CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Ellenville Regional Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$156
about 1.3× the $118 Medicare rate · typically $100–$259
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $5 over the fair price · 1.4× Medicare
Medicare pays $118 Fair price $156 This hospital $161 Cash price $207 Hospital's list price $276

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 $69 Priciest $161

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

A fair price for a New patient office visit (30-44 min) is about $156 (about 1.3× the $118 Medicare rate). Ellenville Regional Hospital charges insurers about $161, or about $207 in cash — about the fair price. Located in Ellenville, NY.

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 $41 - $161 35%
Blue Cross Blue Shieldmajor $110 94%
Aetnamajor $127 - $193 108%
Humanamajor $110 94%
CDPHP $102 87%
EmblemHealth $94 - $221 80%
Fidelis Care $110 94%
MVP Health Care $116 - $207 99%
WellCare $152 129%
+ 3 smaller / regional plans $110 - $193
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: 10 Healthy Way, Ellenville, NY 12428
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals