Does Wyoming County have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Wyoming County. In a medical emergency, call 911.

Where is Wyoming County?

400 North Main Street, Warsaw, NY 14569, in Wyoming County, New York.

What is the phone number of Wyoming County?

(585) 786-8940, as listed by Medicare (CMS).

What is the Medicare star rating of Wyoming County?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Wyoming County — Phone, Address, ER & Ratings

Quick answers

Does Wyoming County have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Wyoming County. In a medical emergency, call 911.
Where is Wyoming County?: 400 North Main Street, Warsaw, NY 14569, in Wyoming County, New York.
What is the phone number of Wyoming County?: (585) 786-8940, as listed by Medicare (CMS).
What is the Medicare star rating of Wyoming County?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[5][6][7][9][12][16]}

Emergency medicine
Orthopedic surgery
Ophthalmology
General surgery
Cardiology and pulmonary
Pulmonary medicine
Hospital medicine (hospitalists)
Psychiatry
Radiology

Conditions treated^{[7][8][9][10]}

COPD
Chronic bronchitis
Asthma
Epilepsy
Seizure disorders
Stroke
Cataract
Retinal detachment
Mental illness

Treatments^[7][9][12]

Cardiac rehabilitation
Pulmonary rehabilitation
Echocardiography
Transesophageal echocardiogram
Stress testing
Holter monitoring
Electrocardiogram (EKG)
Electroencephalogram (EEG)
Pulmonary function testing
Six-minute walk test
Oximetry testing
Cardiac calcium scoring CT
3D mammography
MRI
CT scan
Nuclear medicine imaging
Ultrasound imaging
X-ray
DEXA bone density scan
Psychiatric evaluation

Procedures^{[6][7][10][11]}

Screening colonoscopy
Echocardiography (TTE and TEE)
Nuclear and pharmacologic stress tests
Holter monitoring
Electrocardiogram (EKG)
Electroencephalogram (EEG)
Pulmonary function testing
Cataract surgery
Vitrectomy
Pneumopexy
Joint replacement (shoulder, hip, knee)
Fracture repair

Programs and centers^{[7][9][13][16]}

Cardiac rehabilitation (phases 2 and 3)
Pulmonary rehabilitation (phases 2 and 3)
Inpatient adult psychiatric unit
24/7 emergency psychiatric evaluations
Forensic mobile treatment team
Crisis outreach and intervention
Clinical laboratory
Hospitalist program

Emergency care (hospital website)^[5][15]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	https://www.wcchs.net/about-us/patient-portal/

Recognition^{[4][8][9][12]}

American Heart Association Rural Stroke Silver Achievement Award (Sept 2026)
American College of Radiology accreditation (mammography, MRI, nuclear medicine, CT, ultrasound)
Get With The Guidelines Rural Stroke Silver Achievement Award (American Heart Association) 2026
Joint Commission certification (behavioral health treatment programs)

Doctors and clinicians (145)

145 doctors and other clinicians list Wyoming County 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

And 121 more: the button below opens the full list.

Other emergency rooms nearby

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

United Memorial Medical Center19 mi · Batavia, NY · Acute Care Hospital
Nicholas H Noyes Memorial Hospital23 mi · Dansville, NY · Acute Care Hospital
Bertrand Chaffee Hospital31 mi · Springville, NY · Acute Care Hospital
Western NY Childrens Psychiatric Center32 mi · West Seneca, NY · Psychiatric Hospital
St James Hospital35 mi · Hornell, NY · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Warsaw

Mercy Hospital of Buffalo35 mi · Buffalo, NY · Acute Care Hospital

Hospitals in Wyoming County · Hospitals near me

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

East Side Nursing and Rehab0.7 mi · Warsaw, NY · 5 of 5 stars
Wyoming County Community Hospitals SNF1.7 mi · Warsaw, NY · 5 of 5 stars
Livingston County Center for Nursing and Rehabilit13 mi · Mount Morris, NY · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Livingston County Hospice14 mi · Mount Morris, NY · 5 of 5 stars

All hospice providers in the state →

Dialysis facilities

Lake Plains Dialysis at Batavia19 mi · Batavia, NY · 1 of 5 stars
Noyes Center for Kidney Disease and Dialysis19 mi · Geneseo, NY · 1 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

Oak Orchard Community Health Center, Inc.0.7 mi · Warsaw, NY · Community health center
Oak Orchard Community Health Center - Alexander14 mi · Alexander, NY · Community health center
TCFM Nunda14 mi · Nunda, NY · Community health center

Clinics and urgent care

Healthcare Solutions Wny, LLC2.4 mi · Warsaw, NY · Rural health clinic
Wyoming County6.8 mi · Perry, NY · Rural health clinic
Wyoming County Family Medicine Arcade16 mi · Arcade, NY · Rural health clinic

Pharmacies

Wal-Mart Stores East LP2.4 mi · Warsaw, NY · Community/retail pharmacy
Walgreen Co6.8 mi · Perry, NY · Pharmacy

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

The Cloisters2.4 mi · Warsaw, NY

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 Wyoming County 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	3 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	80%National average: 80%
“Always” got help as soon as they wanted	63%National average: 64%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	83%National average: 73%
Completed surveys	215Response rate: 34%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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: pneumonia patients	14.2%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	16.7%
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	19.4%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)	148 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)	33%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 Wyoming County 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 →

