Elizabethtown Community Hospital
Elizabethtown Community Hospital in Elizabethtown, NY publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Apr 28, 2026. Click a procedure to compare it with other hospitals nearby.
75 Park Street, Elizabethtown, NY 12932 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $253.00 | $253.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC - CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $3,816.00 | $3,816.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $253.00 | $253.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $118.00 | $118.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $118.00 | $118.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC - CT HEAD/BRAIN W/O CONTRAST MATERIAL | $2,106.00 | $2,106.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $118.00 | $118.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $162.00 | $162.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC - CT PELVIS W/CONTRAST MATERIAL | $3,816.00 | $3,816.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $162.00 | $162.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $139.00 | $139.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $654.00 | $654.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $139.00 | $139.00 | — |
| Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $113.00 | $113.00 | — |
| Diagnostic mammogram, one breast CPT 77065 HC - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $537.00 | $537.00 | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $113.00 | $113.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $189.00 | $189.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC - MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $4,207.00 | $4,207.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $189.00 | $189.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $300.00 | $300.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC - MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $5,802.00 | $5,802.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $300.00 | $300.00 | — |
| MRI of the brain, no contrast dye CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $206.00 | $206.00 | — |
| MRI of the brain, no contrast dye CPT 70551 HC - MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $5,083.00 | $5,083.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $206.00 | $206.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $318.00 | $318.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC - MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $7,022.00 | $7,022.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $318.00 | $318.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $207.00 | $207.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC - MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $3,830.00 | $3,830.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $207.00 | $207.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $139.00 | $139.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $139.00 | $139.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $106.00 | $106.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC - SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $621.00 | $621.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $106.00 | $106.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL | $96.00 | $96.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC - US TRANSVAGINAL | $1,225.00 | $1,225.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL | $96.00 | $96.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $112.00 | $112.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC - US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $1,395.00 | $1,395.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $112.00 | $112.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $1,071.00 | $1,071.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC - BASIC METABOLIC PANEL CALCIUM TOTAL | $226.00 | $226.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC - LIPID PROFILE | $247.00 | $247.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC - LIPOEL LIPID PANEL | $247.00 | $247.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC - AUTOMATED DIFFERENTIAL ADD | $117.00 | $117.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC - BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $117.00 | $117.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC - HEMAGRAM | $100.00 | $100.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC - COMPREHENSIVE METABOLIC PANEL | $288.00 | $288.00 | — |
| Kidney function blood test panel CPT 80069 HC - RENAL FUNCTION PANEL | $291.00 | $291.00 | — |
| Liver function blood test panel CPT 80076 HC - HEPATIC FUNCTION PANEL | $368.00 | $368.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC - FREE PSA, PHI | $157.00 | $157.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC - PSA FREE MAYO | $419.00 | $419.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - PROSTATE SPECIFIC AG, PHI | $187.00 | $187.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $349.00 | $349.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - PSA TOTAL MAYO | $364.00 | $364.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - DIAGNOSTIC PROSTATIC SPEC AG | $364.00 | $364.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - PROSTATIC SPEC AG SCREEN | $364.00 | $364.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC - THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $160.00 | $160.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC - PROTIME, LUPUS CASCADE REFLEX | $92.00 | $92.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC - PROTHROMBIN TIME | $92.00 | $92.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC - ASSAY OF THYROID STIMULATING HORMONE TSH | $292.00 | $292.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC - URINALYSIS, CHEMICAL AND SEDIMENT, AUTOMATED | $118.00 | $118.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $14.00 | $14.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC - URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $69.00 | $69.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $14.00 | $14.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $21.00 | $21.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC - POCT URINE DIP STICK TST | $86.00 | $86.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $21.00 | $21.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,279.00 | $1,279.00 | — |
| Colonoscopy with polyp removal CPT 45385 HC - COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $3,015.00 | $3,015.00 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,279.00 | $1,279.00 | — |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,219.00 | $1,219.00 | — |
| Colonoscopy with tissue sample CPT 45380 HC - COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $3,210.00 | $3,210.00 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,219.00 | $1,219.00 | — |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $957.00 | $957.00 | — |
| Colonoscopy, diagnostic CPT 45378 HC - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD SCREENING LOW RISK | $2,871.00 | $2,871.00 | — |
| Colonoscopy, diagnostic CPT 45378 HC - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD SCREENING HIGH RISK | $2,871.00 | $2,871.00 | — |
| Colonoscopy, diagnostic CPT 45378 HC - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $2,871.00 | $2,871.00 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $957.00 | $957.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,057.00 | $1,057.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC - EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,318.00 | $3,318.00 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,057.00 | $1,057.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $809.00 | $809.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,168.00 | $3,168.00 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $809.00 | $809.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $383.00 | $383.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $383.00 | $383.00 | — |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $358.00 | $358.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $358.00 | $358.00 | — |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $538.00 | $538.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $538.00 | $538.00 | — |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $710.00 | $710.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $710.00 | $710.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC - PT THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $138.00 | $138.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC - OT THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $138.00 | $138.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $511.00 | $511.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $511.00 | $511.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $558.00 | $558.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $558.00 | $558.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $295.00 | $295.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $295.00 | $295.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $390.00 | $390.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $390.00 | $390.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $577.00 | $577.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $577.00 | $577.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $318.00 | $318.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $318.00 | $318.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $543.00 | $543.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $543.00 | $543.00 | — |
Source file: https://www.uvmhealth.org/sites/default/files/141364513_elizabethtown-community-hospital_standardcharges.csv