CPT 97166
The standard charge for Occupational Therapy Evaluation - Moderate Complexity is $365.00. 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
$365.00Insurance Discount
-$253.00Price Negotiated by Insurer
$112.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$112.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$112.00OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$112.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$112.00OT ULTRASOUND THERAPY EA 15 MINS (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
$365.00Insurance Discount
-$197.10Price Negotiated by Insurer
$167.90Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$20.70OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$63.02OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$62.56OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$40.02OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$28.98This 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
$365.00Insurance Discount
-$91.25Price Negotiated by Insurer
$273.75Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$33.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$102.75OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$102.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$65.25OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$47.25This 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
$365.00Insurance Discount
-$91.25Price Negotiated by Insurer
$273.75Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$33.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$102.75OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$102.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$65.25OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$47.25This 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
$365.00Insurance Discount
-$229.95Price Negotiated by Insurer
$135.05Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$50.32OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$23.31This 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
$365.00Insurance Discount
-$257.00Price Negotiated by Insurer
$108.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$108.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$108.00OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$108.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$108.00OT ULTRASOUND THERAPY EA 15 MINS (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
$365.00Insurance Discount
-$91.25Price Negotiated by Insurer
$273.75Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$33.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$102.75OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$102.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$65.25OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$47.25This 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
$365.00Insurance Discount
-$71.18Price Negotiated by Insurer
$293.82Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$36.22OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$110.28OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$109.48OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$70.04OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$50.72This 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
$365.00Insurance Discount
-$229.95Price Negotiated by Insurer
$135.05Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$50.32OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$23.31This 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
$365.00Insurance Discount
-$73.00Price Negotiated by Insurer
$292.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$36.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$109.60OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$108.80OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$69.60OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$50.40This 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
$365.00Insurance Discount
-$73.00Price Negotiated by Insurer
$292.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$36.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$109.60OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$108.80OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$69.60OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$50.40This 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
$365.00Insurance Discount
-$73.00Price Negotiated by Insurer
$292.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$36.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$109.60OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$108.80OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$69.60OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$50.40This 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
$365.00Insurance Discount
-$73.00Price Negotiated by Insurer
$292.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$36.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$109.60OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$108.80OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$69.60OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$50.40This 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
$365.00Insurance Discount
-$240.90Price Negotiated by Insurer
$124.10Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$15.30OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$46.58OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$46.24OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$29.58OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$21.42This 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
$365.00Insurance Discount
-$102.20Price Negotiated by Insurer
$262.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$32.40OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$98.64OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$97.92OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$62.64OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$45.36This 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
$365.00Insurance Discount
-$225.90Price Negotiated by Insurer
$139.10Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$17.15OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$52.21OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$51.83OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$33.16OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$24.01This 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
$365.00Insurance Discount
-$127.75Price Negotiated by Insurer
$237.25Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$29.25OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$89.05OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$88.40OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$56.55OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$40.95This 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
$365.00Insurance Discount
-$229.95Price Negotiated by Insurer
$135.05Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$50.32OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$23.31This 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
$365.00Insurance Discount
-$229.95Price Negotiated by Insurer
$135.05Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$50.32OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$23.31This 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
$365.00Insurance Discount
-$253.00Price Negotiated by Insurer
$112.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$112.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$112.00OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$112.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$112.00OT ULTRASOUND THERAPY EA 15 MINS (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
$365.00Insurance Discount
-$197.10Price Negotiated by Insurer
$167.90Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$20.70OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$63.02OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$62.56OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$40.02OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$28.98This 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
$365.00Insurance Discount
-$186.00Price Negotiated by Insurer
$179.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$179.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$179.00OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$179.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$179.00OT ULTRASOUND THERAPY EA 15 MINS (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
$365.00Insurance Discount
-$231.00Price Negotiated by Insurer
$134.00Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$134.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$134.00OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$134.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$134.00OT ULTRASOUND THERAPY EA 15 MINS (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
$365.00Insurance Discount
-$223.20Price Negotiated by Insurer
$141.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$17.48OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$53.22OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$52.84OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$33.80OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$24.48This 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
$365.00Insurance Discount
-$209.00Price 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$156.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$156.00OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$156.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$156.00OT ULTRASOUND THERAPY EA 15 MINS (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
$365.00Insurance Discount
-$209.00Price 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$156.00OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$156.00OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$156.00OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$156.00OT ULTRASOUND THERAPY EA 15 MINS (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
$365.00Insurance Discount
-$229.95Price Negotiated by Insurer
$135.05Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$16.65OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$50.69OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$50.32OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$32.19OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$23.31This 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
$365.00Insurance Discount
-$164.25Price Negotiated by Insurer
$200.75Deductible 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.
OT HOT OR COLD PACKS THERAPY 1+ AREAS (MOD 59 W KX)
$24.75OT MANUAL THERAPY EA 15 MINS (MOD 59 W KX)
$75.35OT THERAPEUTIC ACTIVITIES EA 15 MINS (MOD 59 W KX)
$74.80OT THERAPEUTIC EXERCISES EA 15 MINS (MOD 59 W KX)
$47.85OT ULTRASOUND THERAPY EA 15 MINS (MOD 59 W KX)
$34.65This 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.