Supplies, drugs & other prices at Nathan Littauer Hospital
Gloversville, NY · every code in this section with a posted price and a Medicare benchmark.
45 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) range across 2 matching MRF lines |
$16–$48 | $20–$60 | varies |
| Admin hepatitis b vaccine (G0010) | $42.40 | $53 | 0.7× |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$36.94–$73.84 | $46.18–$92.30 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$36.94–$68 | $46.18–$85 | varies |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
$44.80–$148 | $56–$185 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 4 matching MRF lines |
$47.20–$148 | $59–$185 | varies |
| Depression screen annual (G0444) range across 3 matching MRF lines |
$21.60–$48 | $27–$60 | varies |
| Diab manage trn per indiv (G0108) | $138.46 | $173.08 | 2.5× |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$24–$125.90 | $30–$157.38 | varies |
| Direct refer hospital observ (G0379) | $505.57 | $631.96 | 0.7× |
| Drug test def 1-7 classes (G0480) range across 43 matching MRF lines |
$27.36–$305.72 | $34.20–$382.15 | varies |
| Drug test def 22+ classes (G0483) range across 96 matching MRF lines |
$4.58–$5.38 | $5.73–$6.73 | varies |
| Elec stim other than wound (G0283) | $287.07 | $358.84 | 22.6× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$81.09–$240.93 | $101.36–$301.16 | varies |
| Followup eval of foot pt lop (G0246) range across 2 matching MRF lines |
$47.20–$206.40 | $59–$258 | varies |
| Hospital outpt clinic visit (G0463) range across 19 matching MRF lines |
$120–$510.89 | $150–$638.61 | varies |
| Initial foot exam pt lops (G0245) range across 2 matching MRF lines |
$48–$206.40 | $60–$258 | varies |
| Initial preventive exam (G0402) | $160 | $200 | 1.0× |
| Mra w/cont, abd (C8900) | $3,760.69 | $4,700.86 | 8.6× |
| Mra w/cont, chest (C8909) | $3,329.14 | $4,161.42 | 7.6× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$3,329.14–$3,760.69 | $4,161.42–$4,700.86 | varies |
| Mra w/cont, pelvis (C8918) | $3,329.14 | $4,161.42 | 7.6× |
| Mra w/o cont, abd (C8901) | $3,200.10 | $4,000.13 | 10.7× |
| Mra w/o cont, chest (C8910) | $3,329.14 | $4,161.42 | 11.2× |
| Mra w/o cont, lwr ext (C8913) | $3,329.14 | $4,161.42 | 11.2× |
| Mra w/o cont, pelvis (C8919) | $3,329.14 | $4,161.42 | 11.2× |
| Mra w/o fol w/cont, abd (C8902) | $4,089.16 | $5,111.45 | 9.4× |
| Mra w/o fol w/cont, chest (C8911) | $3,998.10 | $4,997.62 | 9.2× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$3,329.14–$4,397.75 | $4,161.42–$5,497.19 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $3,760.69 | $4,700.86 | 8.6× |
| Mra, w/o dye, upper extr (C8935) | $3,534.66 | $4,418.32 | 11.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,534.66 | $4,418.32 | 8.1× |
| Mri w/cont, breast, uni (C8903) | $3,329.14 | $4,161.42 | 15.2× |
| Mri w/o fol w/cont, breast, (C8908) | $3,383.22 | $4,229.02 | 7.8× |
| Obtaining screen pap smear (Q0091) | $54.40 | $68 | 1.5× |
| Oral hiv-1/hiv-2 screen (G0435) | $125.98 | $157.47 | 10.5× |
| Oth resp proc, group (G0239) | $138.52 | $173.15 | 3.0× |
| Oth resp proc, indiv (G0238) | $174.61 | $218.26 | 4.8× |
| Psa screening (G0103) range across 2 matching MRF lines |
$154.17–$187.58 | $192.71–$234.47 | varies |
| Screen cerv/vag thin layer (G0123) | $180.73 | $225.91 | 8.9× |
| Therapeutic procd strg endur (G0237) | $138.52 | $173.15 | 3.8× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$195.30–$255.82 | $244.13–$319.78 | varies |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$25.60–$95.20 | $32–$119 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $1,854.49 | $2,318.11 | 1.9× |
| Unsched dialysis esrd pt hos (G0257) | $1,388.78 | $1,735.97 | 1.6× |
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.