
CPT 72190
The standard charge for X-ray pelvis, 3 or more views is $315.00. 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
$315.00Insurance Discount
-$126.00Price Negotiated by Insurer
$189.00Deductible 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.
AUTOM URINE DIP W MICRO
$11.05BASIC METABOLIC PANEL
$31.20CEFTRIAXONE SODIUM, PER 250 MG
$1.70COMPREHENSIVE METABOLIC PANEL
$35.10This 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
$315.00Insurance Discount
-$170.10Price Negotiated by Insurer
$144.90Deductible 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.
AUTOM URINE DIP W MICRO
$7.82BASIC METABOLIC PANEL
$22.08CEFTRIAXONE SODIUM, PER 250 MG
$1.42COMPREHENSIVE METABOLIC PANEL
$24.84This 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
$315.00Insurance Discount
-$78.75Price Negotiated by Insurer
$236.25Deductible 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.
AUTOM URINE DIP W MICRO
$12.75BASIC METABOLIC PANEL
$36.00CEFTRIAXONE SODIUM, PER 250 MG
$0.45COMPREHENSIVE METABOLIC PANEL
$40.50This 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
$315.00Insurance Discount
-$78.75Price Negotiated by Insurer
$236.25Deductible 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.
AUTOM URINE DIP W MICRO
$12.75BASIC METABOLIC PANEL
$36.00CEFTRIAXONE SODIUM, PER 250 MG
$0.45COMPREHENSIVE METABOLIC PANEL
$40.50This 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
$315.00Insurance Discount
-$198.45Price Negotiated by Insurer
$116.55Deductible 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.
AUTOM URINE DIP W MICRO
$6.29BASIC METABOLIC PANEL
$17.76CEFTRIAXONE SODIUM, PER 250 MG
$1.14COMPREHENSIVE METABOLIC PANEL
$19.98This 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
$315.00Insurance Discount
-$157.50Price Negotiated by Insurer
$157.50Deductible 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.
AUTOM URINE DIP W MICRO
$8.50BASIC METABOLIC PANEL
$24.00CEFTRIAXONE SODIUM, PER 250 MG
$1.54COMPREHENSIVE METABOLIC PANEL
$27.00This 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
$315.00Insurance Discount
-$78.75Price Negotiated by Insurer
$236.25Deductible 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.
AUTOM URINE DIP W MICRO
$12.75BASIC METABOLIC PANEL
$36.00CEFTRIAXONE SODIUM, PER 250 MG
$2.32COMPREHENSIVE METABOLIC PANEL
$40.50This 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
$315.00Insurance Discount
-$61.42Price Negotiated by Insurer
$253.58Deductible 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.
AUTOM URINE DIP W MICRO
$13.68BASIC METABOLIC PANEL
$38.64CEFTRIAXONE SODIUM, PER 250 MG
$2.49COMPREHENSIVE METABOLIC PANEL
$43.47This 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
$315.00Insurance Discount
-$198.45Price Negotiated by Insurer
$116.55Deductible 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.
AUTOM URINE DIP W MICRO
$6.29BASIC METABOLIC PANEL
$17.76CEFTRIAXONE SODIUM, PER 250 MG
$1.14COMPREHENSIVE METABOLIC PANEL
$19.98This 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
$315.00Insurance Discount
-$94.50Price Negotiated by Insurer
$220.50Deductible 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.
AUTOM URINE DIP W MICRO
$10.20BASIC METABOLIC PANEL
$28.80CEFTRIAXONE SODIUM, PER 250 MG
$0.45COMPREHENSIVE METABOLIC PANEL
$32.40This 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
$315.00Insurance Discount
-$63.00Price Negotiated by Insurer
$252.00Deductible 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.
AUTOM URINE DIP W MICRO
$13.60BASIC METABOLIC PANEL
$38.40CEFTRIAXONE SODIUM, PER 250 MG
$2.47COMPREHENSIVE METABOLIC PANEL
$43.20This 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
$315.00Insurance Discount
-$63.00Price Negotiated by Insurer
$252.00Deductible 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.
AUTOM URINE DIP W MICRO
$13.60BASIC METABOLIC PANEL
$38.40CEFTRIAXONE SODIUM, PER 250 MG
$2.47COMPREHENSIVE METABOLIC PANEL
$43.20This 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
$315.00Insurance Discount
-$63.00Price Negotiated by Insurer
$252.00Deductible 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.
AUTOM URINE DIP W MICRO
$13.60BASIC METABOLIC PANEL
$38.40CEFTRIAXONE SODIUM, PER 250 MG
$2.47COMPREHENSIVE METABOLIC PANEL
$43.20This 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
$315.00Insurance Discount
-$207.90Price Negotiated by Insurer
$107.10Deductible 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.
AUTOM URINE DIP W MICRO
$5.78BASIC METABOLIC PANEL
$16.32CEFTRIAXONE SODIUM, PER 250 MG
$1.05COMPREHENSIVE METABOLIC PANEL
$18.36This 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
$315.00Insurance Discount
-$110.25Price Negotiated by Insurer
$204.75Deductible 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.
AUTOM URINE DIP W MICRO
$10.20BASIC METABOLIC PANEL
$28.80CEFTRIAXONE SODIUM, PER 250 MG
$0.45COMPREHENSIVE METABOLIC PANEL
$32.40This 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
$315.00Insurance Discount
-$194.95Price Negotiated by Insurer
$120.05Deductible 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.
AUTOM URINE DIP W MICRO
$6.48BASIC METABOLIC PANEL
$18.29CEFTRIAXONE SODIUM, PER 250 MG
$1.18COMPREHENSIVE METABOLIC PANEL
$20.58This 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
$315.00Insurance Discount
-$110.25Price Negotiated by Insurer
$204.75Deductible 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.
AUTOM URINE DIP W MICRO
$11.05BASIC METABOLIC PANEL
$31.20CEFTRIAXONE SODIUM, PER 250 MG
$2.01COMPREHENSIVE METABOLIC PANEL
$35.10This 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
$315.00Insurance Discount
-$198.45Price Negotiated by Insurer
$116.55Deductible 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.
AUTOM URINE DIP W MICRO
$6.29BASIC METABOLIC PANEL
$17.76CEFTRIAXONE SODIUM, PER 250 MG
$1.14COMPREHENSIVE METABOLIC PANEL
$19.98This 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
$315.00Insurance Discount
-$198.45Price Negotiated by Insurer
$116.55Deductible 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.
AUTOM URINE DIP W MICRO
$6.29BASIC METABOLIC PANEL
$17.76CEFTRIAXONE SODIUM, PER 250 MG
$1.14COMPREHENSIVE METABOLIC PANEL
$19.98This 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
$315.00Insurance Discount
-$126.00Price Negotiated by Insurer
$189.00Deductible 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.
AUTOM URINE DIP W MICRO
$11.05BASIC METABOLIC PANEL
$31.20CEFTRIAXONE SODIUM, PER 250 MG
$1.70COMPREHENSIVE METABOLIC PANEL
$35.10This 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
$315.00Insurance Discount
-$170.10Price Negotiated by Insurer
$144.90Deductible 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.
AUTOM URINE DIP W MICRO
$7.82BASIC METABOLIC PANEL
$22.08CEFTRIAXONE SODIUM, PER 250 MG
$1.42COMPREHENSIVE METABOLIC PANEL
$24.84This 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
$315.00Insurance Discount
-$78.75Price Negotiated by Insurer
$236.25Deductible 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.
AUTOM URINE DIP W MICRO
$12.75BASIC METABOLIC PANEL
$36.00CEFTRIAXONE SODIUM, PER 250 MG
$2.32COMPREHENSIVE METABOLIC PANEL
$40.50This 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
$315.00Insurance Discount
-$137.66Price Negotiated by Insurer
$177.34Deductible 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.
AUTOM URINE DIP W MICRO
$9.57BASIC METABOLIC PANEL
$27.02CEFTRIAXONE SODIUM, PER 250 MG
$1.74COMPREHENSIVE METABOLIC PANEL
$30.40This 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
$315.00Insurance Discount
-$192.62Price Negotiated by Insurer
$122.38Deductible 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.
AUTOM URINE DIP W MICRO
$6.60BASIC METABOLIC PANEL
$18.65CEFTRIAXONE SODIUM, PER 250 MG
$1.20COMPREHENSIVE METABOLIC PANEL
$20.98This 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
$315.00Price 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.
AUTOM URINE DIP W MICRO
$12.75BASIC METABOLIC PANEL
$36.00CEFTRIAXONE SODIUM, PER 250 MG
$0.94COMPREHENSIVE METABOLIC PANEL
$40.50This 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
$315.00Insurance Discount
-$294.80Price Negotiated by Insurer
$20.20Deductible 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.
AUTOM URINE DIP W MICRO
$3.17BASIC METABOLIC PANEL
$7.32COMPREHENSIVE METABOLIC PANEL
$10.10This 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
$315.00Price 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.
AUTOM URINE DIP W MICRO
$12.75BASIC METABOLIC PANEL
$36.00CEFTRIAXONE SODIUM, PER 250 MG
$0.94COMPREHENSIVE METABOLIC PANEL
$40.50This 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
$315.00Insurance Discount
-$198.45Price Negotiated by Insurer
$116.55Deductible 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.
AUTOM URINE DIP W MICRO
$6.29BASIC METABOLIC PANEL
$17.76CEFTRIAXONE SODIUM, PER 250 MG
$1.14COMPREHENSIVE METABOLIC PANEL
$19.98This 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
$315.00Insurance Discount
-$141.75Price Negotiated by Insurer
$173.25Deductible 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.
AUTOM URINE DIP W MICRO
$9.35BASIC METABOLIC PANEL
$26.40CEFTRIAXONE SODIUM, PER 250 MG
$1.70COMPREHENSIVE METABOLIC PANEL
$29.70This 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.