Ellenville, NY
36
In-network payers
169
Disclosed rate categories
25
Beds
Ellenville Regional Hospital is a 25-bed voluntary non-profit - private hospital in Ellenville, NY. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 169 disclosed rate categories.
CCN (Medicare provider number)
331310
NPI
1073525341
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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.
The 24 services Ellenville Regional Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$798 - $1,076
from 3 insurers · median $897
Typical for a hospital with this service line
CT imaging
CPT 70450
$671 - $1,076
from 3 insurers · median $798
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$880 - $1,256
from 3 insurers · median $1,256
Typical for a hospital with this service line
Mammography
CPT 77067
$282 - $489
from 3 insurers · median $305
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,883 - $2,408
from 3 insurers · median $1,900
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,750 - $2,328
from 3 insurers · median $2,189
Typical for a hospital with this service line
CT imaging
CPT 74176
$798 - $1,076
from 3 insurers · median $843
Typical for a hospital with this service line
CT imaging
CPT 71275
$798 - $1,564
from 3 insurers · median $1,076
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,861 - $2,408
from 3 insurers · median $1,883
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,883 - $2,408
from 3 insurers · median $1,900
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,380 - $2,328
from 3 insurers · median $1,727
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,409 - $2,328
from 3 insurers · median $1,704
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,545 - $2,574
from 3 insurers · median $2,329
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$103 - $402
from 3 insurers · median $156
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,883 - $2,472
from 3 insurers · median $1,900
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,319 - $2,328
from 3 insurers · median $1,704
Typical for a hospital with this service line
Ultrasound
CPT 76705
$196 - $489
from 3 insurers · median $395
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$1,883 - $2,472
from 3 insurers · median $1,900
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,900 - $2,574
from 3 insurers · median $2,160
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,861 - $2,843
from 3 insurers · median $2,444
Typical for a hospital with this service line
Mammography
CPT 77066
$364 - $489
from 3 insurers · median $394
Typical for a hospital with this service line
Mammography
CPT 77065
$290 - $489
from 3 insurers · median $306
Typical for a hospital with this service line
Ultrasound
CPT 76770
$375 - $489
from 3 insurers · median $415
Typical for a hospital with this service line
Ultrasound
CPT 76642
$169 - $489
from 3 insurers · median $239
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 449% | 17 | 5 |
| Insurer B* | 24 | 340% | 21 | 0 |
| Insurer C* | 24 | 282% | 13 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ellenville Regional Hospital.
10 Healthy Way, Ellenville, NY 12428
(845) 647-6400
The nearest hospitals of similar type and size. Their rates are compared with Ellenville Regional Hospital for the same insurers and services above.
Garnet Health Medical Center – Catskills Callicoon Campus
▼ Rates typically 31% lower than Ellenville Regional Hospital (24 services)
Margaretville Hospital
▼ Rates typically 54% lower than Ellenville Regional Hospital (24 services)
Oconnor Hospital
▼ Rates typically 50% lower than Ellenville Regional Hospital (23 services)
Delaware Valley Hospital
▼ Rates typically 78% lower than Ellenville Regional Hospital (24 services)
Barnes-Kasson County Hospital
▼ Rates typically 20% lower than Ellenville Regional Hospital (23 services)
Fairview Hospital
▼ Rates typically 10% lower than Ellenville Regional Hospital (22 services)
Elizabethtown Community Hospital
River Hospital
Soldiers & Sailors Memorial Hospital
Gouverneur Hospital
About Ellenville Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ellenville Regional Hospital range from $1,750 to $2,328 across 3 insurers. UnitedHealthcare's rate is $2,328. The median at nearby comparable hospitals is $879. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ellenville Regional Hospital range from $798 to $1,076 across 3 insurers. Aetna's rate is $1,076. The median at nearby comparable hospitals is $772. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ellenville Regional Hospital range from $1,861 to $2,408 across 3 insurers. Blue Cross Blue Shield's rate is $2,408. The median at nearby comparable hospitals is $1,825. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ellenville Regional Hospital range from $282 to $489 across 3 insurers. Aetna's rate is $305. The median at nearby comparable hospitals is $167. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ellenville Regional Hospital has 25 beds. Facility type: Critical Access Hospital.
Ellenville Regional Hospital is located at 10 Healthy Way, Ellenville, NY 12428. Its main phone number is (845) 647-6400.
Ellenville Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 331310.
The National Provider Identifier (NPI) on file for Ellenville Regional Hospital is 1073525341.
Ellenville Regional Hospital lists 36 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
169 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers