
CPT 73552
The standard charge for X-ray Femur, 2 Views is $260.00. 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
$260.00Insurance Discount
-$104.00Price Negotiated by Insurer
$156.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$955.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$78.03EMERGENCY DEPT VISIT LVL 3
$955.00EMERGENCY DEPT VISIT LVL 4
$955.00FENTANYL CITRATE INJ 0.05 MG
$3.40IVP SINGLE DRUG OR SUBSTANCE
$350.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.45MOD SEDATION SAME PHYS/QHP 5/>YRS
$955.00PROPOFOL INJ, 10 MG
$63.73THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$141.40X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$156.00This 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
$260.00Insurance Discount
-$140.40Price Negotiated by Insurer
$119.60Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$2,115.54DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$65.26EMERGENCY DEPT VISIT LVL 3
$345.00EMERGENCY DEPT VISIT LVL 4
$506.00FENTANYL CITRATE INJ 0.05 MG
$2.84IVP SINGLE DRUG OR SUBSTANCE
$230.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.21MOD SEDATION SAME PHYS/QHP 5/>YRS
$80.96PROPOFOL INJ, 10 MG
$53.30THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$92.92X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$119.60This 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
$260.00Insurance Discount
-$65.00Price Negotiated by Insurer
$195.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$950.93DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$39.09EMERGENCY DEPT VISIT LVL 3
$950.93EMERGENCY DEPT VISIT LVL 4
$950.93FENTANYL CITRATE INJ 0.05 MG
$0.99IVP SINGLE DRUG OR SUBSTANCE
$320.44KETOROLAC TROMETHAMINE, PER 15 MG
$0.70MOD SEDATION SAME PHYS/QHP 5/>YRS
$950.93PROPOFOL INJ, 10 MG
$0.12THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$320.44X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$195.00This 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
$260.00Insurance Discount
-$65.00Price Negotiated by Insurer
$195.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,189.18DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$39.09EMERGENCY DEPT VISIT LVL 3
$1,189.18EMERGENCY DEPT VISIT LVL 4
$1,189.18FENTANYL CITRATE INJ 0.05 MG
$0.99IVP SINGLE DRUG OR SUBSTANCE
$400.55KETOROLAC TROMETHAMINE, PER 15 MG
$0.70MOD SEDATION SAME PHYS/QHP 5/>YRS
$1,189.18PROPOFOL INJ, 10 MG
$0.12THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$400.55X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$195.00This 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
$260.00Insurance Discount
-$163.80Price Negotiated by Insurer
$96.20Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,701.63DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$52.50EMERGENCY DEPT VISIT LVL 3
$277.50EMERGENCY DEPT VISIT LVL 4
$407.00FENTANYL CITRATE INJ 0.05 MG
$2.29IVP SINGLE DRUG OR SUBSTANCE
$185.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.98MOD SEDATION SAME PHYS/QHP 5/>YRS
$65.12PROPOFOL INJ, 10 MG
$42.88THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$74.74X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$96.20This 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
$260.00Insurance Discount
-$130.00Price Negotiated by Insurer
$130.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$2,299.50DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$70.94EMERGENCY DEPT VISIT LVL 3
$657.00EMERGENCY DEPT VISIT LVL 4
$745.00FENTANYL CITRATE INJ 0.05 MG
$3.09IVP SINGLE DRUG OR SUBSTANCE
$250.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.32MOD SEDATION SAME PHYS/QHP 5/>YRS
$88.00PROPOFOL INJ, 10 MG
$57.94THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$101.00X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$130.00This 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
$260.00Insurance Discount
-$65.00Price Negotiated by Insurer
$195.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$3,449.25DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$106.41EMERGENCY DEPT VISIT LVL 3
$562.50EMERGENCY DEPT VISIT LVL 4
$825.00FENTANYL CITRATE INJ 0.05 MG
$4.64IVP SINGLE DRUG OR SUBSTANCE
$375.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.98MOD SEDATION SAME PHYS/QHP 5/>YRS
$132.00PROPOFOL INJ, 10 MG
$86.91THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$151.50X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$195.00This 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
$260.00Insurance Discount
-$50.70Price Negotiated by Insurer
$209.30Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$3,702.20DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$114.21EMERGENCY DEPT VISIT LVL 3
$603.75EMERGENCY DEPT VISIT LVL 4
$885.50FENTANYL CITRATE INJ 0.05 MG
$4.97IVP SINGLE DRUG OR SUBSTANCE
$402.50KETOROLAC TROMETHAMINE, PER 15 MG
$2.13MOD SEDATION SAME PHYS/QHP 5/>YRS
$141.68PROPOFOL INJ, 10 MG
$93.28THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$162.61X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$209.30This 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
$260.00Insurance Discount
-$163.80Price Negotiated by Insurer
$96.20Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,701.63DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$52.50EMERGENCY DEPT VISIT LVL 3
$277.50EMERGENCY DEPT VISIT LVL 4
$407.00FENTANYL CITRATE INJ 0.05 MG
$2.29IVP SINGLE DRUG OR SUBSTANCE
$185.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.98MOD SEDATION SAME PHYS/QHP 5/>YRS
$65.12PROPOFOL INJ, 10 MG
$42.88THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$74.74X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$96.20This 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
$260.00Insurance Discount
-$78.00Price Negotiated by Insurer
$182.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,182.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$39.09EMERGENCY DEPT VISIT LVL 3
$1,182.00EMERGENCY DEPT VISIT LVL 4
$1,182.00FENTANYL CITRATE INJ 0.05 MG
$0.99IVP SINGLE DRUG OR SUBSTANCE
$400.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.70MOD SEDATION SAME PHYS/QHP 5/>YRS
$1,182.00PROPOFOL INJ, 10 MG
$0.12THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$161.60X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$182.00This 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
$260.00Insurance Discount
-$52.00Price Negotiated by Insurer
$208.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$3,679.20DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$113.50EMERGENCY DEPT VISIT LVL 3
$600.00EMERGENCY DEPT VISIT LVL 4
$880.00FENTANYL CITRATE INJ 0.05 MG
$4.94IVP SINGLE DRUG OR SUBSTANCE
$400.00KETOROLAC TROMETHAMINE, PER 15 MG
$2.11MOD SEDATION SAME PHYS/QHP 5/>YRS
$140.80PROPOFOL INJ, 10 MG
$92.70THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$16.03X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$208.00This 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
$260.00Insurance Discount
-$52.00Price Negotiated by Insurer
$208.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$3,679.20DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$113.50EMERGENCY DEPT VISIT LVL 3
$600.00EMERGENCY DEPT VISIT LVL 4
$880.00FENTANYL CITRATE INJ 0.05 MG
$4.94IVP SINGLE DRUG OR SUBSTANCE
$400.00KETOROLAC TROMETHAMINE, PER 15 MG
$2.11MOD SEDATION SAME PHYS/QHP 5/>YRS
$140.80PROPOFOL INJ, 10 MG
$92.70THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$13.36X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$208.00This 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
$260.00Insurance Discount
-$52.00Price Negotiated by Insurer
$208.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$3,679.20DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$113.50EMERGENCY DEPT VISIT LVL 3
$600.00EMERGENCY DEPT VISIT LVL 4
$880.00FENTANYL CITRATE INJ 0.05 MG
$4.94IVP SINGLE DRUG OR SUBSTANCE
$400.00KETOROLAC TROMETHAMINE, PER 15 MG
$2.11MOD SEDATION SAME PHYS/QHP 5/>YRS
$140.80PROPOFOL INJ, 10 MG
$92.70THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$13.36X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$208.00This 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
$260.00Insurance Discount
-$171.60Price Negotiated by Insurer
$88.40Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,563.66DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$48.24EMERGENCY DEPT VISIT LVL 3
$255.00EMERGENCY DEPT VISIT LVL 4
$374.00FENTANYL CITRATE INJ 0.05 MG
$2.10IVP SINGLE DRUG OR SUBSTANCE
$170.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.90MOD SEDATION SAME PHYS/QHP 5/>YRS
$59.84PROPOFOL INJ, 10 MG
$39.40THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$68.68X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$88.40This 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
$260.00Insurance Discount
-$91.00Price Negotiated by Insurer
