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MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER

Acute Care Hospitals

2 out of 5 (CMS)

5300 MILITARY ROAD

LEWISTON, NY, 14092

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Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER

Routine venipuncture

CPT 36415

$0.57

Chest X-Ray (1 view)

CPT 71045

$15.89

Chest X-Ray (2 views)

CPT 71046

$21.32

Thoracic Spine X-Ray

CPT 72072

$25.14

INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL

CPT 64483

$51.94

Abdominal Ultrasound

CPT 76700

$84.66

CT Chest

CPT 71250

$86.38

Upper GI Endoscopy w/ Biopsy

CPT 43239

$100

Colonoscopy

CPT 45378

$102.22

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$139.64

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

$146.59

Colonoscopy w/ Biopsy

CPT 45380

$154.75

MRI Brain w/o Contrast

CPT 70551

$175.54

Laparoscopic Hernia Repair

CPT 49650

$191.65

MRI Joint of Lower Extremity

CPT 73721

$200.73

Inguinal Hernia Repair

CPT 49505

$231.44

CT Abdomen & Pelvis

CPT 74177

$263.72

Recurrent Inguinal Hernia Repair

CPT 49520

$282.78

Appendectomy

CPT 44950

$289.07

Knee Arthroscopy

CPT 29881

$305.02

MRI Brain w/ Contrast

CPT 70553

$326.66

Laparoscopic Cholecystectomy

CPT 47562

$330.28

SHLDR ARTHROSCOPSURGW/ROTAT CUFF REPR

CPT 29827

$526.52

Cataract Surgery

CPT 66984

$614.57

OPEN FIX INTER/SUBTROCH FXIMPLNT

CPT 27245

$682.07

Hip Replacement

CPT 27130

$690.37

Knee Replacement

CPT 27447

$741.67

VBAC Delivery

CPT 59610

$1,439.18

Vaginal Delivery

CPT 59400

$1,479.82

C-Section

CPT 59510

$1,519

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.