Does Adirondack Medical Center - Saranac Lake have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Adirondack Medical Center - Saranac Lake. In a medical emergency, call 911.

Where is Adirondack Medical Center - Saranac Lake?

2233 State Route 86, PO Box 471, Saranac Lake, NY 12983, in Franklin County, New York.

What is the phone number of Adirondack Medical Center - Saranac Lake?

(518) 891-4141, as listed by Medicare (CMS).

What is the Medicare star rating of Adirondack Medical Center - Saranac Lake?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Adirondack Medical Center - Saranac Lake

Quick answers

Does Adirondack Medical Center - Saranac Lake have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Adirondack Medical Center - Saranac Lake. In a medical emergency, call 911.
Where is Adirondack Medical Center - Saranac Lake?: 2233 State Route 86, PO Box 471, Saranac Lake, NY 12983, in Franklin County, New York.
What is the phone number of Adirondack Medical Center - Saranac Lake?: (518) 891-4141, as listed by Medicare (CMS).
What is the Medicare star rating of Adirondack Medical Center - Saranac Lake?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[5][10][11][12][13][15]}

Conditions treated^[12][13][15]

Chest pain
Arterial disease
Valve disease
Heart rhythm disorders
Heart failure
Atrial fibrillation
Atrial flutter
Cancer
Morbid obesity

Treatments^{[11][12][13][15]}

Chemotherapy
Outpatient blood transfusions
Outpatient IV therapy
Cardioversion
Medication for heart rhythm disorders
Epidural labor pain relief
Spinal anesthesia
Roux-en-Y gastric bypass
Duodenal switch
Sleeve gastrectomy

Procedures^[13][14][15]

Electrocardiogram (ECG or EKG)
Holter monitoring
Echocardiography
Nuclear stress testing
Laparoscopic surgery
Port placement
Lesion removal
Skin graft
Breast biopsy
Mastectomy
Lumpectomy
Axillary node dissection
Arthroscopy
Thoracic surgery
Orthopedic surgery
Bariatric surgery
Colorectal surgery
Urologic surgery
Vascular surgery
Gynecological surgery
Trauma surgery
Angiography

Programs and centers^{[9][11][12][13][15]}

Stafford New Life Center (birthing center)
Merrill Center for Oncology
Hospitalist program
Phase II Cardiac Rehab
Bariatric surgery program

Emergency care (hospital website)^[5][7]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours 8 a.m. to 9 p.m. every day^[6]
Interpreters and languages	Language assistance available in many languages^[4]

Recognition^[15]

MBSAQIP Accredited - Comprehensive Center (bariatric program)

Doctors and clinicians (254)

254 doctors and other clinicians list Adirondack Medical Center - Saranac Lake as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (254)

Abigail A. SmithNurse Practitioner
Adam J. Abodeely, MDColorectal Surgery (Proctology)
Alexander Garger, MDDiagnostic Radiology
Alexander Plochocki, MDUrology
Allaire J. Keyser, NPNurse Practitioner
Alveena Altaf, MDEndocrinology
Alyssa L. Wilson, NPNurse Practitioner
Amanda Zadroga, CNACertified Registered Nurse Anesthetist (CRNA)
Amine Nasri, MDCardiovascular Disease (Cardiology)
Amr Essa, MDCardiovascular Disease (Cardiology)
Amy B. Corliss, MDHospitalist
Amy S. GarrisonNurse Practitioner
Andrew M. Friebel, PAPhysician Assistant
Anel Alexis, MDEmergency Medicine
Angad Gill, MDEndocrinology
Angela M. Powell, MDOtolaryngology
Anita M. Bodrogi, MDOsteopathic Manipulative Medicine
Ankit Gor, MDDermatology
Anna R. CoffinPhysician Assistant
Anthony F. Tramontano, MDCardiovascular Disease (Cardiology)
Anthony Vaccaro, MDRadiation Oncology
Arianne J. Wilson, MDFamily Practice
Armin Afsar Keshmiri, MDOrthopedic Surgery
Ashley N. Williams, PAPhysician Assistant

And 230 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Elizabethtown Community Hospital29 mi · Elizabethtown, NY · Critical Access Hospital
The University of Vermont Health Network-Alice Hy36 mi · Malone, NY · Critical Access Hospital
The University of Vermont Health Network - Champl…41 mi · Plattsburgh, NY · Acute Care Hospital
Clifton-Fine Hospital47 mi · Star Lake, NY · Rural Emergency Hospital
Canton-Potsdam Hospital47 mi · Potsdam, NY · Acute Care Hospital

Other hospitals nearby

Univ. of Vermont - Fletcher Allen Health Care48 mi · Burlington, VT · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Elderwood of Uihlein at Lake Placid9.9 mi · Lake Placid, NY · 2 of 5 stars
Tupper Lake Center for Nursing and Rehabilitation18 mi · Tupper Lake, NY · 4 of 5 stars

All nursing homes in the state →

Dialysis facilities

Adirondack Medical Center Esrd0.3 mi · Saranac Lake, NY · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Saranac Lake Family Health0.0 mi · Saranac Lake, NY · Community health center
Hudson Headwaters Family Health at Lake Placid9.6 mi · Lake Placid, NY · Community health center
Tupper Lake Family Health18 mi · Tupper Lake, NY · Community health center

Clinics and urgent care

Alice Hyde Medical Center24 mi · Saint Regis Falls, NY · Rural health clinic

Pharmacies

KPH Healthcare Services, Inc.0.3 mi · Saranac Lake, NY · Community/retail pharmacy
Walgreen Co0.3 mi · Saranac Lake, NY · Pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Adirondack Medical Center - Saranac Lake reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	5 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	83%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	89%National average: 80%
Staff “always” explained medicines before giving them	70%National average: 62%
Were given information about recovery at home	92%National average: 86%
Room and bathroom “always” clean	82%National average: 74%
Area around the room “always” quiet at night	60%National average: 60%
Completed surveys	518Response rate: 36%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.844No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	13.4%
Deaths within 30 days: pneumonia patients	14.5%
Deaths within 30 days: COPD patients	8.4%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.28No different from the national rate
Complications after hip or knee replacement	2.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	19.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	4.4%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	136 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	69%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in New York Best hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Adirondack Medical Center - Saranac Lake lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: NEW PATIENT OFFICE VISIT III	$474	$293.88	$110.78 – $402.90
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Blue Cross Blue Shield of NY Empire — Default: $263 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $118.69 Blue Cross Blue Shield of NY Western NorthEastern — Default: $402.90 Cigna — Default: $379.20 Medicare B NY Upstate JK — Default: $110.78 MVP Healthplan of NY — Default: $379.20
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: NEW PATIENT VISIT III	$474	$293.88	$110.78 – $402.90
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $118.69 Blue Cross Blue Shield of NY Western NorthEastern — Default: $402.90 Cigna — Default: $379.20 Medicare B NY Upstate JK — Default: $110.78 MVP Healthplan of NY — Default: $379.20
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: NEW PATIENT VISIT 3	$474	$293.88	$110.78 – $402.90
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $118.69 Blue Cross Blue Shield of NY Western NorthEastern — Default: $402.90 Cigna — Default: $379.20 Medicare B NY Upstate JK — Default: $110.78 MVP Healthplan of NY — Default: $379.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW PATIENT OFFICE VISIT IV	$595	$368.90	$167.43 – $505.75
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Blue Cross Blue Shield of NY Empire — Default: $263 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $179.39 Blue Cross Blue Shield of NY Western NorthEastern — Default: $505.75 Cigna — Default: $476 Medicare B NY Upstate JK — Default: $167.43 MVP Healthplan of NY — Default: $476
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW PATIENT VISIT IV	$595	$368.90	$167.43 – $505.75
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $179.39 Blue Cross Blue Shield of NY Western NorthEastern — Default: $505.75 Cigna — Default: $476 Medicare B NY Upstate JK — Default: $167.43 MVP Healthplan of NY — Default: $476
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW PATIENT VISIT 4	$595	$368.90	$167.43 – $505.75
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $179.39 Blue Cross Blue Shield of NY Western NorthEastern — Default: $505.75 Cigna — Default: $476 Medicare B NY Upstate JK — Default: $167.43 MVP Healthplan of NY — Default: $476
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW PATIENT OFFICE VISIT V	$707	$438.34	$223.29 – $600.95
New patient office visit (about 60–74 minutes): rates for 6 insurance plans Blue Cross Blue Shield of NY Empire — Default: $263 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $239.24 Blue Cross Blue Shield of NY Western NorthEastern — Default: $600.95 Cigna — Default: $565.60 Medicare B NY Upstate JK — Default: $223.29 MVP Healthplan of NY — Default: $565.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW PATIENT VISIT V	$707	$438.34	$223.29 – $600.95
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $239.24 Blue Cross Blue Shield of NY Western NorthEastern — Default: $600.95 Cigna — Default: $565.60 Medicare B NY Upstate JK — Default: $223.29 MVP Healthplan of NY — Default: $565.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW PATIENT VISIT 5	$707	$438.34	$223.29 – $600.95
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $239.24 Blue Cross Blue Shield of NY Western NorthEastern — Default: $600.95 Cigna — Default: $565.60 Medicare B NY Upstate JK — Default: $223.29 MVP Healthplan of NY — Default: $565.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: EST PATIENT OFFICE VISIT III	$437	$270.94	$90.02 – $371.45
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans Blue Cross Blue Shield of NY Empire — Default: $263 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $96.45 Blue Cross Blue Shield of NY Western NorthEastern — Default: $371.45 Cigna — Default: $349.60 Medicare B NY Upstate JK — Default: $90.02 MVP Healthplan of NY — Default: $349.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: EST PT OFFICE VISIT 3 PROFEE	$158	$97.96	$90.02 – $263
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans Blue Cross Blue Shield of NY Empire — Default: $263 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $96.45 Blue Cross Blue Shield of NY Western NorthEastern — Default: $134.30 Cigna — Default: $126.40 Medicare B NY Upstate JK — Default: $90.02 MVP Healthplan of NY — Default: $126.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: EST PATIENT VISIT III	$437	$270.94	$90.02 – $371.45
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $96.45 Blue Cross Blue Shield of NY Western NorthEastern — Default: $371.45 Cigna — Default: $349.60 Medicare B NY Upstate JK — Default: $90.02 MVP Healthplan of NY — Default: $349.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: EST PATIENT OFFICE VISIT IV	$510	$316.20	$128.26 – $433.50
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Blue Cross Blue Shield of NY Empire — Default: $263 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $137.42 Blue Cross Blue Shield of NY Western NorthEastern — Default: $433.50 Cigna — Default: $408 Medicare B NY Upstate JK — Default: $128.26 MVP Healthplan of NY — Default: $408
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: EST PT OFFICE VISIT 4 PROFEE	$232	$143.84	$128.26 – $263
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Blue Cross Blue Shield of NY Empire — Default: $263 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $137.42 Blue Cross Blue Shield of NY Western NorthEastern — Default: $197.20 Cigna — Default: $185.60 Medicare B NY Upstate JK — Default: $128.26 MVP Healthplan of NY — Default: $185.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: EST PATIENT VISIT IV	$510	$316.20	$128.26 – $433.50
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $137.42 Blue Cross Blue Shield of NY Western NorthEastern — Default: $433.50 Cigna — Default: $408 Medicare B NY Upstate JK — Default: $128.26 MVP Healthplan of NY — Default: $408
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: O/P CONSULT (LEVEL 3)	$399	$247.38	$319.20 – $339.15
Office consultation with a specialist (moderate): rates for 3 insurance plans Blue Cross Blue Shield of NY Western NorthEastern — Default: $339.15 Cigna — Default: $319.20 MVP Healthplan of NY — Default: $319.20
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$399	$247.38	$319.20 – $339.15
Office consultation with a specialist (moderate): rates for 3 insurance plans Blue Cross Blue Shield of NY Western NorthEastern — Default: $339.15 Cigna — Default: $319.20 MVP Healthplan of NY — Default: $319.20
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$519	$321.78	$415.20 – $441.15
Office consultation with a specialist (moderate to high): rates for 3 insurance plans Blue Cross Blue Shield of NY Western NorthEastern — Default: $441.15 Cigna — Default: $415.20 MVP Healthplan of NY — Default: $415.20
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: O/P CONSULT (LEVEL 4)	$519	$321.78	$415.20 – $441.15
Office consultation with a specialist (moderate to high): rates for 3 insurance plans Blue Cross Blue Shield of NY Western NorthEastern — Default: $441.15 Cigna — Default: $415.20 MVP Healthplan of NY — Default: $415.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREVENTIVE MED INITIAL 18-39 Y	$303	$187.86	$242.40 – $257.55
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans Blue Cross Blue Shield of NY Western NorthEastern — Default: $257.55 Cigna — Default: $242.40 MVP Healthplan of NY — Default: $242.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREVENTIVE MED INITIAL 40-64 Y	$346	$214.52	$276.80 – $294.10
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans Blue Cross Blue Shield of NY Western NorthEastern — Default: $294.10 Cigna — Default: $276.80 MVP Healthplan of NY — Default: $276.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL III - ER EVALUATION	$787	$487.94	$65.68 – $1,739
Emergency room visit (moderate): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $357.64 Blue Cross Blue Shield of NY Empire — Default: $1,739 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $70.37 Blue Cross Blue Shield of NY Utica Watertown — Default: $930.42 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $357.64 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $357.64 Blue Cross Blue Shield of NY Western NorthEastern — Default: $962 Capital District Physicians Health Plan CDPHP — Default: $357.64 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $357.64 Cigna — Default: $629.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL III - PRO FEE	$538	$333.56	$65.68 – $930.42
Emergency room visit (moderate): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $357.64 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $70.37 Blue Cross Blue Shield of NY Utica Watertown — Default: $930.42 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $357.64 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $357.64 Blue Cross Blue Shield of NY Western NorthEastern — Default: $457.30 Capital District Physicians Health Plan CDPHP — Default: $357.64 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $357.64 Cigna — Default: $430.40 Fidelis Medicare Advantage MCR Adv — Default: $321.88
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL III - MD	$538	$333.56	$65.68 – $930.42
Emergency room visit (moderate): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $357.64 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $70.37 Blue Cross Blue Shield of NY Utica Watertown — Default: $930.42 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $357.64 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $357.64 Blue Cross Blue Shield of NY Western NorthEastern — Default: $457.30 Capital District Physicians Health Plan CDPHP — Default: $357.64 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $357.64 Cigna — Default: $430.40 Fidelis Medicare Advantage MCR Adv — Default: $321.88
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LEVEL IV - ER EVALUATION	$1,322	$819.64	$111.74 – $1,739
Emergency room visit (moderately high): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $546.68 Blue Cross Blue Shield of NY Empire — Default: $1,739 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $119.72 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,422.21 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $546.68 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $546.68 Blue Cross Blue Shield of NY Western NorthEastern — Default: $962 Capital District Physicians Health Plan CDPHP — Default: $546.68 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $546.68 Cigna — Default: $1,057.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LEVEL IV - PRO FEE	$630	$390.60	$111.74 – $1,422.21
Emergency room visit (moderately high): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $546.68 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $119.72 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,422.21 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $546.68 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $546.68 Blue Cross Blue Shield of NY Western NorthEastern — Default: $535.50 Capital District Physicians Health Plan CDPHP — Default: $546.68 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $546.68 Cigna — Default: $504 Fidelis Medicare Advantage MCR Adv — Default: $492.02
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LEVEL IV - MD	$630	$390.60	$111.74 – $1,422.21
Emergency room visit (moderately high): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $546.68 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $119.72 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,422.21 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $546.68 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $546.68 Blue Cross Blue Shield of NY Western NorthEastern — Default: $535.50 Capital District Physicians Health Plan CDPHP — Default: $546.68 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $546.68 Cigna — Default: $504 Fidelis Medicare Advantage MCR Adv — Default: $492.02
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LEVEL V - ER EVALUATION	$1,529	$947.98	$162.19 – $2,029.83
Emergency room visit (high): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $780.25 Blue Cross Blue Shield of NY Empire — Default: $1,739 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $173.78 Blue Cross Blue Shield of NY Utica Watertown — Default: $2,029.83 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $780.25 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $780.25 Blue Cross Blue Shield of NY Western NorthEastern — Default: $962 Capital District Physicians Health Plan CDPHP — Default: $780.25 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $780.25 Cigna — Default: $1,223.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LEVEL V - PRO FEE	$768	$476.16	$162.19 – $2,029.83
Emergency room visit (high): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $780.25 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $173.78 Blue Cross Blue Shield of NY Utica Watertown — Default: $2,029.83 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $780.25 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $780.25 Blue Cross Blue Shield of NY Western NorthEastern — Default: $652.80 Capital District Physicians Health Plan CDPHP — Default: $780.25 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $780.25 Cigna — Default: $614.40 Fidelis Medicare Advantage MCR Adv — Default: $702.22
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LEVEL V - MD	$768	$476.16	$162.19 – $2,029.83
Emergency room visit (high): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $780.25 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $173.78 Blue Cross Blue Shield of NY Utica Watertown — Default: $2,029.83 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $780.25 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $780.25 Blue Cross Blue Shield of NY Western NorthEastern — Default: $652.80 Capital District Physicians Health Plan CDPHP — Default: $780.25 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $780.25 Cigna — Default: $614.40 Fidelis Medicare Advantage MCR Adv — Default: $702.22

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL	$345	$213.90	$7.46 – $293.25
Basic metabolic panel (blood test): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $8.29 Blue Cross Blue Shield of NY Empire — Default: $258.75 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $8.88 Blue Cross Blue Shield of NY Utica Watertown — Default: $8.46 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $8.29 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $8.29 Blue Cross Blue Shield of NY Western NorthEastern — Default: $293.25 Capital District Physicians Health Plan CDPHP — Default: $8.29 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $8.29 Cigna — Default: $248.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL	$410	$254.20	$9.31 – $348.50
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $10.35 Blue Cross Blue Shield of NY Empire — Default: $307.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $11.09 Blue Cross Blue Shield of NY Utica Watertown — Default: $10.56 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $10.35 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $10.35 Blue Cross Blue Shield of NY Western NorthEastern — Default: $348.50 Capital District Physicians Health Plan CDPHP — Default: $10.35 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $10.35 Cigna — Default: $295.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$47	$29.14	$11.81 – $39.95
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $13.12 Blue Cross Blue Shield of NY Empire — Default: $35.25 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $14.06 Blue Cross Blue Shield of NY Utica Watertown — Default: $13.39 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $13.12 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $13.12 Blue Cross Blue Shield of NY Western NorthEastern — Default: $39.95 Capital District Physicians Health Plan CDPHP — Default: $13.12 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $13.12 Cigna — Default: $33.84
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$175	$108.50	$7.65 – $148.75
Kidney function panel: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $8.51 Blue Cross Blue Shield of NY Empire — Default: $131.25 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $9.11 Blue Cross Blue Shield of NY Utica Watertown — Default: $8.68 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $8.51 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $8.51 Blue Cross Blue Shield of NY Western NorthEastern — Default: $148.75 Capital District Physicians Health Plan CDPHP — Default: $8.51 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $8.51 Cigna — Default: $126
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	$175	$108.50	$7.20 – $148.75
Liver function panel: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $8.01 Blue Cross Blue Shield of NY Empire — Default: $131.25 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $8.58 Blue Cross Blue Shield of NY Utica Watertown — Default: $8.17 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $8.01 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $8.01 Blue Cross Blue Shield of NY Western NorthEastern — Default: $148.75 Capital District Physicians Health Plan CDPHP — Default: $8.01 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $8.01 Cigna — Default: $126
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS, MANUAL, WITH MICRO	$74	$45.88	$2.79 – $62.90
Urine test (automated, with microscope): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $3.11 Blue Cross Blue Shield of NY Empire — Default: $55.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $3.33 Blue Cross Blue Shield of NY Utica Watertown — Default: $3.17 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $3.11 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $3.11 Blue Cross Blue Shield of NY Western NorthEastern — Default: $62.90 Capital District Physicians Health Plan CDPHP — Default: $3.11 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $3.11 Cigna — Default: $53.28
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier QW In the file: URINALYSIS BY DIPSTICK,CLIA-waived reporting phys has CLIA Cert	$93	$57.66	$3.07 – $79.05
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $3.41 Blue Cross Blue Shield of NY Empire — Default: $69.75 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $3.65 Blue Cross Blue Shield of NY Utica Watertown — Default: $3.48 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $3.41 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $3.41 Blue Cross Blue Shield of NY Western NorthEastern — Default: $79.05 Capital District Physicians Health Plan CDPHP — Default: $3.41 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $3.41 Cigna — Default: $66.96
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS, MANUAL W/O MICRO	$40	$24.80	$1.98 – $34
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $2.20 Blue Cross Blue Shield of NY Empire — Default: $30 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $2.36 Blue Cross Blue Shield of NY Utica Watertown — Default: $2.25 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $2.20 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $2.20 Blue Cross Blue Shield of NY Western NorthEastern — Default: $34 Capital District Physicians Health Plan CDPHP — Default: $2.20 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $2.20 Cigna — Default: $28.80
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	$40	$24.80	$1.98 – $34
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $2.20 Blue Cross Blue Shield of NY Empire — Default: $30 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $2.36 Blue Cross Blue Shield of NY Utica Watertown — Default: $2.25 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $2.20 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $2.20 Blue Cross Blue Shield of NY Western NorthEastern — Default: $34 Capital District Physicians Health Plan CDPHP — Default: $2.20 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $2.20 Cigna — Default: $28.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL	$68	$42.16	$16.22 – $57.80
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $18.02 Blue Cross Blue Shield of NY Empire — Default: $51 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $19.31 Blue Cross Blue Shield of NY Utica Watertown — Default: $18.39 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $18.02 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $18.02 Blue Cross Blue Shield of NY Western NorthEastern — Default: $57.80 Capital District Physicians Health Plan CDPHP — Default: $18.02 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $18.02 Cigna — Default: $48.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: T.S.H.	$58	$35.96	$14.82 – $49.30
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16.46 Blue Cross Blue Shield of NY Empire — Default: $43.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $17.64 Blue Cross Blue Shield of NY Utica Watertown — Default: $16.80 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16.46 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16.46 Blue Cross Blue Shield of NY Western NorthEastern — Default: $49.30 Capital District Physicians Health Plan CDPHP — Default: $16.46 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16.46 Cigna — Default: $41.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH, REF	$118	$73.16	$14.82 – $100.30
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16.46 Blue Cross Blue Shield of NY Empire — Default: $88.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $17.64 Blue Cross Blue Shield of NY Utica Watertown — Default: $16.80 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16.46 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16.46 Blue Cross Blue Shield of NY Western NorthEastern — Default: $100.30 Capital District Physicians Health Plan CDPHP — Default: $16.46 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16.46 Cigna — Default: $84.96
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC-COMPLETE DIFF	$133	$82.46	$6.85 – $113.05
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $7.61 Blue Cross Blue Shield of NY Empire — Default: $99.75 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $8.16 Blue Cross Blue Shield of NY Utica Watertown — Default: $7.77 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $7.61 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $7.61 Blue Cross Blue Shield of NY Western NorthEastern — Default: $113.05 Capital District Physicians Health Plan CDPHP — Default: $7.61 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $7.61 Cigna — Default: $95.76
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC/PLT, AUTOMATED, W/O DIFF	$102	$63.24	$5.70 – $86.70
Complete blood count (CBC), automated: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $6.34 Blue Cross Blue Shield of NY Empire — Default: $76.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $6.79 Blue Cross Blue Shield of NY Utica Watertown — Default: $6.47 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $6.34 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $6.34 Blue Cross Blue Shield of NY Western NorthEastern — Default: $86.70 Capital District Physicians Health Plan CDPHP — Default: $6.34 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $6.34 Cigna — Default: $73.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME, DILUTION STY	$16	$9.92	$3.78 – $13.60
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4.20 Blue Cross Blue Shield of NY Empire — Default: $12 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $4.50 Blue Cross Blue Shield of NY Utica Watertown — Default: $4.29 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4.20 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4.20 Blue Cross Blue Shield of NY Western NorthEastern — Default: $13.60 Capital District Physicians Health Plan CDPHP — Default: $4.20 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4.20 Cigna — Default: $11.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	$85	$52.70	$3.78 – $72.25
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4.20 Blue Cross Blue Shield of NY Empire — Default: $63.75 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $4.50 Blue Cross Blue Shield of NY Utica Watertown — Default: $4.29 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4.20 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4.20 Blue Cross Blue Shield of NY Western NorthEastern — Default: $72.25 Capital District Physicians Health Plan CDPHP — Default: $4.20 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4.20 Cigna — Default: $61.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$22	$13.64	$5.30 – $18.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $5.89 Blue Cross Blue Shield of NY Empire — Default: $16.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $6.31 Blue Cross Blue Shield of NY Utica Watertown — Default: $6.01 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $5.89 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $5.89 Blue Cross Blue Shield of NY Western NorthEastern — Default: $18.70 Capital District Physicians Health Plan CDPHP — Default: $5.89 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $5.89 Cigna — Default: $15.84

