Ira Davenport Memorial Hospital

7571 State Route 54, Bath, NY 14810 · (607) 776-8500

Rural Emergency HospitalVoluntary non-profit - PrivateCorning, NY metro

Price file

Prices published

File dated 2026-03-27

5,536 price rows for 64 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $52

$143

cash

$4 to $260

72 negotiated rates

$260

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,367

$3,758

cash

$230 to $6,834

108 negotiated rates

$6,834

list

CT scan of the head, no contrast

CPT 70450 · metro median $459

$1,263

cash

$82 to $2,296

126 negotiated rates

$2,296

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $735

$2,022

cash

$173 to $3,676

27 negotiated rates

$3,676

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,476 to $2,476

2 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$4,148 to $12,487

4 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $100

$129

cash

$16 to $234

108 negotiated rates

$234

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $722

$1,242

cash

$127 to $4,443

189 negotiated rates

$2,258

list

Colonoscopy with biopsy

CPT 45380 · metro median $794

$305

cash

$137 to $4,443

162 negotiated rates

$554

list

Colonoscopy with polyp removal

CPT 45385 · metro median $1,023

$2,589

cash

$172 to $4,707

36 negotiated rates

$4,707

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $38

$86

cash

$4 to $157

108 negotiated rates

$157

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $78

$209

cash

$5 to $380

108 negotiated rates

$380

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $248

$682

cash

$120 to $1,240

9 negotiated rates

$1,240

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $67

$185

cash

$12 to $336

24 negotiated rates

$336

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $122

$217

cash

$96 to $394

576 negotiated rates

$394

list

Family psychotherapy with the patient

CPT 90847

—

cash

$190 to $190

2 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$190 to $190

2 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$6,485 to $6,485

2 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $100

$91

cash

$16 to $166

108 negotiated rates

$166

list

Group psychotherapy

CPT 90853

—

cash

$109 to $109

2 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$8,344 to $24,399

4 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$3,373 to $10,286

4 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$5,367 to $15,948

4 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,841 to $3,841

2 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,510 to $3,510

2 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$590 to $590

2 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $2,531

$6,960

cash

$666 to $12,655

126 negotiated rates

$12,655

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $73

$201

cash

$6 to $365

36 negotiated rates

$365

list

Liver function panel

CPT 80076 · metro median $75

$207

cash

$4 to $375

36 negotiated rates

$375

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,308

$3,598

cash

$243 to $6,541

36 negotiated rates

$6,541

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $957

$2,632

cash

$157 to $4,786

27 negotiated rates

$4,786

list

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

CPT 72148 · metro median $1,066

$2,933

cash

$147 to $5,332

36 negotiated rates

$5,332

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $951

$2,615

cash

$146 to $4,755

36 negotiated rates

$4,755

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$10,561 to $30,691

4 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $465

$1,279

cash

$77 to $2,325

84 negotiated rates

$2,325

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $130

$180

cash

$55 to $335

552 negotiated rates

$328

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $190

$239

cash

$91 to $454

480 negotiated rates

$435

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $240

$261

cash

$124 to $550

408 negotiated rates

$474

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $132

$180

cash

$8 to $328

63 negotiated rates

$328

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $42

$29

cash

$3 to $126

36 negotiated rates

$53

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$39 to $39

2 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $148

$190

cash

$104 to $345

54 negotiated rates

$345

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $43

$118

cash

$64 to $214

64 negotiated rates

$214

list

Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $56

$154

cash

$78 to $279

32 negotiated rates

$279

list

Prostate biopsy

CPT 55700 · metro median $378

$461

cash

$351 to $838

24 negotiated rates

$838

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$11,403 to $11,403

2 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $27

$52

cash

$2 to $95

162 negotiated rates

$95

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$190 to $190

2 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$190 to $190

2 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$190 to $190

2 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,200 to $4,200

2 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $152

$394

cash

$97 to $717

36 negotiated rates

$717

list

Sleep study (overnight, attended)

CPT 95810 · metro median $302

$2,965

cash

$514 to $5,391

27 negotiated rates

$5,391

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $477

$461

cash

$57 to $949

108 negotiated rates

$838

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $454

$1,249

cash

$69 to $2,271

36 negotiated rates

$2,271

list

TSH test (thyroid)

CPT 84443 · metro median $92

$217

cash

$8 to $394

54 negotiated rates

$394

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$6,350 to $6,350

2 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $198

$543

cash

$90 to $988

306 negotiated rates

$988

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $328

$902

cash

$87 to $1,640

18 negotiated rates

$1,640

list

Upper endoscopy (EGD)

CPT 43235 · metro median $749

$2,059

cash

$85 to $4,443

126 negotiated rates

$3,743

list

Upper endoscopy with biopsy

CPT 43239 · metro median $749

$2,059

cash

$95 to $4,443

108 negotiated rates

$3,743

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $32

$44

cash

$1 to $80

270 negotiated rates

$80

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$2,917 to $8,992

4 negotiated rates

—

list

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

CPT 72110 · metro median $202

$477

cash

$41 to $866

108 negotiated rates

$866

list

Source files

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

https://CayugaHealth.pt.panaceainc.com/MRFDownload/CayugaHealth/idmh
Ira Davenport Memorial Hospital · parsed · tall v3.0.0 · file dated 2026-03-27 · 164.7 MB · 5536 price rows read · read Nov 2026