
CPT 73564
The standard charge for X-ray Knee, 4 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.
EMERGENCY DEPT VISIT LVL 3
$955.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$112.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$112.00OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$112.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$112.00PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$112.00This 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
-$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.
EMERGENCY DEPT VISIT LVL 3
$345.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$20.70OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$63.02OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$63.02OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$40.02PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$115.46This 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.
EMERGENCY DEPT VISIT LVL 3
$950.93OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$33.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$102.75OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$102.75OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$65.25PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$188.25This 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.
EMERGENCY DEPT VISIT LVL 3
$1,189.18OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$33.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$102.75OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$102.75OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$65.25PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$188.25This 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.
EMERGENCY DEPT VISIT LVL 3
$277.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$92.87This 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.
EMERGENCY DEPT VISIT LVL 3
$657.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$108.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$108.00OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$108.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$108.00PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$108.00This 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.
EMERGENCY DEPT VISIT LVL 3
$562.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$33.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$102.75OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$102.75OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$65.25PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$188.25This 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.
EMERGENCY DEPT VISIT LVL 3
$603.75OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$36.22OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$110.28OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$110.28OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$70.04PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$202.06This 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.
EMERGENCY DEPT VISIT LVL 3
$277.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$92.87This 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.
EMERGENCY DEPT VISIT LVL 3
$1,182.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$36.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$109.60OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$109.60OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$69.60PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$200.80This 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.
EMERGENCY DEPT VISIT LVL 3
$600.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$26.90OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$44.38OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$44.38OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$44.38PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$105.84This 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
-$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.
EMERGENCY DEPT VISIT LVL 3
$600.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$22.42OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$36.98OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$36.98OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$36.98PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$88.20This 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.
EMERGENCY DEPT VISIT LVL 3
$600.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$22.42OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$36.98OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$36.98OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$36.98PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$88.20This 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.
EMERGENCY DEPT VISIT LVL 3
$255.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$15.30OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$46.58OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$46.58OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$29.58PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$85.34This 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.
EMERGENCY DEPT VISIT LVL 3
$1,064.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$32.40OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$98.64OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$98.64OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$62.64PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$180.72This 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.
EMERGENCY DEPT VISIT LVL 3
$285.82OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$17.15OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$52.21OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$52.21OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$33.16PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$95.66This 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.
EMERGENCY DEPT VISIT LVL 3
$487.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$29.25OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$89.05OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$89.05OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$56.55PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$163.15This 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.
EMERGENCY DEPT VISIT LVL 3
$277.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$92.87This 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.
EMERGENCY DEPT VISIT LVL 3
$277.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$92.87This 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.
EMERGENCY DEPT VISIT LVL 3
$955.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$112.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$112.00OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$112.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$112.00PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$112.00This 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
-$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.
EMERGENCY DEPT VISIT LVL 3
$345.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$20.70OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$63.02OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$63.02OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$40.02PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$115.46This 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.
EMERGENCY DEPT VISIT LVL 3
$1,174.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$179.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$179.00OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$179.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$179.00PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$179.00This 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
-$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.
EMERGENCY DEPT VISIT LVL 3
$881.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$134.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$134.00OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$134.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$134.00PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$134.00This 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
-$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.
EMERGENCY DEPT VISIT LVL 3
$291.38OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$17.48OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$53.22OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$53.22OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$33.80PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$97.51This 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.
EMERGENCY DEPT VISIT LVL 3
$980.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$156.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$156.00OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$156.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$156.00PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$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
$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.
EMERGENCY DEPT VISIT LVL 3
$271.85OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$22.42OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$36.98OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$36.98OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$36.98PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$88.20This 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
$315.00Price 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.
EMERGENCY DEPT VISIT LVL 3
$980.00OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$156.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$156.00OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$156.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$156.00PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$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
$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.
EMERGENCY DEPT VISIT LVL 3
$277.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$92.87This 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.
EMERGENCY DEPT VISIT LVL 3
$412.50OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$24.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$75.35OT NEUROMUSCULAR REEDUCATION EA 15 MINS (MOD 59 W KX)
$75.35OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$47.85PT RE-EVAL EST PLAN CARE (MOD 59 W KX)
$138.05This 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.