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Nathan Littauer Hospital

99 East State Street, Gloversville, NY 12078 · (518) 725-8621

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Gloversville, NY metroWebsite ↗

Price file

Prices published

File dated 2026-03-04

6,815 price rows for 35 procedures

Published prices

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

CPT 80048 · lowest of 4 lines · metro median $486

$486
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 8 lines · metro median $4,955

$4,955
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $3,035

$3,035
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $2,965

$2,965
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 20 lines · metro median $35

$35
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 16 lines · metro median $42

$42
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $632

$632
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 8 lines · metro median $637

$637
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 28 lines · metro median $50

$50
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 16 lines · metro median $23

$23
cash
Liver function panel

CPT 80076 · lowest of 8 lines · metro median $24

$24
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $5,859

$5,859
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 20 lines · metro median $3,201

$3,201
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $3,329

$3,329
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $3,463

$3,463
cash
—
cash
PSA test (prostate)

CPT 84153 · lowest of 16 lines · metro median $113

$113
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 8 lines · metro median $51

$51
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 8 lines · metro median $142

$142
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 8 lines · metro median $1,398

$1,398
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $48

$48
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $551

$551
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 24 lines · metro median $533

$533
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $4,332

$4,332
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $110

$110
cash
TSH test (thyroid)

CPT 84443 · lowest of 20 lines · metro median $27

$27
cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $1,398

$1,398
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 8 lines · metro median $1,565

$1,565
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $134

$134
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $1,070

$1,070
cash

Source files

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