Ellenville Regional Hospital

All Charges

Charge

Type

Setting

Price

POLYPECTOMY SNARE

Facility

$197.76

Hospital Charge Code	4479013
Hospital Revenue Code	270
Min. Negotiated Rate	$128.54
Max. Negotiated Rate	$128.54
Rate for Payer: Cash Price	$148.32
Rate for Payer: Galaxy Health Commercial	$128.54

POLYPECTOMY SNARE

Facility

$197.76

Hospital Charge Code	4479013
Hospital Revenue Code	270
Min. Negotiated Rate	$29.66
Max. Negotiated Rate	$158.21
Rate for Payer: Aetna of NY Commercial	$138.43
Rate for Payer: Aetna of NY Medicare	$90.97
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$79.10
Rate for Payer: Cash Price	$148.32
Rate for Payer: CDPHP Medicare	$73.17
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$158.21
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$158.21
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$158.21
Rate for Payer: EmblemHealth Medicaid	$158.21
Rate for Payer: EmblemHealth Medicare	$67.24
Rate for Payer: EmblemHealth Select Care	$142.39
Rate for Payer: Fidelis Medicare	$79.10
Rate for Payer: Galaxy Health Commercial	$128.54
Rate for Payer: Hamaspik Choice Medicare	$79.10
Rate for Payer: Humana Medicare	$79.10
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$138.43
Rate for Payer: Local 1199SEIU Medicare	$90.97
Rate for Payer: MVP Health Care of NY Commercial	$148.32
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$111.34
Rate for Payer: MVP Health Care of NY Medicare	$83.06
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$29.66
Rate for Payer: United Healthcare Medicare	$79.10
Rate for Payer: WellCare Medicare	$108.77

POLYP TRAP (ET2213)

Facility

$282.00

Hospital Charge Code	4473049
Hospital Revenue Code	272
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$225.60
Rate for Payer: Aetna of NY Commercial	$197.40
Rate for Payer: Aetna of NY Medicare	$129.72
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$112.80
Rate for Payer: Cash Price	$211.50
Rate for Payer: CDPHP Medicare	$104.34
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$225.60
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$225.60
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$225.60
Rate for Payer: EmblemHealth Medicaid	$225.60
Rate for Payer: EmblemHealth Medicare	$95.88
Rate for Payer: EmblemHealth Select Care	$203.04
Rate for Payer: Fidelis Medicare	$112.80
Rate for Payer: Galaxy Health Commercial	$183.30
Rate for Payer: Hamaspik Choice Medicare	$112.80
Rate for Payer: Humana Medicare	$112.80
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$197.40
Rate for Payer: Local 1199SEIU Medicare	$129.72
Rate for Payer: MVP Health Care of NY Commercial	$211.50
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$158.77
Rate for Payer: MVP Health Care of NY Medicare	$118.44
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$42.30
Rate for Payer: United Healthcare Medicare	$112.80
Rate for Payer: WellCare Medicare	$155.10

POLYP TRAP (ET2213)

Facility

$282.00

Hospital Charge Code	4473049
Hospital Revenue Code	272
Min. Negotiated Rate	$183.30
Max. Negotiated Rate	$183.30
Rate for Payer: Cash Price	$211.50
Rate for Payer: Galaxy Health Commercial	$183.30

PORT-A-CATH

Facility

$1,006.31

Hospital Charge Code	4473009
Hospital Revenue Code	270
Min. Negotiated Rate	$654.10
Max. Negotiated Rate	$654.10
Rate for Payer: Cash Price	$754.73
Rate for Payer: Galaxy Health Commercial	$654.10