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT BRAIN W/O CONTRAST	$1,818	$1,127.16	$100.07 – $1,545.30
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Empire — Default: $1,363.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $107.22 Blue Cross Blue Shield of NY Utica Watertown — Default: $356.33 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $136.97 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,545.30 Capital District Physicians Health Plan CDPHP — Default: $136.97 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $136.97 Cigna — Default: $1,454.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W & WO CONTRAST	$4,648	$2,881.76	$297.46 – $3,950.80
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Empire — Default: $3,486 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $318.71 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,189.11 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $457.08 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,950.80 Capital District Physicians Health Plan CDPHP — Default: $457.08 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $457.08 Cigna — Default: $3,718.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC W & WO CONTRAST	$4,648	$2,881.76	$297.46 – $3,950.80
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Empire — Default: $3,486 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $318.71 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,189.11 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $457.08 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,950.80 Capital District Physicians Health Plan CDPHP — Default: $457.08 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $457.08 Cigna — Default: $3,718.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI SELLATURCICA W & WO CONTRA	$4,648	$2,881.76	$297.46 – $3,950.80
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Empire — Default: $3,486 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $318.71 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,189.11 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $457.08 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,950.80 Capital District Physicians Health Plan CDPHP — Default: $457.08 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $457.08 Cigna — Default: $3,718.40
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEWS	$593	$367.66	$30.97 – $504.05
Chest X-ray, 2 views: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $114.01 Blue Cross Blue Shield of NY Empire — Default: $415.10 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $33.18 Blue Cross Blue Shield of NY Utica Watertown — Default: $296.61 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $114.01 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $114.01 Blue Cross Blue Shield of NY Western NorthEastern — Default: $504.05 Capital District Physicians Health Plan CDPHP — Default: $114.01 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $114.01 Cigna — Default: $426.96
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L-SPINE 4 OR 5 VIEWS	$566	$350.92	$49.92 – $481.10
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Empire — Default: $424.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $53.49 Blue Cross Blue Shield of NY Utica Watertown — Default: $356.33 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $136.97 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Western NorthEastern — Default: $481.10 Capital District Physicians Health Plan CDPHP — Default: $136.97 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $136.97 Cigna — Default: $407.52
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L-SPINE W/O CONTRAST	$3,768	$2,336.16	$180.04 – $3,202.80
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Empire — Default: $2,826 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $192.90 Blue Cross Blue Shield of NY Utica Watertown — Default: $813.25 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $312.61 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,202.80 Capital District Physicians Health Plan CDPHP — Default: $312.61 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $312.61 Cigna — Default: $3,014.40
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/ CONTRAST	$2,318	$1,437.16	$178.02 – $1,970.30
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $229.81 Blue Cross Blue Shield of NY Empire — Default: $1,738.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $226.43 Blue Cross Blue Shield of NY Utica Watertown — Default: $597.84 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $229.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $229.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,970.30 Capital District Physicians Health Plan CDPHP — Default: $229.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $229.81 Cigna — Default: $1,854.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI HIP W/O CONTRAST (LT),Left side (used to identify procedures p	$3,578	$2,218.36	$191.74 – $3,041.30
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Empire — Default: $2,683.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $205.43 Blue Cross Blue Shield of NY Utica Watertown — Default: $813.25 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $312.61 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,041.30 Capital District Physicians Health Plan CDPHP — Default: $312.61 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $312.61 Cigna — Default: $2,862.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI HIP W/O CONTRAST (RT),Right side (used to identify procedures	$3,578	$2,218.36	$191.74 – $3,041.30
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Empire — Default: $2,683.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $205.43 Blue Cross Blue Shield of NY Utica Watertown — Default: $813.25 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $312.61 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,041.30 Capital District Physicians Health Plan CDPHP — Default: $312.61 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $312.61 Cigna — Default: $2,862.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI KNEE W/O CONTRAST (LT),Left side (used to identify procedures p	$3,578	$2,218.36	$191.74 – $3,041.30
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Empire — Default: $2,683.50 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $205.43 Blue Cross Blue Shield of NY Utica Watertown — Default: $813.25 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $312.61 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $312.61 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,041.30 Capital District Physicians Health Plan CDPHP — Default: $312.61 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $312.61 Cigna — Default: $2,862.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT BARIATRIC ABD&PEL W/CONTRA	$3,237	$2,006.94	$281.40 – $2,751.45
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Empire — Default: $2,427.75 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $301.50 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,189.11 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $457.08 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Western NorthEastern — Default: $2,751.45 Capital District Physicians Health Plan CDPHP — Default: $457.08 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $457.08 Cigna — Default: $2,589.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: CT ABD & PEL W/ CONTRAST,Technical Component	$3,237	$2,006.94	$201.34 – $2,751.45
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Empire — Default: $2,427.75 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $215.72 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,189.11 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $457.08 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $457.08 Blue Cross Blue Shield of NY Western NorthEastern — Default: $2,751.45 Capital District Physicians Health Plan CDPHP — Default: $457.08 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $457.08 Cigna — Default: $2,589.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: ABDOMEN COMPLETE	$1,260	$781.20	$106.34 – $1,071
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Empire — Default: $882 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $114.81 Blue Cross Blue Shield of NY Utica Watertown — Default: $356.33 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $136.97 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,071 Capital District Physicians Health Plan CDPHP — Default: $136.97 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $136.97 Cigna — Default: $907.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >= 14 WKS SNGL FETUS	$414	$256.68	$106.34 – $356.33
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Empire — Default: $289.80 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $136.70 Blue Cross Blue Shield of NY Utica Watertown — Default: $356.33 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $136.97 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Western NorthEastern — Default: $351.90 Capital District Physicians Health Plan CDPHP — Default: $136.97 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $136.97 Cigna — Default: $298.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 26 In the file: OB US >/= 14 WKS SNGL FETUS,Professional Component	$469	$290.78	$45.03 – $398.65
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $48.25 Blue Cross Blue Shield of NY Utica Watertown — Default: $356.33 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $136.97 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Western NorthEastern — Default: $398.65 Capital District Physicians Health Plan CDPHP — Default: $136.97 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $136.97 Cigna — Default: $337.68 Fidelis Medicare Advantage MCR Adv — Default: $123.27
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL GYN	$719	$445.78	$106.34 – $611.15
Transvaginal ultrasound: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Empire — Default: $503.30 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $117.94 Blue Cross Blue Shield of NY Utica Watertown — Default: $356.33 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $136.97 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $136.97 Blue Cross Blue Shield of NY Western NorthEastern — Default: $611.15 Capital District Physicians Health Plan CDPHP — Default: $136.97 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $136.97 Cigna — Default: $517.68
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: CAD DIAG MAMMO UNILATERAL	$470	$291.40	$72.13 – $399.50
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $80.14 Blue Cross Blue Shield of NY Empire — Default: $329 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $124.48 Blue Cross Blue Shield of NY Utica Watertown — Default: $223.30 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $80.14 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $80.14 Blue Cross Blue Shield of NY Western NorthEastern — Default: $399.50 Capital District Physicians Health Plan CDPHP — Default: $80.14 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $80.14 Cigna — Default: $338.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: CAD DIAG MAMMO BILATERAL	$813	$504.06	$92.48 – $691.05
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $102.76 Blue Cross Blue Shield of NY Empire — Default: $569.10 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $157.62 Blue Cross Blue Shield of NY Utica Watertown — Default: $286.32 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $102.76 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $102.76 Blue Cross Blue Shield of NY Western NorthEastern — Default: $691.05 Capital District Physicians Health Plan CDPHP — Default: $102.76 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $102.76 Cigna — Default: $585.36
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO GRANT BILATERAL	$743	$460.66	$76.33 – $631.55
Screening mammogram, both breasts: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $84.81 Blue Cross Blue Shield of NY Empire — Default: $520.10 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $126.81 Blue Cross Blue Shield of NY Utica Watertown — Default: $236.30 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $84.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $84.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $631.55 Capital District Physicians Health Plan CDPHP — Default: $84.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $84.81 Cigna — Default: $534.96
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: CAD SCREENING MAMMO UNILATERAL	$401	$248.62	$76.33 – $340.85
Screening mammogram, both breasts: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $84.81 Blue Cross Blue Shield of NY Empire — Default: $280.70 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $126.81 Blue Cross Blue Shield of NY Utica Watertown — Default: $236.30 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $84.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $84.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $340.85 Capital District Physicians Health Plan CDPHP — Default: $84.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $84.81 Cigna — Default: $288.72
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier TC In the file: CAD SCREENING MAMMO BILATERAL,Technical Component	$743	$460.66	$76.33 – $631.55
Screening mammogram, both breasts: 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $84.81 Blue Cross Blue Shield of NY Empire — Default: $520.10 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $90.87 Blue Cross Blue Shield of NY Utica Watertown — Default: $236.30 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $84.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $84.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $631.55 Capital District Physicians Health Plan CDPHP — Default: $84.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $84.81 Cigna — Default: $534.96

