Lewis County General Hospital

Lowville, NY · Critical Access Hospital

Posts prices for 53 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-02.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $3,345.63 $4,069 0.7×
Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines
$384.80–$1,256.36 $468–$1,528 varies
Knee arthroscopy with meniscectomy (29881)
range across 2 matching MRF lines
$690.67–$2,274.27 $840–$2,766 varies
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure
$1,072.18 $1,304 0.1×
Upper GI endoscopy (EGD), diagnostic (43235) $1,000.65 $1,217 0.9×
Upper GI endoscopy (EGD) with biopsy (43239) $1,092.74 $1,329 1.0×
Diagnostic colonoscopy (45378) $1,412.58 $1,718 1.2×
Colonoscopy with biopsy (45380) $1,556.47 $1,893 1.0×
Colonoscopy with lesion removal (45385) $1,768.61 $2,151 1.2×
Laparoscopic gallbladder removal (47562)
range across 2 matching MRF lines
$795.91–$2,639.34 $968–$3,210 varies
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines
$551.71–$2,136.14 $671–$2,598 varies
Obstetric care, vaginal delivery (global) (59400) $6,412.53 $7,799 —
Obstetric care, cesarean delivery (global) (59510) $7,229 $8,792 —
Obstetric care, VBAC delivery (global) (59610)
range across 2 matching MRF lines
$1,790.81–$5,962.78 $2,178–$7,252 varies
CT head/brain without contrast (70450)
range across 3 matching MRF lines
$1,987.32–$2,192.05 $2,417–$2,666 varies
MRI brain without contrast (70551) $3,902.28 $4,746 13.1×
MRI brain with contrast (70552) $3,949.97 $4,804 9.1×
MRI brain without and with contrast (70553) $5,187.42 $6,309 11.9×
X-ray lower spine, 4+ views (72110) $591.18 $719 4.5×
MRI lumbar spine without contrast (72148) $3,888.30 $4,729 13.1×
CT pelvis with contrast (72193) $2,975.63 $3,619 13.6×
MRI lower-extremity joint without contrast (73721) $3,712.35 $4,515 12.5×
CT abdomen and pelvis with contrast (74177) $2,474.90 $3,010 5.7×
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$863.34–$864.16 $1,050–$1,051 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805) $836.20 $1,017 6.4×
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$651.20–$777 $792–$945 varies
Mammography, one breast (diagnostic) (77065)
range across 5 matching MRF lines
$430.85–$541.02 $524–$658 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$591.18–$603.51 $719–$734 varies
Mammography, screening (bilateral) (77067) $614.20 $747 6.7×
Basic metabolic panel (80048) $120.87 $147 14.3×
Comprehensive metabolic panel (80053) $190.76 $232 18.1×
Obstetric panel (80055) $259.82 $316 5.4×
Lipid panel (80061)
range across 7 matching MRF lines
$32.07–$287.78 $39–$350 varies
Renal function panel (80069) $135.67 $165 15.6×
Hepatic function panel (80076) $118.40 $144 14.5×
Urinalysis, non-automated, with microscopy (81000) $48.51 $59 12.1×
Urinalysis, non-automated, without microscopy (81002)
range across 3 matching MRF lines
$35.36–$48.51 $43–$59 varies
PSA, total (84153)
range across 3 matching MRF lines
$35.36–$238.45 $43–$290 varies
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines
$216.25–$299.29 $263–$364 varies
CBC with automated differential (85025)
range across 3 matching MRF lines
$83.04–$96.20 $101–$117 varies
CBC, automated (85027)
range across 3 matching MRF lines
$10.69–$75.64 $13–$92 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$25.49–$60.02 $31–$73 varies
Partial thromboplastin time (PTT) (85730)
range across 5 matching MRF lines
$12.33–$67.42 $15–$82 varies
Electrocardiogram (ECG), complete (93000) $234.33 $285 3.2×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$392.20–$3,518.30 $477–$4,279 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 4 matching MRF lines
$64.13–$145.53 $78–$177 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$92.09–$231.87 $112–$282 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$134.02–$328.07 $163–$399 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$162.80–$406.18 $198–$494 varies
Office consultation (low complexity, ~30 min) (99243)
range across 3 matching MRF lines
$124.16–$328.07 $151–$399 varies
Office consultation (moderate complexity, ~40 min) (99244)
range across 2 matching MRF lines
$328.89–$464.56 $400–$565 varies
Preventive visit, new patient (age 18–39) (99385)
range across 5 matching MRF lines
$339.58–$513.89 $413–$625 varies
Preventive visit, new patient (age 40–64) (99386)
range across 5 matching MRF lines
$212.13–$365.89 $258–$445 varies

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.

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Download the machine-readable file (CSV, 27.3 MB) ↓ — captured 2026-09-02

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