▸ Hospital · NY · CCN 332006

Calvary Hospital Inc

1740 EASTCHESTER ROAD, BRONX, NY, 10461

225 beds1

Compliance grade

D

69/100

Procedures tracked

44

of 209 target codes

Payers

0

with negotiated rates

Rates published

56

last crawl 2026-05-24

▸ Compare with other hospitals All NY hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.calvaryhospital.org/wp-content/uploads/2026/03/131740274_Calvary-Hospital_standardcharges_as-of-3-10-26.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
imaging
CT head without contrast	CPT	70450	0	$376	—	—	—	—
CT head with contrast	CPT	70460	0	$529	—	—	—	—
CT neck with contrast	CPT	70491	0	$659	—	—	—	—
MRI brain without contrast	CPT	70551	0	$751	—	—	—	—
MRI brain with contrast	CPT	70552	0	$1,042	—	—	—	—
Chest X-ray single view	CPT	71045	0	$71	—	—	—	—
Chest X-ray 2 views	CPT	71046	0	$99	—	—	—	—
Chest X-ray 3 views	CPT	71047	0	$126	—	—	—	—
CT chest without contrast	CPT	71250	0	$528	—	—	—	—
CT chest with contrast	CPT	71260	0	$637	—	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$114	—	—	—	—
CT cervical spine without contrast	CPT	72125	0	$539	—	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$529	—	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$529	—	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$730	—	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$731	—	—	—	—
CT pelvis without contrast	CPT	72192	0	$473	—	—	—	—
Shoulder X-ray	CPT	73030	0	$95	—	—	—	—
Humerus X-ray	CPT	73060	0	$94	—	—	—	—
Hand X-ray 3 views	CPT	73130	0	$104	—	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$101	—	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$102	—	—	—	—
CT abdomen without contrast	CPT	74150	0	$485	—	—	—	—
CT abdomen with contrast	CPT	74160	0	$749	—	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$649	—	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$1,012	—	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$1,132	—	—	—	—
MRI abdomen without contrast	CPT	74181	0	$918	—	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$400	—	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$439	—	—	—	—
Screening mammography bilateral	CPT	77067	0	$448	—	—	—	—
EKG complete	CPT	93000	0	$55	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$42	—	—	—	—
Electrolyte panel	CPT	80051	0	$23	—	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$40	—	—	—	—
Lipid panel	CPT	80061	0	$56	—	—	—	—
Renal function panel	CPT	80069	0	$34	—	—	—	—
Hepatic function panel	CPT	80076	0	$27	—	—	—	—
Glucose quantitative	CPT	82947	0	$17	—	—	—	—
Hemoglobin A1c	CPT	83036	0	$41	—	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$70	—	—	—	—
Complete blood count with automated differential	CPT	85025	0	$33	—	—	—	—
Complete blood count without differential	CPT	85027	0	$29	—	—	—	—
Urine culture bacterial	CPT	87086	0	$34	—	—	—	—