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: SLEEP STUDY - REGULAR	$3,859	$2,392.58	$629.10 – $3,280.15
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,125.10 Blue Cross Blue Shield of NY Empire — Default: $2,894.25 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $674.04 Blue Cross Blue Shield of NY Utica Watertown — Default: $2,926.96 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,125.10 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,125.10 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,280.15 Capital District Physicians Health Plan CDPHP — Default: $1,125.10 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,125.10 Cigna — Default: $3,087.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: SLEEP STUDY - REGULAR DISCONT,Reduced Services	$3,859	$2,392.58	$506.30 – $3,280.15
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $562.55 Blue Cross Blue Shield of NY Empire — Default: $2,894.25 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $674.04 Blue Cross Blue Shield of NY Utica Watertown — Default: $1,463.49 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $562.55 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $562.55 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,280.15 Capital District Physicians Health Plan CDPHP — Default: $562.55 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $562.55 Cigna — Default: $3,087.20

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC EXERCISE EA 15MIN,Serv performed under OP OT plan of care	$94	$58.28	$24.93 – $127
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $27.70 Blue Cross Blue Shield of NY Empire — Default: $75.20 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $29.68 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $28.18 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $28.18 Blue Cross Blue Shield of NY Western NorthEastern — Default: $127 Capital District Physicians Health Plan CDPHP — Default: $92.12 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $92.12 Cigna — Default: $75.20 Fidelis Medicare Advantage MCR Adv — Default: $24.93
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC EXERCISE EA 15MIN,Serv performed under OP PT plan of care	$94	$58.28	$24.93 – $127
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $27.70 Blue Cross Blue Shield of NY Empire — Default: $75.20 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $29.68 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $28.18 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $28.18 Blue Cross Blue Shield of NY Western NorthEastern — Default: $127 Capital District Physicians Health Plan CDPHP — Default: $94 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $94 Cigna — Default: $75.20 Fidelis Medicare Advantage MCR Adv — Default: $24.93
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION LOW COMPLEXITY,Serv performed under OP PT plan of care	$260	$161.20	$84.19 – $265.98
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $93.55 Blue Cross Blue Shield of NY Empire — Default: $208 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $100.23 Blue Cross Blue Shield of NY Utica Watertown — Default: $265.98 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $95.30 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $95.30 Blue Cross Blue Shield of NY Western NorthEastern — Default: $127 Capital District Physicians Health Plan CDPHP — Default: $99.96 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $99.96 Cigna — Default: $208
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION MOD COMPLEXITY,Serv performed under OP PT plan of care	$298	$184.76	$84.19 – $238.40
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $93.55 Blue Cross Blue Shield of NY Empire — Default: $238.40 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $100.23 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $95.30 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $95.30 Blue Cross Blue Shield of NY Western NorthEastern — Default: $127 Capital District Physicians Health Plan CDPHP — Default: $99.96 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $99.96 Cigna — Default: $238.40 Fidelis Medicare Advantage MCR Adv — Default: $84.19
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION HIGH COMPLEXITY,Serv performed under OP PT plan of care	$337	$208.94	$84.19 – $269.60
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $93.55 Blue Cross Blue Shield of NY Empire — Default: $269.60 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $100.23 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $95.30 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $95.30 Blue Cross Blue Shield of NY Western NorthEastern — Default: $127 Capital District Physicians Health Plan CDPHP — Default: $99.96 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $99.96 Cigna — Default: $269.60 Fidelis Medicare Advantage MCR Adv — Default: $84.19
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYCHOTHERAPY 30MIN	$180	$111.60	$83.02 – $604.97
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $88.95 Blue Cross Blue Shield of NY Utica Watertown — Default: $604.97 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $232.54 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Western NorthEastern — Default: $153 Capital District Physicians Health Plan CDPHP — Default: $232.54 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $232.54 Cigna — Default: $144 Fidelis Medicare Advantage MCR Adv — Default: $209.29
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYCHOTHERAPY 45MIN	$239	$148.18	$110.06 – $604.97
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $117.93 Blue Cross Blue Shield of NY Utica Watertown — Default: $604.97 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $232.54 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Western NorthEastern — Default: $203.15 Capital District Physicians Health Plan CDPHP — Default: $232.54 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $232.54 Cigna — Default: $191.20 Fidelis Medicare Advantage MCR Adv — Default: $209.29
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYCHOTHERAPY 60MIN	$356	$220.72	$160.67 – $604.97
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $173.04 Blue Cross Blue Shield of NY Utica Watertown — Default: $604.97 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $232.54 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Western NorthEastern — Default: $302.60 Capital District Physicians Health Plan CDPHP — Default: $232.54 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $232.54 Cigna — Default: $284.80 Fidelis Medicare Advantage MCR Adv — Default: $209.29
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYCHOTH W/O PT PRESENT	$374	$231.88	$102.82 – $604.97
Family psychotherapy, without the patient: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $110.17 Blue Cross Blue Shield of NY Utica Watertown — Default: $604.97 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $232.54 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Western NorthEastern — Default: $317.90 Capital District Physicians Health Plan CDPHP — Default: $232.54 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $232.54 Cigna — Default: $299.20 Fidelis Medicare Advantage MCR Adv — Default: $209.29
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY/COUPLE PSYCHOTHERAPY	$300	$186	$106.52 – $604.97
Family psychotherapy, with the patient: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $114.12 Blue Cross Blue Shield of NY Utica Watertown — Default: $604.97 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $232.54 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $232.54 Blue Cross Blue Shield of NY Western NorthEastern — Default: $255 Capital District Physicians Health Plan CDPHP — Default: $232.54 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $232.54 Cigna — Default: $240 Fidelis Medicare Advantage MCR Adv — Default: $209.29
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	$82	$50.84	$29.31 – $346.25
Group psychotherapy: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $133.09 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $31.41 Blue Cross Blue Shield of NY Utica Watertown — Default: $346.25 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $133.09 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $133.09 Blue Cross Blue Shield of NY Western NorthEastern — Default: $69.70 Capital District Physicians Health Plan CDPHP — Default: $133.09 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $133.09 Cigna — Default: $65.60 Fidelis Medicare Advantage MCR Adv — Default: $119.79

