Visits & medical services prices at Nathan Littauer Hospital
Gloversville, NY · every code in this section with a posted price and a Medicare benchmark.
195 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $40 | $50 | 0.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$35.52–$36.94 | $44.40–$46.18 | varies |
| Advncd Care Plan 30 Min (99497) | $106.40 | $133 | 0.8× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$33.60–$307.90 | $42–$384.87 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$72–$147.20 | $90–$184 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$113.06–$123.16 | $141.33–$153.95 | varies |
| Audiometry Air & Bone (92553) | $42.40 | $53 | 0.3× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$36–$250.40 | $45–$313 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $144.40 | $180.50 | 1.8× |
| Bfb training ea addl 15 min (90913) | $144.38 | $180.48 | 4.4× |
| Biofeedback training any modality (90901) | $136.66 | $170.83 | 3.3× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$153.09–$326.14 | $191.36–$407.68 | varies |
| Brief Emotional/Behav Assmt (96127) | $25.60 | $32 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$21.60–$1,424.63 | $27–$1,780.79 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $250.40 | $313 | 0.9× |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$12–$250.40 | $15–$313 | varies |
| Canalith repositioning proc (95992) | $55.20 | $69 | 1.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,335.75 | $1,669.69 | 5.0× |
| Cardiopulmonary resuscitation (92950) | $660.14 | $825.17 | 2.4× |
| Cardioversion (92960) range across 2 matching MRF lines |
$196–$2,809.02 | $245–$3,511.27 | varies |
| Cardioversion elective internal (92961) | $288 | $360 | 0.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $335.29 | $419.11 | 3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$36.94–$335.29 | $46.18–$419.11 | varies |
| Chemo IV infusion addl hr (96415) | $488.87 | $611.09 | 5.4× |
| Chemo IV push addl drug (96411) | $335.29 | $419.11 | 3.7× |
| Chemother Prolong Infuse W/Pump (96416) | $355.81 | $444.76 | 0.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $924.76 | $1,155.95 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $335.29 | $419.11 | 0.8× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $252.56 | $315.70 | 0.6× |
| Chest Wall Manipulation (94668) | $69.85 | $87.31 | 0.4× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$60–$148 | $75–$185 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $2,582.15 | $3,227.69 | 5.5× |
| Color/duplex Doppler, complete (93975) | $1,242.97 | $1,553.71 | 4.2× |
| Color/duplex Doppler, limited (93976) | $779.15 | $973.94 | 6.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$108–$256.80 | $135–$321 | varies |
| Comprehensive Hearing Test (92557) | $48 | $60 | 0.3× |
| Conditioning Play Audiometry (92582) | $132 | $165 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $208 | $260 | 1.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $96.80 | $121 | 1.3× |
| Continuous Pulse Ox (94762) | $683.27 | $854.09 | 4.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $485.45 | $606.81 | 1.8× |
| Cpt initial (94667) | $174.61 | $218.26 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$316.80–$1,566.30 | $396–$1,957.88 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$430.01–$465.10 | $537.51–$581.37 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,365.57 | $1,706.96 | 4.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $694.80 | $868.50 | 5.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,635.53 | $2,044.41 | 5.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,068.62 | $1,335.77 | 8.2× |
| Duplex Scan Hemodialysis Access (93990) | $1,126.25 | $1,407.81 | 8.6× |
| Duplex up extrem art bilat (93930) | $1,421.82 | $1,777.27 | 4.8× |
| Duplex up extrem art unilat/ltd (93931) | $1,365.57 | $1,706.96 | 10.5× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$88–$1,009.96 | $110–$1,262.45 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $240 | $300 | 0.4× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$168–$2,810.95 | $210–$3,513.69 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$148–$2,048.13 | $185–$2,560.16 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $218.40 | $273 | 0.3× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$76–$1,276.71 | $95–$1,595.89 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$488.80–$802.99 | $611–$1,003.74 | varies |
| EEG cerebral death evaluation (95824) | $899.88 | $1,124.85 | 1.9× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$104–$1,604.04 | $130–$2,005.05 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$232.84–$256.46 | $291.05–$320.58 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$12–$442.07 | $15–$552.59 | varies |
| Emergency Dept Visit Level 2 (99282) | $626.94 | $783.67 | 3.3× |
