Brooks-Tlc Hospital System, INC

529 Central Avenue, Dunkirk, NY 14048 · (716) 366-1111

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 1/5Jamestown, NY metro Website ↗

Price file

Prices published

File dated 2026-04-01

1,415 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $20

$58

cash

$4 to $11

18 negotiated rates

$58

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $475

$2,043

cash

$168 to $588

23 negotiated rates

$2,043

list

CT scan of the head, no contrast

CPT 70450 · metro median $495

$906

cash

$52 to $175

23 negotiated rates

$906

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $670

$862

cash

$114 to $293

23 negotiated rates

$862

list

Cataract surgery with lens implant

CPT 66984

—

cash

$55 to $3,860

21 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$402 to $2,877

6 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$9,333 to $15,866

15 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $86

$181

cash

$18 to $47

18 negotiated rates

$181

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$102 to $3,423

18 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$222 to $3,423

17 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$280 to $3,423

17 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $19

$56

cash

$4 to $10

18 negotiated rates

$56

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $26

$65

cash

$6 to $14

18 negotiated rates

$65

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $226

$358

cash

$66 to $140

13 negotiated rates

$358

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $78

$78

cash

$15 to $108

9 negotiated rates

$78

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 10 lines · metro median $166

$180

cash

$127 to $175

7 negotiated rates

$180

list

Family psychotherapy with the patient

CPT 90847 · metro median $181

$181

cash

$92 to $297

15 negotiated rates

$181

list

Family psychotherapy without the patient

CPT 90846 · metro median $156

$156

cash

$89 to $297

15 negotiated rates

$156

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$60 to $10,914

21 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $86

$181

cash

$18 to $47

18 negotiated rates

$181

list

Group psychotherapy

CPT 90853 · metro median $37

$37

cash

$25 to $170

15 negotiated rates

$37

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$18,190 to $30,922

15 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$7,697 to $13,085

15 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$11,907 to $20,241

15 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$48 to $10,914

21 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$58 to $10,914

21 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 3 lines · metro median $1,255

$1,255

cash

$32 to $3,423

21 negotiated rates

$1,255

list

Left heart catheterization

CPT 93452 · metro median $5,552

$7,442

cash

$591 to $10,914

17 negotiated rates

$7,442

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines · metro median $32

$74

cash

$7 to $18

18 negotiated rates

$74

list

Liver function panel

CPT 80076 · metro median $48

$56

cash

$4 to $11

18 negotiated rates

$56

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $975

$2,382

cash

$196 to $588

21 negotiated rates

$2,382

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$126 to $399

21 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $682

$1,599

cash

$112 to $399

21 negotiated rates

$1,599

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $682

$1,599

cash

$112 to $399

21 negotiated rates

$1,599

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$7,000 to $38,875

21 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $481

$2,714

cash

$109 to $3,423

17 negotiated rates

$2,714

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $130

$326

cash

$73 to $136

7 negotiated rates

$326

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $166

$408

cash

$118 to $208

7 negotiated rates

$408

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $218

$510

cash

$160 to $261

7 negotiated rates

$510

list

PSA test (prostate)

CPT 84153 · metro median $45

$75

cash

$10 to $25

18 negotiated rates

$75

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $14

$44

cash

$3 to $8

18 negotiated rates

$44

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$15 to $50

12 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $182

$437

cash

$66 to $175

21 negotiated rates

$437

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $321

$321

cash

$90 to $168

4 negotiated rates

$321

list

Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $388

$388

cash

$109 to $195

4 negotiated rates

$388

list

Prostate biopsy

CPT 55700 · lowest of 4 lines · metro median $891

$1,988

cash

$130 to $3,423

9 negotiated rates

$1,988

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$99 to $17,781

21 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $10

$29

cash

$2 to $6

18 negotiated rates

$29

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $277

$277

cash

$65 to $297

15 negotiated rates

$277

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $367

$367

cash

$87 to $297

15 negotiated rates

$367

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $367

$367

cash

$116 to $297

15 negotiated rates

$367

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 3 lines · metro median $4,293

$4,293

cash

$41 to $6,549

21 negotiated rates

$4,293

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $205

$290

cash

$55 to $116

13 negotiated rates

$290

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$182 to $4,045

9 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $1,188

$2,688

cash

$357 to $1,676

21 negotiated rates

$2,688

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,510

$1,510

cash

$80 to $3,423

17 negotiated rates

$1,510

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines · metro median $1,409

$1,510

cash

$98 to $3,423

17 negotiated rates

$1,510

list

TSH test (thyroid)

CPT 84443 · metro median $41

$120

cash

$9 to $23

18 negotiated rates

$120

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$27 to $9,902

21 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $182

$364

cash

$63 to $175

21 negotiated rates

$364

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $182

$770

cash

$59 to $175

21 negotiated rates

$770

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$124 to $3,423

17 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$139 to $3,423

17 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $8

$20

cash

$2 to $4

18 negotiated rates

$20

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$402 to $2,723

6 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$6,735 to $11,450

15 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$402 to $2,609

6 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $240

$400

cash

$24 to $175

21 negotiated rates

$400

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://hospitalpricedisclosure.com/download.aspx?pi=fRfSPde23gbbK8KMnO7RBg*-*
Brooks Memorial Hospital · parsed · json v3.0.0 · file dated 2026-04-01 · 59.4 MB · 1415 price rows read · read Nov 2026