Bon Secours Community Hospital
Bon Secours Mercy Health
Hospital Overview
Facility Details
CCN
330135
NPI
1659360709
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
122
Contact Information
Address
160 East Main Street
Port Jervis, NY 12771
Phone
(845) 856-5351
Insurance Accepted
💡
Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
💡 The data below comes from CMS-mandated price transparency data. Learn more.
💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Outpatient | HCPCS Enteral and Parenteral Therapy Range: B4034 - B9999 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Negotiated | Very High |
Aetna | Inpatient | MS-DRG Factors Influencing Health Status & Other Contacts with Health Services Range: 939 - 951 | Per Diem | High |
Aetna | Outpatient | CPT Evaluation and Management Range: 99091 - 99499 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Category III Codes Range: 0042T - 0810T | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Range: 834 - 850 | Negotiated | Very High |
Aetna | Inpatient | MS-DRG Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders Range: 894 - 897 | Per Diem | Very High |
Aetna | Facility | RC Magnetic Resonance Technology (MRT) Range: 0610 - 0619 | Percentage of Bill Charged | |
Aetna | Facility | RC Labor Room/Delivery Range: 0720 - 0729 | Percentage of Bill Charged |
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