Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Hospital Charge Code 4471636
Hospital Revenue Code 270
Min. Negotiated Rate $740.35
Max. Negotiated Rate $740.35
Rate for Payer: Cash Price $854.25
Rate for Payer: Galaxy Health Commercial $740.35
Service Code HCPCS 84154
Hospital Charge Code 4301228
Hospital Revenue Code 301
Min. Negotiated Rate $18.39
Max. Negotiated Rate $148.92
Rate for Payer: Aetna of NY Commercial $120.25
Rate for Payer: Aetna of NY Medicare $85.10
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $138.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $138.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $68.45
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $92.50
Rate for Payer: Cash Price $138.75
Rate for Payer: Cash Price $138.75
Rate for Payer: CDPHP Commercial $148.92
Rate for Payer: CDPHP Medicare $68.45
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $111.00
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $148.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $148.00
Rate for Payer: EmblemHealth Medicaid $148.00
Rate for Payer: EmblemHealth Medicare $62.90
Rate for Payer: EmblemHealth Select Care $111.00
Rate for Payer: Fidelis Medicare $70.50
Rate for Payer: Galaxy Health Commercial $120.25
Rate for Payer: Hamaspik Choice Medicare $68.45
Rate for Payer: Humana Medicare $68.45
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $120.25
Rate for Payer: Local 1199SEIU Medicare $85.10
Rate for Payer: MVP Health Care of NY Commercial $138.75
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $104.16
Rate for Payer: MVP Health Care of NY Medicare $71.87
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $138.75
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid $18.39
Rate for Payer: United Healthcare Commercial $138.75
Rate for Payer: United Healthcare Medicare $68.45
Rate for Payer: WellCare Medicare $101.75
Service Code HCPCS 84154
Hospital Charge Code 4301228
Hospital Revenue Code 301
Min. Negotiated Rate $120.25
Max. Negotiated Rate $120.25
Rate for Payer: Cash Price $138.75
Rate for Payer: Galaxy Health Commercial $120.25
Service Code NDC 00904505324
Hospital Charge Code 4400725
Hospital Revenue Code 250
Min. Negotiated Rate $3.40
Max. Negotiated Rate $4.02
Rate for Payer: Cash Price $4.64
Rate for Payer: Galaxy Health Commercial $4.02
Rate for Payer: WellCare Medicare $3.40
Service Code NDC 00904505324
Hospital Charge Code 4400725
Hospital Revenue Code 250
Min. Negotiated Rate $2.10
Max. Negotiated Rate $4.97
Rate for Payer: Aetna of NY Commercial $4.33
Rate for Payer: Aetna of NY Medicare $2.84
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $4.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $4.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $2.29
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $3.09
Rate for Payer: Cash Price $4.64
Rate for Payer: CDPHP Commercial $4.97
Rate for Payer: CDPHP Medicare $2.29
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $4.94
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $4.94
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $4.94
Rate for Payer: EmblemHealth Medicaid $4.94
Rate for Payer: EmblemHealth Medicare $2.10
Rate for Payer: EmblemHealth Select Care $4.45
Rate for Payer: Fidelis Medicare $2.36
Rate for Payer: Galaxy Health Commercial $4.02
Rate for Payer: Hamaspik Choice Medicare $2.29
Rate for Payer: Humana Medicare $2.29
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $4.33
Rate for Payer: Local 1199SEIU Medicare $2.84
Rate for Payer: MVP Health Care of NY Commercial $4.64
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $3.48
Rate for Payer: MVP Health Care of NY Medicare $2.40
Rate for Payer: United Healthcare Medicare $2.29
Rate for Payer: WellCare Medicare $3.40
Service Code HCPCS 97010 GP
Hospital Charge Code 4650004
Hospital Revenue Code 420
Min. Negotiated Rate $15.30
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $20.70
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $16.65
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: CDPHP Commercial $36.22
Rate for Payer: CDPHP Medicare $16.65
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $36.00
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $36.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $36.00
Rate for Payer: EmblemHealth Medicaid $36.00
Rate for Payer: EmblemHealth Medicare $15.30