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXC CYST BREAST TISSUE	$994	$616.28	$531.34 – $13,345.51
Removal of breast growth (open surgery): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $5,129.90 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $569.29 Blue Cross Blue Shield of NY Utica Watertown — Default: $13,345.51 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $5,129.90 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $5,129.90 Blue Cross Blue Shield of NY Western NorthEastern — Default: $844.90 Capital District Physicians Health Plan CDPHP — Default: $5,129.90 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $5,129.90 Cigna — Default: $795.20 Fidelis Medicare Advantage MCR Adv — Default: $4,616.91
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY	$5,995	$3,716.90	$1,080.37 – $43,759.87
Total hip replacement: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $1,157.54 Blue Cross Blue Shield of NY Utica Watertown — Default: $43,759.87 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16,820.91 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Western NorthEastern — Default: $5,095.75 Capital District Physicians Health Plan CDPHP — Default: $16,820.91 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16,820.91 Cigna — Default: $4,796 Fidelis Medicare Advantage MCR Adv — Default: $15,138.81
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier AS In the file: TOTAL HIP REPLACEMENT,APP'S for assistant at surgery	$3,724	$2,308.88	$172.86 – $43,759.87
Total hip replacement: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $185.21 Blue Cross Blue Shield of NY Utica Watertown — Default: $43,759.87 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16,820.91 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,165.40 Capital District Physicians Health Plan CDPHP — Default: $16,820.91 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16,820.91 Cigna — Default: $2,979.20 Fidelis Medicare Advantage MCR Adv — Default: $15,138.81
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier AS In the file: TOTAL HIP ARTHROPLASTY,APP'S for assistant at surgery	$3,725	$2,309.50	$172.86 – $43,759.87
Total hip replacement: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $185.21 Blue Cross Blue Shield of NY Utica Watertown — Default: $43,759.87 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16,820.91 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,166.25 Capital District Physicians Health Plan CDPHP — Default: $16,820.91 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16,820.91 Cigna — Default: $2,980 Fidelis Medicare Advantage MCR Adv — Default: $15,138.81
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY	$5,995	$3,716.90	$1,078.13 – $43,759.87
Total knee replacement: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $1,155.14 Blue Cross Blue Shield of NY Utica Watertown — Default: $43,759.87 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16,820.91 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Western NorthEastern — Default: $5,095.75 Capital District Physicians Health Plan CDPHP — Default: $16,820.91 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16,820.91 Cigna — Default: $4,796 Fidelis Medicare Advantage MCR Adv — Default: $15,138.81
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier AS In the file: ARTHROPLASTY KNEE MEDIAL & LAT,APP'S for assistant at surgery	$3,724	$2,308.88	$172.50 – $43,759.87
Total knee replacement: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $184.82 Blue Cross Blue Shield of NY Utica Watertown — Default: $43,759.87 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16,820.91 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,165.40 Capital District Physicians Health Plan CDPHP — Default: $16,820.91 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16,820.91 Cigna — Default: $2,979.20 Fidelis Medicare Advantage MCR Adv — Default: $15,138.81
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier AS In the file: TOTAL KNEE ARTHROPLASTY,APP'S for assistant at surgery	$3,725	$2,309.50	$172.50 – $43,759.87
Total knee replacement: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $184.82 Blue Cross Blue Shield of NY Utica Watertown — Default: $43,759.87 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $16,820.91 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $16,820.91 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,166.25 Capital District Physicians Health Plan CDPHP — Default: $16,820.91 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $16,820.91 Cigna — Default: $2,980 Fidelis Medicare Advantage MCR Adv — Default: $15,138.81
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION	$793	$491.66	$137.55 – $674.05
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $147.38 Blue Cross Blue Shield of NY Western NorthEastern — Default: $674.05 Cigna — Default: $634.40 Medicare B NY Upstate JK — Default: $137.55 MVP Healthplan of NY — Default: $634.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier AS In the file: ARTHRO SHLDR DECOMPRESSION,APP'S for assistant at surgery	$492	$305.04	$22.01 – $418.20
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $23.58 Blue Cross Blue Shield of NY Western NorthEastern — Default: $418.20 Cigna — Default: $393.60 Medicare B NY Upstate JK — Default: $22.01 MVP Healthplan of NY — Default: $393.60
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier AS In the file: SHO ARTHRS SRG DECOMPRESSION,APP'S for assistant at surgery	$492	$305.04	$22.01 – $418.20
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $23.58 Blue Cross Blue Shield of NY Western NorthEastern — Default: $418.20 Cigna — Default: $393.60 Medicare B NY Upstate JK — Default: $22.01 MVP Healthplan of NY — Default: $393.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY	$2,392	$1,483.04	$480.01 – $11,152.43
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4,286.89 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $514.30 Blue Cross Blue Shield of NY Utica Watertown — Default: $11,152.43 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4,286.89 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4,286.89 Blue Cross Blue Shield of NY Western NorthEastern — Default: $2,033.20 Capital District Physicians Health Plan CDPHP — Default: $4,286.89 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4,286.89 Cigna — Default: $1,913.60 Fidelis Medicare Advantage MCR Adv — Default: $3,858.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier AS In the file: ARTHRO KNEE W/MENISC M OR L,APP'S for assistant at surgery	$1,486	$921.32	$76.80 – $11,152.43
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4,286.89 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $82.29 Blue Cross Blue Shield of NY Utica Watertown — Default: $11,152.43 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4,286.89 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4,286.89 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,263.10 Capital District Physicians Health Plan CDPHP — Default: $4,286.89 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4,286.89 Cigna — Default: $1,188.80 Fidelis Medicare Advantage MCR Adv — Default: $3,858.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier AS In the file: KNEE ARTHROSCOPY/SURGERY,APP'S for assistant at surgery	$1,486	$921.32	$76.80 – $11,152.43
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4,286.89 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $82.29 Blue Cross Blue Shield of NY Utica Watertown — Default: $11,152.43 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4,286.89 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4,286.89 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,263.10 Capital District Physicians Health Plan CDPHP — Default: $4,286.89 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4,286.89 Cigna — Default: $1,188.80 Fidelis Medicare Advantage MCR Adv — Default: $3,858.20
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UGI DIAGNOSTIC W/WO SPECIMEN	$688	$426.56	$301.79 – $3,091.42
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,188.31 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $323.35 Blue Cross Blue Shield of NY Utica Watertown — Default: $3,091.42 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,188.31 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,188.31 Blue Cross Blue Shield of NY Western NorthEastern — Default: $584.80 Capital District Physicians Health Plan CDPHP — Default: $1,188.31 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,188.31 Cigna — Default: $550.40 Fidelis Medicare Advantage MCR Adv — Default: $1,069.47
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD,FLEXIBLE,DIAG INC COLL SPE	$688	$426.56	$301.79 – $3,091.42
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,188.31 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $323.35 Blue Cross Blue Shield of NY Utica Watertown — Default: $3,091.42 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,188.31 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,188.31 Blue Cross Blue Shield of NY Western NorthEastern — Default: $584.80 Capital District Physicians Health Plan CDPHP — Default: $1,188.31 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,188.31 Cigna — Default: $550.40 Fidelis Medicare Advantage MCR Adv — Default: $1,069.47
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE	$777	$481.74	$391.58 – $3,091.42
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,188.31 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $419.55 Blue Cross Blue Shield of NY Utica Watertown — Default: $3,091.42 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,188.31 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,188.31 Blue Cross Blue Shield of NY Western NorthEastern — Default: $660.45 Capital District Physicians Health Plan CDPHP — Default: $1,188.31 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,188.31 Cigna — Default: $621.60 Fidelis Medicare Advantage MCR Adv — Default: $1,069.47
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY - DIAGNOSTIC	$993	$615.66	$353.90 – $3,169.70
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,218.40 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $379.18 Blue Cross Blue Shield of NY Utica Watertown — Default: $3,169.70 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,218.40 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,218.40 Blue Cross Blue Shield of NY Western NorthEastern — Default: $844.05 Capital District Physicians Health Plan CDPHP — Default: $1,218.40 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,218.40 Cigna — Default: $794.40 Fidelis Medicare Advantage MCR Adv — Default: $1,096.56
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · modifier 33 In the file: COLONOSCOPY,Preventive Services	$993	$615.66	$353.90 – $3,169.70
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,218.40 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $379.18 Blue Cross Blue Shield of NY Utica Watertown — Default: $3,169.70 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,218.40 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,218.40 Blue Cross Blue Shield of NY Western NorthEastern — Default: $844.05 Capital District Physicians Health Plan CDPHP — Default: $1,218.40 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,218.40 Cigna — Default: $794.40 Fidelis Medicare Advantage MCR Adv — Default: $1,096.56
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/BIOPSY 1 OR MORE	$1,058	$655.96	$449.13 – $4,078.68
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $481.22 Blue Cross Blue Shield of NY Utica Watertown — Default: $4,078.68 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,567.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $899.30 Capital District Physicians Health Plan CDPHP — Default: $1,567.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,567.81 Cigna — Default: $846.40 Fidelis Medicare Advantage MCR Adv — Default: $1,411.03