Show the prices of 73 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	$275	$192.50	$134 – $1,457.50
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — Medicare Advantage: $1,457.50 Excellus Health — Medicare Advantage: $1,457.50 Fidelis — Medicare Advantage: $1,457.50 Independent Health — Commercial: $134 MVP Healthcare — Medicare Advantage: $1,457.50 Univera — Commercial: $977 Univera — Medicare Advantage: $820
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	$275	$192.50	$130.72
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $130.72 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN	$205	$143.50	$130.72
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $130.72 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	$413	$289.10	$134 – $1,457.50
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — Medicare Advantage: $1,457.50 Excellus Health — Medicare Advantage: $1,457.50 Fidelis — Medicare Advantage: $1,457.50 Independent Health — Commercial: $134 MVP Healthcare — Medicare Advantage: $1,457.50 Univera — Commercial: $977 Univera — Medicare Advantage: $820
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN	$280	$196	$200
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $200 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES	$50	$35	$200
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $200 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	$545	$381.50	$134 – $1,457.50
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — Medicare Advantage: $1,457.50 Excellus Health — Medicare Advantage: $1,457.50 Fidelis — Medicare Advantage: $1,457.50 Independent Health — Commercial: $134 MVP Healthcare — Medicare Advantage: $1,457.50 Univera — Commercial: $977 Univera — Medicare Advantage: $820
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN	$355	$248.50	$252.85
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $252.85 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	$225	$157.50	$134 – $1,457.50
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — Medicare Advantage: $1,457.50 Excellus Health — Medicare Advantage: $1,457.50 Fidelis — Medicare Advantage: $1,457.50 Independent Health — Commercial: $134 MVP Healthcare — Medicare Advantage: $1,457.50 Univera — Commercial: $977 Univera — Medicare Advantage: $820
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	$225	$157.50	$51.26
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $51.26 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN	$200	$140	$51.26
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $51.26 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	$318	$222.60	$134 – $1,457.50
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — Medicare Advantage: $1,457.50 Excellus Health — Medicare Advantage: $1,457.50 Fidelis — Medicare Advantage: $1,457.50 Independent Health — Commercial: $134 MVP Healthcare — Medicare Advantage: $1,457.50 Univera — Commercial: $977 Univera — Medicare Advantage: $820
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN	$225	$157.50	$131.27
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $131.27 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$50	$35	$131.27
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $131.27 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$309	$216.30	$150.30
Office consultation with a specialist (moderate): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $150.30 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$459	$321.30	$225.31
Office consultation with a specialist (moderate to high): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $225.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39	$242	$169.40	$162.29
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $162.29 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	$4,359.27	$3,051.49	$162.29
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $162.29 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64	$281	$196.70	$187.95
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $187.95 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$823.12	$576.18	$79.41
Emergency room visit (moderate): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $79.41 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$265.70	$185.99	$79.41
Emergency room visit (moderate): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $79.41 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$115	$80.50	$79.41
Emergency room visit (moderate): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $79.41 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$1,277.75	$894.43	$145.46
Emergency room visit (moderately high): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $145.46 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM	$205	$143.50	$145.46
Emergency room visit (moderately high): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $145.46 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$1,277.75	$894.43	$2,755.78
Emergency room visit (moderately high): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$1,853.05	$1,297.14	$211.25
Emergency room visit (high): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $211.25 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM	$295	$206.50	$211.25
Emergency room visit (high): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $211.25 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$9,195	$6,436.50	$2,755.78
Emergency room visit (high): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$21.20	$14.84	$5.64
Basic metabolic panel (blood test): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $5.64 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$21.16	$14.81	$5.64
Basic metabolic panel (blood test): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $5.64 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$21.16	$14.81	$2,755.78
Basic metabolic panel (blood test): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$26.40	$18.48	$7.03
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $7.03 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$237	$165.90	$7.03
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $7.03 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$26.40	$18.48	$2,755.78
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$34.20	$23.94	$8.92
Cholesterol panel (lipid panel): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $8.92 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$33.48	$23.44	$8.92
Cholesterol panel (lipid panel): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $8.92 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$33.48	$23.44	$2,755.78
Cholesterol panel (lipid panel): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$64.57	$45.20	$5.78
Kidney function panel: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $5.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL	$112	$78.40	$5.44
Liver function panel: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $5.44 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: LIVER FUNCTION BLOOD TEST PANEL	$112	$78.40	$2,755.78
Liver function panel: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$17.14	$12	$2.11
Urine test (automated, with microscope): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.11 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS AUTO W/SCOPE	$10	$7	$2.11
Urine test (automated, with microscope): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.11 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$9.70	$6.79	$2.31
Urine test (manual, without microscope): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST	$8.70	$6.09	$2.31
Urine test (manual, without microscope): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$10	$7	$2.31
Urine test (manual, without microscope): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST	$11.71	$8.20	$1.49
Urine test (automated, without microscope): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $1.49 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$1.40	$0.98	$1.49
Urine test (automated, without microscope): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $1.49 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$45.98	$32.19	$12.25
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $12.25 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$88	$61.60	$12.25
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $12.25 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$42	$29.40	$11.19
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $11.19 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$84.50	$59.15	$11.19
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $11.19 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$42	$29.40	$2,755.78
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$36.86	$25.80	$5.18
Complete blood count (CBC) with differential: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $5.18 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$19.42	$13.59	$5.18
Complete blood count (CBC) with differential: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $5.18 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$19.42	$13.59	$2,755.78
Complete blood count (CBC) with differential: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$31.29	$21.90	$4.31
Complete blood count (CBC), automated: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $4.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$16.18	$11.33	$4.31
Complete blood count (CBC), automated: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $4.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$32	$22.40	$2.86
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.86 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME	$32.29	$22.60	$2.86
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.86 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROTHROMBIN TIME	$10	$7	$2.86
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2.86 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$40.71	$28.50	$4.01
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $4.01 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$15.40	$10.78	$4.01
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $4.01 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)

