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Nicholas H Noyes Memorial Hospital

Dansville, New York · Acute Care · Voluntary non-profit - Private · CCN 330238

138%

median commercial rate vs. Medicare here

89th

highest of 135 New York hospitals, by median rate vs. Medicare

103

procedures with published commercial rates

43¢

of every charged dollar is cost, on this hospital’s own federal cost report

Procedure	Commercial median	Medicare	% of Medicare	Est. cost*	Plan rates
Acute myocardial infarction, discharged alive, with MCCMS-DRG 280	$15,577	$11,217	139%	—	2
Bariatric (obesity) surgery, no CC/MCCMS-DRG 621	$14,648	$8,272	177%	—	2
Basic metabolic panelCPT 80048	$10	$8	113%	—	13
COPD with MCCMS-DRG 190	$10,757	$7,377	146%	—	2
CT abdomen and pelvis with contrastCPT 74177	$754	$435	173%	—	11
CT head without contrastCPT 70450	$240	$130	184%	—	11
CT pelvis with contrastCPT 72193	$383	$219	175%	—	10
Cardiac arrhythmia, no CC/MCCMS-DRG 310	$5,497	$3,269	168%	—	2
Cardiac stress testCPT 93017	$466	$270	173%	—	10
Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216	$95,001	—	—	—	2
Cataract surgery with IOL insertionCPT 66984	$4,986	$2,881	173%	—	9
Cellulitis, no MCCMS-DRG 603	$8,457	$5,675	149%	—	2
Cervical spinal fusion, no CC/MCCMS-DRG 473	$23,707	$16,343	145%	—	2
Cesarean section, no CC/MCCMS-DRG 788	$9,311	—	—	—	2
Cesarean section, with CCMS-DRG 787	$10,845	—	—	—	2
Chest painMS-DRG 313	$6,992	—	—	—	2
Colonoscopy with biopsyCPT 45380	$668	$1,494	45%	—	18
Colonoscopy with endoscopic ultrasoundCPT 45391	$2,585	$1,494	173%	—	9
Colonoscopy with polyp removalCPT 45385	$733	$1,494	49%	—	18
Colonoscopy, diagnosticCPT 45378	$573	$1,161	49%	—	18
Complete blood count with differentialCPT 85025	$9	$8	112%	—	13
Complete blood count, automatedCPT 85027	$7	$6	112%	—	12
Comprehensive metabolic panelCPT 80053	$12	$11	113%	—	13
Coronary bypass without cardiac cath, no MCCMS-DRG 236	$40,677	$29,950	136%	—	2
Diagnostic mammography, both breastsCPT 77066	$134	—	—	—	10
Diagnostic mammography, one breastCPT 77065	$104	—	—	—	10
ED visit, level 3CPT 99283	$282	$341	83%	—	18
ED visit, level 4CPT 99284	$460	$521	88%	—	18
ED visit, level 5CPT 99285	$644	$743	87%	—	18
Echocardiogram, completeCPT 93306	$325	$682	48%	—	17
Electrocardiogram with interpretationCPT 93000	$17	—	—	—	17
Epidural injection, lumbar/sacral, no imagingCPT 62322	$302	$1,104	27%	—	18
Esophagitis/GI disorders, no MCCMS-DRG 392	$7,571	$4,899	155%	—	2
Excision of breast lesionCPT 19120	$818	$4,888	17%	—	18
Family psychotherapy, with patientCPT 90847	$197	$222	89%	—	16
Family psychotherapy, without patientCPT 90846	$189	$222	85%	—	16
Group psychotherapyCPT 90853	$50	$127	39%	—	16
Heart failure and shock, with CCMS-DRG 292	$8,245	$5,927	139%	—	2
Heart failure with MCCMS-DRG 291	$12,467	$11,280	111%	—	2
Hip and femur procedures except major joint, with CCMS-DRG 481	$20,340	$13,876	147%	—	2
Hysterectomy, no CC/MCCMS-DRG 743	$12,048	$10,098	119%	—	2
Inguinal hernia repair, age 5+CPT 49505	$910	$4,469	20%	—	18
Kidney and urinary tract infections, no MCCMS-DRG 690	$7,861	$5,238	150%	—	2
Kidney function panelCPT 80069	$10	$9	112%	—	11
Knee arthroscopy with meniscectomyCPT 29881	$926	$4,084	23%	—	18
Laparoscopic cholecystectomyCPT 47562	$1,071	$7,547	14%	—	18
Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419	$13,263	$8,977	148%	—	2
Laparoscopic radical prostatectomyCPT 55866	$11,614	$13,269	88%	—	14
Left heart catheterization, diagnosticCPT 93452	$7,956	$4,047	197%	—	7