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · modifier PT In the file: COLONOSCOPY W/ BIOPSY,WAIVER FOR COINS/DEDUCTIBLE FOR PM SVS	$1,058	$655.96	$449.13 – $4,078.68
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $481.22 Blue Cross Blue Shield of NY Utica Watertown — Default: $4,078.68 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,567.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $899.30 Capital District Physicians Health Plan CDPHP — Default: $1,567.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,567.81 Cigna — Default: $846.40 Fidelis Medicare Advantage MCR Adv — Default: $1,411.03
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/ REM BY SNARE	$1,131	$701.22	$468.68 – $4,078.68
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $502.16 Blue Cross Blue Shield of NY Utica Watertown — Default: $4,078.68 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,567.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $961.35 Capital District Physicians Health Plan CDPHP — Default: $1,567.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,567.81 Cigna — Default: $904.80 Fidelis Medicare Advantage MCR Adv — Default: $1,411.03
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · modifier PT In the file: COLONOSCOPY W/ REM BY SNARE,WAIVER FOR COINS/DEDUCTIBLE FOR PM SVS	$1,131	$701.22	$468.68 – $4,078.68
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $502.16 Blue Cross Blue Shield of NY Utica Watertown — Default: $4,078.68 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,567.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,567.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $961.35 Capital District Physicians Health Plan CDPHP — Default: $1,567.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,567.81 Cigna — Default: $904.80 Fidelis Medicare Advantage MCR Adv — Default: $1,411.03
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLORECTAL SCREEN NOT HIGH RSK	$752	$466.24	$354.13 – $3,169.70
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,218.40 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $379.43 Blue Cross Blue Shield of NY Utica Watertown — Default: $3,169.70 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,218.40 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,218.40 Blue Cross Blue Shield of NY Western NorthEastern — Default: $639.20 Capital District Physicians Health Plan CDPHP — Default: $1,218.40 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,218.40 Cigna — Default: $601.60 Fidelis Medicare Advantage MCR Adv — Default: $1,096.56
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPY SURG W/CHOLECYSTEC	$2,639	$1,636.18	$583.46 – $20,605.80
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $7,920.68 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $625.14 Blue Cross Blue Shield of NY Utica Watertown — Default: $20,605.80 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $7,920.68 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $7,920.68 Blue Cross Blue Shield of NY Western NorthEastern — Default: $2,243.15 Capital District Physicians Health Plan CDPHP — Default: $7,920.68 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $7,920.68 Cigna — Default: $2,111.20 Fidelis Medicare Advantage MCR Adv — Default: $7,128.62
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · modifier AS In the file: LAPAROSCOPY SURG W/CHOLECYSTEC,APP'S for assistant at surgery	$1,812	$1,123.44	$93.35 – $20,605.80
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $7,920.68 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $100.02 Blue Cross Blue Shield of NY Utica Watertown — Default: $20,605.80 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $7,920.68 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $7,920.68 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,540.20 Capital District Physicians Health Plan CDPHP — Default: $7,920.68 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $7,920.68 Cigna — Default: $1,449.60 Fidelis Medicare Advantage MCR Adv — Default: $7,128.62
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · modifier AS In the file: LAPAROSCOPI CHOLECYSTECTOMY-AS,APP'S for assistant at surgery	$1,812	$1,123.44	$93.35 – $20,605.80
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $7,920.68 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $100.02 Blue Cross Blue Shield of NY Utica Watertown — Default: $20,605.80 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $7,920.68 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $7,920.68 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,540.20 Capital District Physicians Health Plan CDPHP — Default: $7,920.68 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $7,920.68 Cigna — Default: $1,449.60 Fidelis Medicare Advantage MCR Adv — Default: $7,128.62
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: REPAIR INITIAL INGUINAL HERNIA	$2,308	$1,430.96	$469.10 – $12,203.59
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4,690.95 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $502.60 Blue Cross Blue Shield of NY Utica Watertown — Default: $12,203.59 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4,690.95 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4,690.95 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,961.80 Capital District Physicians Health Plan CDPHP — Default: $4,690.95 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4,690.95 Cigna — Default: $1,846.40 Fidelis Medicare Advantage MCR Adv — Default: $4,221.85
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier AS In the file: REPAIR INITIAL INGUINAL HERNIA,APP'S for assistant at surgery	$1,433	$888.46	$75.06 – $12,203.59
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4,690.95 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $80.42 Blue Cross Blue Shield of NY Utica Watertown — Default: $12,203.59 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4,690.95 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4,690.95 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,218.05 Capital District Physicians Health Plan CDPHP — Default: $4,690.95 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4,690.95 Cigna — Default: $1,146.40 Fidelis Medicare Advantage MCR Adv — Default: $4,221.85
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier AS In the file: INITIAL REPAIR INGUINAL HERNIA,APP'S for assistant at surgery	$1,433	$888.46	$75.06 – $12,203.59
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4,690.95 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $80.42 Blue Cross Blue Shield of NY Utica Watertown — Default: $12,203.59 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4,690.95 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4,690.95 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,218.05 Capital District Physicians Health Plan CDPHP — Default: $4,690.95 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4,690.95 Cigna — Default: $1,146.40 Fidelis Medicare Advantage MCR Adv — Default: $4,221.85
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: PROSTATE BIOPSY	$140	$86.80	$112 – $7,124.94
Prostate biopsy: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $2,738.77 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $147 Blue Cross Blue Shield of NY Utica Watertown — Default: $7,124.94 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $2,738.77 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $2,738.77 Blue Cross Blue Shield of NY Western NorthEastern — Default: $119 Capital District Physicians Health Plan CDPHP — Default: $2,738.77 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $2,738.77 Cigna — Default: $112 Fidelis Medicare Advantage MCR Adv — Default: $2,464.89
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD	$3,938	$2,441.56	$1,020.17 – $36,231.14
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $13,926.93 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $1,093.04 Blue Cross Blue Shield of NY Utica Watertown — Default: $36,231.14 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $13,926.93 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $13,926.93 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,347.30 Capital District Physicians Health Plan CDPHP — Default: $13,926.93 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $13,926.93 Cigna — Default: $3,150.40 Fidelis Medicare Advantage MCR Adv — Default: $12,534.24
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · modifier AS In the file: LAPS SURG PRST8ECT RPBIC RAD,APP'S for assistant at surgery	$3,938	$2,441.56	$163.23 – $36,231.14
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $13,926.93 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $174.89 Blue Cross Blue Shield of NY Utica Watertown — Default: $36,231.14 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $13,926.93 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $13,926.93 Blue Cross Blue Shield of NY Western NorthEastern — Default: $3,347.30 Capital District Physicians Health Plan CDPHP — Default: $13,926.93 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $13,926.93 Cigna — Default: $3,150.40 Fidelis Medicare Advantage MCR Adv — Default: $12,534.24
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY WITH SAMPLING	$974	$603.88	$779.20 – $11,033.54
Hysteroscopy with biopsy of the uterus lining: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $4,241.20 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $1,022.70 Blue Cross Blue Shield of NY Utica Watertown — Default: $11,033.54 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $4,241.20 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $4,241.20 Blue Cross Blue Shield of NY Western NorthEastern — Default: $827.90 Capital District Physicians Health Plan CDPHP — Default: $4,241.20 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $4,241.20 Cigna — Default: $779.20 Fidelis Medicare Advantage MCR Adv — Default: $3,817.08
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC	$403	$249.86	$255.88 – $2,405.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $924.83 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $274.16 Blue Cross Blue Shield of NY Utica Watertown — Default: $2,405.95 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $924.83 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $924.83 Blue Cross Blue Shield of NY Western NorthEastern — Default: $342.55 Capital District Physicians Health Plan CDPHP — Default: $924.83 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $924.83 Cigna — Default: $322.40 Fidelis Medicare Advantage MCR Adv — Default: $832.34
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: INJ FORAMEN EPIDURAL L/S	$451	$279.62	$248.24 – $3,014.66
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $1,158.81 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $265.98 Blue Cross Blue Shield of NY Utica Watertown — Default: $3,014.66 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $1,158.81 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $1,158.81 Blue Cross Blue Shield of NY Western NorthEastern — Default: $383.35 Capital District Physicians Health Plan CDPHP — Default: $1,158.81 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $1,158.81 Cigna — Default: $360.80 Fidelis Medicare Advantage MCR Adv — Default: $1,042.93
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNERL SURGERY	$1,876	$1,163.12	$449.27 – $6,655.76
Carpal tunnel release: 10 of 18 insurance plan rates Aetna Medicare Advantage — Medicare Advantage: $2,558.42 Blue Cross Blue Shield of NY Empire — Medicare Advantage: $481.36 Blue Cross Blue Shield of NY Utica Watertown — Default: $6,655.76 Blue Cross Blue Shield of NY Utica Watertown — Medicaid Replacement: $2,558.42 Blue Cross Blue Shield of NY Utica Watertown — Medicare Advantage: $2,558.42 Blue Cross Blue Shield of NY Western NorthEastern — Default: $1,594.60 Capital District Physicians Health Plan CDPHP — Default: $2,558.42 Capital District Physicians Health Plan MCR Adv — Medicare Advantage: $2,558.42 Cigna — Default: $1,500.80 Fidelis Medicare Advantage MCR Adv — Default: $2,302.58

