CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ellenville Regional Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$165
about 1.2× the $136 Medicare rate · typically $103–$331
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $4 under the fair price · 1.2× Medicare
Medicare pays $136 Fair price $165 This hospital $161 Cash price $160 Hospital's list price $213

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 $72 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 Office visit, established patient (30-39 min) is about $165 (about 1.2× the $136 Medicare rate). Ellenville Regional Hospital charges insurers about $161, or about $160 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 $32 - $161 24%
Blue Cross Blue Shieldmajor $85 63%
Aetnamajor $98 - $149 72%
Humanamajor $85 63%
CDPHP $79 58%
EmblemHealth $72 - $170 53%
Fidelis Care $85 63%
MVP Health Care $89 - $160 66%
WellCare $117 86%
+ 3 smaller / regional plans $85 - $161
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