CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Ellenville Regional Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$269
about 2.5× the $107 Medicare rate · typically $147–$702
modeled estimate · not a bill or quote
What this hospital charges insurers
$798
Well above the fair price
about $529 over the fair price · 7.5× Medicare
Medicare pays $107 Fair price $269 This hospital $798 Cash price $620 Hospital's list price $826

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 $48 Priciest $798

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

A fair price for a CT scan, neck (cervical spine) is about $269 (about 2.5× the $107 Medicare rate). Ellenville Regional Hospital charges insurers about $798, or about $620 in cash — well above the fair price. Located in Ellenville, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $269. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $22 - $798 21%
Blue Cross Blue Shieldmajor $58 - $602 54%
Aetnamajor $67 - $1,076 63%
Humanamajor $58 - $602 54%
CDPHP $54 - $557 51%
EmblemHealth $50 - $1,205 47%
Fidelis Care $58 - $602 54%
MVP Health Care $61 - $1,130 57%
WellCare $80 - $828 75%
+ 3 smaller / regional plans $58 - $1,076
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 10 Healthy Way, Ellenville, NY 12428
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals