Ellenville Regional Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: CVA AND PRECEREBRAL OCCLUSION W INFARCT

Facility

$261.86

Service Code	EAPG 535
Min. Negotiated Rate	$119.36
Max. Negotiated Rate	$261.86
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$146.15
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$121.80
Rate for Payer: EmblemHealth Medicaid	$121.80
Rate for Payer: Galaxy Health Workers Comp	$119.36
Rate for Payer: Hamaspik Choice Medicaid	$121.80
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$127.89
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$261.86
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$261.86
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$121.80
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$127.89

EAPG 3.18: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$371.02

Service Code	EAPG 570
Min. Negotiated Rate	$169.11
Max. Negotiated Rate	$371.02
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$207.08
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$172.57
Rate for Payer: EmblemHealth Medicaid	$172.57
Rate for Payer: Galaxy Health Workers Comp	$169.11
Rate for Payer: Hamaspik Choice Medicaid	$172.57
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$181.20
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$371.02
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$371.02
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$172.57
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$181.20

EAPG 3.18: DAY REHABILITATION, FULL DAY

Facility

$318.06

Service Code	EAPG 329
Min. Negotiated Rate	$144.97
Max. Negotiated Rate	$318.06
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$177.52
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$147.93
Rate for Payer: EmblemHealth Medicaid	$147.93
Rate for Payer: Galaxy Health Workers Comp	$144.97
Rate for Payer: Hamaspik Choice Medicaid	$147.93
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$155.33
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$318.06
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$318.06
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$147.93
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$155.33

EAPG 3.18: DAY REHABILITATION, HALF DAY

Facility

$238.53

Service Code	EAPG 328
Min. Negotiated Rate	$108.72
Max. Negotiated Rate	$238.53
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$133.13
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$110.94
Rate for Payer: EmblemHealth Medicaid	$110.94
Rate for Payer: Galaxy Health Workers Comp	$108.72
Rate for Payer: Hamaspik Choice Medicaid	$110.94
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$116.49
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$238.53
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$238.53
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$110.94
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$116.49

EAPG 3.18: DEEP LYMPH STRUCTURE PROCEDURES

Facility

$3,013.96

Service Code	EAPG 115
Min. Negotiated Rate	$1,373.75
Max. Negotiated Rate	$3,013.96
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$1,682.16
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$1,401.82
Rate for Payer: EmblemHealth Medicaid	$1,401.82
Rate for Payer: Galaxy Health Workers Comp	$1,373.75
Rate for Payer: Hamaspik Choice Medicaid	$1,401.82
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$1,471.93
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$3,013.96
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$3,013.96
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$1,401.82
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$1,471.93

EAPG 3.18: DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS

Facility

$277.78

Service Code	EAPG 522
Min. Negotiated Rate	$126.61
Max. Negotiated Rate	$277.78
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$155.03
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$129.20
Rate for Payer: EmblemHealth Medicaid	$129.20
Rate for Payer: Galaxy Health Workers Comp	$126.61
Rate for Payer: Hamaspik Choice Medicaid	$129.20
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$135.66
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$277.78
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$277.78
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$129.20
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$135.66

EAPG 3.18: DENTAL AND ORAL DIAGNOSES AND INJURIES

Facility

$238.88

Service Code	EAPG 563
Min. Negotiated Rate	$108.88
Max. Negotiated Rate	$238.88
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$133.32
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$111.11
Rate for Payer: EmblemHealth Medicaid	$111.11
Rate for Payer: Galaxy Health Workers Comp	$108.88
Rate for Payer: Hamaspik Choice Medicaid	$111.11
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$116.66
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$238.88
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$238.88
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$111.11
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$116.66

EAPG 3.18: DENTAL ANESTHESIA

Facility

$2,171.86

Service Code	EAPG 375
Min. Negotiated Rate	$989.93
Max. Negotiated Rate	$2,171.86
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$1,212.17
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$1,010.16
Rate for Payer: EmblemHealth Medicaid	$1,010.16
Rate for Payer: Galaxy Health Workers Comp	$989.93
Rate for Payer: Hamaspik Choice Medicaid	$1,010.16
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$1,060.67
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$2,171.86
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$2,171.86
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$1,010.16
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$1,060.67

EAPG 3.18: DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES

Facility

$254.45

Service Code	EAPG 824
Min. Negotiated Rate	$115.98
Max. Negotiated Rate	$254.45
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$142.01
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$118.35
Rate for Payer: EmblemHealth Medicaid	$118.35
Rate for Payer: Galaxy Health Workers Comp	$115.98
Rate for Payer: Hamaspik Choice Medicaid	$118.35
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$124.26
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$254.45
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$254.45
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$118.35
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$124.26

EAPG 3.18: DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING

Facility

$318.06

Service Code	EAPG 310
Min. Negotiated Rate	$144.97
Max. Negotiated Rate	$318.06
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$177.52
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$147.93
Rate for Payer: EmblemHealth Medicaid	$147.93
Rate for Payer: Galaxy Health Workers Comp	$144.97
Rate for Payer: Hamaspik Choice Medicaid	$147.93
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$155.33
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$318.06
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$318.06
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$147.93
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$155.33

EAPG 3.18: DIABETES WITH NEUROLOGIC MANIFESTATIONS

Facility

$284.89

Service Code	EAPG 712
Min. Negotiated Rate	$129.85
Max. Negotiated Rate	$284.89
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$159.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$132.50
Rate for Payer: EmblemHealth Medicaid	$132.50
Rate for Payer: Galaxy Health Workers Comp	$129.85
Rate for Payer: Hamaspik Choice Medicaid	$132.50
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$139.13
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$284.89
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$284.89
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$132.50
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$139.13

EAPG 3.18: DIABETES WITH OPHTHALMIC MANIFESTATIONS

Facility

$288.54

Service Code	EAPG 710
Min. Negotiated Rate	$131.52
Max. Negotiated Rate	$288.54
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$161.04
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$134.20
Rate for Payer: EmblemHealth Medicaid	$134.20
Rate for Payer: Galaxy Health Workers Comp	$131.52
Rate for Payer: Hamaspik Choice Medicaid	$134.20
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$140.91
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$288.54
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$288.54
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$134.20
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$140.91

EAPG 3.18: DIABETES WITH OTHER MANIFESTATIONS & COMPLICATIONS

Facility

$261.10

Service Code	EAPG 711
Min. Negotiated Rate	$119.01
Max. Negotiated Rate	$261.10
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$145.72
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$121.44
Rate for Payer: EmblemHealth Medicaid	$121.44
Rate for Payer: Galaxy Health Workers Comp	$119.01
Rate for Payer: Hamaspik Choice Medicaid	$121.44
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$127.51
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$261.10
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$261.10
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$121.44
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$127.51

EAPG 3.18: DIABETES WITHOUT COMPLICATIONS

Facility

$247.84

Service Code	EAPG 713
Min. Negotiated Rate	$112.96
Max. Negotiated Rate	$247.84
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$138.32
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$115.27
Rate for Payer: EmblemHealth Medicaid	$115.27
Rate for Payer: Galaxy Health Workers Comp	$112.96
Rate for Payer: Hamaspik Choice Medicaid	$115.27
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$121.04
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$247.84
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$247.84
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$115.27
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$121.04

EAPG 3.18: DIABETES WITH RENAL MANIFESTATIONS

Facility

$231.27

Service Code	EAPG 714
Min. Negotiated Rate	$105.41
Max. Negotiated Rate	$231.27
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$129.08
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$107.57
Rate for Payer: EmblemHealth Medicaid	$107.57
Rate for Payer: Galaxy Health Workers Comp	$105.41
Rate for Payer: Hamaspik Choice Medicaid	$107.57
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$112.95
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$231.27
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$231.27
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$107.57
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$112.95

EAPG 3.18: DIABETES WITH VASCULAR COMPLICATIONS INCLUDING FOOT AND OTHER SKIN ULCERS

Facility

$261.10

Service Code	EAPG 715
Min. Negotiated Rate	$119.01
Max. Negotiated Rate	$261.10
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$145.72
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$121.44
Rate for Payer: EmblemHealth Medicaid	$121.44
Rate for Payer: Galaxy Health Workers Comp	$119.01
Rate for Payer: Hamaspik Choice Medicaid	$121.44
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$127.51
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$261.10
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$261.10
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$121.44
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$127.51

EAPG 3.18: DIAGNOSTIC CARDIAC CATHETERIZATION

Facility

$3,774.57

Service Code	EAPG 84
Min. Negotiated Rate	$1,720.44
Max. Negotiated Rate	$3,774.57
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$2,106.67
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$1,755.59
Rate for Payer: EmblemHealth Medicaid	$1,755.59
Rate for Payer: Galaxy Health Workers Comp	$1,720.44
Rate for Payer: Hamaspik Choice Medicaid	$1,755.59
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$1,843.39
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$3,774.57
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$3,774.57
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$1,755.59
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$1,843.39

EAPG 3.18: DIAGNOSTIC DENTAL PROCEDURES

Facility

$89.63

Service Code	EAPG 376
Min. Negotiated Rate	$40.85
Max. Negotiated Rate	$89.63
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$50.03
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$41.69
Rate for Payer: EmblemHealth Medicaid	$41.69
Rate for Payer: Galaxy Health Workers Comp	$40.85
Rate for Payer: Hamaspik Choice Medicaid	$41.69
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$43.77
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$89.63
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$89.63
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$41.69
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$43.77

EAPG 3.18: DIALYSIS PROCEDURES

Facility

$588.15

Service Code	EAPG 168
Min. Negotiated Rate	$268.08
Max. Negotiated Rate	$588.15
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$328.26
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$273.55
Rate for Payer: EmblemHealth Medicaid	$273.55
Rate for Payer: Galaxy Health Workers Comp	$268.08
Rate for Payer: Hamaspik Choice Medicaid	$273.55
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$287.23
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$588.15
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$588.15
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$273.55
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$287.23

EAPG 3.18: DIAPHRAGMATIC PROCEDURES AND RELATED HERNIA REPAIR

Facility

$4,872.30

Service Code	EAPG 73
Min. Negotiated Rate	$2,220.78
Max. Negotiated Rate	$4,872.30
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$2,719.34
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$2,266.16
Rate for Payer: EmblemHealth Medicaid	$2,266.16
Rate for Payer: Galaxy Health Workers Comp	$2,220.78
Rate for Payer: Hamaspik Choice Medicaid	$2,266.16
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$2,379.49
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$4,872.30
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$4,872.30
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2,266.16
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$2,379.49

EAPG 3.18: DIGESTIVE MALIGNANCY

Facility

$241.30

Service Code	EAPG 620
Min. Negotiated Rate	$109.98
Max. Negotiated Rate	$241.30
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$134.68
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$112.23
Rate for Payer: EmblemHealth Medicaid	$112.23
Rate for Payer: Galaxy Health Workers Comp	$109.98
Rate for Payer: Hamaspik Choice Medicaid	$112.23
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$117.84
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$241.30
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$241.30
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$112.23
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$117.84

EAPG 3.18: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$282.27

Service Code	EAPG 616
Min. Negotiated Rate	$128.66
Max. Negotiated Rate	$282.27
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$157.54
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$131.29
Rate for Payer: EmblemHealth Medicaid	$131.29
Rate for Payer: Galaxy Health Workers Comp	$128.66
Rate for Payer: Hamaspik Choice Medicaid	$131.29
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$137.85
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$282.27
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$282.27
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$131.29
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$137.85

EAPG 3.18: EAR, NOSE, MOUTH, THROAT, CRANIAL AND FACIAL MALIGNANCIES

Facility

$288.81

Service Code	EAPG 560
Min. Negotiated Rate	$131.64
Max. Negotiated Rate	$288.81
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$161.19
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$134.33
Rate for Payer: EmblemHealth Medicaid	$134.33
Rate for Payer: Galaxy Health Workers Comp	$131.64
Rate for Payer: Hamaspik Choice Medicaid	$134.33
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$141.05
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$288.81
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$288.81
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$134.33
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$141.05

EAPG 3.18: EATING DISORDERS

Facility

$254.45

Service Code	EAPG 830
Min. Negotiated Rate	$115.98
Max. Negotiated Rate	$254.45
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$142.01
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$118.35
Rate for Payer: EmblemHealth Medicaid	$118.35
Rate for Payer: Galaxy Health Workers Comp	$115.98
Rate for Payer: Hamaspik Choice Medicaid	$118.35
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$124.26
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$254.45
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$254.45
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$118.35
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$124.26

EAPG 3.18: ECHOCARDIOGRAPHY

Facility

$679.82

Service Code	EAPG 81
Min. Negotiated Rate	$309.86
Max. Negotiated Rate	$679.82
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$379.42
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$316.19
Rate for Payer: EmblemHealth Medicaid	$316.19
Rate for Payer: Galaxy Health Workers Comp	$309.86
Rate for Payer: Hamaspik Choice Medicaid	$316.19
Rate for Payer: MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid	$332.00
Rate for Payer: MVP Health Care of NY Essential Plan 1&2	$679.82
Rate for Payer: MVP Health Care of NY Essential Plan 3&4	$679.82
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$316.19
Rate for Payer: WellCare Child Health Plus/Family Health Plus/Medicaid	$332.00

Know your out-of-pocket cost for care.

All Charges