▸ Hospital · NY · CCN 330405

Helen Hayes Hospital

HELEN HAYES HOSPITAL, WEST HAVERSTRAW, NY, 10993

Acute Care Hospitals10

Compliance grade

95/100

Rates published

10,430

last crawl 2026-05-24

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All NY hospitals JSON

Source MRF: https://shop.helenhayeshosp.org/00-0432000_Helen-Hayes-Hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	10	$849	$849	$104.94	$192.9	$1,878
Psychiatric eval with medical services	CPT	90792	9	$950	$950	$115.07	$217.6	$712.5
Psychotherapy 30 minutes	CPT	90832	9	$426	$426	$52.72	$123.38	$319.5
Psychotherapy 45 minutes	CPT	90834	9	$568	$568	$70.39	$153.33	$426
Psychotherapy 60 minutes	CPT	90837	9	$846	$846	$105.07	$166.13	$634.5
Crisis psychotherapy 60 minutes	CPT	90839	7	$884	$884	$153.36	$215.99	$663
imaging
CT head without contrast	CPT	70450	10	$839	$839	$91.41	$137.12	$629.25
CT head with contrast	CPT	70460	10	$1,181	$1,181	$132.38	$198.57	$885.75
CT head with and without contrast	CPT	70470	10	$1,386	$1,386	$159.26	$238.89	$1,039.5
MRI brain without contrast	CPT	70551	10	$1,663	$1,663	$182.4	$302.36	$1,247.25
MRI brain with contrast	CPT	70552	10	$2,248	$2,248	$269.45	$404.18	$1,686
MRI brain with and without contrast	CPT	70553	10	$1,849	$1,849	$306.58	$479.94	$1,386.75
Chest X-ray single view	CPT	71045	10	$188	$188	$10	$32.15	$141
Chest X-ray 2 views	CPT	71046	10	$239	$239	$15	$43.67	$179.25
Chest X-ray 3 views	CPT	71047	10	$300	$300	$15	$55.19	$225
CT chest without contrast	CPT	71250	10	$1,143	$1,143	$114.03	$171.05	$857.25
CT chest with contrast	CPT	71260	10	$1,424	$1,424	$156.28	$234.42	$1,068
Lumbosacral spine X-ray	CPT	72100	10	$279	$279	$15	$54.54	$209.25
CT cervical spine without contrast	CPT	72125	10	$1,130	$1,130	$115.31	$172.97	$847.5
MRI thoracic spine without contrast	CPT	72146	10	$1,575	$1,575	$175.48	$299.91	$1,181.25
MRI lumbar spine without contrast	CPT	72148	10	$1,578	$1,578	$175.91	$297.7	$1,183.5
MRI lumbar spine with and without contrast	CPT	72149	10	$2,261	$2,261	$272.01	$408.02	$1,695.75
CT pelvis without contrast	CPT	72192	10	$1,051	$1,051	$114.03	$171.05	$788.25
CT pelvis with contrast	CPT	72193	10	$1,763	$1,763	$170	$334.8	$1,322.25
Shoulder X-ray	CPT	73030	10	$243	$243	$15	$47.51	$182.25
Humerus X-ray	CPT	73060	10	$231	$231	$10	$45.59	$173.25
Hand X-ray 3 views	CPT	73130	10	$257	$257	$12.5	$52.62	$192.75
MRI upper extremity joint without contrast	CPT	73221	10	$1,667	$1,667	$199.04	$312.66	$1,250.25
Knee X-ray 1-2 views	CPT	73560	10	$246	$246	$10	$49.43	$184.5
Ankle X-ray 3 views	CPT	73610	10	$257	$257	$12.5	$53.27	$192.75
MRI lower extremity joint without contrast	CPT	73721	10	$1,664	$1,664	$198.61	$312.34	$1,248
CT abdomen without contrast	CPT	74150	10	$1,188	$1,188	$112.75	$169.13	$891
CT abdomen with contrast	CPT	74160	10	$1,801	$1,801	$170	$334.17	$1,350.75
Abdominal ultrasound complete	CPT	76700	10	$898	$898	$60	$133.1	$673.5
Abdominal ultrasound limited	CPT	76705	10	$664	$664	$40	$117.92	$498
Retroperitoneal ultrasound complete	CPT	76770	10	$822	$822	$60	$133.1	$616.5
Transvaginal ultrasound	CPT	76830	10	$897	$897	$60	$133.1	$672.75
Pelvic ultrasound complete	CPT	76856	10	$797	$797	$55	$133.1	$597.75
Scrotal ultrasound	CPT	76870	10	$544	$544	$30	$132.37	$408
EKG tracing only	CPT	93005	8	$66	$66	$7.5	$31.3	$330
EKG interpretation only	CPT	93010	5	$59	$59	$7.5	$10.24	$284
inpatient
Initial hospital care, low complexity	CPT	99221	4	$736	$736	$48.41	$85.61	$552
Initial hospital care, moderate complexity	CPT	99222	4	$984	$984	$48.07	$106.89	$738
Initial hospital care, high complexity	CPT	99223	4	$1,432	$1,432	$70.62	$157.41	$1,074
Hospital discharge, <30 min	CPT	99238	4	$518	$518	$26.74	$57.34	$388.5
lab
Basic metabolic panel (BMP)	CPT	80048	6	$59	$59	$7.25	$12.33	$12.69
Electrolyte panel	CPT	80051	6	$97	$97	$6.04	$10.02	$10.52
Comprehensive metabolic panel	CPT	80053	6	$82	$82	$10	$15.4	$15.84
Lipid panel	CPT	80061	6	$123	$123	$6.04	$19.57	$31.95
Renal function panel	CPT	80069	6	$46	$46	$8.25	$12.33	$13.02
Hepatic function panel	CPT	80076	6	$59	$59	$7.25	$11.93	$12.26
Urinalysis automated	CPT	81003	8	$19	$19	$2	$2.81	$3.38
Glucose quantitative	CPT	82947	6	$33	$33	$3.73	$5.73	$5.9
Hemoglobin A1c	CPT	83036	6	$82	$82	$9.22	$13.85	$14.57
Thyroid stimulating hormone (TSH)	CPT	84443	6	$109	$109	$9	$24.25	$25.2
Complete blood count with automated differential	CPT	85025	8	$66	$66	$3.17	$9.71	$11.66
Complete blood count without differential	CPT	85027	6	$51	$51	$3.17	$9.23	$9.71
Urine culture identification	CPT	87088	6	$69	$69	$7.69	$11.54	$12.14
Tissue exam by pathologist level IV	CPT	88305	8	$135	$135	$18.72	$57.11	$112.99
office
Office visit, new patient, 15-29 min	CPT	99202	9	$365	$365	$21.96	$89.9	$284
Office visit, new patient, 30-44 minutes	CPT	99203	9	$544	$544	$55.82	$151.7	$408
Office visit, new patient, 45-59 min	CPT	99204	9	$930	$930	$90.95	$245.93	$697.5
Office visit, new patient, 60-74 min	CPT	99205	8	$1,213	$1,213	$72.86	$226.98	$909.75
Office visit, established patient, 5 min	CPT	99211	9	$216	$216	$4.32	$28.56	$284
Office visit, established patient, 10-19 min	CPT	99212	9	$187	$187	$11.36	$63.96	$284
Office visit, established patient, 20-29 minutes	CPT	99213	9	$366	$366	$21.54	$120.53	$284
Office visit, established patient, 30-39 minutes	CPT	99214	8	$560	$560	$33.69	$175	$420
Office visit, established patient, 40-54 min	CPT	99215	5	$790	$790	$48.41	$180.25	$592.5

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 10)

Payer	Codes covered	Median rate
oxford	68	$170.22
Cigna	68	$273.75
Emblem Health	62	$134.06
better health fidelis	61	$125.06
capital district (cdphp)	61	$100.59
UnitedHealthcare	59	$62.11
Empire BCBS	54	$79.43
affinity	54	$79.43
mvp	49	$210.88
Aetna	41	$125.06

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