Wynn Hospital

1656 Champlin Avenue, Utica, NY 13503 · (315) 624-6002

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 1/5Utica, NY metro Website ↗

Price file

Prices published

File dated 2026-08-07

13,164 price rows for 63 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines · metro median $62

$63

cash

$7 to $79

78 negotiated rates

$105

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $143

$3,646

cash

$109 to $4,558

86 negotiated rates

$6,077

list

CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines · metro median $50

$1,783

cash

$120 to $2,228

86 negotiated rates

$2,971

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 3 lines · metro median $104

$2,273

cash

$172 to $2,842

86 negotiated rates

$3,789

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 2 lines · metro median $1,046

$1,922

cash

$561 to $1,881

24 negotiated rates

$3,204

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $17,649

$17,649

cash

$7,790 to $17,256

30 negotiated rates

$29,415

list

Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $9

$53

cash

$22 to $152

234 negotiated rates

$89

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $148

$148

cash

$5 to $5,993

97 negotiated rates

$246

list

Colonoscopy with biopsy

CPT 45380 · lowest of 3 lines · metro median $161

$161

cash

$6 to $5,993

186 negotiated rates

$268

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 3 lines · metro median $203

$203

cash

$5 to $5,993

186 negotiated rates

$338

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $34

$34

cash

$3 to $43

78 negotiated rates

$57

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $97

$98

cash

$10 to $123

78 negotiated rates

$164

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 6 lines · metro median $68

$653

cash

$98 to $830

314 negotiated rates

$1,089

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines · metro median $17

$17

cash

$10 to $24

322 negotiated rates

$29

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $75

$223

cash

$49 to $302

866 negotiated rates

$371

list

Family psychotherapy with the patient

CPT 90847 · lowest of 6 lines · metro median $49

$130

cash

$52 to $389

165 negotiated rates

$217

list

Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines · metro median $41

$126

cash

$43 to $365

130 negotiated rates

$210

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 3 lines · metro median $486

$533

cash

$5 to $21,682

162 negotiated rates

$888

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 9 lines · metro median $51

$53

cash

$22 to $152

234 negotiated rates

$89

list

Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $16

$54

cash

$24 to $86

29 negotiated rates

$90

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $44,381

$44,381

cash

$4,126 to $50,435

417 negotiated rates

$36,418

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $3,308

$18,470

cash

$6,334 to $14,030

30 negotiated rates

$30,783

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $33,725

$33,725

cash

$10,080 to $22,329

30 negotiated rates

$56,208

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 3 lines · metro median $324

$424

cash

$5 to $12,841

162 negotiated rates

$706

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 3 lines · metro median $461

$461

cash

$3 to $11,735

162 negotiated rates

$769

list

Left heart catheterization

CPT 93452 · lowest of 3 lines · metro median $382

$6,400

cash

$1,208 to $11,627

69 negotiated rates

$10,667

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $35

$35

cash

$6 to $123

234 negotiated rates

$58

list

Liver function panel

CPT 80076 · lowest of 3 lines · metro median $43

$43

cash

$7 to $54

78 negotiated rates

$72

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $142

$1,854

cash

$401 to $2,318

86 negotiated rates

$3,090

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 9 lines · metro median $90

$787

cash

$272 to $1,910

258 negotiated rates

$1,311

list

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

CPT 72148 · lowest of 3 lines · metro median $91

$1,528

cash

$272 to $1,910

86 negotiated rates

$2,546

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines · metro median $91

$1,528

cash

$272 to $1,910

86 negotiated rates

$2,546

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $50,035

$50,035

cash

$19,835 to $43,936

30 negotiated rates

$83,391

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $49

$136

cash

$32 to $184

886 negotiated rates

$226

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $73

$205

cash

$51 to $278

863 negotiated rates

$342

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $92

$119

cash

$70 to $371

578 negotiated rates

$199

list

PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $50

$80

cash

$17 to $100

78 negotiated rates

$133

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 6 lines · metro median $17

$17

cash

$6 to $48

234 negotiated rates

$28

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $34

$74

cash

$16 to $150

112 negotiated rates

$123

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines · metro median $58

$865

cash

$56 to $1,082

86 negotiated rates

$1,442

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 5 lines · metro median $23

$84

cash

$37 to $212

268 negotiated rates

$140

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 5 lines · metro median $30

$181

cash

$46 to $263

255 negotiated rates

$301

list

Prostate removal (laparoscopic)

CPT 55866 · lowest of 2 lines · metro median $929

$1,033

cash

$122 to $38,123

162 negotiated rates

$1,721

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 11 lines · metro median $11

$11

cash

$4 to $36

288 negotiated rates

$19

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 6 lines · metro median $5

$94

cash

$25 to $138

216 negotiated rates

$156

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 6 lines · metro median $5

$122

cash

$38 to $183

194 negotiated rates

$204

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 6 lines · metro median $6

$136

cash

$57 to $268

218 negotiated rates

$227

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 5 lines · metro median $280

$293

cash

$3 to $14,042

254 negotiated rates

$489

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 15 lines · metro median $55

$644

cash

$87 to $818

928 negotiated rates

$1,074

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 3 lines · metro median $143

$143

cash

$5 to $26,024

162 negotiated rates

$238

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 5 lines · metro median $257

$771

cash

$306 to $5,823

175 negotiated rates

$1,285

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $157

$9,073

cash

$7 to $4,217

48 negotiated rates

$15,122

list

TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $73

$98

cash

$9 to $123

78 negotiated rates

$164

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $193

$9,166

cash

$1 to $21,231

138 negotiated rates

$15,276

list

Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $51

$889

cash

$61 to $1,111

86 negotiated rates

$1,481

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 6 lines · metro median $50

$131

cash

$61 to $1,665

180 negotiated rates

$219

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 3 lines · metro median $98

$98

cash

$2 to $5,993

97 negotiated rates

$164

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 3 lines · metro median $111

$111

cash

$6 to $6,882

186 negotiated rates

$185

list

Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $19

$19

cash

$3 to $24

78 negotiated rates

$32

list

Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $988

$1,812

cash

$529 to $1,771

24 negotiated rates

$3,020

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $10,788

$10,788

cash

$5,478 to $12,134

30 negotiated rates

$17,980

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 2 lines · metro median $940

$1,736

cash

$506 to $1,692

24 negotiated rates

$2,894

list

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

CPT 72110 · lowest of 3 lines · metro median $22

$691

cash

$30 to $863

86 negotiated rates

$1,151

list

Source files

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

http://www.mvhealthsystem.org/wp-content/uploads/2026/08/161576637_mvhs-inc_standardcharges.zip
Wynn Hospital · parsed · tall v3.0.0 · file dated 2026-08-07 · 16.7 MB · 13164 price rows read · read Nov 2026