Visits & medical services prices at Nicholas H Noyes Memorial Hospital
Dansville, NY · every code in this section with a posted price and a Medicare benchmark.
113 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $137 | — | 1.1× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$173–$301 | — | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $38 | — | 2.6× |
| Application Modality 1/> Areas Infrared (97026) | $18 | — | 2.7× |
| Behavral qualit analys voice (92524) | $81 | — | 0.7× |
| Brief Emotional/Behav Assmt (96127) | $48 | — | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$460–$481 | — | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $460 | — | 1.7× |
| Cardiopulmonary resuscitation (92950) | $460 | — | 1.7× |
| Cardioversion (92960) | $968 | — | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $106 | — | 1.2× |
| Chemo IV infusion addl hr (96415) | $106 | — | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $106 | — | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $490 | — | 1.2× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$172–$173 | — | varies |
| Color/duplex Doppler, complete (93975) | $386 | — | 1.3× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$258–$272 | — | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $236.13 | $396 | 1.4× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$232–$266 | — | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $301 | — | 1.1× |
| Cpt initial (94667) range across 2 matching MRF lines |
$172–$173 | — | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$399–$1,246 | — | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $294 | — | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $358 | — | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $178 | — | 1.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $245 | — | 1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $358 | — | 1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $236 | — | 1.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $358 | — | 1.2× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$158–$218 | — | varies |
| Duplex Scan Hemodialysis Access (93990) | $158 | — | 1.2× |
| Duplex up extrem art bilat (93930) | $358 | — | 1.2× |
| Duplex up extrem art unilat/ltd (93931) | $174 | — | 1.3× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$180–$370 | — | varies |
| Echo transesophageal (93312) | $811 | — | 1.2× |
| EEG awake and asleep (95819) | $460 | — | 1.7× |
| EEG extended monitoring 61-119 minutes (95813) | $460 | — | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) | $51 | — | 3.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$88–$115 | — | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$78–$234 | — | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$132–$410 | — | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$226–$630 | — | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$47–$130 | — | varies |
| Er level v (99285) range across 2 matching MRF lines |
$328–$907 | — | varies |
| Esophageal Capsule Endoscopy (91111) | $1,366.72 | $2,292 | 1.2× |
| Evaluate pt use of inhaler (94664) | $173 | — | 0.6× |
| Evaluate Swallowing Function (92610) | $202 | — | 2.4× |
| Extracranial Bilat Study (93880) | $358 | — | 1.2× |
| Gi tract capsule endoscopy (91110) | $1,152.65 | $1,933 | 1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $14.97 | $25.10 | 0.2× |
| Immunization administration (90471) range across 3 matching MRF lines |
$13–$106 | — | varies |
| Ingestion challenge test initial 120 minutes (95076) | $212.88 | $357 | 0.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $324.98 | $545 | 0.7× |
| Iontophoresis 15 min (97033) | $66 | — | 3.5× |
| Irrig Drug Delivery Device (96523) | $88 | — | 1.2× |
| IV infusion hydration each additional hour (96361) | $91 | — | 1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $312 | — | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $106 | — | 1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $68 | — | 1.2× |
| IV push initial (96374) | $312 | — | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $20 | — | 0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $29 | — | 0.8× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$506–$545 | — | varies |
| Motion Fluoroscopy/Swallow (92611) | $302 | — | 3.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$785–$870 | — | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $294 | — | 1.2× |
| Neuromuscular Reeducation (97112) | $54 | — | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $38 | — | 0.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $20 | — | 1.4× |
| Ot eval high complexity (97167) | $98 | — | 1.0× |
| Ot Eval Low Complex (97165) | $98 | — | 1.0× |
| Ot Eval Moderate Complexity (97166) | $98 | — | 1.0× |
| Ot manual therapy 15 min (97140) | $44 | — | 1.6× |
| Ot paraffin bath (97018) | $38 | — | 6.3× |
| Ot Re-Eval Est Plan Care (97168) | $74 | — | 1.1× |
| Phlebotomy therapeutic (99195) | $190 | — | 1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$271–$1,776 | — | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $20.27 | $34 | 0.3× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$110–$233 | — | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$110–$234 | — | varies |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$115–$272 | — | varies |
| Pt Eval High Complex (97163) | $98 | — | 1.0× |
| Pt eval low complex 20 min (97161) | $98 | — | 1.0× |
| Pt Eval Mod Complex (97162) | $98 | — | 1.0× |
| Pt gait training 15 min (97116) | $37 | — | 1.3× |
| Pt mechanical traction (97012) | $41 | — | 2.9× |
| Pt Re-Eval Est Plan Care (97164) | $74 | — | 1.1× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$231–$248 | — | varies |
| Pulmonary service/procedure (94799) | $173 | — | 1.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $10.73 | $18 | 0.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $294 | — | 1.2× |
| Self Care Mngment Training (97535) | $37 | — | 1.1× |
| Speech sound lang comprehen (92523) | $162 | — | 0.7× |
| Spin/Brain Pump Refil & Main (95991) | $436 | — | 1.1× |
| Spirometry (94010) range across 4 matching MRF lines |
$232–$270 | — | varies |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$811–$883 | — | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $64 | — | 1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $41 | — | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$86–$106 | — | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $312 | — | 1.2× |
| Therapeutic Activities (97530) | $27 | — | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 4 matching MRF lines |
$36–$62 | — | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $233.75 | $392 | 1.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $317.83 | $533 | 1.9× |
| Tte w/doppler, complete (93306) | $811 | — | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $50 | — | 0.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $68 | — | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $216 | — | 1.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $296 | — | 1.1× |
| Vent Mgmt Inpat Init Day (94002) | $978 | — | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $978 | — | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $52 | — | 1.7× |
| Whirlpool Therapy (97022) | $44 | — | 2.8× |
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.