Helen Hayes Hospital
Helen Hayes Hospital in West Haverstraw, NY publishes cash prices for 29 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
51-55 North Route 9W West Haverstraw NY 10993 Collected Sep 21, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN/SKULL W/O CONTRAST | $839.00 | $839.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 MRI-PELVIS WITH CONTRAST | $1,763.00 | $1,763.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SCAN PELVIS WITH CONTRAST | $1,763.00 | $1,763.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXTRMITY JOINT | $1,664.00 | $1,664.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $1,663.00 | $1,663.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/O CONTRAST | $1,849.00 | $1,849.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 M.R. LUMBAR SPINE | $1,578.00 | $1,578.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 U/S TRANSVAGINAL | $897.00 | $897.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 U/S TRANSVAGINAL | $897.00 | $897.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $898.00 | $898.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $898.00 | $898.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 LS SPINE WITH OBLILQUE 4 OR > | $353.00 | $353.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE WITH OBLILQUE 4 OR > | $353.00 | $353.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $59.00 | $59.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $123.00 | $123.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM & PLATELET COUNT,AUTO | $66.00 | $66.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE BLOOD COUNT NO DIFF | $51.00 | $51.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $82.00 | $82.00 | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $46.00 | $46.00 | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $59.00 | $59.00 | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANAL | $59.00 | $59.00 | — |
| Liver function blood test panel inpatient CPT 80076 DIAGNOSTIC CASTS | $59.00 | $59.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC ANTIGEN DIAGNSTC | $96.00 | $96.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC ANTIGEN SCREEN | $96.00 | $96.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME,PARTIAL(PT | $75.00 | $75.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA W/REFL HEXAGONAL | $75.00 | $75.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $33.00 | $33.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (T | $109.00 | $109.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SCREEN AUTOMATED W/O MIC | $19.00 | $19.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY PT NOT PRESENT | $684.00 | $684.00 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY PT NOT PRESENT | $684.00 | $684.00 | — |
| New patient office visit, about 30 minutes CPT 99203 DETAILED-LOW COMPLEXITY 30MIN | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes CPT 99203 DETAILED-LOW COMPLEXITY 30MIN | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT DETAILED TELEHEALTH 95 | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT INTEMED | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT INTERMEDIATE | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT DETAILED TELEHEALTH 95 | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT INTEMED | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT INTERMEDIATE | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 DETAILED-LOW COMPLEXITY 30MIN | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT INTERMEDIATE | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT INTEMED | $544.00 | $544.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT DETAILED TELEHEALTH 95 | $544.00 | $544.00 | — |
| New patient office visit, about 45 minutes CPT 99204 COMPREHENSIVE-MDRT CMPLXTY 45M | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 COMPREHENSIVE-MDRT CMPLXTY 45M | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW 30-MIN | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW 45-MIN | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT EXTENDED | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT COMPREHENSIVE TELEH 95 | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT COMPREHENSIVE TELEH 95 | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT EXTENDED | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW 30-MIN | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW 45-MIN | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT NEW 30-MIN | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 COMPREHENSIVE-MDRT CMPLXTY 45M | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT COMPREHENSIVE TELEH 95 | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT EXTENDED | $930.00 | $930.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT NEW 45-MIN | $930.00 | $930.00 | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT NEW 60-MIN | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes CPT 99205 RN COMPREHENSIVE 60MIN | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT NEW 60-MIN | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PT COMPH VISIT | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes CPT 99205 RN COMPREHENSIVE 60MIN | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PT COMPH VISIT | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT COMPH VISIT | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 RN COMPREHENSIVE 60MIN | $1,213.00 | $1,213.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT NEW 60-MIN | $1,213.00 | $1,213.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE CONCURRET | $234.00 | $234.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROC EA 15 MIN | $234.00 | $234.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 15M | $234.00 | $234.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROC EA 15 MIN | $234.00 | $234.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE CONCURRET | $234.00 | $234.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE 15M | $234.00 | $234.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN | $426.00 | $426.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN | $426.00 | $426.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN | $568.00 | $568.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN | $568.00 | $568.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION CMPRHSVE MDRT | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT INTER VISIT | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT INTER VISIT | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION CMPRHSVE MDRT | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONFIRMATORY CNS DTLD LW COMP | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONFIRMATORY CNS DTLD LW COMP | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULTATION CMPRHSVE MDRT | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONFIRMATORY CNS DTLD LW COMP | $301.00 | $301.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT INTER VISIT | $301.00 | $301.00 | — |
Source file: https://shop.helenhayeshosp.org/00-0432000_Helen-Hayes-Hospital_standardcharges.csv