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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	$1,032	$722.40	$118.82
CT scan of the head or brain, without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $118.82 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$1,032	$722.40	$71.11
CT scan of the head or brain, without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $71.11 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$1,109.47	$776.63	$412.55
MRI of the brain, before and after contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $412.55 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$1,109.47	$776.63	$272.64
MRI of the brain, before and after contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $272.64 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	$262.15	$183.51	$33.64
Chest X-ray, 2 views: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $33.64 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF CHEST; 2 VIEWS	$262.15	$183.51	$21.37
Chest X-ray, 2 views: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $21.37 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$317.17	$222.02	$50.23
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $50.23 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$85	$59.50	$50.23
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $50.23 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$317.17	$222.02	$35.43
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $35.43 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$2,231.71	$1,562.20	$246.80
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $246.80 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	$604.30	$423.01	$246.80
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $246.80 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$2,231.71	$1,562.20	$155.65
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $155.65 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST	$1,118	$782.60	$236.61
CT scan of the pelvis, with contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $236.61 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN OF PELVIS WITH CONTRAST	$1,118	$782.60	$171.17
CT scan of the pelvis, with contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $171.17 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	$706.92	$494.84	$258.66
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $258.66 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$706.92	$494.84	$2,755.78
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$706.92	$494.84	$175.22
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $175.22 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST	$1,393.29	$975.30	$339.92
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $339.92 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$1,393.29	$975.30	$237.28
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $237.28 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$430.14	$301.10	$124.55
Ultrasound of the abdomen, complete: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $124.55 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE	$100	$70	$124.55
Ultrasound of the abdomen, complete: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $124.55 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$430.14	$301.10	$79.09
Ultrasound of the abdomen, complete: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $79.09 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	$430.14	$301.10	$144.12
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $144.12 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	$430.14	$301.10	$124.04
Transvaginal ultrasound: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $124.04 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB	$215	$150.50	$124.04
Transvaginal ultrasound: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $124.04 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$430.14	$301.10	$85
Transvaginal ultrasound: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $85 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	$263	$184.10	$137.31
Diagnostic mammogram, one breast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $137.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$263	$184.10	$2,755.78
Diagnostic mammogram, one breast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_TC In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$263	$184.10	$91.75
Diagnostic mammogram, one breast: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $91.75 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$336	$235.20	$173.67
Diagnostic mammogram, both breasts: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $173.67 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$336	$235.20	$117.34
Diagnostic mammogram, both breasts: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $117.34 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	$278	$194.60	$140.13
Screening mammogram, both breasts: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $140.13 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY	$278	$194.60	$97.01
Screening mammogram, both breasts: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $97.01 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE	$175	$122.50	$18.58
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $18.58 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	$3,016.30	$2,111.41	$590.40
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $590.40 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$87.29	$61.10	$24.28
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $24.28 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$261.87	$183.31	$24.28
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $24.28 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_CQ In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$261.87	$183.31	$2,755.78
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$200	$140	$86.22
Physical therapy evaluation (low complexity): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $86.22 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$200	$140	$2,755.78
Physical therapy evaluation (low complexity): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$200	$140	$86.22
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $86.22 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$200	$140	$2,755.78
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$200	$140	$2,755.78
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$200	$140	$86.22
Physical therapy evaluation (high complexity): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $86.22 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$200	$140	$2,755.78
Physical therapy evaluation (high complexity): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES	$110	$77	$79.08
Psychotherapy, 30 minutes: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $79.08 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES	$110	$77	$105.12
Psychotherapy, 45 minutes: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $105.12 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES	$220	$154	$158.05
Psychotherapy, 60 minutes: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $158.05 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN	$190	$133	$108.08
Family psychotherapy, without the patient: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $108.08 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN	$200	$140	$111.94
Family psychotherapy, with the patient: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $111.94 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION	$835	$584.50	$544.21
