CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Little Falls Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 0.8× the $40 Medicare rate · typically $14–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $40 Fair price $30 This hospital $28 Cash price $37 Hospital's list price $73

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $28

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $30 (about 0.8× the $40 Medicare rate). Little Falls Hospital charges insurers about $28, or about $37 in cash — about the fair price. Located in Little Falls, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $13 - $46 32%
Blue Cross Blue Shieldmajor $13 - $133 32%
Aetnamajor $13 - $43 32%
Cignamajor $38 - $122 94%
Humanamajor $14 - $43 35%
CDPHP $13 - $41 32%
Fidelis Care $13 - $43 32%
MVP Health Care $13 - $62 32%
+ 1 smaller / regional plan $13 - $62
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals