▸ Hospital · NY · CCN 331302
Elizabethtown Community Hospital
75 PARK STREET, ELIZABETHTOWN, NY, 331302
Compliance grade
A
100/100
Procedures tracked
157
of 209 target codes
Payers
16
with negotiated rates
Rates published
36,572
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | — | — | $16,674 | $16,674 | $16,674 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 15 | $623 | $623 | $110 | $164.03 | $560.7 |
| Psychiatric eval with medical services | CPT | 90792 | 15 | $700 | $700 | $124 | $184.09 | $630 |
| Psychotherapy 30 minutes | CPT | 90832 | 15 | $295 | $295 | $32 | $77.69 | $265.5 |
| Psychotherapy 45 minutes | CPT | 90834 | 15 | $390 | $390 | $71.77 | $102.53 | $351 |
| Psychotherapy 60 minutes | CPT | 90837 | 15 | $577 | $577 | $80 | $151.85 | $519.3 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 15 | $554 | $554 | $83 | $145.85 | $498.6 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 16 | $276 | $276 | $7.77 | $37.93 | $254.2 |
| ED visit level 2 | CPT | 99282 | 16 | $390 | $390 | $28.62 | $77.99 | $359.19 |
| ED visit level 3 | CPT | 99283 | 16 | $757 | $757 | $48.39 | $126.71 | $697.2 |
| ED visit level 4 | CPT | 99284 | 16 | $1,215 | $1,215 | $82.48 | $222.41 | $1,119.02 |
| ED visit level 5 | CPT | 99285 | 16 | $1,909 | $1,909 | $119.59 | $314.2 | $1,758.19 |
| Critical care, first hour | CPT | 99291 | 16 | $2,359 | $2,359 | $169.63 | $506.49 | $2,172.64 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 16 | $2,106 | $2,106 | $68.56 | $139.14 | $1,939.63 |
| CT head with contrast | CPT | 70460 | 16 | $2,376 | $2,376 | $95.28 | $190.63 | $2,188.3 |
| CT head with and without contrast | CPT | 70470 | 16 | $3,071 | $3,071 | $111.25 | $225.78 | $2,828.39 |
| CT neck with contrast | CPT | 70491 | 16 | $3,402 | $3,402 | $118.06 | $233.29 | $3,133.24 |
| MRI brain without contrast | CPT | 70551 | 16 | $5,083 | $5,083 | $126.06 | $299.84 | $4,681.44 |
| MRI brain with contrast | CPT | 70552 | 16 | $5,850 | $5,850 | $173.47 | $409.41 | $5,387.85 |
| MRI brain with and without contrast | CPT | 70553 | 16 | $7,022 | $7,022 | $204.49 | $486.47 | $6,467.26 |
| Chest X-ray single view | CPT | 71045 | 16 | $365 | $365 | $16.39 | $32.4 | $336.17 |
| Chest X-ray 2 views | CPT | 71046 | 16 | $657 | $657 | $21.24 | $42.25 | $605.1 |
| Chest X-ray 3 views | CPT | 71047 | 16 | $907 | $907 | $26.51 | $52.95 | $835.35 |
| CT chest without contrast | CPT | 71250 | 16 | $2,042 | $2,042 | $85.46 | $196.81 | $1,880.68 |
| CT chest with contrast | CPT | 71260 | 16 | $2,571 | $2,571 | $107 | $217.16 | $2,367.89 |
| CT chest with and without contrast | CPT | 71270 | 16 | $2,826 | $2,826 | $125.64 | $259.86 | $2,602.75 |
| MRI chest without contrast | CPT | 71550 | 16 | $7,049 | $7,049 | $162.4 | $434.02 | $6,492.13 |
| MRI chest with contrast | CPT | 71551 | 16 | $7,409 | $7,409 | $192.8 | $547.34 | $6,823.69 |
| MRI chest with and without contrast | CPT | 71552 | 16 | $7,650 | $7,650 | $251.2 | $608 | $7,045.65 |
| Lumbosacral spine X-ray | CPT | 72100 | 16 | $572 | $572 | $24.99 | $49.93 | $526.81 |
| CT cervical spine without contrast | CPT | 72125 | 16 | $2,260 | $2,260 | $83.54 | $192.41 | $2,081.46 |
| CT thoracic spine without contrast | CPT | 72128 | 16 | $2,260 | $2,260 | $83.33 | $191.93 | $2,081.46 |
| CT lumbar spine without contrast | CPT | 72131 | 16 | $2,260 | $2,260 | $83.12 | $191.22 | $2,081.46 |
| MRI cervical spine without contrast | CPT | 72141 | 16 | $3,697 | $3,697 | $122.3 | $292.43 | $3,404.94 |
| MRI thoracic spine without contrast | CPT | 72146 | 16 | $4,034 | $4,034 | $122.51 | $292.67 | $3,715.31 |
| MRI lumbar spine without contrast | CPT | 72148 | 16 | $3,830 | $3,830 | $122.72 | $292.19 | $3,527.43 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 16 | $6,535 | $6,535 | $173.17 | $409.41 | $6,018.73 |
| MRI cervical spine with and without contrast | CPT | 72156 | 16 | $7,580 | $7,580 | $205.12 | $488.43 | $6,981.18 |
