Phelps Hospital Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
F
Most Expensive
194x
the federal fair-price benchmark
1,359
82 comparable to federal rates
Check a specific procedure price
Use our price checker to look up any of 7,700+ procedures and see what Medicare considers a fair price.
Biggest Overcharges at This Hospital
These are the procedures where Phelps Hospitalcharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.
| Procedure | Code | They Charge | Gov. Benchmark | You Overpay |
|---|---|---|---|---|
| Ra tracer id of sentinl node | 38792 | $36,131 | $82 | +$36,049 |
| Biopsy of vulva/perineum | 56605 | $29,842 | $94 | +$29,749 |
| Cmplx rpr trunk addl 5cm/< | 13102 | $34,390 | $120 | +$34,270 |
| Chemo iv push addl drug | 96411 | $15,644 | $57 | +$15,587 |
| Pt eval low complex 20 min | 97161 | $25,579 | $98 | +$25,481 |
| Pt eval mod complex 30 min | 97162 | $25,441 | $98 | +$25,343 |
| Us lmtd jt/fcl evl nvasc xtr | 76882 | $16,199 | $64 | +$16,135 |
| Ot eval low complex 30 min | 97165 | $24,762 | $101 | +$24,662 |
| Cptr-asst dir ms px | 20985 | $29,842 | $124 | +$29,718 |
| Dx mammo incl cad uni | 77065 | $29,842 | $124 | +$29,718 |
| Io map of sent lymph node | 38900 | $34,715 | $145 | +$34,570 |
| Fluoroguide for vein device | 77001 | $23,021 | $99 | +$22,922 |
| Us exam scrotum | 76870 | $23,021 | $99 | +$22,922 |
About Phelps Hospital Pricing
Phelps Hospital in , NY charges 194x or more above the government benchmark — among the most expensive across 82procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.
What this means for your bill
If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.
Can I negotiate?
Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.
Compare with other hospitals
See how Phelps Hospital stacks up against other hospitals in the area.
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