Supplies, drugs & other prices at Roswell Park Comprehensive Cancer Center
Buffalo, NY · every code in this section with a posted price and a Medicare benchmark.
127 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $98 | $98 | 2.7× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $13,883.62 | $13,883.62 | 6.7× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $5,756.55 | $5,756.55 | 1.2× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $15,401.75 | $15,401.75 | 1.4× |
| Adm tocilizu covid-19 1st (M0249) | $595.35 | $595.35 | 1.1× |
| Adm tocilizu covid-19 2nd (M0250) | $595.35 | $595.35 | 1.1× |
| Alveoloplasty w/extract 1-3 (D7311) | $279.77 | $279.77 | 0.1× |
| Alveoplasty w/ extraction (D7310) | $178.69 | $178.69 | 0.1× |
| Alveoplasty w/o extraction (D7320) | $617.30 | $617.30 | 0.3× |
| Amalgam 4 or > surfaces perm (D2161) | $416.67 | $416.67 | 0.5× |
| Amalgam one surface permanen (D2140) | $200.61 | $200.61 | 0.2× |
| Amalgam three surfaces perma (D2160) | $402.77 | $402.77 | 0.5× |
| Amalgam two surfaces permane (D2150) | $268.54 | $268.54 | 0.3× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) | $105 | $105 | 0.6× |
| Apicoectomy - anterior (D3410) | $798.72 | $798.72 | 1.0× |
| Bio mtrls to aid soft/os reg (D4265) | $720.47 | $720.47 | 0.9× |
| Bitewings - three images (D0273) | $110.86 | $110.86 | 0.4× |
| Bitewings four images (D0274) | $123.46 | $123.46 | 0.4× |
| Complete occlusal adjustment (D9952) | $1,521.41 | $1,521.41 | 1.9× |
| Comprehensve oral evaluation (D0150) | $97.03 | $97.03 | 0.6× |
| Cone beam ct interp both jaw (D0367) | $422.53 | $422.53 | 3.2× |
| Core build-up incl any pins (D2950) | $416.67 | $416.67 | 0.5× |
| Covid-19 lab test non-cdc (U0002) | $98 | $98 | 1.9× |
| Crown full cast base metal (D2791) | $1,901.81 | $1,901.81 | 2.4× |
| Crown full cast high noble m (D2790) | $2,548.37 | $2,548.37 | 3.2× |
| Crown full cast noble metal (D2792) | $2,472.30 | $2,472.30 | 3.1× |
| Crown lengthen hard tissue (D4249) | $855.82 | $855.82 | 1.1× |
| Crown porcelain fused base m (D2751) | $2,053.92 | $2,053.92 | 2.5× |
| Crown porcelain w/ h noble m (D2750) | $2,244.11 | $2,244.11 | 2.8× |
| Crown porcelain w/ noble met (D2752) | $2,284.22 | $2,284.22 | 2.8× |
| Crown porcelain/ceramic (D2740) | $289.41 | $289.41 | 0.4× |
| Crown repair (D2980) | $418.40 | $418.40 | 0.5× |
| Crown resin-based indirect (D2710) | $950.89 | $950.89 | 1.2× |
| Dental bitewing single image (D0270) | $57.11 | $57.11 | 0.5× |
| Dental bitewings two images (D0272) | $146.44 | $146.44 | 1.3× |
| Dental prophylaxis adult (D1110) | $175.71 | $175.71 | 1.1× |
| Drug test def 1-7 classes (G0480) range across 20 matching MRF lines |
$37.51–$175.38 | $37.51–$175.38 | varies |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$250–$381.40 | $250–$381.40 | varies |
| End thxpy, anterior tooth (D3310) | $1,391.32 | $1,391.32 | 1.7× |
| End thxpy, molar tooth (D3330) | $1,989.03 | $1,989.03 | 2.5× |
| End thxpy, premolar tooth (D3320) | $1,466.10 | $1,466.10 | 1.8× |
| Endodontic endosseous implan (D3460) | $3,765.48 | $3,765.48 | 4.7× |
| Extensv oral eval prob focus (D0160) | $274.62 | $274.62 | 1.7× |
| Extraction erupted tooth/exr (D7140) | $292.91 | $292.91 | 0.4× |
| Facial moulage complete (D5912) | $1,616.52 | $1,616.52 | 2.0× |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $2,275 | $2,275 | 5.6× |
| Full mouth debridement (D4355) | $400.62 | $400.62 | 0.5× |
| Gingival flap proc w/ planin (D4240) | $1,198.10 | $1,198.10 | 0.3× |
| Gingivectomy/plasty 1 to 3 (D4211) | $475.47 | $475.47 | 0.1× |
| Gingivectomy/plasty 4 or mor (D4210) | $418.40 | $418.40 | 0.1× |
| Gngvl flap w rootplan 1-3 th (D4241) | $669.48 | $669.48 | 0.3× |
| I&d absc intraoral soft tiss (D7510) | $152.15 | $152.15 | 0.2× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $201.83 | $201.83 | 4.6× |
| Impact tooth remov comp bony (D7240) | $950.89 | $950.89 | 1.2× |
| Impact tooth remov part bony (D7230) | $760.74 | $760.74 | 0.9× |
| Impact tooth remov soft tiss (D7220) | $451.20 | $451.20 | 0.6× |
| Intraor comprehensive series (D0210) | $292.92 | $292.92 | 1.0× |
| Intraoral occlusal film (D0240) | $110.93 | $110.93 | 1.0× |
| Intraoral periapical first (D0220) | $54.95 | $54.95 | 0.5× |
| Isolation- tooth w rubb dam (D3910) | $361.35 | $361.35 | 0.4× |
| Limit oral eval problm focus (D0140) | $169.44 | $169.44 | 1.0× |
| Limited occlusal adjustment (D9951) | $380.45 | $380.45 | 0.5× |
| Localized delivery antimicro (D4381) | $959.92 | $959.92 | 1.2× |
| Mra w/cont, abd (C8900) | $1,840.48 | $1,840.48 | 4.2× |
| Mra w/cont, chest (C8909) | $2,073.54 | $2,073.54 | 4.8× |
| Mra w/cont, lwr ext (C8912) | $2,158.63 | $2,158.63 | 5.0× |
| Mra w/o cont, chest (C8910) | $2,073.54 | $2,073.54 | 7.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,934.85 | $1,934.85 | 4.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,774.24 | $1,774.24 | 4.1× |
| Mri w/o fol w/cont, breast, (C8908) | $4,803.35 | $4,803.35 | 11.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $4,690.76 | $4,690.76 | 10.8× |
| Neuro csf prion prtn qual (0035U) | $231.53 | $231.53 | 0.4× |
| Occ guard, hard, full arch (D9944) | $774.47 | $774.47 | 1.0× |
| Occ guard, soft, full arch (D9945) | $941.37 | $941.37 | 1.2× |
| Occlusion analysis (D9950) | $380.34 | $380.34 | 0.5× |
| Osseous surg 1 to 3 teeth (D4261) | $950.89 | $950.89 | 0.2× |
| Osseous surgery 4 or more (D4260) likely a partial charge, not the full procedure |
$1,616.52 | $1,616.52 | 0.2× |
| Panoramic image (D0330) | $200.61 | $200.61 | 0.7× |
| Periodic oral evaluation (D0120) | $111.97 | $111.97 | 0.7× |
| Periodontal maint procedures (D4910) | $209.20 | $209.20 | 0.3× |
| Periodontal scaling & root (D4341) | $439.35 | $439.35 | 0.5× |
| Periodontal scaling 1-3teeth (D4342) | $56.37 | $56.37 | 0.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $5,756.55 | $5,756.55 | 0.6× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$3,872.15 | $3,872.15 | 0.4× |
| Place direct restoration (D2940) | $150.65 | $150.65 | 0.2× |
| Post 1 srfc resinbased cmpst (D2391) | $289.11 | $289.11 | 0.4× |
| Post 2 srfc resinbased cmpst (D2392) | $357.55 | $357.55 | 0.4× |
| Post 3 srfc resinbased cmpst (D2393) | $422.15 | $422.15 | 0.5× |
| Post >=4srfc resinbase cmpst (D2394) | $593.15 | $593.15 | 0.7× |
| Post and core cast + crown (D2952) | $654.69 | $654.69 | 0.8× |
| Prefab post/core + crown (D2954) range across 2 matching MRF lines |
$607.57–$706.59 | $607.57–$706.59 | varies |
| Prefab stnlss steel crown pe (D2931) | $722.67 | $722.67 | 0.9× |
| Prefab stnlss steel crwn pri (D2930) | $532.53 | $532.53 | 0.7× |
| Prostate biopsy, any mthd (G0416) | $639.90 | $639.90 | 1.4× |
| Psa screening (G0103) | $133.94 | $133.94 | 6.9× |
| Pulp cap direct (D3110) | $133.14 | $133.14 | 0.2× |
| Pulp cap indirect (D3120) | $95.10 | $95.10 | 0.1× |
| Pulp vitality test (D0460) | $76.03 | $76.03 | 0.1× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) | $441.93 | $441.93 | 0.4× |
| Rad exc lesion up to 1.25 cm (D7410) | $1,141.10 | $1,141.10 | 0.6× |
| Re-cement or re-bond crown (D2920) | $277.40 | $277.40 | 0.3× |
| Re-eval,est pt,problem focus (D0170) | $169.44 | $169.44 | 1.0× |
| Rem imp tooth w mucoper flp (D7210) | $669.26 | $669.26 | 0.3× |
| Removal of sloughed off bone (D7550) | $913.49 | $913.49 | 1.1× |
| Remove torus mandibularis (D7473) | $6,402.96 | $6,402.96 | 7.9× |
| Resin 4/> surf or w incis an (D2335) | $420.93 | $420.93 | 0.5× |
| Resin one surface-anterior (D2330) | $274.62 | $274.62 | 0.3× |
| Resin three surfaces-anterio (D2332) | $415.91 | $415.91 | 0.5× |
| Resin two surfaces-anterior (D2331) | $407.58 | $407.58 | 0.5× |
| Retreat root canal anterior (D3346) | $912.92 | $912.92 | 1.1× |
| Retrograde filling (D3430) | $285.27 | $285.27 | 0.4× |
| Root amputation (D3450) | $475.47 | $475.47 | 0.6× |
| Scaling gingiv inflammation (D4346) | $231.95 | $231.95 | 0.3× |
| Splint extra-coronal (D4323) | $304.30 | $304.30 | 0.4× |
| Splint intra-coronal (D4322) | $760.74 | $760.74 | 0.9× |
| Surgical splint (D5988) | $2,575.02 | $2,575.02 | 3.2× |
| Therapeutic pulpotomy (D3220) | $418.40 | $418.40 | 0.5× |
| Tomosynthesis, mammo (G0279) | $108.02 | $108.02 | 8.5× |
| Tooth pin retention (D2951) range across 2 matching MRF lines |
$69.97–$77.13 | $69.97–$77.13 | varies |
| Tooth reimplantation (D7270) | $570.52 | $570.52 | 0.7× |
| Tooth root removal (D7250) | $358.53 | $358.53 | 0.4× |
| Tooth splitting (D3920) | $418.40 | $418.40 | 0.5× |
| Tpmt and Nudt15 Genotype (0034U) | $773.63 | $773.63 | 1.7× |
| Treatment of complications (D9930) | $760.74 | $760.74 | 0.9× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $7,540 | $7,540 | 2.2× |
| Unscheduled dressing change (D4920) | $57.11 | $57.11 | 0.1× |
| Visit to determ ldct elig (G0296) | $106.16 | $106.16 | 0.8× |
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.