| MRI lumbar spine with contrast | CPT | 72158 | 16 | $7,847 | $7,847 | $204.7 | $487.45 | $7,227.09 |
| CT pelvis without contrast | CPT | 72192 | 16 | $2,260 | $2,260 | $85.48 | $173.47 | $2,081.46 |
| CT pelvis with contrast | CPT | 72193 | 16 | $3,816 | $3,816 | $129.6 | $268.25 | $3,514.54 |
| Shoulder X-ray | CPT | 73030 | 16 | $671 | $671 | $21 | $47.53 | $617.99 |
| Humerus X-ray | CPT | 73060 | 16 | $556 | $556 | $18.4 | $40.04 | $512.08 |
| Hand X-ray 3 views | CPT | 73130 | 16 | $608 | $608 | $20 | $50.91 | $559.97 |
| MRI upper extremity joint without contrast | CPT | 73221 | 16 | $4,189 | $4,189 | $130.51 | $310.17 | $3,858.07 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 16 | $5,792 | $5,792 | $240.8 | $564.15 | $5,334.43 |
| Knee X-ray 1-2 views | CPT | 73560 | 16 | $556 | $556 | $19.2 | $46.82 | $512.08 |
| Ankle X-ray 3 views | CPT | 73610 | 16 | $608 | $608 | $20 | $50.27 | $559.97 |
| MRI lower extremity joint without contrast | CPT | 73721 | 16 | $4,207 | $4,207 | $130.29 | $309.68 | $3,874.65 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 16 | $5,802 | $5,802 | $240 | $562.79 | $5,343.64 |
| CT abdomen without contrast | CPT | 74150 | 16 | $2,250 | $2,250 | $87.67 | $177.92 | $2,072.25 |
| CT abdomen with contrast | CPT | 74160 | 16 | $3,816 | $3,816 | $141.6 | $279.22 | $3,514.54 |
| CT abdomen with and without contrast | CPT | 74170 | 16 | $3,619 | $3,619 | $156 | $337.36 | $3,333.1 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 16 | $3,339 | $3,339 | $118.16 | $225.57 | $3,075.22 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 16 | $3,816 | $3,816 | $193.3 | $368.05 | $3,514.54 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 16 | $5,371 | $5,371 | $216.42 | $412.32 | $4,946.69 |
| MRI abdomen without contrast | CPT | 74181 | 16 | $3,661 | $3,661 | $125.41 | $298.8 | $3,371.78 |
| MRI abdomen with and without contrast | CPT | 74183 | 16 | $7,283 | $7,283 | $216.34 | $515.46 | $6,707.64 |
| Abdominal ultrasound complete | CPT | 76700 | 16 | $1,395 | $1,395 | $72.85 | $138.9 | $1,284.8 |
| Abdominal ultrasound limited | CPT | 76705 | 16 | $731 | $731 | $54.74 | $104.9 | $673.25 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 16 | $1,231 | $1,231 | $67.97 | $129.04 | $1,133.75 |
| Obstetric ultrasound first trimester | CPT | 76801 | 16 | $570 | $570 | $73.72 | $148.53 | $524.97 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $396 | $396 | $84.73 | $124.61 | $356.4 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | $266 | $266 | $112.85 | $173.29 | $399.29 |
| Transvaginal ultrasound | CPT | 76830 | 16 | $1,225 | $1,225 | $74.22 | $140.9 | $1,128.22 |
| Pelvic ultrasound complete | CPT | 76856 | 16 | $1,225 | $1,225 | $66.08 | $125.37 | $1,128.22 |
| Scrotal ultrasound | CPT | 76870 | 16 | $915 | $915 | $62.89 | $120.09 | $842.72 |
| Diagnostic mammography unilateral | CPT | 77065 | 16 | $537 | $537 | $79.32 | $147.51 | $494.58 |
| Diagnostic mammography bilateral | CPT | 77066 | 16 | $654 | $654 | $99.99 | $186.71 | $602.33 |
| Screening mammography bilateral | CPT | 77067 | 16 | $621 | $621 | $80.98 | $135.09 | $571.94 |
| EKG complete | CPT | 93000 | 15 | $383 | $383 | $9.07 | $15 | $344.7 |
| EKG tracing only | CPT | 93005 | 16 | $354 | $354 | $3.92 | $12.23 | $326.03 |
| EKG interpretation only | CPT | 93010 | 15 | $85 | $85 | $5.15 | $8.34 | $76.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 16 | $2,839 | $2,839 | $104.8 | $327.63 | $2,614.72 |
| Transthoracic echocardiogram | CPT | 93307 | 16 | $1,560 | $1,560 | $85.33 | $904.8 | $1,436.76 |
| Stress echocardiogram | CPT | 93350 | 15 | $584 | $584 | $115.53 | $181.17 | $525.6 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | — | $22,528 | $22,528 | $22,528 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | — | — | $12,707 | $12,707 | $12,707 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | — | $9,388.68 | $9,388.68 | $9,388.68 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | — | — | $18,764 | $18,764 | $18,764 |
