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Montefiore New Rochelle Hospital

16 Guion Place, New Rochelle, NY 10802 · (914) 632-5000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 1/5New York, NY-NJ metroWebsite ↗

Price file

Prices published

File dated 2026-09-28

5,982 price rows for 68 procedures

Published prices

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

CPT 80048 · metro median $21

$114
cash
$3,465
cash
CT scan of the head, no contrast

CPT 70450 · metro median $272

$1,360
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $686

$774
cash
—
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · metro median $86

$116
cash
—
cash
—
cash
—
cash
$23
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $26

$161
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $279

$508
cash
—
cash
$153
cash
Family psychotherapy with the patient

CPT 90847 · metro median $214

$309
cash
—
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $77

$116
cash
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cash
—
cash
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cash
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cash
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cash
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—
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Lipid panel (cholesterol test)

CPT 80061 · metro median $33

$118
cash
Liver function panel

CPT 80076 · metro median $20

$68
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $888

$3,898
cash
$759
cash
$2,908
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $509

$2,764
cash
—
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · metro median $368

$183
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $454

$524
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $543

$648
cash
PSA test (prostate)

CPT 84153 · metro median $45

$150
cash
$17
cash
$170
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $254

$359
cash
—
cash
—
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · metro median $11

$11
cash
—
cash
—
cash
—
cash
—
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Screening mammogram (both breasts)

CPT 77067 · metro median $178

$542
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $1,358

$2,577
cash
—
cash
—
cash
TSH test (thyroid)

CPT 84443 · metro median $41

$148
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $290

$838
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $290

$1,056
cash
—
cash
—
cash
Urinalysis with microscope

CPT 81001 · metro median $8

$65
cash
—
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $152

$692
cash

Source files

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