Montefiore Medical Center — price list

← Hospital overviewVerified from Montefiore Medical Center’s published price file

Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

1,250 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HB PBB DESTRUCTION RECTAL TUMOR Outpatient	45190 CPT	$7,922	—	$489 – $55,137	—
HB PBB MOHS 1 STAGE H N HF G Outpatient	17311 CPT	$1,939	—	$281 – $17,559	—
HB VASCULAR SURGERY PROCEDURE UNLIST Outpatient	37799 CPT	$5,109	—	$666 – $35,559	—
HC REPET TMS TX SUBSEQ MOTR THRESHLD W DELIV MN Outpatient	90869 CPT	$884	—	$229 – $1,741	—
HC ULTRASOUND ELASTOGRAPHY PARENCHYMA EG ORGAN Outpatient	76981 CPT	$1,590	—	$69.75 – $11,066	—
HC VULVECTOMY SIMPLE PARTIAL Outpatient	56620 CPT	$10,094	—	$415 – $25,839	—
HC X RAY EXAM ABDOMEN 3 VIEWS Outpatient	74021 CPT	$524	—	$20.20 – $825	—
HC 3 D RADIOTHERAPY PLAN Outpatient	77295 CPT	$15,509	—	$105 – $107,943	—
HC ABD PARACENTESIS Outpatient	49082 CPT	$1,936	—	$83.34 – $17,559	—
HC ABLATE INF TURBINATE SUBMUC Outpatient	30802 CPT	$3,669	—	$164 – $25,536	—
HC ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL Outpatient	0581T HCPCS	$13,910	—	$1,405 – $25,839	—
HC ACNE SURGERY Outpatient	10040 CPT	$379	—	$58.88 – $17,559	—
HC ACUTE GI BLOOD LOSS IMAGING Outpatient	78278 CPT	$1,495	—	$40.40 – $10,405	—
HC ADM OF SOC DTR ASSESS 5 15 M Outpatient	G0136 HCPCS	$60.00	—	$9.92 – $695	—
HC ADMIN IMMUNIZATION ID SQ IM 1 VACCINE Outpatient	90471 CPT	$329	—	$7.50 – $695	—
HC ADMIN INFLUENZA VIRUS VAC Outpatient	G0008 HCPCS	$213	—	$49.68 – $240	—
HC ADMN SARSCOV2 VACC 1 DOSE Outpatient	90480 CPT	$112	—	$14.78 – $695	—
HC ADVNCD CARE PLAN 30 MIN Outpatient	99497 CPT	$265	—	$72.00 – $1,844	—
HC AEP HEARING STATUS DETER BROADBAND STIMULI I R Outpatient	92651 CPT	$680	—	$10.86 – $4,733	—
HC AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT Outpatient	92653 CPT	$884	—	$11.40 – $6,153	—
HC AEP THRESHOLD ESTIMATION MLT FREQUENCIES I R Outpatient	92652 CPT	$1,117	—	$16.29 – $7,774	—
HC AEROSOL INHALATION TREATMENT Outpatient	94642 CPT	$800	—	$3.03 – $5,568	—
HC AFTER CATARACT LASER SURGERY Outpatient	66821 CPT	$1,693	—	$282 – $17,559	—
HC AIRWAY INHALATION TREATMENT Outpatient	94640 CPT	$691	—	$3.03 – $4,809	—
HC ALCOHOL SUBS INTERV 30 MIN Outpatient	G0397 HCPCS	$419	—	$67.74 – $911	—
HC ALCOHOL SUBS INTERV 15 30MN Outpatient	G0396 HCPCS	$132	—	$35.19 – $695	—
HC ALLERGY PATCH TESTS Outpatient	95044 CPT	$200	—	$6.05 – $4,406	—
HC ALLOGENIC LYNPHOCYTE INFUSION Outpatient	38242 CPT	$8,663	—	$8.08 – $17,559	—
HC ALYS BRN NPGT PRGRMG 15 MIN Outpatient	95983 CPT	$780	—	$44.25 – $695	—
HC ALYS CPLX CN NPGT PRGRMG Outpatient	95977 CPT	$498	—	$46.50 – $695	—