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 |
|---|---|---|---|---|
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $433.89 | $667.52 | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $433.89 | $667.52 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $2,177.90 | $3,350.61 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $179.43 | $276.04 | not published | 0 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $1,093.55 | $1,682.38 | not published | 0 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $857.10 | $1,318.61 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $231.74 | 2 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $42.28 – $337.01 | 3 |
| Developmental screen/score/document 96110 CPT 96110 | $143.13 | $220.20 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $1,773.21 | $2,728.02 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.06 | $0.10 | not published | 0 |
| Dexamethasone panel CPT 80420 | not published | not published | $98.18 – $1,249.24 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $5.19 | $7.99 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $247.84 | $381.29 | $22.23 – $171.55 | 3 |
| Diabetes (HbA1c) Test CPT 83036 | $109.76 | $168.86 | $9.71 – $74.93 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $348.09 | $535.52 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $74.50 | $114.62 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $79.23 | $121.89 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $244.43 | $376.05 | $185.69 – $185.69 | 1 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $566.53 | $871.59 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $413.20 | $635.69 | not published | 0 |
| Diffusing capacity CPT 94729 | $223.02 | $343.11 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $95.38 | $146.74 | $13.28 – $102.48 | 3 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,105.00 | $1,700.00 | not published | 0 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.05 | $0.08 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $0.96 | $1.47 | not published | 0 |
| Disability dlco CPT 94727 | $240.16 | $369.48 | not published | 0 |
| Disaccharidases CPT 82657 | $325.87 | $501.34 | $22.17 – $171.09 | 2 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $216.27 | $332.72 | $97.53 – $97.53 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $253.00 – $2,153.07 | 3 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $249.82 – $2,120.89 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $125.74 – $1,057.24 | 3 |
| Dna antibody native/double stranded CPT 86225 | $111.60 | $171.69 | $7.88 – $106.03 | 3 |
| Dna gardnerella CPT 87510 | $42.59 | $65.53 | $20.05 – $154.73 | 3 |
| Dna probe chlamydia CPT 87490 | $55.23 | $84.97 | $12.16 – $175.56 | 3 |
| Dna probe gc CPT 87590 | $55.23 | $84.97 | $12.16 – $207.44 | 3 |
| Dna trichomonas CPT 87660 | $42.59 | $65.53 | $20.05 – $154.73 | 3 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $10.08 | $15.50 | not published | 0 |
| Doppler echo complete CPT 93320 | $327.57 | $503.95 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $358.74 | $551.91 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $286.42 | $440.64 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $429.25 | $660.39 | $174.81 – $1,349.03 | 2 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $518.48 | $797.66 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $1,738.83 | $2,675.13 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $549.65 | $845.61 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $4,292.42 | $6,603.72 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $5,385.73 | $8,285.74 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $294.02 | $452.34 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $445.44 | $685.30 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $7,435.50 | $11,439.23 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $445.44 | $685.30 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $445.44 | $685.30 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $920.28 | $1,415.81 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $726.00 | $1,116.92 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,967.69 | $4,565.67 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $28.17 | $43.34 | not published | 0 |
| Drug assay caffeine CPT 80155 | $94.86 | $145.94 | $38.57 – $297.65 | 2 |
| Drug assay posaconazole CPT 80187 | $66.58 | $102.43 | $15.92 – $209.21 | 3 |
| Drug assay rufinamide CPT 80210 | $59.82 | $92.03 | $24.64 – $209.21 | 3 |
| Drug assay vedolizumab CPT 80280 | $96.06 | $147.79 | $15.92 – $297.65 | 3 |
| Drug assay voriconazole CPT 80285 | $63.50 | $97.69 | $15.92 – $209.21 | 3 |
| Drug asy hydroxychloroquine CPT 80220 | $38.62 | $59.42 | $15.92 – $143.85 | 3 |
| Drug of abuse screen urine CPT 80305 | $53.04 | $81.60 | $7.58 – $97.24 | 3 |
| Drug screening tapentadol CPT 80372 | $92.85 | $142.84 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $15.92 – $209.21 | 3 |
| Drug/substance nos 4-6 CPT 80376 | $605.44 | $931.44 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | $512.42 | $788.34 | $198.74 – $1,533.70 | 2 |
| Drug test def 1-7 classes HCPCS G0480 | $239.05 | $367.77 | $22.72 – $883.07 | 3 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $1,905.51 | 2 |
| Drug test def 8-14 classes HCPCS G0481 | $332.65 | $511.77 | $156.59 – $1,208.42 | 2 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $479.54 | 2 |
| Drug test prsmv instrmnt CPT 80306 | $44.16 | $67.94 | $7.58 – $132.27 | 3 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $128.30 | $197.39 | $11.37 – $479.54 | 3 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.98 – $138.75 | 2 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $1,293.53 | $1,990.04 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $908.46 | $1,397.63 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $130.88 | $201.36 | not published | 0 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $335.65 | $516.38 | not published | 0 |
| Dx aly aud oi snd prcsr each CPT 92623 | $167.82 | $258.19 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $141.78 | $218.13 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $267.62 | $411.72 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $251.95 | $387.61 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $543.80 | $836.62 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $80.29 | $123.52 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $136.53 | $210.05 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $208.53 | $320.82 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,149.28 | $1,768.12 | not published | 0 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $608.90 | $936.77 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $327.57 | $503.95 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,770.16 | $2,723.32 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,662.25 | $2,557.31 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $516.42 | $794.50 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,988.12 | $3,058.65 | not published | 0 |
| Echo transesophageal CPT 93315 | $1,988.12 | $3,058.65 | not published | 0 |
| Echo transthoracic CPT 93304 | $1,242.62 | $1,911.72 | not published | 0 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $97.70 | 3 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $372.98 | $573.81 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $52.70 | $81.08 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $747.20 | $1,149.54 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $655.99 | $1,009.22 | 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.