| COPD w MCC | MS-DRG | 190 | 1 | — | — | $13,779 | $13,779 | $13,779 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $11,114 | $11,114 | $11,114 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $8,973.63 | $8,973.63 | $8,973.63 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | — | — | $10,719 | $10,719 | $10,719 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | — | — | $8,726.23 | $8,726.23 | $8,726.23 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | — | $19,015 | $19,015 | $19,015 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | — | $11,747 | $11,747 | $11,747 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | — | $9,760.3 | $9,760.3 | $9,760.3 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | — | — | $15,615 | $15,615 | $15,615 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $11,135 | $11,135 | $11,135 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | — | $7,978.93 | $7,978.93 | $7,978.93 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | — | — | $14,616 | $14,616 | $14,616 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | — | — | $9,903.7 | $9,903.7 | $9,903.7 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | — | — | $8,087.99 | $8,087.99 | $8,087.99 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | — | $12,394 | $12,394 | $12,394 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $8,867.59 | $8,867.59 | $8,867.59 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | — | $10,318 | $10,318 | $10,318 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | — | $17,838 | $17,838 | $17,838 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | — | — | $14,257 | $14,257 | $14,257 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | — | — | $10,543 | $10,543 | $10,543 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | — | — | $22,254 | $22,254 | $22,254 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | — | — | $12,850 | $12,850 | $12,850 |
| Initial hospital care, low complexity | CPT | 99221 | 15 | $264 | $264 | $34.9 | $84.71 | $237.6 |
| Initial hospital care, moderate complexity | CPT | 99222 | 15 | $418 | $418 | $48.07 | $131.59 | $376.2 |
| Initial hospital care, high complexity | CPT | 99223 | 15 | $556 | $556 | $70.62 | $174.76 | $500.4 |
| Hospital discharge, <30 min | CPT | 99238 | 15 | $260 | $260 | $26.74 | $81.78 | $234 |
| Hospital discharge, >30 min | CPT | 99239 | 15 | $367 | $367 | $38.33 | $115.47 | $330.3 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 16 | $226 | $226 | $5.92 | $131.08 | $208.15 |
| General health panel | CPT | 80050 | 15 | $696 | $696 | $25.26 | $410.64 | $641.02 |
| Electrolyte panel | CPT | 80051 | 16 | $232 | $232 | $4.91 | $134.56 | $213.67 |
| Comprehensive metabolic panel | CPT | 80053 | 16 | $288 | $288 | $7.39 | $167.04 | $265.25 |
| Lipid panel | CPT | 80061 | 16 | $247 | $247 | $9.37 | $143.26 | $227.49 |
| Renal function panel | CPT | 80069 | 16 | $291 | $291 | $6.08 | $168.78 | $268.01 |
| Hepatic function panel | CPT | 80076 | 16 | $368 | $368 | $5.72 | $213.44 | $338.93 |
| Urinalysis non-automated | CPT | 81002 | 16 | $86 | $86 | $1.39 | $4.73 | $79.21 |
| Urinalysis automated | CPT | 81003 | 16 | $69 | $69 | $1.11 | $3.06 | $63.55 |
| Glucose quantitative | CPT | 82947 | 16 | $41 | $41 | $1.94 | $5.34 | $37.76 |
| Hemoglobin A1c | CPT | 83036 | 16 | $269 | $269 | $4.8 | $13.21 | $247.75 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 16 | $292 | $292 | $11.76 | $169.36 | $268.93 |
| Complete blood count with automated differential | CPT | 85025 | 16 | $117 | $117 | $5.44 | $67.86 | $107.76 |
| Complete blood count without differential | CPT | 85027 | 16 | $100 | $100 | $4.53 | $58 | $92.1 |
| Urine culture bacterial | CPT | 87086 | 16 | $198 | $198 | $5.65 | $114.84 | $182.36 |
