | $66.94 – $66.94 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $98.01 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $125.74 – $1,057.24 | 3 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $5,220.62 | 2 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $141.26 – $2,325.55 | 3 |
| Parathormone (pth) intact CPT 83970 | $79.56 | $122.40 | $41.28 – $318.56 | 3 |
| Parathyroid planar imaging CPT 78070 | $582.34 | $895.91 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $445.44 | $685.30 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $7,058.36 | $10,859.02 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $87.76 – $87.76 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $48.44 – $48.44 | 1 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $39.33 – $39.33 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $24.22 – $24.22 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $1,968.25 | 2 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $324.25 – $324.25 | 6 |
| Pdgfra gene CPT 81314 | not published | not published | $299.54 – $2,542.86 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $371.79 | $571.98 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,418.38 | $2,182.12 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,694.54 | $2,606.99 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,386.34 | $2,132.83 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,121.77 | $4,802.72 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $2,387.53 | $3,673.13 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $2,427.68 | $3,734.90 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $666.70 | $1,025.70 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $376.81 | $579.71 | not published | 0 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $294.63 | $453.28 | not published | 0 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $304.88 | $469.05 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $23.03 | $35.43 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $127.32 | $195.88 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $26.05 | $40.08 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $171.48 | $263.82 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $319.54 | $491.60 | not published | 0 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $92.45 | 3 |
| Pessary reusable rub anytype HCPCS A4561 | $49.72 | $76.50 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,249.61 | $8,076.33 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $4,012.45 | $6,173.00 | not published | 0 |
| Pet image skull-thigh CPT 78812 | $2,684.15 | $4,129.46 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $72.88 – $72.88 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $108.77 – $108.77 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $36.58 – $36.58 | 1 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $34.84 – $34.84 | 1 |
| Ph body fluid CPT 83986 | $94.29 | $145.06 | $3.58 – $27.63 | 2 |
| Phencyclidine (pcp) CPT 83992 | $207.92 | $319.88 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $72.55 | $111.61 | $15.30 – $118.07 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $94.29 | $145.06 | $13.25 – $102.25 | 3 |
| Phlebotomy therapeutic CPT 99195 | $90.95 | $139.93 | not published | 0 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $153.41 | $236.02 | $17.49 – $17.49 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $136.20 | $209.54 | $21.65 – $21.65 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $132.26 | $203.47 | $8.75 – $8.75 | 1 |
| Phosphorus CPT 84100 | $31.69 | $48.75 | $4.74 – $36.58 | 3 |
| Phosphorus 24 hour urine CPT 84105 | $69.61 | $107.09 | $5.78 – $44.60 | 3 |
| Phys blood bank serv xmatch CPT 86077 | $78.01 | $120.02 | not published | 0 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $184.74 | $284.21 | $240.43 – $240.43 | 1 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $140.73 | $216.51 | $240.43 – $240.43 | 1 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $157.24 | $241.90 | $240.43 – $240.43 | 1 |
| Physical Therapy Re-Evaluation CPT 97164 | $69.24 | $106.53 | $164.98 – $164.98 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $2,120.89 | 2 |
| Pinworm exam CPT 87172 | not published | not published | $3.03 – $32.95 | 3 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $32.95 | 2 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $4.62 | $7.10 | not published | 0 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $4,471.91 | 2 |
| Place gastrostomy tube perc CPT 49440 | $3,024.52 | $4,653.10 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $689.39 | $1,060.60 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,307.70 | $2,011.85 | not published | 0 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $156.04 | 2 |
| Place right device/marker pros CPT 55876 | $2,755.88 | $4,239.82 | not published | 0 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $165.71 | $254.94 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $49.00 | $75.39 | $16.23 – $192.23 | 3 |
| Platelet automated CPT 85049 | $43.48 | $66.89 | $4.48 – $34.57 | 3 |
| Platelet pheresis irr ea HCPCS P9036 | $1,525.69 | $2,347.22 | not published | 0 |
| Platelets each unit HCPCS P9019 | $179.81 | $276.63 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $378.14 | $581.75 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $537.69 | $827.22 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,210.79 | $1,862.75 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,128.22 | $1,735.73 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,557.09 | $2,395.53 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $892.55 | $1,373.16 | not published | 0 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $2,248.45 | 2 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $1,599.83 | 3 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $5,852.34 | 2 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $5,938.93 | 2 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $359.62 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $1,570.43 | 2 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $5,220.62 | 2 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $2,554.36 | 2 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $39.55 – $39.55 | 6 |
| #pnh-flow cytometry interp CPT 88187 | $198.84 | $305.90 | $30.30 – $30.30 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $103.10 | $158.61 | $24.54 – $201.18 | 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.