Mount St. Mary's Hospital and Health Center
Lewiston, NY
Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-02.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $772.60 | $1,657 | 0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $772.60 | $1,657 | 0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$565.42–$1,686 | $1,686 | varies |
| CT head/brain without contrast (70450) | $72 | $553 | 0.6× |
| MRI brain without contrast (70551) | $300 | $1,313 | 1.0× |
| MRI brain with contrast (70552) | $300 | $1,573 | 0.7× |
| MRI brain without and with contrast (70553) | $300 | $2,916 | 0.7× |
| X-ray lower spine, 4+ views (72110) range across 4 matching MRF lines |
$18–$238 | $238 | varies |
| MRI lumbar spine without contrast (72148) | $300 | $1,457 | 1.0× |
| CT pelvis with contrast (72193) | $102 | $802 | 0.5× |
| MRI lower-extremity joint without contrast (73721) range across 4 matching MRF lines |
$300–$1,296 | $1,296 | varies |
| CT abdomen and pelvis with contrast (74177) | $64.76 | $885 | 0.1× |
| Ultrasound, abdomen complete (76700) | $36 | $286 | 0.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 4 matching MRF lines |
$33–$302 | $302 | varies |
| Ultrasound, transvaginal (76830) | $36 | $276 | 0.3× |
| Mammography, one breast (diagnostic) (77065) range across 12 matching MRF lines |
$58.20–$228 | $228 | varies |
| Mammography, both breasts (diagnostic) (77066) | $58.20 | $288 | 0.5× |
| Mammography, screening (bilateral) (77067) range across 9 matching MRF lines |
$58.20–$265 | $265 | varies |
| Basic metabolic panel (80048) | $7.25 | $19 | 0.9× |
| Comprehensive metabolic panel (80053) | $10 | $26 | 0.9× |
| Obstetric panel (80055) | $75 | $75 | 1.6× |
| Lipid panel (80061) | $6.04 | $54 | 0.5× |
| Renal function panel (80069) | $8.68 | $21 | 1.0× |
| Hepatic function panel (80076) | $7.25 | $19 | 0.9× |
| Urinalysis, non-automated, without microscopy (81002) range across 4 matching MRF lines |
$2–$6 | $6 | varies |
| PSA, total (84153) | $18.39 | $45 | 1.0× |
| Thyroid stimulating hormone (TSH) (84443) | $9 | $68 | 0.5× |
| CBC with automated differential (85025) | $3.17 | $22 | 0.4× |
| CBC, automated (85027) range across 4 matching MRF lines |
$3.17–$16 | $16 | varies |
| Prothrombin time (PT) (85610) | $3.91 | $10 | 0.9× |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$6.01–$15 | $15 | varies |
| Psychotherapy, 30 minutes (90832) range across 3 matching MRF lines |
$122.54–$274 | $274 | varies |
| Psychotherapy, 45 minutes (90834) | $274 | $274 | 1.2× |
| Psychotherapy, 60 minutes (90837) | $274 | $274 | 1.2× |
| Family psychotherapy, without patient (50 min) (90846) | $274 | $274 | 1.2× |
| Family psychotherapy, with patient (50 min) (90847) | $274 | $274 | 1.2× |
| Sleep study (attended polysomnography) (95810) | $2,144 | $2,144 | 2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $97 | $97 | 3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 4 matching MRF lines |
$82.70–$223 | $223–$235 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$128.45–$331 | $235–$331 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$173.74–$416 | $235–$416 | 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.
More prices at this hospital
- Imaging: 326 codes with posted prices and Medicare benchmarks
- Lab & pathology: 867 codes with posted prices and Medicare benchmarks
- Visits & medical services: 260 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 636 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 52 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 2.5 GB) ↓ — 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.