CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$611 - $1,655
from 3 insurers · median $700
Aetna$700
Insurer A*$611
Insurer B*$1,655
Medicare $356Nearby hospitals $78511% below nearby hospitals
Typical for a hospital with this service line
Critical Access HospitalVoluntary Non-Profit - Private
Margaretville Hospital
Westchester Medical Center · Margaretville, NY
42084 State Highway 28, Margaretville, NY 12455(845) 586-2631
29
In-network payers
250
Disclosed rate categories
15
Beds
About this hospital
Margaretville Hospital is a 15-bed voluntary non-profit - private hospital in Margaretville, NY, affiliated with Westchester Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 250 disclosed rate categories.
CCN (Medicare provider number)
331304
NPI
1164473039
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
15
Insurance Accepted
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.
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthEmblemHealth
Prices for common services
The 24 services Margaretville 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.
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$3,723 - $4,062
from 3 insurers · median $3,786
Blue Cross$3,723
Insurer A*$3,786
Insurer B*$4,062
Medicare $1,223Nearby hospitals $1,378175% above nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$2,909 - $4,062
from 3 insurers · median $3,085
Blue Cross$2,909
Insurer A*$3,085
Insurer B*$4,062
Medicare $927Nearby hospitals $1,289139% above nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$3,509 - $4,062
from 3 insurers · median $3,786
Blue Cross$3,509
Insurer A*$3,786
Insurer B*$4,062
Medicare $1,223Nearby hospitals $1,378175% above nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$418 - $1,176
from 3 insurers · median $1,068
Blue Cross$1,176
Insurer A*$418
Insurer B*$1,068
Medicare $558Nearby hospitals $250328% above nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$2,823 - $4,062
from 3 insurers · median $2,922
Blue Cross$2,823
Insurer A*$2,922
Insurer B*$4,062
Medicare $950Nearby hospitals $1,279128% above nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$3,728 - $5,324
from 3 insurers · median $4,540
UnitedHealthcare$4,540
Insurer A*$3,728
Insurer B*$5,324
Medicare $2,358Nearby hospitals $2,085118% above nearby hospitals
Typical for a hospital with this service line
Orthopedics and pain
Aspiration or injection of a major joint, without ultrasound
CPT 20610
$3,076 - $3,233
from 3 insurers · median $3,091
Aetna$3,076
Insurer A*$3,091
Insurer B*$3,233
Medicare $314Nearby hospitals $1,051194% above nearby hospitals
Typical for a hospital with this service line
Mammography
Screening mammography, bilateral
CPT 77067
$77 - $287
from 3 insurers · median $160
Blue Cross$77
Insurer A*$160
Insurer B*$287
Medicare $92Nearby hospitals $18815% below nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$4,328 - $6,342
from 3 insurers · median $5,738
UnitedHealthcare$6,342
Insurer A*$4,328
Insurer B*$5,738
Medicare $6,176Nearby hospitals $4,69022% above nearby hospitals
Typical for a hospital with this service line
CT imaging
CT head or brain without contrast
CPT 70450
$176 - $994
from 3 insurers · median $179
Aetna$176
Insurer A*$179
Insurer B*$994
Medicare $107Nearby hospitals $41657% below nearby hospitals
Typical for a hospital with this service line
Gynecology
Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g
CPT 58571
$5,031 - $8,142
from 3 insurers · median $6,342
Aetna$5,031
Insurer A*$6,342
Insurer B*$8,142
Medicare $10,860
Typical for a hospital with this service line
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$334 - $891
from 3 insurers · median $373
Aetna$334
Insurer A*$373
Insurer B*$891
Medicare $244Nearby hospitals $79853% below nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Ultrasound of veins in one limb or a limited bilateral study
CPT 93971
$232 - $866
from 3 insurers · median $650
Blue Cross$650
Insurer A*$232
Insurer B*$866
Medicare $107Nearby hospitals $287126% above nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Chest X-ray, two views
CPT 71046
$81 - $128
from 2 insurers · median $104
UnitedHealthcare$128
Insurer A*$81
Medicare $89Nearby hospitals $106In line with nearby hospitals
Typical for a hospital with this service line
Ear, nose and throat
Ear-tube insertion under general anesthesia
CPT 69436
$3,798 - $4,207
from 3 insurers · median $4,062
Aetna$4,207
Insurer A*$3,798
Insurer B*$4,062
Medicare $1,585Nearby hospitals $1,872117% above nearby hospitals
Typical for a hospital with this service line
Lung function and sleep
Attended overnight sleep study
CPT 95810
$2,524 - $3,763
from 3 insurers · median $3,643
UnitedHealthcare$3,763
Insurer A*$2,524
Insurer B*$3,643
Medicare $877Nearby hospitals $1,013260% above nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$555 - $3,418
from 3 insurers · median $611
Blue Cross$3,418
Insurer A*$555
Insurer B*$611
Medicare $356Nearby hospitals $1,20549% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT angiography of chest blood vessels
CPT 71275
$292 - $2,227
from 3 insurers · median $313
Aetna$313
Insurer A*$292
Insurer B*$2,227
Medicare $179Nearby hospitals $67053% below nearby hospitals
Typical for a hospital with this service line
Gynecology
Laparoscopic removal of an ovary or fallopian tube