$169.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,064.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$39.09EMERGENCY DEPT VISIT LVL 3
$1,064.00EMERGENCY DEPT VISIT LVL 4
$1,064.00FENTANYL CITRATE INJ 0.05 MG
$0.99IVP SINGLE DRUG OR SUBSTANCE
$360.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.70MOD SEDATION SAME PHYS/QHP 5/>YRS
$1,064.00PROPOFOL INJ, 10 MG
$0.12THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$145.44X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$169.00This 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
$260.00Insurance Discount
-$160.91Price Negotiated by Insurer
$99.09Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,752.68DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$54.07EMERGENCY DEPT VISIT LVL 3
$285.82EMERGENCY DEPT VISIT LVL 4
$419.21FENTANYL CITRATE INJ 0.05 MG
$2.36IVP SINGLE DRUG OR SUBSTANCE
$190.55KETOROLAC TROMETHAMINE, PER 15 MG
$1.01MOD SEDATION SAME PHYS/QHP 5/>YRS
$67.07PROPOFOL INJ, 10 MG
$44.16THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$76.98X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$99.09This 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
$260.00Insurance Discount
-$91.00Price Negotiated by Insurer
$169.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$2,989.35DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$92.22EMERGENCY DEPT VISIT LVL 3
$487.50EMERGENCY DEPT VISIT LVL 4
$715.00FENTANYL CITRATE INJ 0.05 MG
$4.02IVP SINGLE DRUG OR SUBSTANCE
$325.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.72MOD SEDATION SAME PHYS/QHP 5/>YRS
$114.40PROPOFOL INJ, 10 MG
$75.32THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$131.30X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$169.00This 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
$260.00Insurance Discount
-$163.80Price Negotiated by Insurer
$96.20Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,701.63DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$52.50EMERGENCY DEPT VISIT LVL 3
$277.50EMERGENCY DEPT VISIT LVL 4
$407.00FENTANYL CITRATE INJ 0.05 MG
$2.29IVP SINGLE DRUG OR SUBSTANCE
$185.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.98MOD SEDATION SAME PHYS/QHP 5/>YRS
$65.12PROPOFOL INJ, 10 MG
$42.88THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$74.74X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$96.20This 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
$260.00Insurance Discount
-$163.80Price Negotiated by Insurer
$96.20Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,701.63DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$52.50EMERGENCY DEPT VISIT LVL 3
$277.50EMERGENCY DEPT VISIT LVL 4
$407.00FENTANYL CITRATE INJ 0.05 MG
$2.29IVP SINGLE DRUG OR SUBSTANCE
$185.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.98MOD SEDATION SAME PHYS/QHP 5/>YRS
$65.12PROPOFOL INJ, 10 MG
$42.88THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$74.74X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$96.20This 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
$260.00Insurance Discount
-$104.00Price Negotiated by Insurer
$156.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$955.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$78.03EMERGENCY DEPT VISIT LVL 3
$955.00EMERGENCY DEPT VISIT LVL 4
$955.00FENTANYL CITRATE INJ 0.05 MG
$3.40IVP SINGLE DRUG OR SUBSTANCE
$350.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.45MOD SEDATION SAME PHYS/QHP 5/>YRS
$955.00PROPOFOL INJ, 10 MG
$63.73THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$141.40X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$156.00This 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
$260.00Insurance Discount
-$140.40Price Negotiated by Insurer
$119.60Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$2,115.54DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$65.26EMERGENCY DEPT VISIT LVL 3
$345.00EMERGENCY DEPT VISIT LVL 4
$506.00FENTANYL CITRATE INJ 0.05 MG
$2.84IVP SINGLE DRUG OR SUBSTANCE
$230.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.21MOD SEDATION SAME PHYS/QHP 5/>YRS
$80.96PROPOFOL INJ, 10 MG
$53.30THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$92.92X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$119.60This 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
$260.00Insurance Discount
-$65.00Price Negotiated by Insurer
$195.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,174.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$106.41EMERGENCY DEPT VISIT LVL 3