| Urine culture identification | CPT | 87088 | 16 | $156 | $156 | $5.66 | $90.48 | $143.68 |
| Tissue exam by pathologist level IV | CPT | 88305 | 16 | $405 | $405 | $45.63 | $234.9 | $373 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 16 | $3,280 | $3,280 | $623.08 | $1,246.4 | $3,020.88 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 15 | $232 | $232 | $37.42 | $65 | $208.8 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 15 | $358 | $358 | $65.21 | $104.96 | $322.2 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 15 | $538 | $538 | $106.32 | $157.62 | $484.2 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 15 | $710 | $710 | $144.56 | $208.14 | $639 |
| Office visit, established patient, 5 min | CPT | 99211 | 16 | $75 | $75 | $6.98 | $28.5 | $69.08 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 15 | $182 | $182 | $28.08 | $46.26 | $163.8 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 15 | $293 | $293 | $52.63 | $85.86 | $263.7 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 15 | $413 | $413 | $75 | $120.91 | $371.7 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 15 | $582 | $582 | $102 | $169.83 | $523.8 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 16 | $3,168 | $3,168 | $96.56 | $598.19 | $2,917.73 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 16 | $3,318 | $3,318 | $108.6 | $796.82 | $3,055.88 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 16 | $2,207 | $2,207 | $45.02 | $279.09 | $2,032.65 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 16 | $2,448 | $2,448 | $176.07 | $1,187.28 | $2,254.61 |
| Colonoscopy diagnostic | CPT | 45378 | 16 | $2,871 | $2,871 | $144.99 | $706.87 | $2,644.19 |
| Colonoscopy with biopsy | CPT | 45380 | 16 | $3,210 | $3,210 | $157.7 | $910.41 | $2,956.41 |
| Colonoscopy with polyp removal | CPT | 45385 | 16 | $3,015 | $3,015 | $199.02 | $952.15 | $2,776.82 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | — | $48,817 | $48,817 | $48,817 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | — | $26,311 | $26,311 | $26,311 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $19,112 | $19,112 | $19,112 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | — | $19,187 | $19,187 | $19,187 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | — | $15,745 | $15,745 | $15,745 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | — | — | $38,086 | $38,086 | $38,086 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | — | $35,452 | $35,452 | $35,452 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | — | $21,481 | $21,481 | $21,481 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | — | $32,142 | $32,142 | $32,142 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | — | $23,394 | $23,394 | $23,394 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | — | $18,460 | $18,460 | $18,460 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | — | $29,975 | $29,975 | $29,975 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | — | $18,567 | $18,567 | $18,567 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | — | $17,201 | $17,201 | $17,201 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $14,544 | $14,544 | $14,544 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | — | $22,173 | $22,173 | $22,173 |
Payer mix (top 16)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 156 | $169.12 |
| Blue Cross Blue Shield | 114 | $228.8 |
| capital district physicians' health plan | 114 | $144.26 |
| choicecare | 114 | $217.07 |
| fidelis care | 114 | $163.82 |
| First Health | 114 | $328.53 |
| harvard pilgrim | 114 | $309.2 |
| wellpath | 114 | $252.66 |
| Aetna | 114 | $241.82 |
| magnacare | 114 | $309.2 |
| martins point | 114 | $191.6 |
| Multiplan | 114 | $347.85 |
| mvp | 114 | $184.62 |
| UnitedHealthcare | 114 | $208.15 |
| VA Health | 114 | $180.27 |
| Emblem Health | 90 | $1,659.2 |