Supplies, drugs & other prices at Massena Hospital
Massena, NY · every code in this section with a posted price and a Medicare benchmark.
41 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,171.79 | $3,341.22 | 2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,662.25 | $2,557.31 | 3.8× |
| Admin hepatitis b vaccine (G0010) | $36.93 | $56.81 | 0.6× |
| Admin influenza virus vac (G0008) | $46.20 | $71.07 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $36.93 | $56.81 | 0.6× |
| Alcohol/subs interv 15-30mn (G0396) | $63.45 | $97.61 | 1.4× |
| Annual alcohol screen 15 min (G0442) | $110.16 | $169.48 | 2.4× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) | $81.57 | $125.49 | 1.8× |
| Brief alcohol misuse counsel (G0443) | $260.83 | $401.27 | 2.1× |
| Ca screen;pelvic/breast exam (G0101) | $62.54 | $96.22 | 0.5× |
| Direct refer hospital observ (G0379) | $193.54 | $297.76 | 0.3× |
| Drug test def 1-7 classes (G0480) | $239.05 | $367.77 | 2.1× |
| Drug test def 15-21 classes (G0482) | $512.42 | $788.34 | 2.6× |
| Drug test def 8-14 classes (G0481) | $332.65 | $511.77 | 2.1× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$49.52–$71.94 | $76.18–$110.67 | varies |
| Fecal blood scrn immunoassay (G0328) | $73.64 | $113.30 | 4.1× |
| Hbot, full body chamber, 30m (G0277) | $265.30 | $408.15 | 1.5× |
| Home sleep test/type 3 porta (G0399) | $464.35 | $714.38 | 1.7× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $96.87 | $149.03 | 2.2× |
| Initial preventive exam (G0402) | $284.78 | $438.12 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,895.48 | $2,916.13 | 2.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $258.98 | $398.43 | 2.1× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,028.25 | $1,581.93 | 2.0× |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$3,105.38–$3,121.77 | $4,777.51–$4,802.72 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,860.62 | $2,862.50 | 4.3× |
| Mri w/cont, breast, bi (C8906) | $627.49 | $965.37 | 1.4× |
| Mri w/cont, breast, uni (C8903) | $1,987.67 | $3,057.95 | 9.1× |
| Mri w/o fol w/cont, breast, (C8908) | $2,322 | $3,572.31 | 5.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,987.67 | $3,057.95 | 4.6× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $852.32 | $1,311.26 | 3.2× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $283.24 | $435.76 | 1.4× |
| Obtaining screen pap smear (Q0091) | $97.22 | $149.57 | 2.7× |
| Ppps, subseq visit (G0439) | $94.69 | $145.68 | 0.7× |
| Prostate biopsy, any mthd (G0416) | $576.14 | $886.37 | 1.3× |
| Psa screening (G0103) | $192.96 | $296.86 | 10.0× |
| Screen cerv/vag thin layer (G0123) | $81.01 | $124.63 | 4.0× |
| Tomosynthesis, mammo (G0279) | $53.98 | $83.04 | 4.3× |
| Tpmt and Nudt15 Genotype (0034U) | $1,039.82 | $1,599.72 | 2.2× |
| Tte w or w/o contr, cont ecg (C8930) | $2,324.25 | $3,575.77 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,770.16 | $2,723.32 | 1.8× |
| Visit to determ ldct elig (G0296) | $264.56 | $407.02 | 2.1× |
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.