Removal of breast growth (open surgery): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $544.21 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY	$655	$458.50	$1,493.15
Total hip replacement: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $1,493.15 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$17,760	$12,432	$2,755.78
Total hip replacement: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$17,400	$12,180	$2,755.78
Total hip replacement: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY	$2,800	$1,960	$1,492.38
Total knee replacement: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $1,492.38 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$18,360	$12,852	$2,755.78
Total knee replacement: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$18,480	$12,936	$2,755.78
Total knee replacement: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION	$95	$66.50	$193.48
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $193.48 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY	$235	$164.50	$595.79
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $595.79 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$19,695	$13,786.50	$2,755.78
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$8,355	$5,848.50	$2,755.78
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS	$500	$350	$320.37
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $320.37 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$525	$367.50	$370.99
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $370.99 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,100	$1,470	$2,755.78
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$675	$472.50	$477.31
Upper GI endoscopy with biopsy: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $477.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,520	$1,764	$477.31
Upper GI endoscopy with biopsy: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $477.31 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,435	$1,704.50	$2,755.78
Upper GI endoscopy with biopsy: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY	$555	$388.50	$502.99
Colonoscopy (diagnostic): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $502.99 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$3,150	$2,205	$502.99
Colonoscopy (diagnostic): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $502.99 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$3,375	$2,362.50	$2,755.78
Colonoscopy (diagnostic): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY	$690	$483	$650.13
Colonoscopy with biopsy: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $650.13 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$3,455	$2,418.50	$650.13
Colonoscopy with biopsy: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $650.13 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$3,455	$2,418.50	$2,755.78
Colonoscopy with biopsy: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL	$745	$521.50	$674.48
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $674.48 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$3,455	$2,418.50	$674.48
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $674.48 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$4,220	$2,954	$2,755.78
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLON CA SCRN NOT HI RSK IND	$450	$315	$352.01
Screening colonoscopy (not high risk): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $352.01 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$3,075	$2,152.50	$352.01
Screening colonoscopy (not high risk): rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $352.01 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$1,125	$787.50	$722.04
Gallbladder removal by laparoscope: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $722.04 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$10,980	$7,686	$722.04
Gallbladder removal by laparoscope: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $722.04 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR	$890	$623	$571.02
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $571.02 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF PROSTATE	$410	$287	$276.07
Prostate biopsy: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $276.07 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY	$2,505	$1,753.50	$1,501.81
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $1,501.81 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC	$450	$315	$280.63
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $280.63 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$1,995.05	$1,396.54	$280.63
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $280.63 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$2,175	$1,522.50	$280.63
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $280.63 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	$2,629.57	$1,840.70	$262.32
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $262.32 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	$450	$315	$262.32
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $262.32 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$2,520	$1,764	$2,755.78
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY	$740	$518	$476.34
Carpal tunnel release: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $476.34 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$6,485	$4,539.50	$2,755.78
Carpal tunnel release: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$6,485	$4,539.50	$2,755.78
Carpal tunnel release: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$4,785	$3,349.50	$2,755.78
Cataract removal with lens implant: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$6,485	$4,539.50	$2,755.78
Cataract removal with lens implant: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,755.78 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRICAL CARE	$3,565	$2,495.50	$2,205.51
Vaginal delivery, with care before and after: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,205.51 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY	$3,950	$2,765	$2,205.51
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans Blue Cross Blue Shield Western NY — Commercial: $2,205.51 Independent Health — Commercial: 37% (a percentage in the contract, not a dollar amount) Univera — Commercial: 85% (a percentage in the contract, not a dollar amount)

Source: Wyoming County’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 30, 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	Critical Access Hospital
Address	400 North Main Street, Warsaw, NY 14569
County	Wyoming County
State	New York
Phone	(585) 786‑8940
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	Not rated by CMS
CMS Certification Number	331323
Name in Medicare records	WYOMING COUNTY
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(585) 786‑2233^[4]
Name on the hospital’s website	Wyoming County Community Health System
Official website	wcchs.net
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Wyoming County Community Health System — wcchs.net
Emergency Department — wcchs.net
Surgical Services — wcchs.net
Cardiology & Pulmonary — wcchs.net
Wyoming County Community Health System Earns American Heart Association Rural Stroke Silver Achievement Award | Wyoming — wcchs.net
Behavioral Health Center | Wyoming County Community Health System — wcchs.net
Ophthalmology/Eye Surgery | Wyoming County Community Health System — wcchs.net
Orthopedics | Wyoming County Community Health System — wcchs.net
Radiology | Wyoming County Community Health System — wcchs.net
Laboratory | Wyoming County Community Health System — wcchs.net
Our Services | Wyoming County Community Health System — wcchs.net
Hospitalist Services | Wyoming County Community Health System — wcchs.net