Does Ellenville Regional Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ellenville Regional Hospital. In a medical emergency, call 911.

Where is Ellenville Regional Hospital?

10 Healthy Way, Ellenville, NY 12428, in Ulster County, New York.

What is the phone number of Ellenville Regional Hospital?

(845) 647-6400, as listed by Medicare (CMS).

What is the Medicare star rating of Ellenville Regional Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Ellenville Regional Hospital — Ellenville, NY

Quick answers

Does Ellenville Regional Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ellenville Regional Hospital. In a medical emergency, call 911.
Where is Ellenville Regional Hospital?: 10 Healthy Way, Ellenville, NY 12428, in Ulster County, New York.
What is the phone number of Ellenville Regional Hospital?: (845) 647-6400, as listed by Medicare (CMS).
What is the Medicare star rating of Ellenville Regional Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5][6]

Cardiology
Gastroenterology
Neurology
Oncology & Hematology
Orthopedics
Pain Management
Pulmonology
Women's Health
Men's Health
Emergency
Physical Therapy
Occupational Therapy
Speech and Language Pathology

Treatments^[4][5]

Cardiac rehabilitation
Wound care
COVID rehabilitation
Subacute rehabilitation

Procedures^[4][5]

Ambulatory surgery
Digital diagnostic imaging

Programs and centers^[4][5][7]

Acute inpatient medical-surgical unit
Subacute Rehabilitation Program

Emergency care (hospital website)^[6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	24/7 interpretation services in the Emergency Department; Language Line interpretation^[5][6]
Patient portal	Patient Portal

Doctors and clinicians (107)

107 doctors and other clinicians list Ellenville Regional Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 83 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Garnet Health Medical Center Catskills17 mi · Harris, NY · Acute Care Hospital
Garnet Health Medical Center20 mi · Middletown, NY · Acute Care Hospital
Vassar Brothers Medical Center23 mi · Poughkeepsie, NY · Acute Care Hospital
Healthalliance Hospital Marys Avenue Campus24 mi · Kingston, NY · Acute Care Hospital
Montefiore St Luke's Cornwall25 mi · Newburgh, NY · Acute Care Hospital

Other hospitals nearby

Mid Hudson Forensic Psychiatric Ctr25 mi · New Hampton, NY · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

New Paltz Center for Rehabilitation and Nursing15 mi · New Paltz, NY · 3 of 5 stars
Montgomery Nursing and Rehabilitation Center15 mi · Montgomery, NY · 2 of 5 stars
Woodland Pond at New Paltz16 mi · New Paltz, NY · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Orange & Sullivan Counties Inc21 mi · Newburgh, NY · 5 of 5 stars
Hudson Valley Hospice24 mi · Poughkeepsie, NY · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Sullivan County Public Health Services Chha19 mi · Liberty, NY
Evercare at Home21 mi · Newburgh, NY · 4 of 5 stars
Willcare Chha (Newburgh)21 mi · Newburgh, NY · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Orange Dialysis Center17 mi · Middletown, NY · 3 of 5 stars
Fms-Middletown Dialysis Center17 mi · Middletown, NY · 3 of 5 stars
DaVita Catskill Dialysis Center17 mi · Monticello, NY · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Crystal Run Ambulatory Surgery Center of Middletow17 mi · Middletown, NY
Hudson Valley Ambulatory Surgery, LLC17 mi · Middletown, NY
Bridgeview Endoscopy24 mi · Poughkeepsie, NY

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Ellenville Family Health Center0.1 mi · Ellenville, NY · Community health center
Ellenville Health Center5.4 mi · Ellenville, NY · Community health center
Cornerstone Family Healthcare at Pine Bush9.5 mi · Pine Bush, NY · Community health center

Clinics and urgent care

Orange Urgent Care PLLC17 mi · Middletown, NY · Urgent care center
The Center for Discovery Inc17 mi · Monticello, NY · Rural health clinic
Garnet Health Urgent Care PC20 mi · Middletown, NY · Urgent care center

Pharmacies

Matthews Pharmacy Inc.4.0 mi · Ellenville, NY · Community/retail pharmacy
Walgreen Co4.0 mi · Ellenville, NY · Pharmacy
State of New York Office of State Comptroller6.8 mi · Napanoch, NY · Pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ellenville Regional Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	12.3%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	92 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in New York Best hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 49 common services exactly as Ellenville Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$276	$207	$41.40 – $220.80
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates Aetna of NY — Commercial: $193.20 Aetna of NY — Medicare: $126.96 Blue Cross Blue Shield of New York (Empire) — Medicare: $110.40 CDPHP — Medicare: $102.12 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $220.80 EmblemHealth — Essential Plan 1/Essential Plan 2: $220.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $220.80 EmblemHealth — Medicaid: $220.80 EmblemHealth — Medicare: $93.84 EmblemHealth — Select Care: $198.72
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$276	$207	$179.40
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Galaxy Health — Commercial: $179.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$366	$274.50	$54.90 – $292.80
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates Aetna of NY — Commercial: $256.20 Aetna of NY — Medicare: $168.36 Blue Cross Blue Shield of New York (Empire) — Medicare: $146.40 CDPHP — Medicare: $135.42 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $292.80 EmblemHealth — Essential Plan 1/Essential Plan 2: $292.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $292.80 EmblemHealth — Medicaid: $292.80 EmblemHealth — Medicare: $124.44 EmblemHealth — Select Care: $263.52
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$366	$274.50	$237.90
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Galaxy Health — Commercial: $237.90
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$428	$321	$64.20 – $342.40
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates Aetna of NY — Commercial: $299.60 Aetna of NY — Medicare: $196.88 Blue Cross Blue Shield of New York (Empire) — Medicare: $171.20 CDPHP — Medicare: $158.36 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $342.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $342.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $342.40 EmblemHealth — Medicaid: $342.40 EmblemHealth — Medicare: $145.52 EmblemHealth — Select Care: $308.16
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$428	$321	$278.20
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Galaxy Health — Commercial: $278.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$148	$111	$22.20 – $118.40
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates Aetna of NY — Commercial: $103.60 Aetna of NY — Medicare: $68.08 Blue Cross Blue Shield of New York (Empire) — Medicare: $59.20 CDPHP — Medicare: $54.76 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $118.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $118.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $118.40 EmblemHealth — Medicaid: $118.40 EmblemHealth — Medicare: $50.32 EmblemHealth — Select Care: $106.56
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$148	$111	$96.20
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Galaxy Health — Commercial: $96.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$213	$159.75	$31.95 – $170.40
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates Aetna of NY — Commercial: $149.10 Aetna of NY — Medicare: $97.98 Blue Cross Blue Shield of New York (Empire) — Medicare: $85.20 CDPHP — Medicare: $78.81 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $170.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $170.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $170.40 EmblemHealth — Medicaid: $170.40 EmblemHealth — Medicare: $72.42 EmblemHealth — Select Care: $153.36
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$213	$159.75	$138.45
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Galaxy Health — Commercial: $138.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL 3	$899	$674.25	$134.85 – $1,234
Emergency room visit (moderate): 10 of 25 insurance plan rates Aetna of NY — Commercial: $1,000 Aetna of NY — Medicare: $413.54 Blue Cross Blue Shield of New York (Empire) — Medicare: $359.60 CDPHP — Medicare: $332.63 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,206 EmblemHealth — Essential Plan 1/Essential Plan 2: $719.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $719.20 EmblemHealth — Medicaid: $719.20 EmblemHealth — Medicare: $305.66 EmblemHealth — Select Care: $1,085
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL 3	$899	$674.25	$584.35
Emergency room visit (moderate): rates for 1 insurance plan Galaxy Health — Commercial: $584.35
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL 4	$1,211	$908.25	$181.65 – $1,234
Emergency room visit (moderately high): 10 of 25 insurance plan rates Aetna of NY — Commercial: $1,000 Aetna of NY — Medicare: $557.06 Blue Cross Blue Shield of New York (Empire) — Medicare: $484.40 CDPHP — Medicare: $448.07 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,206 EmblemHealth — Essential Plan 1/Essential Plan 2: $968.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $968.80 EmblemHealth — Medicaid: $968.80 EmblemHealth — Medicare: $411.74 EmblemHealth — Select Care: $1,085
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL 4	$1,211	$908.25	$787.15
Emergency room visit (moderately high): rates for 1 insurance plan Galaxy Health — Commercial: $787.15
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL 5	$1,523	$1,142.25	$228.45 – $1,234
Emergency room visit (high): 10 of 25 insurance plan rates Aetna of NY — Commercial: $1,000 Aetna of NY — Medicare: $700.58 Blue Cross Blue Shield of New York (Empire) — Medicare: $609.20 CDPHP — Medicare: $563.51 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,206 EmblemHealth — Essential Plan 1/Essential Plan 2: $1,218.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $1,218.40 EmblemHealth — Medicaid: $1,218.40 EmblemHealth — Medicare: $517.82 EmblemHealth — Select Care: $1,085
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL 5	$1,523	$1,142.25	$989.95
Emergency room visit (high): rates for 1 insurance plan Galaxy Health — Commercial: $989.95

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$48	$36	$7.20 – $38.40
Basic metabolic panel (blood test): 10 of 24 insurance plan rates Aetna of NY — Commercial: $31.20 Aetna of NY — Medicare: $22.08 Blue Cross Blue Shield of New York (Empire) — Medicare: $19.20 CDPHP — Medicare: $17.76 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $28.80 EmblemHealth — Essential Plan 1/Essential Plan 2: $38.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $38.40 EmblemHealth — Medicaid: $38.40 EmblemHealth — Medicare: $16.32 EmblemHealth — Select Care: $28.80
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$48	$36	$31.20
Basic metabolic panel (blood test): rates for 1 insurance plan Galaxy Health — Commercial: $31.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$54	$40.50	$8.10 – $43.20
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates Aetna of NY — Commercial: $35.10 Aetna of NY — Medicare: $24.84 Blue Cross Blue Shield of New York (Empire) — Medicare: $21.60 CDPHP — Medicare: $19.98 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $32.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $43.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $43.20 EmblemHealth — Medicaid: $43.20 EmblemHealth — Medicare: $18.36 EmblemHealth — Select Care: $32.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$54	$40.50	$35.10
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Galaxy Health — Commercial: $35.10
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	$52	$39	$7.80 – $41.60
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates Aetna of NY — Commercial: $33.80 Aetna of NY — Medicare: $23.92 Blue Cross Blue Shield of New York (Empire) — Medicare: $20.80 CDPHP — Medicare: $19.24 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $31.20 EmblemHealth — Essential Plan 1/Essential Plan 2: $41.60 EmblemHealth — Essential Plan 3/Essential Plan 4: $41.60 EmblemHealth — Medicaid: $41.60 EmblemHealth — Medicare: $17.68 EmblemHealth — Select Care: $31.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE	$52	$39	$33.80
Cholesterol panel (lipid panel): rates for 1 insurance plan Galaxy Health — Commercial: $33.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$26	$19.50	$3.90 – $20.80
Kidney function panel: 10 of 24 insurance plan rates Aetna of NY — Commercial: $16.90 Aetna of NY — Medicare: $11.96 Blue Cross Blue Shield of New York (Empire) — Medicare: $10.40 CDPHP — Medicare: $9.62 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $15.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $20.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $20.80 EmblemHealth — Medicaid: $20.80 EmblemHealth — Medicare: $8.84 EmblemHealth — Select Care: $15.60
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$26	$19.50	$16.90
Kidney function panel: rates for 1 insurance plan Galaxy Health — Commercial: $16.90
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$40	$30	$6 – $32
Liver function panel: 10 of 24 insurance plan rates Aetna of NY — Commercial: $26 Aetna of NY — Medicare: $18.40 Blue Cross Blue Shield of New York (Empire) — Medicare: $16 CDPHP — Medicare: $14.80 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $24 EmblemHealth — Essential Plan 1/Essential Plan 2: $32 EmblemHealth — Essential Plan 3/Essential Plan 4: $32 EmblemHealth — Medicaid: $32 EmblemHealth — Medicare: $13.60 EmblemHealth — Select Care: $24
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$40	$30	$26
Liver function panel: rates for 1 insurance plan Galaxy Health — Commercial: $26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO	$17	$12.75	$2.55 – $13.60
Urine test (automated, with microscope): 10 of 24 insurance plan rates Aetna of NY — Commercial: $11.05 Aetna of NY — Medicare: $7.82 Blue Cross Blue Shield of New York (Empire) — Medicare: $6.80 CDPHP — Medicare: $6.29 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $10.20 EmblemHealth — Essential Plan 1/Essential Plan 2: $13.60 EmblemHealth — Essential Plan 3/Essential Plan 4: $13.60 EmblemHealth — Medicaid: $13.60 EmblemHealth — Medicare: $5.78 EmblemHealth — Select Care: $10.20
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO	$17	$12.75	$11.05
Urine test (automated, with microscope): rates for 1 insurance plan Galaxy Health — Commercial: $11.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: N-AUTOM URINALYS WO MICRO	$10	$7.50	$1.50 – $8
Urine test (manual, without microscope): 10 of 24 insurance plan rates Aetna of NY — Commercial: $6.50 Aetna of NY — Medicare: $4.60 Blue Cross Blue Shield of New York (Empire) — Medicare: $4 CDPHP — Medicare: $3.70 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $6 EmblemHealth — Essential Plan 1/Essential Plan 2: $8 EmblemHealth — Essential Plan 3/Essential Plan 4: $8 EmblemHealth — Medicaid: $8 EmblemHealth — Medicare: $3.40 EmblemHealth — Select Care: $6
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: N-AUTOM URINALYS WO MICRO	$10	$7.50	$6.50
Urine test (manual, without microscope): rates for 1 insurance plan Galaxy Health — Commercial: $6.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS (NO MICROSCOPE)	$19	$14.25	$2.85 – $15.20
Urine test (automated, without microscope): 10 of 24 insurance plan rates Aetna of NY — Commercial: $12.35 Aetna of NY — Medicare: $8.74 Blue Cross Blue Shield of New York (Empire) — Medicare: $7.60 CDPHP — Medicare: $7.03 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $11.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $15.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $15.20 EmblemHealth — Medicaid: $15.20 EmblemHealth — Medicare: $6.46 EmblemHealth — Select Care: $11.40
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS (NO MICROSCOPE)	$19	$14.25	$12.35
Urine test (automated, without microscope): rates for 1 insurance plan Galaxy Health — Commercial: $12.35
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE-SPECIFIC AG	$71	$53.25	$10.65 – $56.80
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates Aetna of NY — Commercial: $46.15 Aetna of NY — Medicare: $32.66 Blue Cross Blue Shield of New York (Empire) — Medicare: $28.40 CDPHP — Medicare: $26.27 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $42.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $56.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $56.80 EmblemHealth — Medicaid: $56.80 EmblemHealth — Medicare: $24.14 EmblemHealth — Select Care: $42.60
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE-SPECIFIC AG	$71	$53.25	$46.15
PSA (prostate specific antigen) blood test: rates for 1 insurance plan Galaxy Health — Commercial: $46.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIM HORM (TSH)	$89	$66.75	$13.35 – $71.20
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates Aetna of NY — Commercial: $57.85 Aetna of NY — Medicare: $40.94 Blue Cross Blue Shield of New York (Empire) — Medicare: $35.60 CDPHP — Medicare: $32.93 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $53.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $71.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $71.20 EmblemHealth — Medicaid: $71.20 EmblemHealth — Medicare: $30.26 EmblemHealth — Select Care: $53.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIM HORM (TSH)	$89	$66.75	$57.85
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan Galaxy Health — Commercial: $57.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH DIFF (AUTO)	$43	$32.25	$6.45 – $34.40
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates Aetna of NY — Commercial: $27.95 Aetna of NY — Medicare: $19.78 Blue Cross Blue Shield of New York (Empire) — Medicare: $17.20 CDPHP — Medicare: $15.91 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $25.80 EmblemHealth — Essential Plan 1/Essential Plan 2: $34.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $34.40 EmblemHealth — Medicaid: $34.40 EmblemHealth — Medicare: $14.62 EmblemHealth — Select Care: $25.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC WITH DIFF (AUTO)	$43	$32.25	$27.95
Complete blood count (CBC) with differential: rates for 1 insurance plan Galaxy Health — Commercial: $27.95
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT	$33	$24.75	$4.95 – $26.40
Complete blood count (CBC), automated: 10 of 24 insurance plan rates Aetna of NY — Commercial: $21.45 Aetna of NY — Medicare: $15.18 Blue Cross Blue Shield of New York (Empire) — Medicare: $13.20 CDPHP — Medicare: $12.21 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $19.80 EmblemHealth — Essential Plan 1/Essential Plan 2: $26.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $26.40 EmblemHealth — Medicaid: $26.40 EmblemHealth — Medicare: $11.22 EmblemHealth — Select Care: $19.80
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT	$33	$24.75	$21.45
Complete blood count (CBC), automated: rates for 1 insurance plan Galaxy Health — Commercial: $21.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$20	$15	$3 – $16
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates Aetna of NY — Commercial: $13 Aetna of NY — Medicare: $9.20 Blue Cross Blue Shield of New York (Empire) — Medicare: $8 CDPHP — Medicare: $7.40 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $12 EmblemHealth — Essential Plan 1/Essential Plan 2: $16 EmblemHealth — Essential Plan 3/Essential Plan 4: $16 EmblemHealth — Medicaid: $16 EmblemHealth — Medicare: $6.80 EmblemHealth — Select Care: $12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$20	$15	$13
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan Galaxy Health — Commercial: $13
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$34	$25.50	$5.10 – $27.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates Aetna of NY — Commercial: $22.10 Aetna of NY — Medicare: $15.64 Blue Cross Blue Shield of New York (Empire) — Medicare: $13.60 CDPHP — Medicare: $12.58 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $20.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $27.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $27.20 EmblemHealth — Medicaid: $27.20 EmblemHealth — Medicare: $11.56 EmblemHealth — Select Care: $20.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT	$34	$25.50	$22.10
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan Galaxy Health — Commercial: $22.10

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE	$1,151	$863.25	$172.65 – $1,076
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $1,076 Aetna of NY — Medicare: $529.46 Blue Cross Blue Shield of New York (Empire) — Medicare: $460.40 CDPHP — Medicare: $425.87 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $805.70 EmblemHealth — Essential Plan 1/Essential Plan 2: $920.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $920.80 EmblemHealth — Medicaid: $920.80 EmblemHealth — Medicare: $391.34 EmblemHealth — Select Care: $748.15
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: CT HEAD/BRAIN W/O DYE	$125	$93.75	$18.75 – $1,076
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates Aetna of NY — Commercial: $1,076 Aetna of NY — Medicare: $57.50 Blue Cross Blue Shield of New York (Empire) — Medicare: $50 CDPHP — Medicare: $46.25 EmblemHealth — Essential Plan 1/Essential Plan 2: $100 EmblemHealth — Essential Plan 3/Essential Plan 4: $100 EmblemHealth — Medicaid: $100 EmblemHealth — Medicare: $42.50 Fidelis — Medicare: $50 Galaxy Health — Commercial: $81.25
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE	$1,151	$863.25	$748.15
CT scan of the head or brain, without contrast: rates for 1 insurance plan Galaxy Health — Commercial: $748.15
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	$3,779	$2,834.25	$566.85 – $3,023.20
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $1,750 Aetna of NY — Medicare: $1,738.34 Blue Cross Blue Shield of New York (Empire) — Medicare: $1,511.60 CDPHP — Medicare: $1,398.23 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $2,645.30 EmblemHealth — Essential Plan 1/Essential Plan 2: $3,023.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $3,023.20 EmblemHealth — Medicaid: $3,023.20 EmblemHealth — Medicare: $1,284.86 EmblemHealth — Select Care: $2,456.35
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	$3,779	$2,834.25	$2,456.35
MRI of the brain, before and after contrast: rates for 1 insurance plan Galaxy Health — Commercial: $2,456.35
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: MRI BRAIN STEAM W/O & W/ DYE	$337	$252.75	$50.55 – $269.60
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates Aetna of NY — Commercial: $235.90 Aetna of NY — Medicare: $155.02 Blue Cross Blue Shield of New York (Empire) — Medicare: $134.80 CDPHP — Medicare: $124.69 EmblemHealth — Essential Plan 1/Essential Plan 2: $269.60 EmblemHealth — Essential Plan 3/Essential Plan 4: $269.60 EmblemHealth — Medicaid: $269.60 EmblemHealth — Medicare: $114.58 Fidelis — Medicare: $134.80 Galaxy Health — Commercial: $219.05
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS	$267	$200.25	$40.05 – $402
Chest X-ray, 2 views: 10 of 24 insurance plan rates Aetna of NY — Commercial: $160.20 Aetna of NY — Medicare: $122.82 Blue Cross Blue Shield of New York (Empire) — Medicare: $106.80 CDPHP — Medicare: $98.79 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $186.90 EmblemHealth — Essential Plan 1/Essential Plan 2: $213.60 EmblemHealth — Essential Plan 3/Essential Plan 4: $213.60 EmblemHealth — Medicaid: $213.60 EmblemHealth — Medicare: $90.78 EmblemHealth — Select Care: $173.55
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: X-RAY EXAM CHEST, 2 VIEWS	$33	$24.75	$4.95 – $26.40
Chest X-ray, 2 views: 10 of 20 insurance plan rates Aetna of NY — Commercial: $23.10 Aetna of NY — Medicare: $15.18 Blue Cross Blue Shield of New York (Empire) — Medicare: $13.20 CDPHP — Medicare: $12.21 EmblemHealth — Essential Plan 1/Essential Plan 2: $26.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $26.40 EmblemHealth — Medicaid: $26.40 EmblemHealth — Medicare: $11.22 Fidelis — Medicare: $13.20 Galaxy Health — Commercial: $21.45
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS	$267	$200.25	$173.55
Chest X-ray, 2 views: rates for 1 insurance plan Galaxy Health — Commercial: $173.55
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM OF LOWER SPINE 4+ VIEWS	$320	$240	$48 – $402
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates Aetna of NY — Commercial: $192 Aetna of NY — Medicare: $147.20 Blue Cross Blue Shield of New York (Empire) — Medicare: $128 CDPHP — Medicare: $118.40 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $224 EmblemHealth — Essential Plan 1/Essential Plan 2: $256 EmblemHealth — Essential Plan 3/Essential Plan 4: $256 EmblemHealth — Medicaid: $256 EmblemHealth — Medicare: $108.80 EmblemHealth — Select Care: $208
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: X-RAY EXAM OF LOWER SPINE, 4+ VIEWS	$40	$30	$6 – $32
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates Aetna of NY — Commercial: $28 Aetna of NY — Medicare: $18.40 Blue Cross Blue Shield of New York (Empire) — Medicare: $16 CDPHP — Medicare: $14.80 EmblemHealth — Essential Plan 1/Essential Plan 2: $32 EmblemHealth — Essential Plan 3/Essential Plan 4: $32 EmblemHealth — Medicaid: $32 EmblemHealth — Medicare: $13.60 Fidelis — Medicare: $16 Galaxy Health — Commercial: $26
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM OF LOWER SPINE 4+ VIEWS	$320	$240	$208
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Galaxy Health — Commercial: $208
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O DYE	$2,381	$1,785.75	$357.15 – $2,328
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $1,750 Aetna of NY — Medicare: $1,095.26 Blue Cross Blue Shield of New York (Empire) — Medicare: $952.40 CDPHP — Medicare: $880.97 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,666.70 EmblemHealth — Essential Plan 1/Essential Plan 2: $1,904.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $1,904.80 EmblemHealth — Medicaid: $1,904.80 EmblemHealth — Medicare: $809.54 EmblemHealth — Select Care: $1,547.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: MRI LUMBAR SPINE W/O DYE	$217	$162.75	$32.55 – $173.60
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates Aetna of NY — Commercial: $151.90 Aetna of NY — Medicare: $99.82 Blue Cross Blue Shield of New York (Empire) — Medicare: $86.80 CDPHP — Medicare: $80.29 EmblemHealth — Essential Plan 1/Essential Plan 2: $173.60 EmblemHealth — Essential Plan 3/Essential Plan 4: $173.60 EmblemHealth — Medicaid: $173.60 EmblemHealth — Medicare: $73.78 Fidelis — Medicare: $86.80 Galaxy Health — Commercial: $141.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O DYE	$2,381	$1,785.75	$1,547.65
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Galaxy Health — Commercial: $1,547.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE	$1,505	$1,128.75	$225.75 – $1,204
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $1,076 Aetna of NY — Medicare: $692.30 Blue Cross Blue Shield of New York (Empire) — Medicare: $602 CDPHP — Medicare: $556.85 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,053.50 EmblemHealth — Essential Plan 1/Essential Plan 2: $1,204 EmblemHealth — Essential Plan 3/Essential Plan 4: $1,204 EmblemHealth — Medicaid: $1,204 EmblemHealth — Medicare: $511.70 EmblemHealth — Select Care: $978.25
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: CT PELVIS W/ DYE	$169	$126.75	$25.35 – $1,076
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates Aetna of NY — Commercial: $1,076 Aetna of NY — Medicare: $77.74 Blue Cross Blue Shield of New York (Empire) — Medicare: $67.60 CDPHP — Medicare: $62.53 EmblemHealth — Essential Plan 1/Essential Plan 2: $135.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $135.20 EmblemHealth — Medicaid: $135.20 EmblemHealth — Medicare: $57.46 Fidelis — Medicare: $67.60 Galaxy Health — Commercial: $109.85
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE	$1,505	$1,128.75	$978.25
CT scan of the pelvis, with contrast: rates for 1 insurance plan Galaxy Health — Commercial: $978.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LOWER EXT; ANY JOINT W/O DYE	$2,278	$1,708.50	$341.70 – $2,328
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $1,750 Aetna of NY — Medicare: $1,047.88 Blue Cross Blue Shield of New York (Empire) — Medicare: $911.20 CDPHP — Medicare: $842.86 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,594.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $1,822.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $1,822.40 EmblemHealth — Medicaid: $1,822.40 EmblemHealth — Medicare: $774.52 EmblemHealth — Select Care: $1,480.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: MRI LOWER EXT, ANY JOINT W/O DYE	$199	$149.25	$29.85 – $159.20
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates Aetna of NY — Commercial: $139.30 Aetna of NY — Medicare: $91.54 Blue Cross Blue Shield of New York (Empire) — Medicare: $79.60 CDPHP — Medicare: $73.63 EmblemHealth — Essential Plan 1/Essential Plan 2: $159.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $159.20 EmblemHealth — Medicaid: $159.20 EmblemHealth — Medicare: $67.66 Fidelis — Medicare: $79.60 Galaxy Health — Commercial: $129.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI LOWER EXT; ANY JOINT W/O DYE	$2,278	$1,708.50	$1,480.70
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Galaxy Health — Commercial: $1,480.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD & PELV W/ DYE	$1,505	$1,128.75	$225.75 – $1,204
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $1,076 Aetna of NY — Medicare: $692.30 Blue Cross Blue Shield of New York (Empire) — Medicare: $602 CDPHP — Medicare: $556.85 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,053.50 EmblemHealth — Essential Plan 1/Essential Plan 2: $1,204 EmblemHealth — Essential Plan 3/Essential Plan 4: $1,204 EmblemHealth — Medicaid: $1,204 EmblemHealth — Medicare: $511.70 EmblemHealth — Select Care: $978.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: CT ABD & PELVIS W/ DYE	$268	$201	$40.20 – $1,076
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates Aetna of NY — Commercial: $1,076 Aetna of NY — Medicare: $123.28 Blue Cross Blue Shield of New York (Empire) — Medicare: $107.20 CDPHP — Medicare: $99.16 EmblemHealth — Essential Plan 1/Essential Plan 2: $214.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $214.40 EmblemHealth — Medicaid: $214.40 EmblemHealth — Medicare: $91.12 Fidelis — Medicare: $107.20 Galaxy Health — Commercial: $174.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT ABD & PELV W/ DYE	$1,505	$1,128.75	$978.25
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Galaxy Health — Commercial: $978.25
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$320	$240	$48 – $489
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates Aetna of NY — Commercial: $224 Aetna of NY — Medicare: $147.20 Blue Cross Blue Shield of New York (Empire) — Medicare: $128 CDPHP — Medicare: $118.40 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $224 EmblemHealth — Essential Plan 1/Essential Plan 2: $256 EmblemHealth — Essential Plan 3/Essential Plan 4: $256 EmblemHealth — Medicaid: $256 EmblemHealth — Medicare: $108.80 EmblemHealth — Select Care: $208
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$320	$240	$208
Ultrasound of the abdomen, complete: rates for 1 insurance plan Galaxy Health — Commercial: $208
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$600	$450	$90 – $489
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates Aetna of NY — Commercial: $420 Aetna of NY — Medicare: $276 Blue Cross Blue Shield of New York (Empire) — Medicare: $240 CDPHP — Medicare: $222 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $420 EmblemHealth — Essential Plan 1/Essential Plan 2: $480 EmblemHealth — Essential Plan 3/Essential Plan 4: $480 EmblemHealth — Medicaid: $480 EmblemHealth — Medicare: $204 EmblemHealth — Select Care: $390
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$601	$450.75	$90.15 – $489
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates Aetna of NY — Commercial: $420.70 Aetna of NY — Medicare: $276.46 Blue Cross Blue Shield of New York (Empire) — Medicare: $240.40 CDPHP — Medicare: $222.37 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $420.70 EmblemHealth — Essential Plan 1/Essential Plan 2: $480.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $480.80 EmblemHealth — Medicaid: $480.80 EmblemHealth — Medicare: $204.34 EmblemHealth — Select Care: $390.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$147	$110.25	$22.05 – $117.60
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates Aetna of NY — Commercial: $102.90 Aetna of NY — Medicare: $67.62 Blue Cross Blue Shield of New York (Empire) — Medicare: $58.80 CDPHP — Medicare: $54.39 EmblemHealth — Essential Plan 1/Essential Plan 2: $117.60 EmblemHealth — Essential Plan 3/Essential Plan 4: $117.60 EmblemHealth — Medicaid: $117.60 EmblemHealth — Medicare: $49.98 Fidelis — Medicare: $58.80 Galaxy Health — Commercial: $95.55
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$601	$450.75	$390.65
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Galaxy Health — Commercial: $390.65
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL	$320	$240	$48 – $489
Transvaginal ultrasound: 10 of 24 insurance plan rates Aetna of NY — Commercial: $224 Aetna of NY — Medicare: $147.20 Blue Cross Blue Shield of New York (Empire) — Medicare: $128 CDPHP — Medicare: $118.40 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $224 EmblemHealth — Essential Plan 1/Essential Plan 2: $256 EmblemHealth — Essential Plan 3/Essential Plan 4: $256 EmblemHealth — Medicaid: $256 EmblemHealth — Medicare: $108.80 EmblemHealth — Select Care: $208
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: US TRANSVAGINAL	$102	$76.50	$15.30 – $81.60
Transvaginal ultrasound: 10 of 20 insurance plan rates Aetna of NY — Commercial: $71.40 Aetna of NY — Medicare: $46.92 Blue Cross Blue Shield of New York (Empire) — Medicare: $40.80 CDPHP — Medicare: $37.74 EmblemHealth — Essential Plan 1/Essential Plan 2: $81.60 EmblemHealth — Essential Plan 3/Essential Plan 4: $81.60 EmblemHealth — Medicaid: $81.60 EmblemHealth — Medicare: $34.68 Fidelis — Medicare: $40.80 Galaxy Health — Commercial: $66.30
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL	$320	$240	$208
Transvaginal ultrasound: rates for 1 insurance plan Galaxy Health — Commercial: $208
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$475	$356.25	$71.25 – $489
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $332.50 Aetna of NY — Medicare: $218.50 Blue Cross Blue Shield of New York (Empire) — Medicare: $190 CDPHP — Medicare: $175.75 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $332.50 EmblemHealth — Essential Plan 1/Essential Plan 2: $380 EmblemHealth — Essential Plan 3/Essential Plan 4: $380 EmblemHealth — Medicaid: $380 EmblemHealth — Medicare: $161.50 EmblemHealth — Select Care: $308.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT,TC In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI, RIGHT	$475	$356.25	$71.25 – $489
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $332.50 Aetna of NY — Medicare: $218.50 Blue Cross Blue Shield of New York (Empire) — Medicare: $190 CDPHP — Medicare: $175.75 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $332.50 EmblemHealth — Essential Plan 1/Essential Plan 2: $380 EmblemHealth — Essential Plan 3/Essential Plan 4: $380 EmblemHealth — Medicaid: $380 EmblemHealth — Medicare: $161.50 EmblemHealth — Select Care: $308.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT,TC In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI, LEFT	$475	$356.25	$71.25 – $489
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates Aetna of NY — Commercial: $332.50 Aetna of NY — Medicare: $218.50 Blue Cross Blue Shield of New York (Empire) — Medicare: $190 CDPHP — Medicare: $175.75 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $332.50 EmblemHealth — Essential Plan 1/Essential Plan 2: $380 EmblemHealth — Essential Plan 3/Essential Plan 4: $380 EmblemHealth — Medicaid: $380 EmblemHealth — Medicare: $161.50 EmblemHealth — Select Care: $308.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$599	$449.25	$89.85 – $489
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates Aetna of NY — Commercial: $419.30 Aetna of NY — Medicare: $275.54 Blue Cross Blue Shield of New York (Empire) — Medicare: $239.60 CDPHP — Medicare: $221.63 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $419.30 EmblemHealth — Essential Plan 1/Essential Plan 2: $479.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $479.20 EmblemHealth — Medicaid: $479.20 EmblemHealth — Medicare: $203.66 EmblemHealth — Select Care: $389.35
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$146	$109.50	$21.90 – $116.80
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates Aetna of NY — Commercial: $102.20 Aetna of NY — Medicare: $67.16 Blue Cross Blue Shield of New York (Empire) — Medicare: $58.40 CDPHP — Medicare: $54.02 EmblemHealth — Essential Plan 1/Essential Plan 2: $116.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $116.80 EmblemHealth — Medicaid: $116.80 EmblemHealth — Medicare: $49.64 Fidelis — Medicare: $58.40 Galaxy Health — Commercial: $94.90
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$599	$449.25	$389.35
Diagnostic mammogram, both breasts: rates for 1 insurance plan Galaxy Health — Commercial: $389.35
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$463	$347.25	$69.45 – $489
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna of NY — Commercial: $324.10 Aetna of NY — Medicare: $212.98 Blue Cross Blue Shield of New York (Empire) — Medicare: $185.20 CDPHP — Medicare: $171.31 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $324.10 EmblemHealth — Essential Plan 1/Essential Plan 2: $370.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $370.40 EmblemHealth — Medicaid: $370.40 EmblemHealth — Medicare: $157.42 EmblemHealth — Select Care: $300.95
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$113	$84.75	$16.95 – $90.40
Screening mammogram, both breasts: 10 of 20 insurance plan rates Aetna of NY — Commercial: $79.10 Aetna of NY — Medicare: $51.98 Blue Cross Blue Shield of New York (Empire) — Medicare: $45.20 CDPHP — Medicare: $41.81 EmblemHealth — Essential Plan 1/Essential Plan 2: $90.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $90.40 EmblemHealth — Medicaid: $90.40 EmblemHealth — Medicare: $38.42 Fidelis — Medicare: $45.20 Galaxy Health — Commercial: $73.45
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$463	$347.25	$300.95
Screening mammogram, both breasts: rates for 1 insurance plan Galaxy Health — Commercial: $300.95