Lipid panelCPT 80061	$15	$13	112%	—	13
Liver function panelCPT 80076	$9	$8	113%	—	12
Lumbar epidural steroid injectionCPT 62323	$387	$881	44%	—	18
MRI brain with and without contrastCPT 70553	$805	$435	185%	—	10
MRI lower extremity joint (knee)CPT 73721	$551	$298	185%	—	10
MRI lumbar spine without contrastCPT 72148	$586	$298	197%	—	11
Major joint replacement (hip/knee), no MCCMS-DRG 470	$18,732	$13,045	144%	—	2
Major joint replacement (hip/knee), with MCCMS-DRG 469	$29,455	$22,346	132%	—	2
Major small and large bowel procedures, with CCMS-DRG 330	$23,279	$16,202	144%	—	2
Medical back problems, no MCCMS-DRG 552	$9,335	$6,142	152%	—	2
OB global care, VBAC deliveryCPT 59610	$2,861	—	—	—	9
OB global care, cesarean deliveryCPT 59510	$3,017	—	—	—	9
OB global care, vaginal deliveryCPT 59400	$2,729	—	—	—	9
OB ultrasound, 14+ weeksCPT 76805	$226	$130	173%	—	10
Obstetric blood test panelCPT 80055	$54	$48	113%	—	8
Office consultation, comprehensiveCPT 99244	$197	—	—	—	5
Office visit, established patient, level 3CPT 99213	$97	—	—	—	18
Office visit, established patient, level 4CPT 99214	$142	—	—	—	17
Office visit, new patient, level 3CPT 99203	$116	—	—	—	15
Office visit, new patient, level 4CPT 99204	$187	—	—	—	15
Office visit, new patient, level 5CPT 99205	$240	—	—	—	15
PSA (prostate specific antigen), totalCPT 84153	$21	$18	112%	—	11
Partial thromboplastin timeCPT 85730	$7	$6	113%	—	12
Physical therapy, therapeutic exerciseCPT 97110	$46	—	—	—	10
Preventive visit, new patient, 18-39CPT 99385	$143	—	—	—	8
Preventive visit, new patient, 40-64CPT 99386	$169	—	—	—	8
Prostate biopsyCPT 55700	$344	—	—	—	6
Prothrombin timeCPT 85610	$4	$4	100%	—	19
Psychotherapy, 30 minutesCPT 90832	$102	$222	46%	—	18
Psychotherapy, 45 minutesCPT 90834	$129	$222	58%	—	19
Psychotherapy, 60 minutesCPT 90837	$206	$222	93%	—	17
Renal failure, with CCMS-DRG 683	$8,505	$5,892	144%	—	2
Screening mammography, bilateralCPT 77067	$134	—	—	—	13
Sepsis with MCCMS-DRG 871	$18,864	$16,919	111%	—	2
Shoulder arthroscopy, subacromial decompressionCPT 29826	$216	—	—	—	13
Simple pneumonia and pleurisy, with CCMS-DRG 194	$7,826	$5,177	151%	—	2
Sleep study (polysomnography)CPT 95810	$888	$1,072	83%	—	16
Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066	$6,646	$3,679	181%	—	2
Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065	$9,811	$6,559	150%	—	2
Thyroid stimulating hormone (TSH)CPT 84443	$17	$17	100%	—	20
Tonsillectomy and adenoidectomy, under age 12CPT 42820	$6,443	$7,390	87%	—	14
Transforaminal epidural, lumbar/sacralCPT 64483	$386	$1,104	35%	—	18
Ultrasound, abdomen, completeCPT 76700	$171	$130	131%	—	18
Ultrasound, transvaginalCPT 76830	$210	$130	161%	—	15
Upper GI endoscopy with biopsyCPT 43239	$558	$1,132	49%	—	18
Upper GI endoscopy, diagnosticCPT 43235	$460	$1,132	41%	—	18
Urinalysis, automated, with microscopyCPT 81001	$4	$3	113%	—	12
Urinalysis, automated, without microscopyCPT 81003	$2	$2	100%	—	19
Urinalysis, manual, with microscopyCPT 81000	$5	$4	112%	—	11
Urinalysis, manual, without microscopyCPT 81002	$3	$3	100%	—	18
Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807	$6,547	—	—	—	2
Vaginal delivery, no sterilization, with CCMS-DRG 806	$7,322	—	—	—	2
X-ray, lower back, 4+ viewsCPT 72110	$71	$130	54%	—	17
YAG laser capsulotomy (secondary cataract)CPT 66821	$1,188	$687	173%	—	9

Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 28 – October 6, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →