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
Lab Travel One Way per Trip Charge
Low
$3
Average
$12
Median
$11
High
$22
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 2.4× 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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25 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 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 3 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | MVHS, Inc. Utica, NY fee schedule · outpatient | 3 | $9 | $9 | $0 | 1% | — | $9 – $10 |
| 6 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 8 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $3 | $4 | 165% | — | $1 – $26 |
| 11 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $3 | $4 | 124% | — | $1 – $16 |
| 14 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $13 | $13 | $3 | 23% | — | $10 – $16 |
| 15 | Samaritan Hospital Troy, NY facility · case rate · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $16 | $16 | $6 | 36% | — | $10 – $21 |
| 17 | Samaritan Hospital Troy, NY facility · per diem · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | St Peters Hospital Albany, NY facility · case rate · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 20 | St Peters Hospital Albany, NY facility · fee schedule · both | 3 | $21 | $18 | $5 | 30% | — | $10 – $21 |
| 21 | St Peters Hospital Albany, NY facility · per diem · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 5 | $15 | $14 | $2 | 15% | — | $10 – $15 |
| 24 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $9 | $5 | 56% | — | $2 – $13 |
| 25 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 3 | $13 | $12 | $2 | 18% | — | $9 – $15 |
← Payers reporting HCPCS P9604 · Snapshot 20261111T120946Z-9134e7f7