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: VAGINAL DEL W/ANTE & POST CARE	$5,698	$3,532.76	$2,037.02 – $4,843.30
Vaginal delivery, with care before and after: rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $2,182.52 Blue Cross Blue Shield of NY Western NorthEastern — Default: $4,843.30 Cigna — Default: $4,558.40 Medicare B NY Upstate JK — Default: $2,037.02 MVP Healthplan of NY — Default: $4,558.40
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN W/ANTE & POST CARE	$9,470	$5,871.40	$2,264.75 – $8,049.50
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $2,426.52 Blue Cross Blue Shield of NY Western NorthEastern — Default: $8,049.50 Cigna — Default: $7,576 Medicare B NY Upstate JK — Default: $2,264.75 MVP Healthplan of NY — Default: $7,576
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: VBAC W/ANTE & POST CARE	$8,975	$5,564.50	$2,132.68 – $7,628.75
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans Blue Cross Blue Shield of NY Empire — Medicare Advantage: $2,285.01 Blue Cross Blue Shield of NY Western NorthEastern — Default: $7,628.75 Cigna — Default: $7,180 Medicare B NY Upstate JK — Default: $2,132.68 MVP Healthplan of NY — Default: $7,180

Source: Adirondack Medical Center - Saranac Lake’s standard charges file (adirondackhealth.box.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 16, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	2233 State Route 86, PO Box 471, Saranac Lake, NY 12983
County	Franklin County
State	New York
Phone	(518) 891‑4141
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	330079
Name in Medicare records	ADIRONDACK MEDICAL CENTER - SARANAC LAKE
Profile level	Medicare data + hospital website
Official website	adirondackhealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Adirondack Medical Center - Saranac Lake — adirondackhealth.org
Emergency Care — adirondackhealth.org
Visitor Information — adirondackhealth.org
Adirondack Health - Adirondack Medical Center - Saranac Lake — adirondackhealth.org
Adirondack Health - Inpatient surgeries — adirondackhealth.org
Emergency Care — adirondackhealth.org
Pregnancy and Birth — adirondackhealth.org
Cancer Care — adirondackhealth.org
Heart Health — adirondackhealth.org
Surgery — adirondackhealth.org
Bariatric Surgery — adirondackhealth.org