Supplies, drugs & other prices at Nicholas H Noyes Memorial Hospital
Dansville, NY · every code in this section with a posted price and a Medicare benchmark.
33 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $68 | — | 1.2× |
| Admin influenza virus vac (G0008) | $68 | — | 1.2× |
| Admin pneumococcal vaccine (G0009) | $68 | — | 1.2× |
| Annual alcohol screen 15 min (G0442) | $26.83 | $45 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $94.22 | $158 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $45.32 | $76 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) | $463.33 | $777 | 0.4× |
| Colorectal scrn; hi risk ind (G0105) | $449.61 | $754 | 0.4× |
| Depression screen annual (G0444) | $29.82 | $50 | 0.6× |
| Diab manage trn per indiv (G0108) | $50 | — | 0.9× |
| Direct refer hospital observ (G0379) | $907 | — | 1.2× |
| Drug test def 1-7 classes (G0480) range across 29 matching MRF lines |
$84–$88 | — | varies |
| Drug test def 8-14 classes (G0481) | $213 | — | 1.4× |
| Eia hiv-1/hiv-2 screen (G0432) | $24 | — | 1.2× |
| Fecal blood scrn immunoassay (G0328) | $22 | — | 1.2× |
| Followup eval of foot pt lop (G0246) | $43.53 | $73 | 0.3× |
| Hopd mntl hlt, 15-29 min (C7900) | $40 | — | 0.9× |
| Hopd mntl hlt, 30-60 min (C7901) | $123 | — | 1.0× |
| Initial preventive exam (G0402) | $190 | — | 1.1× |
| Inj for sacroiliac jt anesth (G0260) | $283.24 | $475 | 0.3× |
| Neuro csf prion prtn qual (0035U) | $710 | — | 1.3× |
| Njx platelet plasma (0232T) | $465.11 | $780 | 0.8× |
| Obtaining screen pap smear (Q0091) | $36 | — | 1.0× |
| Pathogen test for platelets (P9100) | $88 | — | 1.2× |
| Ppps, initial visit (G0438) | $56 | — | 0.3× |
| Ppps, subseq visit (G0439) | $38 | — | 0.3× |
| Prostate biopsy, any mthd (G0416) range across 3 matching MRF lines |
$532–$794 | — | varies |
| Psa screening (G0103) | $50 | — | 2.6× |
| Revasc intravasc lithotripsy (C9764) | $16,775 | — | 1.2× |
| Routine footcare pt w lops (G0247) | $88.85 | $149 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $30 | — | 1.1× |
| Screen cerv/vag thin layer (G0123) | $22 | — | 1.1× |
| Unsched dialysis esrd pt hos (G0257) | $1,035 | — | 1.2× |
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.