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 |
|---|---|---|---|---|
| Uric acid urine CPT 84560 | $62.98 | $96.90 | $5.08 – $39.20 | 3 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $36.27 | 2 |
| Urinalysis microscopic only CPT 81015 | $36.82 | $56.65 | $3.03 – $23.54 | 3 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $16.75 | 2 |
| Urinalysis (with microscopy) CPT 81001 | $48.26 | $74.25 | $3.17 – $24.46 | 3 |
| Urinalysis (without microscopy) CPT 81003 | $31.69 | $48.75 | $2.25 – $17.36 | 3 |
| Urine Culture Test CPT 87086 | $42.34 | $65.14 | $8.07 – $62.28 | 3 |
| Urine pregnancy test CPT 81025 | $38.66 | $59.48 | $3.03 – $66.44 | 3 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.03 – $231.36 | 3 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $9.34 – $72.08 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $24.09 | $37.06 | not published | 0 |
| Vaccine Administration (one shot) CPT 90471 | $62.58 | $96.27 | not published | 0 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $184.16 | $283.32 | $161.65 – $161.65 | 6 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $169.03 | $260.05 | $147.06 – $147.06 | 6 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $191.10 | $294.00 | $168.37 – $168.37 | 6 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $122.85 | $189.00 | $94.80 – $94.80 | 6 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $91.57 | $140.87 | $65.55 – $65.55 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | $46.85 | $72.08 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $100.70 | $154.93 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $73.18 | $112.59 | not published | 0 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $205.71 | $316.48 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $144.44 | $222.21 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $41.94 | $64.52 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $17.71 | $27.25 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $58.44 | $89.90 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $368.60 | $567.07 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $43.39 | $66.76 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $75.15 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $104.40 | $160.62 | $75.15 – $75.15 | 6 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $177.56 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $51.88 | $79.81 | $33.20 – $33.20 | 6 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $396.44 | $609.90 | not published | 0 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $386.70 | $594.93 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $111.51 | $171.55 | $98.16 – $98.16 | 6 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $98.16 – $98.16 | 6 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $29.39 | $45.22 | $22.07 – $22.07 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $31.49 | $48.45 | $23.22 – $23.22 | 6 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $26.44 | $40.67 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $91.73 | $141.13 | not published | 0 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $37.25 | $57.31 | not published | 0 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $91.25 | $140.39 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $49.35 | $75.92 | $49.50 – $49.50 | 6 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.03 – $11.03 | 6 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $266.21 | $409.55 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $218.91 | $336.79 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $170.54 | $262.37 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $176.90 | $272.16 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $422.52 | $650.03 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $183.01 | $281.55 | $133.47 – $133.47 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $361.24 | $555.76 | $257.99 – $257.99 | 6 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $338.10 | $520.15 | $269.31 – $269.31 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $404.11 | $621.71 | $312.90 – $312.90 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $87.34 | $134.37 | not published | 0 |
| Vaccine rabies im CPT 90675 | $500.46 | $769.94 | not published | 0 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $391.27 | $601.95 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $779.44 | $1,199.14 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $779.44 | $1,199.14 | not published | 0 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $407.74 | $627.30 | not published | 0 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $166.56 | $256.25 | not published | 0 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $125.58 | $193.20 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $59.11 | $90.94 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $256.93 | $395.27 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $107.17 | $164.88 | $13.54 – $104.49 | 3 |
| Vancomycin hcl injection HCPCS J3370 | $15.96 | $24.55 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $128.52 | $197.73 | $13.54 – $104.49 | 3 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $32.46 – $270.79 | 3 |
| Varicella zoster antibody igg CPT 86787 | $150.97 | $232.26 | $12.16 – $99.40 | 3 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $43.45 | $66.85 | not published | 0 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $11.34 – $87.51 | 2 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $110.81 | $170.47 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $373.74 | $574.99 | not published | 0 |
| Ventilator Management (first day) CPT 94002 | $410.21 | $631.09 | not published | 0 |
| Version cephalic external CPT 59412 | $6,395.56 | $9,839.32 | not published | 0 |
| Very long chain fatty acids CPT 82726 | not published | not published | $19.75 – $152.41 | 3 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $163.58 | $251.66 | not published | 0 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $11.85 – $134.97 | 3 |
| Virus isolation addl studies ea CPT 87253 | $42.91 | $66.01 | $20.20 – $155.89 | 3 |
| Vital capacity test CPT 94150 | $53.04 | $81.60 | not published | 0 |
| Vitamin b-12 CPT 82607 | $122.65 | $188.69 | $15.08 – $116.37 | 3 |
| Vitamin D Test CPT 82306 | $122.65 | $188.69 | $29.60 – $228.43 | 3 |
| Vkorc1 gene CPT 81355 | not published | not published | $88.20 – $680.65 | 2 |
| Volume measurement urine timed CPT 81050 | $33.53 | $51.58 | $3.64 – $28.09 | 2 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $1.85 – $1.85 | 1 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $67.29 | $103.52 | $85.14 – $85.14 | 1 |
| Warde 1003990 aldosterone CPT 82088 | $324.03 | $498.51 | $40.75 – $314.47 | 3 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $329.95 | $507.61 | $27.80 – $214.54 | 3 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $115.64 | $177.90 | $12.90 – $99.55 | 3 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $267.34 | $411.30 | $25.25 – $194.86 | 3 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $139.21 | $214.17 | $15.50 – $119.62 | 3 |
| Warde 1015200 kappa light chain free CPT 83521 | $36.69 | $56.44 | $15.69 – $133.27 | 3 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $74.39 | $114.44 | $8.02 – $61.89 | 3 |
| Warde 3008005 oligoclonal bands CPT 83916 | $37.56 | $57.79 | $27.39 – $211.37 | 2 |
| Warde 3016000 west nile virus antibody CPT 86788 | not published | not published | $12.16 – $130.03 | 3 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $28.06 | $43.17 | $14.39 – $111.05 | 3 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $136.24 | $209.60 | $12.25 – $94.53 | 2 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $32.79 | $50.44 | $8.90 – $68.68 | 3 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $77.71 | $119.56 | $8.86 – $138.75 | 3 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $308.03 | $473.89 | $142.63 – $1,100.69 | 2 |
| Warde 3400852 arsenic CPT 82175 | $159.82 | $245.88 | $18.97 – $146.39 | 3 |
| Warde 3708165 mercury urine CPT 83825 | $146.19 | $224.91 | $16.26 – $125.48 | 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.