University Hospital S U N Y Health Science Center

750 East Adams Street, Syracuse, NY 13210 · (315) 473-4240

Acute Care HospitalsGovernment - StateCMS rating 3/5Syracuse, NY metro Website ↗

Price file

Prices published

File dated 2026-09-05

3,343 price rows for 63 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$8 to $164

56 negotiated rates

$158

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$423 to $5,371

27 negotiated rates

$5,968

list

CT scan of the head, no contrast

CPT 70450

—

cash

$126 to $4,629

27 negotiated rates

$5,143

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$211 to $5,371

27 negotiated rates

$5,968

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,442 to $7,917

17 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$10,187 to $20,901

15 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$18 to $564

112 negotiated rates

$91

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$551 to $3,165

34 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$720 to $4,093

34 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$720 to $4,093

34 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$8 to $206

28 negotiated rates

$229

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$10 to $169

28 negotiated rates

$188

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$363 to $1,632

32 negotiated rates

$1,813

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$65 to $17,278

178 negotiated rates

$336

list

Family psychotherapy with the patient

CPT 90847

—

cash

$58 to $1,038

57 negotiated rates

$190

list

Family psychotherapy without the patient

CPT 90846

—

cash

$58 to $1,043

42 negotiated rates

$184

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$707 to $20,252

21 negotiated rates

$1,768

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$18 to $466

84 negotiated rates

$91

list

Group psychotherapy

CPT 90853

—

cash

$18 to $491

167 negotiated rates

$44

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$21,006 to $57,681

15 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$8,815 to $23,805

15 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$13,430 to $36,623

15 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$2,210 to $12,250

17 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$1,967 to $11,263

17 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$371 to $4,980

46 negotiated rates

$927

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$13 to $213

28 negotiated rates

$237

list

Liver function panel

CPT 80076

—

cash

$8 to $135

28 negotiated rates

$150

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$423 to $10,608

27 negotiated rates

$11,787

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$286 to $9,903

27 negotiated rates

$11,003

list

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

CPT 72148

—

cash

$286 to $7,957

27 negotiated rates

$8,841

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$286 to $7,957

27 negotiated rates

$8,841

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$8,416 to $72,330

33 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$136 to $3,090

31 negotiated rates

$339

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$43 to $771

125 negotiated rates

$231

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$66 to $950

102 negotiated rates

$392

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$77 to $1,111

102 negotiated rates

$507

list

PSA test (prostate)

CPT 84153

—

cash

$18 to $208

56 negotiated rates

$173

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$6 to $107

28 negotiated rates

$119

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$38 to $319

93 negotiated rates

$354

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$126 to $1,524

27 negotiated rates

$1,693

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$92 to $1,067

24 negotiated rates

$554

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$92 to $849

24 negotiated rates

$617

list

Prostate biopsy

CPT 55700

—

cash

$1,243 to $7,111

17 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,595 to $36,139

21 negotiated rates

$3,988

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$4 to $100

28 negotiated rates

$111

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$43 to $558

43 negotiated rates

$128

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$57 to $790

43 negotiated rates

$170

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$69 to $982

107 negotiated rates

$252

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$492 to $13,292

48 negotiated rates

$1,229

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$252 to $1,134

32 negotiated rates

$1,260

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$120 to $360

2 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$1,204 to $7,929

27 negotiated rates

$8,810

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$106 to $3,090

31 negotiated rates

$266

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$122 to $2,404

48 negotiated rates

$304

list

TSH test (thyroid)

CPT 84443

—

cash

$16 to $396

28 negotiated rates

$440

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$3,532 to $20,534

17 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$126 to $1,010

27 negotiated rates

$1,122

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$126 to $1,462

27 negotiated rates

$1,624

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$152 to $3,254

65 negotiated rates

$380

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$171 to $3,254

65 negotiated rates

$428

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $107

28 negotiated rates

$119

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$7,238 to $14,393

15 negotiated rates

—

list

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

CPT 72110

—

cash

$126 to $1,288

27 negotiated rates

$1,431

list

Source files

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

https://www.upstate.edu/hospital/files/161469571_upstate-university-hospital_standardcharges.csv
Upstate University Hospital · parsed · tall v3.0.0 · file dated 2026-09-05 · 287.2 MB · 3343 price rows read · read Nov 2026