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISES 15 MIN	$94	$70.50	$14.10 – $187
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $43.24 Blue Cross Blue Shield of New York (Empire) — Medicare: $37.60 CDPHP — Medicare: $34.78 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $75.20 EmblemHealth — Essential Plan 1/Essential Plan 2: $44.38 EmblemHealth — Essential Plan 3/Essential Plan 4: $36.98 EmblemHealth — Medicaid: $36.98 EmblemHealth — Medicare: $31.96 EmblemHealth — Select Care: $67.68
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THERAPEUTIC EXERCISES EA 15 MINS	$94	$70.50	$14.10 – $187
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $43.24 Blue Cross Blue Shield of New York (Empire) — Medicare: $37.60 CDPHP — Medicare: $34.78 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $75.20 EmblemHealth — Essential Plan 1/Essential Plan 2: $44.38 EmblemHealth — Essential Plan 3/Essential Plan 4: $36.98 EmblemHealth — Medicaid: $36.98 EmblemHealth — Medicare: $31.96 EmblemHealth — Select Care: $67.68
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,KX In the file: THERAPEUTIC EXERCISES 15 MIN (W/ KX)	$94	$70.50	$14.10 – $187
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $43.24 Blue Cross Blue Shield of New York (Empire) — Medicare: $37.60 CDPHP — Medicare: $34.78 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $75.20 EmblemHealth — Essential Plan 1/Essential Plan 2: $44.38 EmblemHealth — Essential Plan 3/Essential Plan 4: $36.98 EmblemHealth — Medicaid: $36.98 EmblemHealth — Medicare: $31.96 EmblemHealth — Select Care: $67.68
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN	$362	$271.50	$54.30 – $289.60
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $166.52 Blue Cross Blue Shield of New York (Empire) — Medicare: $144.80 CDPHP — Medicare: $133.94 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $289.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $105.84 EmblemHealth — Essential Plan 3/Essential Plan 4: $88.20 EmblemHealth — Medicaid: $88.20 EmblemHealth — Medicare: $123.08 EmblemHealth — Select Care: $260.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,KX In the file: PT EVAL LOW COMPLEX 20 MIN (W/ KX)	$362	$271.50	$54.30 – $289.60
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $166.52 Blue Cross Blue Shield of New York (Empire) — Medicare: $144.80 CDPHP — Medicare: $133.94 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $289.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $105.84 EmblemHealth — Essential Plan 3/Essential Plan 4: $88.20 EmblemHealth — Medicaid: $88.20 EmblemHealth — Medicare: $123.08 EmblemHealth — Select Care: $260.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,59 In the file: PT EVAL LOW COMPLEX 20 MIN (MOD 59)	$362	$271.50	$54.30 – $289.60
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $166.52 Blue Cross Blue Shield of New York (Empire) — Medicare: $144.80 CDPHP — Medicare: $133.94 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $289.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $105.84 EmblemHealth — Essential Plan 3/Essential Plan 4: $88.20 EmblemHealth — Medicaid: $88.20 EmblemHealth — Medicare: $123.08 EmblemHealth — Select Care: $260.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN	$372	$279	$55.80 – $297.60
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $171.12 Blue Cross Blue Shield of New York (Empire) — Medicare: $148.80 CDPHP — Medicare: $137.64 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $297.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $141.12 EmblemHealth — Essential Plan 3/Essential Plan 4: $117.60 EmblemHealth — Medicaid: $117.60 EmblemHealth — Medicare: $126.48 EmblemHealth — Select Care: $267.84
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,KX In the file: PT EVAL MOD COMPLEX 30 MIN (W/ KX)	$362	$271.50	$54.30 – $289.60
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $166.52 Blue Cross Blue Shield of New York (Empire) — Medicare: $144.80 CDPHP — Medicare: $133.94 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $289.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $141.12 EmblemHealth — Essential Plan 3/Essential Plan 4: $117.60 EmblemHealth — Medicaid: $117.60 EmblemHealth — Medicare: $123.08 EmblemHealth — Select Care: $260.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,59 In the file: PT EVAL MOD COMPLEX 30 MIN (MOD 59)	$362	$271.50	$54.30 – $289.60
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $166.52 Blue Cross Blue Shield of New York (Empire) — Medicare: $144.80 CDPHP — Medicare: $133.94 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $289.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $141.12 EmblemHealth — Essential Plan 3/Essential Plan 4: $117.60 EmblemHealth — Medicaid: $117.60 EmblemHealth — Medicare: $123.08 EmblemHealth — Select Care: $260.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN	$382	$286.50	$57.30 – $316.05
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $175.72 Blue Cross Blue Shield of New York (Empire) — Medicare: $152.80 CDPHP — Medicare: $141.34 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $305.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $176.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $147 EmblemHealth — Medicaid: $147 EmblemHealth — Medicare: $129.88 EmblemHealth — Select Care: $275.04
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,KX In the file: PT EVAL HIGH COMPLEX 45 MIN (W/ KX)	$362	$271.50	$54.30 – $316.05
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $166.52 Blue Cross Blue Shield of New York (Empire) — Medicare: $144.80 CDPHP — Medicare: $133.94 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $289.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $176.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $147 EmblemHealth — Medicaid: $147 EmblemHealth — Medicare: $123.08 EmblemHealth — Select Care: $260.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,59 In the file: PT EVAL HIGH COMPLEX 45 MIN (MOD 59)	$362	$271.50	$54.30 – $316.05
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Aetna of NY — Commercial: $115 Aetna of NY — Medicare: $166.52 Blue Cross Blue Shield of New York (Empire) — Medicare: $144.80 CDPHP — Medicare: $133.94 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $289.60 EmblemHealth — Essential Plan 1/Essential Plan 2: $176.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $147 EmblemHealth — Medicaid: $147 EmblemHealth — Medicare: $123.08 EmblemHealth — Select Care: $260.64