PORT-A-CATH

Facility

$1,006.31

Hospital Charge Code	4473009
Hospital Revenue Code	270
Min. Negotiated Rate	$150.95
Max. Negotiated Rate	$805.05
Rate for Payer: Aetna of NY Commercial	$704.42
Rate for Payer: Aetna of NY Medicare	$462.90
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$402.52
Rate for Payer: Cash Price	$754.73
Rate for Payer: CDPHP Medicare	$372.33
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$805.05
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$805.05
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$805.05
Rate for Payer: EmblemHealth Medicaid	$805.05
Rate for Payer: EmblemHealth Medicare	$342.15
Rate for Payer: EmblemHealth Select Care	$724.54
Rate for Payer: Fidelis Medicare	$402.52
Rate for Payer: Galaxy Health Commercial	$654.10
Rate for Payer: Hamaspik Choice Medicare	$402.52
Rate for Payer: Humana Medicare	$402.52
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$704.42
Rate for Payer: Local 1199SEIU Medicare	$462.90
Rate for Payer: MVP Health Care of NY Commercial	$754.73
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$566.55
Rate for Payer: MVP Health Care of NY Medicare	$422.65
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$150.95
Rate for Payer: United Healthcare Medicare	$402.52
Rate for Payer: WellCare Medicare	$553.47

PORT-A-CATH II IMPLANTABLE VE

Facility

$996.01

Hospital Charge Code	4471194
Hospital Revenue Code	270
Min. Negotiated Rate	$647.41
Max. Negotiated Rate	$647.41
Rate for Payer: Cash Price	$747.01
Rate for Payer: Galaxy Health Commercial	$647.41

PORT-A-CATH II IMPLANTABLE VE

Facility

$996.01

Hospital Charge Code	4471194
Hospital Revenue Code	270
Min. Negotiated Rate	$149.40
Max. Negotiated Rate	$796.81
Rate for Payer: Aetna of NY Commercial	$697.21
Rate for Payer: Aetna of NY Medicare	$458.16
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$398.40
Rate for Payer: Cash Price	$747.01
Rate for Payer: CDPHP Medicare	$368.52
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$796.81
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$796.81
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$796.81
Rate for Payer: EmblemHealth Medicaid	$796.81
Rate for Payer: EmblemHealth Medicare	$338.64
Rate for Payer: EmblemHealth Select Care	$717.13
Rate for Payer: Fidelis Medicare	$398.40
Rate for Payer: Galaxy Health Commercial	$647.41
Rate for Payer: Hamaspik Choice Medicare	$398.40
Rate for Payer: Humana Medicare	$398.40
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$697.21
Rate for Payer: Local 1199SEIU Medicare	$458.16
Rate for Payer: MVP Health Care of NY Commercial	$747.01
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$560.75
Rate for Payer: MVP Health Care of NY Medicare	$418.32
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$149.40
Rate for Payer: United Healthcare Medicare	$398.40
Rate for Payer: WellCare Medicare	$547.81

PORT FLUSH ER

Facility

$181.00

Service Code	HCPCS 96523
Hospital Charge Code	4609637
Hospital Revenue Code	260
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$144.80
Rate for Payer: Aetna of NY Commercial	$126.70
Rate for Payer: Aetna of NY Medicare	$83.26
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$72.40
Rate for Payer: Cash Price	$135.75
Rate for Payer: CDPHP Medicare	$66.97
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$144.80
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$144.80
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$144.80
Rate for Payer: EmblemHealth Medicaid	$144.80
Rate for Payer: EmblemHealth Medicare	$61.54
Rate for Payer: EmblemHealth Select Care	$130.32
Rate for Payer: Fidelis Medicare	$72.40
Rate for Payer: Galaxy Health Commercial	$117.65
Rate for Payer: Hamaspik Choice Medicare	$72.40
Rate for Payer: Humana Medicare	$72.40
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$126.70
Rate for Payer: Local 1199SEIU Medicare	$83.26
Rate for Payer: MVP Health Care of NY Commercial	$135.75
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$101.90
Rate for Payer: MVP Health Care of NY Medicare	$76.02
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro	$135.75
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$27.15
Rate for Payer: United Healthcare Commercial	$135.75
Rate for Payer: United Healthcare Medicare	$72.40
Rate for Payer: WellCare Medicare	$99.55