Rate for Payer: EmblemHealth Select Care $32.40
Rate for Payer: Fidelis Medicare $17.15
Rate for Payer: Galaxy Health Commercial $29.25
Rate for Payer: Hamaspik Choice Medicare $16.65
Rate for Payer: Humana Medicare $16.65
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $20.70
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $17.48
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $16.65
Rate for Payer: WellCare Medicare $24.75
Service Code HCPCS 97010 GP
Hospital Charge Code 4650004
Hospital Revenue Code 420
Min. Negotiated Rate $29.25
Max. Negotiated Rate $29.25
Rate for Payer: Cash Price $33.75
Rate for Payer: Galaxy Health Commercial $29.25
Service Code HCPCS 97010 GP,59
Hospital Charge Code 4650360
Hospital Revenue Code 420
Min. Negotiated Rate $15.30
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $20.70
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $16.65
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: CDPHP Commercial $36.22
Rate for Payer: CDPHP Medicare $16.65
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $36.00
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $36.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $36.00
Rate for Payer: EmblemHealth Medicaid $36.00
Rate for Payer: EmblemHealth Medicare $15.30
Rate for Payer: EmblemHealth Select Care $32.40
Rate for Payer: Fidelis Medicare $17.15
Rate for Payer: Galaxy Health Commercial $29.25
Rate for Payer: Hamaspik Choice Medicare $16.65
Rate for Payer: Humana Medicare $16.65
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $20.70
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $17.48
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $16.65
Rate for Payer: WellCare Medicare $24.75
Service Code HCPCS 97010 GP,59
Hospital Charge Code 4650360
Hospital Revenue Code 420
Min. Negotiated Rate $29.25
Max. Negotiated Rate $29.25
Rate for Payer: Cash Price $33.75
Rate for Payer: Galaxy Health Commercial $29.25
Service Code HCPCS 97010 GP,59,KX
Hospital Charge Code 4650412
Hospital Revenue Code 420
Min. Negotiated Rate $29.25
Max. Negotiated Rate $29.25
Rate for Payer: Cash Price $33.75
Rate for Payer: Galaxy Health Commercial $29.25
Service Code HCPCS 97010 GP,59,KX
Hospital Charge Code 4650412
Hospital Revenue Code 420
Min. Negotiated Rate $15.30
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $20.70
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $16.65
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: CDPHP Commercial $36.22
Rate for Payer: CDPHP Medicare $16.65
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $36.00
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $36.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $36.00
Rate for Payer: EmblemHealth Medicaid $36.00
Rate for Payer: EmblemHealth Medicare $15.30
Rate for Payer: EmblemHealth Select Care $32.40
Rate for Payer: Fidelis Medicare $17.15
Rate for Payer: Galaxy Health Commercial $29.25
Rate for Payer: Hamaspik Choice Medicare $16.65
Rate for Payer: Humana Medicare $16.65
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $20.70
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $17.48
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $16.65
Rate for Payer: WellCare Medicare $24.75
Service Code HCPCS 97010 GP,KX
Hospital Charge Code 4650305
Hospital Revenue Code 420
Min. Negotiated Rate $29.25
Max. Negotiated Rate $29.25
Rate for Payer: Cash Price $33.75
Rate for Payer: Galaxy Health Commercial $29.25
Service Code HCPCS 97010 GP,KX
Hospital Charge Code 4650305
Hospital Revenue Code 420
Min. Negotiated Rate $15.30
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $20.70
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $33.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $16.65
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: CDPHP Commercial $36.22
Rate for Payer: CDPHP Medicare $16.65
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $36.00
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $36.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $36.00
Rate for Payer: EmblemHealth Medicaid $36.00
Rate for Payer: EmblemHealth Medicare $15.30
Rate for Payer: EmblemHealth Select Care $32.40
Rate for Payer: Fidelis Medicare $17.15
Rate for Payer: Galaxy Health Commercial $29.25
Rate for Payer: Hamaspik Choice Medicare $16.65
Rate for Payer: Humana Medicare $16.65
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $20.70
