Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Cyto Vag/Cer W/Manu W/Phy Sup
Low
$23
Average
$39
Median
$28
High
$130
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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23 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 4 | $29 | $28 | $3 | 11% | — | $23 – $30 |
| 4 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 4 | $24 | $24 | $6 | 23% | — | $19 – $30 |
| 5 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Highland Hospital Rochester, NY fee schedule · outpatient | 6 | $34 | $32 | $2 | 6% | — | $30 – $34 |
| 7 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 11 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 3 | $21 | $23 | $4 | 17% | — | $19 – $29 |
| 13 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 4 | $24 | $24 | $6 | 23% | — | $19 – $30 |
| 14 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $26 | $26 | $4 | 17% | — | $19 – $31 |
| 15 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $74 | $74 | $48 | 64% | — | $26 – $122 |
| 16 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 2 | $25 | $25 | $2 | 7% | — | $23 – $26 |
| 19 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $144 | $144 | — | — | — | $144 – $144 |
| 20 | St. James Hospital Hornell, NY fee schedule · outpatient | 4 | $24 | $24 | $6 | 23% | — | $19 – $30 |
| 21 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 5 | $34 | $33 | $2 | 5% | — | $30 – $34 |
| 22 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 2 | $26 | $26 | $3 | 11% | — | $23 – $29 |
| 23 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 3 | $28 | $28 | $2 | 7% | — | $26 – $30 |
← Payers reporting HCPCS G0145 · Snapshot 20261111T120946Z-9134e7f7