Delaware Valley Hospital, Inc
Walton, NY · Critical Access Hospital
Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-02.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $2,779 | $2,779 | 21.3× |
| MRI brain without contrast (70551) | $3,913 | $3,913 | 13.1× |
| MRI brain with contrast (70552) | $5,009 | $5,009 | 11.5× |
| MRI brain without and with contrast (70553) | $5,917 | $5,917 | 13.6× |
| X-ray lower spine, 4+ views (72110) | $714 | $714 | 5.5× |
| MRI lumbar spine without contrast (72148) | $5,110 | $5,110 | 17.2× |
| CT pelvis with contrast (72193) | $4,105 | $4,105 | 18.7× |
| MRI lower-extremity joint without contrast (73721) | $2,104 | $2,104 | 7.1× |
| CT abdomen and pelvis with contrast (74177) | $5,446 | $5,446 | 12.5× |
| Ultrasound, abdomen complete (76700) | $1,500 | $1,500 | 11.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,095 | $1,095 | 8.4× |
| Ultrasound, transvaginal (76830) | $875 | $875 | 6.7× |
| Mammography, one breast (diagnostic) (77065) | $838 | $838 | 9.7× |
| Mammography, both breasts (diagnostic) (77066) | $775 | $775 | 7.0× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$671–$733 | $671–$733 | varies |
| Basic metabolic panel (80048) | $329 | $329 | 38.9× |
| Comprehensive metabolic panel (80053) | $543 | $543 | 51.4× |
| Lipid panel (80061) range across 3 matching MRF lines |
$91–$325 | $91–$325 | varies |
| Renal function panel (80069) | $237 | $237 | 27.3× |
| Hepatic function panel (80076) | $275 | $275 | 33.7× |
| PSA, total (84153) range across 5 matching MRF lines |
$99–$422 | $99–$422 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$296–$307 | $296–$307 | varies |
| CBC with automated differential (85025) | $189 | $189 | 24.3× |
| CBC, automated (85027) | $144 | $144 | 22.3× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$53–$94 | $53–$94 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$73–$137 | $73–$137 | varies |
| Psychotherapy, 30 minutes (90832) | $1,575 | $1,575 | 7.1× |
| Left heart catheterization (93452) | $8,042 | $8,042 | 2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $181 | $181 | 6.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 261 codes with posted prices and Medicare benchmarks
- Lab & pathology: 604 codes with posted prices and Medicare benchmarks
- Visits & medical services: 169 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 241 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 23 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 26.8 MB) ↓ — captured 2026-09-02
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.