PORT FLUSH ER

Facility

$181.00

Service Code	HCPCS 96523
Hospital Charge Code	4609637
Hospital Revenue Code	260
Min. Negotiated Rate	$117.65
Max. Negotiated Rate	$117.65
Rate for Payer: Cash Price	$135.75
Rate for Payer: Galaxy Health Commercial	$117.65

POST GLUCOSE DOSE

Facility

$14.00

Service Code	HCPCS 82950
Hospital Charge Code	4300641
Hospital Revenue Code	301
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$9.10
Rate for Payer: Cash Price	$10.50
Rate for Payer: Galaxy Health Commercial	$9.10

POST GLUCOSE DOSE

Facility

$14.00

Service Code	HCPCS 82950
Hospital Charge Code	4300641
Hospital Revenue Code	301
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna of NY Commercial	$9.10
Rate for Payer: Aetna of NY Medicare	$6.44
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$5.60
Rate for Payer: Cash Price	$10.50
Rate for Payer: CDPHP Medicare	$5.18
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$8.40
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$11.20
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$11.20
Rate for Payer: EmblemHealth Medicaid	$11.20
Rate for Payer: EmblemHealth Medicare	$4.76
Rate for Payer: EmblemHealth Select Care	$8.40
Rate for Payer: Fidelis Medicare	$5.60
Rate for Payer: Galaxy Health Commercial	$9.10
Rate for Payer: Hamaspik Choice Medicare	$5.60
Rate for Payer: Humana Medicare	$5.60
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$9.10
Rate for Payer: Local 1199SEIU Medicare	$6.44
Rate for Payer: MVP Health Care of NY Commercial	$10.50
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$7.88
Rate for Payer: MVP Health Care of NY Medicare	$5.88
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro	$10.50
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.10
Rate for Payer: United Healthcare Commercial	$10.50
Rate for Payer: United Healthcare Medicare	$5.60
Rate for Payer: WellCare Medicare	$7.70

POST-OP SHOE FEMALE LARGE

Facility

$19.57

Hospital Charge Code	4471593
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$15.66
Rate for Payer: Aetna of NY Commercial	$13.70
Rate for Payer: Aetna of NY Medicare	$9.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$7.83
Rate for Payer: Cash Price	$14.68
Rate for Payer: CDPHP Medicare	$7.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$15.66
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$15.66
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$15.66
Rate for Payer: EmblemHealth Medicaid	$15.66
Rate for Payer: EmblemHealth Medicare	$6.65
Rate for Payer: EmblemHealth Select Care	$14.09
Rate for Payer: Fidelis Medicare	$7.83
Rate for Payer: Galaxy Health Commercial	$12.72
Rate for Payer: Hamaspik Choice Medicare	$7.83
Rate for Payer: Humana Medicare	$7.83
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$13.70
Rate for Payer: Local 1199SEIU Medicare	$9.00
Rate for Payer: MVP Health Care of NY Commercial	$14.68
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$11.02
Rate for Payer: MVP Health Care of NY Medicare	$8.22
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.94
Rate for Payer: United Healthcare Medicare	$7.83
Rate for Payer: WellCare Medicare	$10.76

POST-OP SHOE FEMALE LARGE

Facility

$19.57

Hospital Charge Code	4471593
Hospital Revenue Code	270
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Cash Price	$14.68
Rate for Payer: Galaxy Health Commercial	$12.72

POST-OP SHOE FEMALE MEDIUM

Facility

$19.57

Hospital Charge Code	4471592
Hospital Revenue Code	270
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Cash Price	$14.68
Rate for Payer: Galaxy Health Commercial	$12.72