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $17.48
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $16.65
Rate for Payer: WellCare Medicare $24.75
Service Code HCPCS 97032 GP
Hospital Charge Code 4650010
Hospital Revenue Code 420
Min. Negotiated Rate $17.68
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $23.92
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $19.24
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: CDPHP Commercial $41.86
Rate for Payer: CDPHP Medicare $19.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $41.60
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $41.60
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $41.60
Rate for Payer: EmblemHealth Medicaid $41.60
Rate for Payer: EmblemHealth Medicare $17.68
Rate for Payer: EmblemHealth Select Care $37.44
Rate for Payer: Fidelis Medicare $19.82
Rate for Payer: Galaxy Health Commercial $33.80
Rate for Payer: Hamaspik Choice Medicare $19.24
Rate for Payer: Humana Medicare $19.24
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $23.92
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $20.20
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $19.24
Rate for Payer: WellCare Medicare $28.60
Service Code HCPCS 97032 GP
Hospital Charge Code 4650010
Hospital Revenue Code 420
Min. Negotiated Rate $33.80
Max. Negotiated Rate $33.80
Rate for Payer: Cash Price $39.00
Rate for Payer: Galaxy Health Commercial $33.80
Service Code HCPCS 97032 GP,59
Hospital Charge Code 4650362
Hospital Revenue Code 420
Min. Negotiated Rate $33.80
Max. Negotiated Rate $33.80
Rate for Payer: Cash Price $39.00
Rate for Payer: Galaxy Health Commercial $33.80
Service Code HCPCS 97032 GP,59
Hospital Charge Code 4650362
Hospital Revenue Code 420
Min. Negotiated Rate $17.68
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $23.92
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $19.24
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: CDPHP Commercial $41.86
Rate for Payer: CDPHP Medicare $19.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $41.60
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $41.60
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $41.60
Rate for Payer: EmblemHealth Medicaid $41.60
Rate for Payer: EmblemHealth Medicare $17.68
Rate for Payer: EmblemHealth Select Care $37.44
Rate for Payer: Fidelis Medicare $19.82
Rate for Payer: Galaxy Health Commercial $33.80
Rate for Payer: Hamaspik Choice Medicare $19.24
Rate for Payer: Humana Medicare $19.24
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $23.92
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $20.20
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $19.24
Rate for Payer: WellCare Medicare $28.60
Service Code HCPCS 97032 GP,59,KX
Hospital Charge Code 4650414
Hospital Revenue Code 420
Min. Negotiated Rate $17.68
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $23.92
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $19.24
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: CDPHP Commercial $41.86
Rate for Payer: CDPHP Medicare $19.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $41.60
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $41.60
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $41.60
Rate for Payer: EmblemHealth Medicaid $41.60
Rate for Payer: EmblemHealth Medicare $17.68
Rate for Payer: EmblemHealth Select Care $37.44
Rate for Payer: Fidelis Medicare $19.82
Rate for Payer: Galaxy Health Commercial $33.80
Rate for Payer: Hamaspik Choice Medicare $19.24
Rate for Payer: Humana Medicare $19.24
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $23.92
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $20.20
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $19.24
Rate for Payer: WellCare Medicare $28.60
Service Code HCPCS 97032 GP,59,KX
Hospital Charge Code 4650414
Hospital Revenue Code 420
Min. Negotiated Rate $33.80
Max. Negotiated Rate $33.80
Rate for Payer: Cash Price $39.00
Rate for Payer: Galaxy Health Commercial $33.80
Service Code HCPCS 97032 GP,KX
Hospital Charge Code 4650307
Hospital Revenue Code 420
Min. Negotiated Rate $33.80
Max. Negotiated Rate $33.80
Rate for Payer: Cash Price $39.00
Rate for Payer: Galaxy Health Commercial $33.80
Service Code HCPCS 97032 GP,KX
Hospital Charge Code 4650307
Hospital Revenue Code 420
Min. Negotiated Rate $17.68
Max. Negotiated Rate $179.00
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $23.92
