Delaware Valley Hospital, INC

1 Titus Place, Walton, NY 13856 · (607) 865-2188

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 1/5

Price file

Prices published

File dated 2026-04-01

576 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

$329

cash

$8 to $46

7 negotiated rates

$329

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$67 to $2,347

8 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450

—

cash

$75 to $703

8 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$106 to $1,180

8 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,597 to $15,528

5 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,833 to $2,046

3 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$20,091 to $22,836

3 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

$278

cash

$22 to $189

7 negotiated rates

$278

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$639 to $6,257

5 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$826 to $8,051

5 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$826 to $8,051

5 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$189

cash

$3 to $42

7 negotiated rates

$189

list

Comprehensive metabolic panel (blood test)

CPT 80053

$543

cash

$10 to $57

7 negotiated rates

$543

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$61 to $113

6 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$16 to $17

3 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$97 to $109

3 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$113 to $1,194

5 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$113 to $1,194

5 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$4,086 to $40,676

5 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

$226

cash

$22 to $189

7 negotiated rates

$226

list

Group psychotherapy

CPT 90853

—

cash

$65 to $684

5 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$40,418 to $45,941

3 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$16,336 to $18,568

3 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$25,998 to $29,550

3 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$2,472 to $24,090

5 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$2,273 to $22,015

5 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$384 to $3,701

5 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$2,253 to $21,813

5 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines

$91

cash

$6 to $72

7 negotiated rates

$91

list

Liver function panel

CPT 80076

$275

cash

$8 to $44

7 negotiated rates

$275

list

MRI of the brain, with and without contrast

CPT 70553

$5,917

cash

$312 to $2,347

8 negotiated rates

$5,917

list

MRI of the knee or other lower joint, no contrast

CPT 73721

$2,104

cash

$312 to $1,605

8 negotiated rates

$2,104

list

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

CPT 72148

—

cash

$312 to $1,605

8 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$312 to $1,605

8 negotiated rates

—

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$17,256 to $58,144

10 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$624 to $5,951

5 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$56 to $62

3 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$90 to $101

3 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$123 to $137

3 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 9 lines

$99

cash

$19 to $99

7 negotiated rates

$99

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 5 lines

$73

cash

$6 to $32

7 negotiated rates

$73

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$20 to $168

5 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$34 to $703

8 negotiated rates

—

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$63 to $71

3 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$77 to $86

3 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$1,435 to $1,602

3 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$7,292 to $71,520

5 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines

$53

cash

$4 to $23

7 negotiated rates

$53

list

Psychotherapy, 30 minutes

CPT 90832

$1,575

cash

$113 to $1,194

5 negotiated rates

$1,575

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$113 to $1,194

5 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$113 to $1,194

5 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$2,682 to $26,344

5 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$61 to $113

6 negotiated rates

—

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$117 to $130

3 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$713 to $5,778

5 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$624 to $5,951

5 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$485 to $4,749

5 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$296

cash

$9 to $91

7 negotiated rates

$296

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$4,143 to $39,830

5 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$37 to $703

8 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$37 to $703

8 negotiated rates

—

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$657 to $6,102

5 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$657 to $6,102

5 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $17

7 negotiated rates

—

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,728 to $1,930

3 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$14,127 to $16,057

3 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,650 to $1,842

3 negotiated rates

—

list

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

CPT 72110

—

cash

$19 to $703

8 negotiated rates

—

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=Z08MbGZSrFBvzRrfL*_*nVGA*-*
UHS Delaware Valley Hospital · discovered · json v3.0.0 · file dated 2026-04-01 · 25.6 MB · 576 price rows read · read Oct 2026