$1,174.00EMERGENCY DEPT VISIT LVL 4
$1,174.00FENTANYL CITRATE INJ 0.05 MG
$4.64IVP SINGLE DRUG OR SUBSTANCE
$375.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.98MOD SEDATION SAME PHYS/QHP 5/>YRS
$1,174.00PROPOFOL INJ, 10 MG
$86.91THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$151.50X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$195.00This 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
$260.00Insurance Discount
-$113.62Price Negotiated by Insurer
$146.38Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$881.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$79.88EMERGENCY DEPT VISIT LVL 3
$881.00EMERGENCY DEPT VISIT LVL 4
$881.00FENTANYL CITRATE INJ 0.05 MG
$3.48IVP SINGLE DRUG OR SUBSTANCE
$281.50KETOROLAC TROMETHAMINE, PER 15 MG
$1.49MOD SEDATION SAME PHYS/QHP 5/>YRS
$881.00PROPOFOL INJ, 10 MG
$65.24THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$113.73X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$146.38This 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
$260.00Insurance Discount
-$158.99Price Negotiated by Insurer
$101.01Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,786.71DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$55.12EMERGENCY DEPT VISIT LVL 3
$291.38EMERGENCY DEPT VISIT LVL 4
$427.35FENTANYL CITRATE INJ 0.05 MG
$2.40IVP SINGLE DRUG OR SUBSTANCE
$194.25KETOROLAC TROMETHAMINE, PER 15 MG
$1.03MOD SEDATION SAME PHYS/QHP 5/>YRS
$68.38PROPOFOL INJ, 10 MG
$45.02THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$78.48X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$101.01This 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
$260.00Price 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$980.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$63.94EMERGENCY DEPT VISIT LVL 3
$980.00EMERGENCY DEPT VISIT LVL 4
$980.00FENTANYL CITRATE INJ 0.05 MG
$1.39IVP SINGLE DRUG OR SUBSTANCE
$375.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.91MOD SEDATION SAME PHYS/QHP 5/>YRS
$980.00PROPOFOL INJ, 10 MG
$0.17X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$390.00This 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
$260.00Insurance Discount
-$250.12Price Negotiated by Insurer
$9.88Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,531.33EMERGENCY DEPT VISIT LVL 3
$271.85EMERGENCY DEPT VISIT LVL 4
$422.00FENTANYL CITRATE INJ 0.05 MG
$0.99IVP SINGLE DRUG OR SUBSTANCE
$204.22KETOROLAC TROMETHAMINE, PER 15 MG
$0.70MOD SEDATION SAME PHYS/QHP 5/>YRS
$11.98PROPOFOL INJ, 10 MG
$0.12THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$13.36X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$12.59This 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
$260.00Price 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$980.00DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$63.94EMERGENCY DEPT VISIT LVL 3
$980.00EMERGENCY DEPT VISIT LVL 4
$980.00FENTANYL CITRATE INJ 0.05 MG
$1.39IVP SINGLE DRUG OR SUBSTANCE
$375.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.91MOD SEDATION SAME PHYS/QHP 5/>YRS
$980.00PROPOFOL INJ, 10 MG
$0.17X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$390.00This 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
$260.00Insurance Discount
-$163.80Price Negotiated by Insurer
$96.20Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$1,701.63DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$52.50EMERGENCY DEPT VISIT LVL 3
$277.50EMERGENCY DEPT VISIT LVL 4
$407.00FENTANYL CITRATE INJ 0.05 MG
$2.29IVP SINGLE DRUG OR SUBSTANCE
$185.00KETOROLAC TROMETHAMINE, PER 15 MG
$0.98MOD SEDATION SAME PHYS/QHP 5/>YRS
$65.12PROPOFOL INJ, 10 MG
$42.88THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$74.74X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$96.20This 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
$260.00Insurance Discount
-$117.00Price Negotiated by Insurer
$143.00Deductible 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.
CLTX POST HIP ARTHRP DISLC REQ ANES
$2,529.45DIPHTH PERTUSSIS(ADACEL)TET VAC SYRN 10X
$78.03EMERGENCY DEPT VISIT LVL 3
$412.50EMERGENCY DEPT VISIT LVL 4
$605.00FENTANYL CITRATE INJ 0.05 MG
$3.40IVP SINGLE DRUG OR SUBSTANCE
$275.00KETOROLAC TROMETHAMINE, PER 15 MG
$1.45MOD SEDATION SAME PHYS/QHP 5/>YRS
$96.80PROPOFOL INJ, 10 MG
$63.73THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC
$111.10X-RAY EXAM HIP UNI 2-3 VIEWS, RIGHT
$143.00This 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.