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $39.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $19.24
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: Cash Price $39.00
Rate for Payer: CDPHP Commercial $41.86
Rate for Payer: CDPHP Medicare $19.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $41.60
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $41.60
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $41.60
Rate for Payer: EmblemHealth Medicaid $41.60
Rate for Payer: EmblemHealth Medicare $17.68
Rate for Payer: EmblemHealth Select Care $37.44
Rate for Payer: Fidelis Medicare $19.82
Rate for Payer: Galaxy Health Commercial $33.80
Rate for Payer: Hamaspik Choice Medicare $19.24
Rate for Payer: Humana Medicare $19.24
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $23.92
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $20.20
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $19.24
Rate for Payer: WellCare Medicare $28.60
Service Code HCPCS 97163 GP
Hospital Charge Code 4650302
Hospital Revenue Code 424
Min. Negotiated Rate $200.20
Max. Negotiated Rate $200.20
Rate for Payer: Cash Price $231.00
Rate for Payer: Galaxy Health Commercial $200.20
Service Code HCPCS 97163 GP
Hospital Charge Code 4650302
Hospital Revenue Code 424
Min. Negotiated Rate $104.72
Max. Negotiated Rate $247.94
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $141.68
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $231.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $231.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $113.96
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $231.00
Rate for Payer: Cash Price $231.00
Rate for Payer: Cash Price $231.00
Rate for Payer: CDPHP Commercial $247.94
Rate for Payer: CDPHP Medicare $113.96
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $246.40
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $246.40
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $246.40
Rate for Payer: EmblemHealth Medicaid $246.40
Rate for Payer: EmblemHealth Medicare $104.72
Rate for Payer: EmblemHealth Select Care $221.76
Rate for Payer: Fidelis Medicare $117.38
Rate for Payer: Galaxy Health Commercial $200.20
Rate for Payer: Hamaspik Choice Medicare $113.96
Rate for Payer: Humana Medicare $113.96
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $141.68
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $119.66
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $113.96
Rate for Payer: WellCare Medicare $169.40
Service Code HCPCS 97163 GP,59
Hospital Charge Code 4650409
Hospital Revenue Code 424
Min. Negotiated Rate $108.00
Max. Negotiated Rate $291.41
Rate for Payer: Aetna of NY Commercial $112.00
Rate for Payer: Aetna of NY Medicare $166.52
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $271.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $271.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $133.94
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $108.00
Rate for Payer: Cash Price $271.50
Rate for Payer: Cash Price $271.50
Rate for Payer: Cash Price $271.50
Rate for Payer: CDPHP Commercial $291.41
Rate for Payer: CDPHP Medicare $133.94
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $289.60
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $289.60
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $289.60
Rate for Payer: EmblemHealth Medicaid $289.60
Rate for Payer: EmblemHealth Medicare $123.08
Rate for Payer: EmblemHealth Select Care $260.64
Rate for Payer: Fidelis Medicare $137.96
Rate for Payer: Galaxy Health Commercial $235.30
Rate for Payer: Hamaspik Choice Medicare $133.94
Rate for Payer: Humana Medicare $133.94
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $112.00
Rate for Payer: Local 1199SEIU Medicare $166.52
Rate for Payer: MVP Health Care of NY Commercial $179.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $134.00
Rate for Payer: MVP Health Care of NY Medicare $140.64
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $156.00
Rate for Payer: United Healthcare Commercial $156.00
Rate for Payer: United Healthcare Medicare $133.94
Rate for Payer: WellCare Medicare $199.10
Service Code HCPCS 97163 GP,59
Hospital Charge Code 4650409
Hospital Revenue Code 424
Min. Negotiated Rate $235.30
Max. Negotiated Rate $235.30
Rate for Payer: Cash Price $271.50
Rate for Payer: Galaxy Health Commercial $235.30