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Jones Memorial Hospital

191 North Main Street, Wellsville, NY 14895 · (585) 593-1100

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Website ↗

Price file

Prices published

File dated 2026-01-01

5,075 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$58
cash
$680
cash
$202
cash
$339
cash
—
cash
$2,499
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines

$70
cash
$318
cash
$401
cash
$423
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$24
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$34
cash
$136
cash
$14
cash
$118
cash
—
cash
—
cash
$623
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines

$70
cash
—
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 3 lines

$415
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 3 lines

$436
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$44
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$22
cash
$680
cash
$459
cash
$459
cash
$459
cash
—
cash
$229
cash
$106
cash
$160
cash
$211
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines

$58
cash
$21
cash
$29
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$126
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines

$118
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines

$118
cash
$227
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines

$14
cash
—
cash
—
cash
—
cash
$491
cash
$112
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 3 lines

$135
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$588
cash
$125
cash
$239
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$54
cash
$279
cash
Transvaginal ultrasound

CPT 76830 · lowest of 3 lines

$93
cash
$202
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$267
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$345
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$12
cash
$2,355
cash
—
cash
$2,256
cash
$202
cash

Source files

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