| Emergency Dept Visit Level 3 (99283) | $760.90 | $951.12 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $894.86 | $1,118.58 | 1.7× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$128–$250.40 | $160–$313 | varies |
| Emg 4 Extremities (95864) | $148 | $185 | 0.9× |
| Er level 1 (99281) | $399.32 | $499.15 | 3.8× |
| Er level v (99285) | $1,028.81 | $1,286.01 | 1.4× |
| Esophageal Capsule Endoscopy (91111) | $932.80 | $1,166 | 0.8× |
| Evaluate pt use of inhaler (94664) | $138.52 | $173.15 | 0.5× |
| Evaluate Speech Production (92522) | $366.17 | $457.71 | 3.3× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$206.98–$380.25 | $258.72–$475.31 | varies |
| Evaluation of speech fluency (92521) | $366.17 | $457.71 | 2.7× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$16–$159.61 | $20–$199.51 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$16–$159.61 | $20–$199.51 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$48–$1,106.42 | $60–$1,383.03 | varies |
| Extracranial Bilat Study (93880) | $1,580.43 | $1,975.54 | 5.3× |
| Gi tract capsule endoscopy (91110) | $1,124 | $1,405 | 1.0× |
| Health Behavior Assessment/Re-Assessment (96156) range across 4 matching MRF lines |
$165.04–$194.46 | $206.30–$243.08 | varies |
| Holter monitor recording (93225) | $140.16 | $175.20 | 0.8× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$44–$88 | $55–$110 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$52–$116 | $65–$145 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$56–$128 | $70–$160 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$44–$72 | $55–$90 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$40–$60 | $50–$75 | varies |
| Immunization administration (90471) range across 4 matching MRF lines |
$36.94–$107.95 | $46.18–$134.94 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$113.06–$123.16 | $141.33–$153.95 | varies |
| Irrig Drug Delivery Device (96523) | $575.93 | $719.91 | 7.8× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$21.60–$181.30 | $27–$226.63 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$68–$470.26 | $85–$587.83 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $191.89 | $239.86 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $278.90 | $348.62 | 4.8× |
| IV push initial (96374) | $237.48 | $296.85 | 0.9× |
| Lung Function Test (Mbc/Mvv) (94200) | $176.81 | $221.01 | 2.4× |
| Mechanical chest wall oscillation per session (94669) | $119.10 | $148.88 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $63.42 | $79.27 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $55.38 | $69.22 | 1.5× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$38.40–$669.44 | $48–$836.80 | varies |
| Motion Fluoroscopy/Swallow (92611) | $493.37 | $616.71 | 5.4× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$76–$3,400.98 | $95–$4,251.23 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$92–$206.40 | $115–$258 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$72–$206.40 | $90–$258 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$140–$310.40 | $175–$388 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$32–$639.20 | $40–$799 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$44–$250.40 | $55–$313 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$108–$848.80 | $135–$1,061 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$120–$848.80 | $150–$1,061 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$56–$498.40 | $70–$623 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$120–$498.40 | $150–$623 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$156–$498.40 | $195–$623 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$96–$848.80 | $120–$1,061 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $124 | $155 | 0.8× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$152.99–$281.21 | $191.24–$351.51 | varies |
| Nitric oxide expired gas determination (95012) | $179.60 | $224.50 | 3.9× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $251.82 | $314.77 | 10.1× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $251.82 | $314.77 | 7.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $251.82 | $314.77 | 18.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$178.86–$179.39 | $223.57–$224.24 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$141.45–$147.10 | $176.81–$183.88 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $42.40 | $53 | 1.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $59.20 | $74 | 2.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $68 | $85 | 2.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $93.60 | $117 | 3.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $110.40 | $138 | 4.1× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$124–$128.78 | $155–$160.98 | varies |
| Ot eval high complexity (97167) | $152.99 | $191.24 | 1.5× |
| Ot Eval Low Complex (97165) | $152.99 | $191.24 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $152.99 | $191.24 | 1.5× |
| Ot manual therapy 15 min (97140) | $178.86 | $223.57 | 6.5× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$58.48–$64.10 | $73.10–$80.13 | varies |
| Ot Re-Eval Est Plan Care (97168) | $152.99 | $191.24 | 2.2× |
| Ot rom hand (95852) | $152.99 | $191.24 | 7.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $462.87 | $578.59 | 2.9× |
| Phlebotomy therapeutic (99195) | $306.30 | $382.87 | 1.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $218.22 | $272.78 | 3.0× |
| Plethysmography (94726) range across 4 matching MRF lines |
$297.64–$406.11 | $21–$507.64 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$44–$68 | $55–$85 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$52–$92 | $65–$115 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$56–$100 | $70–$125 | varies |
| Pm/Icd Remote Tech Serv (93296) | $29.60 | $37 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$178.40–$4,947.11 | $223–$6,183.89 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $110.40 | $138 | 0.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$48–$96 | $60–$120 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 2 matching MRF lines |
$60–$148 | $75–$185 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $16.80 | $21 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $25.60 | $32 | 0.4× |
| Pt Eval High Complex (97163) | $256.46 | $320.58 | 2.6× |
| Pt eval low complex 20 min (97161) | $256.46 | $320.58 | 2.6× |
| Pt Eval Mod Complex (97162) | $256.46 | $320.58 | 2.6× |
| Pt gait training 15 min (97116) | $182.78 | $228.48 | 6.3× |
| Pt mechanical traction (97012) | $84.94 | $106.17 | 5.9× |
| Pt Re-Eval Est Plan Care (97164) | $253.10 | $316.37 | 3.8× |
| Pulm function test by gas (94727) | $322.12 | $402.65 | 1.2× |
| Pulmonary Stress Testing (94618) | $216.03 | $270.04 | 1.3× |
| Pure Tone Audiometry Air (92552) | $59.20 | $74 | 0.4× |
| Rem interrog icpms <30 d phys/qhp (93297) | $72 | $90 | 1.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $112 | $140 | 2.4× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$12–$207.77 | $15–$259.71 | varies |
| Respiratory flow volume loop (94375) | $507.31 | $634.14 | 1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$173.33–$259.58 | $216.66–$324.48 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$42.40–$317.60 | $53–$397 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $254.22 | $317.78 | 9.8× |
| Self Care Mngment Training (97535) | $152.99 | $191.24 | 4.7× |
| Sensory Integration Ea 15 Min (97533) | $152.99 | $191.24 | 2.5× |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 2 matching MRF lines |
$132–$250.40 | $165–$313 | varies |
| Sleep study attended (95807) | $72 | $90 | 0.2× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$104–$677.72 | $130–$847.15 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $64 | $80 | 0.2× |
| Speech Audiometry Complete (92556) | $68 | $85 | 0.9× |
| Speech audiometry threshold (92555) | $28 | $35 | 0.4× |
| Speech sound lang comprehen (92523) | $380.82 | $476.02 | 1.7× |
| Spirometry (94010) | $507.79 | $634.74 | 1.9× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$169.60–$1,650.14 | $212–$2,062.67 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$160.29–$174.93 | $200.36–$218.66 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$111.76–$120.88 | $139.70–$151.10 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $522.51 | $653.14 | 2.0× |
| Therapeutic Activities (97530) | $142.30 | $177.88 | 4.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $64 | $80 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$40.10–$165.60 | $50.12–$207 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $253.60 | $317 | 1.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $343.20 | $429 | 2.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$128–$2,440.27 | $160–$3,050.34 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$56–$1,141.97 | $70–$1,427.46 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $201.21 | $251.51 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $203.72 | $254.65 | 3.5× |
| Tympanometry (92567) | $20 | $25 | 0.4× |
| Unlisted cardiovascular service/procedure (93799) | $120.36 | $150.45 | 0.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $686.16 | $857.70 | 4.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $713.77 | $892.21 | 2.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,115.14 | $1,393.93 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,062.06 | $1,327.57 | 1.4× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$71.77–$413.92 | $89.71–$517.40 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $214.30 | $267.88 | 6.9× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$128.78–$139.49 | $160.98–$174.36 | 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.