CPT 76000
The standard charge for Flouroscopy, or x-ray "movie" that takes less than an hour is $701.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
10 Healthy Way, Ellenville, NY, 12428CONTACT
(845) 647-6400 Visit WebsiteEllenville Regional Hospital is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Ellenville Regional Hospital provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Ellenville Regional Hospital physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 845-647-6400.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$701.00Insurance Discount
-$280.40Price Negotiated by Insurer
$420.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$17.55FENTANYL CITRATE INJ 0.05 MG
$3.40FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$1,857.00MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$3.40PROPOFOL INJ, 10 MG
$63.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$378.54Price Negotiated by Insurer
$322.46Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$12.42FENTANYL CITRATE INJ 0.05 MG
$2.84MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.84PROPOFOL INJ, 10 MG
$53.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$175.25Price Negotiated by Insurer
$525.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$20.25FENTANYL CITRATE INJ 0.05 MG
$0.99MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$0.14PROPOFOL INJ, 10 MG
$0.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$175.25Price Negotiated by Insurer
$525.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$20.25FENTANYL CITRATE INJ 0.05 MG
$0.99MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$0.14PROPOFOL INJ, 10 MG
$0.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$441.63Price Negotiated by Insurer
$259.37Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$9.99FENTANYL CITRATE INJ 0.05 MG
$2.29MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.29PROPOFOL INJ, 10 MG
$42.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$350.50Price Negotiated by Insurer
$350.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$13.50FENTANYL CITRATE INJ 0.05 MG
$3.09MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$3.09PROPOFOL INJ, 10 MG
$57.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$175.25Price Negotiated by Insurer
$525.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$20.25FENTANYL CITRATE INJ 0.05 MG
$4.64MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$4.64PROPOFOL INJ, 10 MG
$86.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$136.70Price Negotiated by Insurer
$564.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$21.74FENTANYL CITRATE INJ 0.05 MG
$4.97MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$4.97PROPOFOL INJ, 10 MG
$93.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$441.63Price Negotiated by Insurer
$259.37Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$9.99FENTANYL CITRATE INJ 0.05 MG
$2.29MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.29PROPOFOL INJ, 10 MG
$42.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$210.30Price Negotiated by Insurer
$490.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$16.20FENTANYL CITRATE INJ 0.05 MG
$0.99MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$0.14PROPOFOL INJ, 10 MG
$0.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$140.20Price Negotiated by Insurer
$560.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$21.60FENTANYL CITRATE INJ 0.05 MG
$4.94MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$4.94PROPOFOL INJ, 10 MG
$92.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$140.20Price Negotiated by Insurer
$560.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$21.60FENTANYL CITRATE INJ 0.05 MG
$4.94MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$4.94PROPOFOL INJ, 10 MG
$92.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$140.20Price Negotiated by Insurer
$560.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$21.60FENTANYL CITRATE INJ 0.05 MG
$4.94MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$4.94PROPOFOL INJ, 10 MG
$92.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$462.66Price Negotiated by Insurer
$238.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$9.18FENTANYL CITRATE INJ 0.05 MG
$2.10MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.10PROPOFOL INJ, 10 MG
$39.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$245.35Price Negotiated by Insurer
$455.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$16.20FENTANYL CITRATE INJ 0.05 MG
$0.99MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$0.14PROPOFOL INJ, 10 MG
$0.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$433.85Price Negotiated by Insurer
$267.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$10.29FENTANYL CITRATE INJ 0.05 MG
$2.36MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.36PROPOFOL INJ, 10 MG
$44.16This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$245.35Price Negotiated by Insurer
$455.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$17.55FENTANYL CITRATE INJ 0.05 MG
$4.02MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$4.02PROPOFOL INJ, 10 MG
$75.32This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$441.63Price Negotiated by Insurer
$259.37Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$9.99FENTANYL CITRATE INJ 0.05 MG
$2.29MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.29PROPOFOL INJ, 10 MG
$42.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$441.63Price Negotiated by Insurer
$259.37Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$9.99FENTANYL CITRATE INJ 0.05 MG
$2.29MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.29PROPOFOL INJ, 10 MG
$42.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$280.40Price Negotiated by Insurer
$420.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$17.55FENTANYL CITRATE INJ 0.05 MG
$3.40FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$1,857.00MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$3.40PROPOFOL INJ, 10 MG
$63.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$378.54Price Negotiated by Insurer
$322.46Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$12.42FENTANYL CITRATE INJ 0.05 MG
$2.84MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.84PROPOFOL INJ, 10 MG
$53.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$175.25Price Negotiated by Insurer
$525.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$20.25FENTANYL CITRATE INJ 0.05 MG
$4.64MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$4.64PROPOFOL INJ, 10 MG
$86.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$306.34Price Negotiated by Insurer
$394.66Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$15.20FENTANYL CITRATE INJ 0.05 MG
$3.48MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$3.48PROPOFOL INJ, 10 MG
$65.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$428.66Price Negotiated by Insurer
$272.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$10.49FENTANYL CITRATE INJ 0.05 MG
$2.40MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.40PROPOFOL INJ, 10 MG
$45.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$311.00Price Negotiated by Insurer
$390.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$20.25FENTANYL CITRATE INJ 0.05 MG
$1.39MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$0.23PROPOFOL INJ, 10 MG
$0.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$690.90Price Negotiated by Insurer
$10.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$5.25FENTANYL CITRATE INJ 0.05 MG
$0.99FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$25.25MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$0.14PROPOFOL INJ, 10 MG
$0.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$311.00Price Negotiated by Insurer
$390.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$20.25FENTANYL CITRATE INJ 0.05 MG
$1.39MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$0.23PROPOFOL INJ, 10 MG
$0.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$441.63Price Negotiated by Insurer
$259.37Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$9.99FENTANYL CITRATE INJ 0.05 MG
$2.29MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$2.29PROPOFOL INJ, 10 MG
$42.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.
Total estimated charges
$701.00Insurance Discount
-$315.45Price Negotiated by Insurer
$385.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CULTURE G C
$14.85FENTANYL CITRATE INJ 0.05 MG
$3.40MIDAZOLAM HYDROCHLORIDE INJ, PER 1 MG
$3.40PROPOFOL INJ, 10 MG
$63.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ellenville Regional Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ellenville Regional Hospital directly.