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA	Not listed in the file	Not listed in the file	$1,900 – $3,084.03
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $2,097 United Healthcare — CHIP/Family Health Plus/Medicaid: $3,084.03 United Healthcare — Commercial: $2,097
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP	Not listed in the file	Not listed in the file	$863.69 – $1,900
Upper GI endoscopy (diagnostic): rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $1,828 United Healthcare — CHIP/Family Health Plus/Medicaid: $863.69 United Healthcare — Commercial: $1,828
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UGI W BX. SGL/MULTIPLE	$2,780	$2,085	$417 – $2,224
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Aetna of NY — Commercial: $1,900 Aetna of NY — Medicare: $1,278.80 Blue Cross Blue Shield of New York (Empire) — Medicare: $1,112 CDPHP — Medicare: $1,028.60 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $2,224 EmblemHealth — Essential Plan 1/Essential Plan 2: $2,224 EmblemHealth — Essential Plan 3/Essential Plan 4: $2,224 EmblemHealth — Medicaid: $2,224 EmblemHealth — Medicare: $945.20 EmblemHealth — Select Care: $2,001.60
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UGI W BX. SGL/MULTIPLE	$2,780	$2,085	$1,807
Upper GI endoscopy with biopsy: rates for 1 insurance plan Galaxy Health — Commercial: $1,807
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$863.69 – $1,900
Upper GI endoscopy with biopsy: rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $1,828 United Healthcare — CHIP/Family Health Plus/Medicaid: $863.69 United Healthcare — Commercial: $1,828
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEX ; DX	$2,850	$2,137.50	$427.50 – $2,280
Colonoscopy (diagnostic): 10 of 22 insurance plan rates Aetna of NY — Commercial: $1,995 Aetna of NY — Medicare: $1,311 Blue Cross Blue Shield of New York (Empire) — Medicare: $1,140 CDPHP — Medicare: $1,054.50 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $2,280 EmblemHealth — Essential Plan 1/Essential Plan 2: $2,280 EmblemHealth — Essential Plan 3/Essential Plan 4: $2,280 EmblemHealth — Medicaid: $2,280 EmblemHealth — Medicare: $969 EmblemHealth — Select Care: $2,052
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEX ; DX	$2,850	$2,137.50	$1,852.50
Colonoscopy (diagnostic): rates for 1 insurance plan Galaxy Health — Commercial: $1,852.50
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)	Not listed in the file	Not listed in the file	$870.81 – $1,900
Colonoscopy (diagnostic): rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $1,828 United Healthcare — CHIP/Family Health Plus/Medicaid: $870.81 United Healthcare — Commercial: $1,828
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$1,124.36 – $1,900
Colonoscopy with biopsy: rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $1,828 United Healthcare — CHIP/Family Health Plus/Medicaid: $1,124.36 United Healthcare — Commercial: $1,828
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEX W REM LESION BY SNARE	$3,668	$2,751	$550.20 – $2,934.40
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Aetna of NY — Commercial: $1,900 Aetna of NY — Medicare: $1,687.28 Blue Cross Blue Shield of New York (Empire) — Medicare: $1,467.20 CDPHP — Medicare: $1,357.16 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $2,934.40 EmblemHealth — Essential Plan 1/Essential Plan 2: $2,934.40 EmblemHealth — Essential Plan 3/Essential Plan 4: $2,934.40 EmblemHealth — Medicaid: $2,934.40 EmblemHealth — Medicare: $1,247.12 EmblemHealth — Select Care: $2,640.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEX W REM LESION BY SNARE	$3,668	$2,751	$2,384.20
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Galaxy Health — Commercial: $2,384.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAM LMBR/SAC W/ IMG	$2,164	$1,623	$324.60 – $1,731.20
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates Aetna of NY — Commercial: $1,514.80 Aetna of NY — Medicare: $995.44 Blue Cross Blue Shield of New York (Empire) — Medicare: $865.60 CDPHP — Medicare: $800.68 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $1,731.20 EmblemHealth — Essential Plan 1/Essential Plan 2: $1,731.20 EmblemHealth — Essential Plan 3/Essential Plan 4: $1,731.20 EmblemHealth — Medicaid: $1,731.20 EmblemHealth — Medicare: $735.76 EmblemHealth — Select Care: $1,558.08
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ INTERLAM LMBR/SAC W/ IMG	$2,164	$1,623	$1,406.60
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan Galaxy Health — Commercial: $1,406.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUR	Not listed in the file	Not listed in the file	$658.90 – $1,900
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $1,828 United Healthcare — CHIP/Family Health Plus/Medicaid: $658.90 United Healthcare — Commercial: $1,828
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ(S) FORAMEN EPIDURAL L/S	$2,711	$2,033.25	$406.65 – $2,168.80
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Aetna of NY — Commercial: $1,900 Aetna of NY — Medicare: $1,247.06 Blue Cross Blue Shield of New York (Empire) — Medicare: $1,084.40 CDPHP — Medicare: $1,003.07 EmblemHealth — CBP/EPO/PPO/HMO/Network Access: $2,168.80 EmblemHealth — Essential Plan 1/Essential Plan 2: $2,168.80 EmblemHealth — Essential Plan 3/Essential Plan 4: $2,168.80 EmblemHealth — Medicaid: $2,168.80 EmblemHealth — Medicare: $921.74 EmblemHealth — Select Care: $1,951.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ(S) FORAMEN EPIDURAL L/S	$2,711	$2,033.25	$1,762.15
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan Galaxy Health — Commercial: $1,762.15
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SING	Not listed in the file	Not listed in the file	$868.45 – $1,900
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $1,828 United Healthcare — CHIP/Family Health Plus/Medicaid: $868.45 United Healthcare — Commercial: $1,828
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL	Not listed in the file	Not listed in the file	$1,839.63 – $2,097
Carpal tunnel release: rates for 5 insurance plans Aetna of NY — Commercial: $1,900 Local 1199SEIU — Aetna Signature Administrators: $1,900 Oxford Health Plans — Freedom/Liberty/Metro: $2,097 United Healthcare — CHIP/Family Health Plus/Medicaid: $1,839.63 United Healthcare — Commercial: $2,097

Source: Ellenville Regional Hospital’s standard charges file (images.pricetransparency.healthcare, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 22, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	10 Healthy Way, Ellenville, NY 12428
County	Ulster County
State	New York
Phone	(845) 647‑6400
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	331310
Name in Medicare records	ELLENVILLE REGIONAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	erhny.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Ellenville Regional Hospital — erhny.org
Services - Ellenville Regional Hospital — erhny.org
Emergency - Ellenville Regional Hospital — erhny.org
Acute Inpatient Services — erhny.org

Ellenville Regional Hospital

Summary

Profile from official sources

At a glance