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Hospital Profile Acute Care Hospitals Voluntary non-profit - Church

St Anthony Community Hospital

15 MAPLE AVE -19, Warwick, NY 10990

CMS Overall Rating ★★★★☆
Factual Overview

St Anthony Community Hospital is a Acute Care Hospitals (Voluntary non-profit - Church) operating in Warwick, NY. Mapped commercial insurance prices across 110 procedures average 5.38x the Medicare baseline. The facility holds a CMS quality rating of 4/5 stars with a patient recommendation score of 71%.

Facility Overview

Setting: urban Bed Count: 60 Beds Teaching Status: Non-Teaching Annual Discharges: 1,702

Patient Experience

Recommendation Rate: 71% High Patient Rating: 74% ER Wait Time (Med): 161 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 110 codes Avg Markup vs Medicare: 5.38x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 Contact Desk Calc
Total hip replacement
CPT Code: 27130
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Total knee replacement
CPT Code: 27447
 $23,581 Calc
Bunion correction surgery
CPT Code: 28296
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Knee arthroscopy with meniscus repair
CPT Code: 29881
 Contact Desk Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
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Blood transfusion
CPT Code: 36430
 $3,312 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $10,602 Calc
Upper endoscopy with biopsy
CPT Code: 43239
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Colonoscopy (diagnostic)
CPT Code: 45378
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Colonoscopy with biopsy
CPT Code: 45380
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Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $25,619 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $10,693 Calc
Inguinal hernia repair
CPT Code: 49505
 Contact Desk Calc
Cataract surgery with lens implant
CPT Code: 66984
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $2,089 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $3,396 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $3,396 Calc
CT scan, sinuses
CPT Code: 70486
 $2,089 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $4,342 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $7,115 Calc
X-ray, chest (single view)
CPT Code: 71045
 $1,488 Calc
X-ray, chest (two views)
CPT Code: 71046
 $1,488 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,089 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $1,488 Calc
X-ray, lower back
CPT Code: 72110
 $2,089 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,089 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,089 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $4,342 Calc
X-ray, pelvis
CPT Code: 72170
 $2,089 Calc
CT scan, pelvis
CPT Code: 72192
 $2,089 Calc
X-ray, shoulder
CPT Code: 73030
 $1,488 Calc
X-ray, hand
CPT Code: 73130
 $1,488 Calc
X-ray, hip
CPT Code: 73502
 $1,488 Calc
X-ray, ankle
CPT Code: 73610
 $1,488 Calc
X-ray, foot
CPT Code: 73630
 $1,488 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $4,342 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $4,342 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $7,115 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $2,089 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $2,089 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $2,089 Calc
Ultrasound, pelvis
CPT Code: 76856
 $2,089 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $915 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $771 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $135 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $168 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $214 Calc
Blood test, liver function panel
CPT Code: 80076
 $131 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $51 Calc
Blood test, amylase
CPT Code: 82150
 $103 Calc
Blood test, vitamin D
CPT Code: 82306
 $471 Calc
Blood test, calcium
CPT Code: 82310
 $82 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $82 Calc
Blood test, vitamin B12
CPT Code: 82607
 $240 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $217 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $63 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $155 Calc
Blood test, lipase
CPT Code: 83690
 $110 Calc
Blood test, magnesium
CPT Code: 83735
 $108 Calc
Blood test, potassium
CPT Code: 84132
 $76 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $293 Calc
Blood test, sodium
CPT Code: 84295
 $77 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $268 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $63 Calc
Blood test, hemoglobin
CPT Code: 85018
 $39 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $125 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $68 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $96 Calc
Hepatitis C antibody test
CPT Code: 86803
 $227 Calc
Blood antibody screen
CPT Code: 86850
 $923 Calc
Culture, blood
CPT Code: 87040
 $165 Calc
Culture, bacterial
CPT Code: 87070
 $137 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $26,663 Calc
Hepatitis B immune globulin
HCPCS Code: 90371
 $1,716 Calc
Rabies immune globulin
HCPCS Code: 90375
 $3,038 Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $78 Calc
Typhoid vaccine
HCPCS Code: 90675
 $1,739 Calc
DTaP vaccine (diphtheria, tetanus, pertussis)
HCPCS Code: 90700
 $107 Calc
MMR vaccine (measles, mumps, rubella)
HCPCS Code: 90707
 $400 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $205 Calc
Pneumococcal vaccine
HCPCS Code: 90732
 $492 Calc
Hepatitis B vaccine
HCPCS Code: 90744
 $106 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $952 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $682 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $579 Calc
Family therapy session
CPT Code: 90847
 $682 Calc
Group therapy session
CPT Code: 90853
 $1,120 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $1,060 Calc
Speech therapy (group session)
CPT Code: 92508
 $221 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $774 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $8,296 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $4,416 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $373 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 Contact Desk Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $632 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $422 Calc
Physical therapy (gait training)
CPT Code: 97116
 $538 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $532 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $493 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $333 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $399 Calc
Orthotic fitting and training
CPT Code: 97760
 $361 Calc
Prosthetic fitting and training
CPT Code: 97761
 $260 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $673 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $394 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $616 Calc
Injection procedure for pain management
HCPCS Code: G0260
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Hospital observation (per hour)
HCPCS Code: G0378
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Trauma team activation
HCPCS Code: G0390
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