CPT 58661
$4,277 - $6,342
from 3 insurers · median $5,855
Aetna$4,277
Insurer A*$5,855
Insurer B*$6,342
Medicare $6,176Nearby hospitals $4,32435% above nearby hospitals
Typical for a hospital with this service line
Gynecology
Hysteroscopy with sampling of the uterine lining
CPT 58558
$3,579 - $4,540
from 3 insurers · median $3,786
Aetna$3,786
Insurer A*$3,579
Insurer B*$4,540
Medicare $3,307Nearby hospitals $2,12878% above nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Lumbar or sacral interlaminar epidural injection
CPT 62322 · CPT 62323
$3,057 - $3,992
from 3 insurers · median $3,233
UnitedHealthcare$3,233
Insurer A*$3,057
Insurer B*$3,992
Medicare $726Nearby hospitals $1,519113% above nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Tonsillectomy and adenoidectomy, patient under age 12
CPT 42820
$4,207 - $4,781
from 3 insurers · median $4,540
UnitedHealthcare$4,540
Insurer A*$4,207
Insurer B*$4,781
Medicare $6,048Nearby hospitals $3,02050% above nearby hospitals
Typical for a hospital with this service line
Lung function and sleep
Overnight sleep study with positive-airway-pressure titration
CPT 95811
$3,362 - $4,282
from 3 insurers · median $3,763
UnitedHealthcare$3,763
Insurer A*$3,362
Insurer B*$4,282
Medicare $877Nearby hospitals $998277% above nearby hospitals
Typical for a hospital with this service line
How the insurers pay at Margaretville Hospital
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* | 23 | 305% | 15 | 2 |
| Insurer B* | 24 | 207% | 19 | 2 |
| Insurer C* | 24 | 182% | 14 | 7 |
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 Margaretville Hospital.
Location
42084 State Highway 28, Margaretville, NY 12455
(845) 586-2631
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Margaretville Hospital for the same insurers and services above.
Oconnor Hospital
Delhi, NY · 16 mi · 16 bedsView rates
▼ Rates typically 65% lower than Margaretville Hospital (18 services)
Delaware Valley Hospital
Walton, NY · 25 mi · 25 bedsView rates
▼ Rates typically 69% lower than Margaretville Hospital (24 services)
Ellenville Regional Hospital
Ellenville, NY · 31 mi · 25 bedsView rates
▼ Rates typically 38% lower than Margaretville Hospital (22 services)
Garnet Health Medical Center – Catskills Callicoon Campus
Callicoon, NY · 33 mi · 15 bedsView rates
▼ Rates typically 23% lower than Margaretville Hospital (24 services)
Barnes-Kasson County Hospital
Susquehanna, PA · 51 mi · 25 bedsView rates
▼ Rates typically 59% lower than Margaretville Hospital (19 services)
Little Falls Hospital
Little Falls, NY · 63 mi · 25 bedsView rates
▼ Rates typically 35% lower than Margaretville Hospital (17 services)
Elizabethtown Community Hospital
Elizabethtown, NYView rates
Gouverneur Hospital
Gouverneur, NYView rates
Cobleskill Regional Hospital
Cobleskill, NYView rates
Frequently asked questions
About Margaretville Hospital's rates and hospital price transparency.
How much does an MRI cost at Margaretville Hospital?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Margaretville Hospital range from $555 to $3,418 across 3 insurers. Blue Cross Blue Shield's rate is $3,418. The median at nearby comparable hospitals is $1,205. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Margaretville Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Margaretville Hospital range from $611 to $1,655 across 3 insurers. Aetna's rate is $700. The median at nearby comparable hospitals is $785. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Margaretville Hospital?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Margaretville Hospital range from $3,723 to $4,062 across 3 insurers. Blue Cross Blue Shield's rate is $3,723. The median at nearby comparable hospitals is $1,378. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Margaretville Hospital?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Margaretville Hospital range from $77 to $287 across 3 insurers. Blue Cross Blue Shield's rate is $77. The median at nearby comparable hospitals is $188. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Margaretville Hospital have?
Margaretville Hospital has 15 beds. Facility type: Critical Access Hospital.
Where is Margaretville Hospital and what is its phone number?
Margaretville Hospital is located at 42084 State Highway 28, Margaretville, NY 12455. Its main phone number is (845) 586-2631.
What is Margaretville Hospital's CCN (Medicare provider number)?
Margaretville Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 331304.
What is Margaretville Hospital's NPI number?
The National Provider Identifier (NPI) on file for Margaretville Hospital is 1164473039.
What health system is Margaretville Hospital part of?
Margaretville Hospital is affiliated with Westchester Medical Center.
Which insurance plans are in network at Margaretville Hospital?
Margaretville Hospital lists 29 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Margaretville Hospital?
250 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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"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
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
Get your chargemaster right for billing and payer contracts
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
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers