Montefiore Mount Vernon Hospital — price list

← Hospital overviewVerified from Montefiore Mount Vernon Hospital’s published price file

Includes 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.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
2d cephal radio image Outpatient	D0702 HCPCS	—	—	$109 – $150	—
2d cephalometric image Outpatient	D0340 HCPCS	—	—	$109 – $150	—
2d oral facial photo image Outpatient	D0703 HCPCS	—	—	$109 – $150	—
2d tee w or w o fol w con in Outpatient	C8925 HCPCS	—	—	$979 – $1,350	—
2d tte w or w o fol w con fu Outpatient	C8924 HCPCS	—	—	$435 – $601	—
361 hct p skin subs nos Outpatient	Q4433 HCPCS	—	—	$155 – $214	—
3d bn img algor drvd fr mri Outpatient	G0566 HCPCS	—	—	$161 – $352	—
3d cntr simula trgt lvr les Outpatient	0944T HCPCS	—	—	$298 – $544	—
510 k skin subs nos Outpatient	Q4432 HCPCS	—	—	$155 – $214	—
Abatacept injection Outpatient	J0129 HCPCS	—	—	$43.44 – $71.68	—
Abio mem abio hyd per sq cm Outpatient	Q4356 HCPCS	—	—	$155 – $214	—
Abio xpl abio xpl hy p sq cm Outpatient	Q4355 HCPCS	—	—	$155 – $214	—
Ablt b9 brst tum perq lsr ea Outpatient	0970T HCPCS	—	—	$4,317 – $14,184	—
Ablt ire 1 o t lv prst8 prq Outpatient	0600T HCPCS	—	—	$1,982 – $35,694	—
Ablt mal brst tum pq lsr uni Outpatient	0971T HCPCS	—	—	$4,317 – $14,184	—
Abltj b9 prst8 tissue hifu Outpatient	0950T HCPCS	—	—	$7,115 – $16,976	—
Abltj b9 thyr ndul perq lasr Outpatient	0673T HCPCS	—	—	$1,187 – $18,107	—
Abltj ire 1 tumors open Outpatient	0601T HCPCS	—	—	$1,982 – $35,694	—
Abltj mal brst tum perq crtx Outpatient	0581T HCPCS	—	—	$1,405 – $18,107	—
Abltj perc lxtr perph nrv Outpatient	0441T HCPCS	—	—	$1,187 – $19,178	—
Abltj perc plex trncl nrv Outpatient	0442T HCPCS	—	—	$3,549 – $29,468	—
Abltj perc uxtr perph nrv Outpatient	0440T HCPCS	—	—	$2,438 – $19,178	—
Abobotulinumtoxina Outpatient	J0586 HCPCS	—	—	$9.17 – $13.90	—
Absolv3 per sq cm Outpatient	Q4401 HCPCS	—	—	$155 – $214	—
Acapatch per sq cm Outpatient	Q4325 HCPCS	—	—	$155 – $214	—
Acelagraft per sq cm Outpatient	Q4395 HCPCS	—	—	$155 – $214	—
Acesso per sq cm Outpatient	Q4311 HCPCS	—	—	$155 – $214	—
Acesso ac per sq cm Outpatient	Q4312 HCPCS	—	—	$155 – $214	—
Acesso dl per sq cm Outpatient	Q4293 HCPCS	—	—	$155 – $171	—
Acesso tl per sq cm Outpatient	Q4300 HCPCS	—	—	$155 – $171	—