Supplies, drugs & other prices at Montefiore New Rochelle Hospital

New Rochelle, NY · every code in this section with a posted price and a Medicare benchmark.

39 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) — $1,144 —
Behavior counsel obesity 15m (G0447) $156 $240 1.2×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) — $746 —
Covid-19 lab test non-cdc (U0002) $116.35 $179 2.3×
Diab manage trn per indiv (G0108) $150.15 $231 2.7×
Diab manage trn ind/group (G0109) $101.40 $156 6.3×
ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) — $367 —
Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) — $682 —
Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) — $517 —
Electrophysiologic eval ccm-d leads at 1st impl (0930T) — $5,646 —
Electrophysiologic eval ccm-d leads separate (0931T) — $5,646 —
Group mnt 2 or more 30 mins (G0271) $14.95 $23 0.9×
Hbot, full body chamber, 30m (G0277) $810.55 $1,247 4.7×
Initial preventive exam (G0402) $267.80 $412 1.6×
Insertion perm ccm-d system pulse generator only (0916T) — $104,388 —
Insj perm ccm-d sys 1 transvns lead only (0917T) — $38,488 —
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) — $38,488 —
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) — $149,106 —
Interrog dev eval impl ccm-d system in person (0927T) — $173 —
Mnt subs tx for change dx (G0270) $27.30 $42 0.9×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) — $1,396 —
Obtaining screen pap smear (Q0091) $63.05 $97 1.7×
Ortho impl mvmt alys pair CT (0946T) — $1,560 —
Pathogen test for platelets (P9100) $113.75 $175 1.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) — $26,516 —
Ppps, subseq visit (G0439) $107.25 $165 0.8×
Programming device eval impl ccm-d sys in person (0926T) — $173 —
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) — $796 —
Relocation skin pocket implanted ccm-d pg (0925T) — $8,507 —
Remote interrog dev eval ccm-d sys <90d tech (0929T) — $69 —
Removal perm ccm-d system pulse generator only (0919T) — $16,925 —
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) — $2,875 —
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) — $16,925 —
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) — $16,925 —
Rmvl perm ccm-d sys dual transvns leads only (0922T) — $16,925 —
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) — $104,388 —
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) — $14,958 —
Trauma respons w/hosp criti (G0390) $2,441.40 $3,756 1.5×
Trim nail(s) (G0127) $156 $240 2.1×