POST-OP SHOE FEMALE MEDIUM

Facility

$19.57

Hospital Charge Code	4471592
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$15.66
Rate for Payer: Aetna of NY Commercial	$13.70
Rate for Payer: Aetna of NY Medicare	$9.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$7.83
Rate for Payer: Cash Price	$14.68
Rate for Payer: CDPHP Medicare	$7.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$15.66
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$15.66
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$15.66
Rate for Payer: EmblemHealth Medicaid	$15.66
Rate for Payer: EmblemHealth Medicare	$6.65
Rate for Payer: EmblemHealth Select Care	$14.09
Rate for Payer: Fidelis Medicare	$7.83
Rate for Payer: Galaxy Health Commercial	$12.72
Rate for Payer: Hamaspik Choice Medicare	$7.83
Rate for Payer: Humana Medicare	$7.83
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$13.70
Rate for Payer: Local 1199SEIU Medicare	$9.00
Rate for Payer: MVP Health Care of NY Commercial	$14.68
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$11.02
Rate for Payer: MVP Health Care of NY Medicare	$8.22
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.94
Rate for Payer: United Healthcare Medicare	$7.83
Rate for Payer: WellCare Medicare	$10.76

POST-OP SHOE FEMALE SMALL

Facility

$19.57

Hospital Charge Code	4471591
Hospital Revenue Code	270
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Cash Price	$14.68
Rate for Payer: Galaxy Health Commercial	$12.72

POST-OP SHOE FEMALE SMALL

Facility

$19.57

Hospital Charge Code	4471591
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$15.66
Rate for Payer: Aetna of NY Commercial	$13.70
Rate for Payer: Aetna of NY Medicare	$9.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$7.83
Rate for Payer: Cash Price	$14.68
Rate for Payer: CDPHP Medicare	$7.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$15.66
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$15.66
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$15.66
Rate for Payer: EmblemHealth Medicaid	$15.66
Rate for Payer: EmblemHealth Medicare	$6.65
Rate for Payer: EmblemHealth Select Care	$14.09
Rate for Payer: Fidelis Medicare	$7.83
Rate for Payer: Galaxy Health Commercial	$12.72
Rate for Payer: Hamaspik Choice Medicare	$7.83
Rate for Payer: Humana Medicare	$7.83
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$13.70
Rate for Payer: Local 1199SEIU Medicare	$9.00
Rate for Payer: MVP Health Care of NY Commercial	$14.68
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$11.02
Rate for Payer: MVP Health Care of NY Medicare	$8.22
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.94
Rate for Payer: United Healthcare Medicare	$7.83
Rate for Payer: WellCare Medicare	$10.76

POST-OP SHOE MALE LARGE

Facility

$19.57

Hospital Charge Code	4471589
Hospital Revenue Code	270
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Cash Price	$14.68
Rate for Payer: Galaxy Health Commercial	$12.72

POST-OP SHOE MALE LARGE

Facility

$19.57

Hospital Charge Code	4471589
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$15.66
Rate for Payer: Aetna of NY Commercial	$13.70
Rate for Payer: Aetna of NY Medicare	$9.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$7.83
Rate for Payer: Cash Price	$14.68
Rate for Payer: CDPHP Medicare	$7.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$15.66
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$15.66
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$15.66
Rate for Payer: EmblemHealth Medicaid	$15.66
Rate for Payer: EmblemHealth Medicare	$6.65
Rate for Payer: EmblemHealth Select Care	$14.09
Rate for Payer: Fidelis Medicare	$7.83
Rate for Payer: Galaxy Health Commercial	$12.72
Rate for Payer: Hamaspik Choice Medicare	$7.83
Rate for Payer: Humana Medicare	$7.83
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$13.70
Rate for Payer: Local 1199SEIU Medicare	$9.00
Rate for Payer: MVP Health Care of NY Commercial	$14.68
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$11.02
Rate for Payer: MVP Health Care of NY Medicare	$8.22
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.94
Rate for Payer: United Healthcare Medicare	$7.83
Rate for Payer: WellCare Medicare	$10.76

POST-OP SHOE MALE MEDIUM

Facility

$19.57

Hospital Charge Code	4471588
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$15.66
Rate for Payer: Aetna of NY Commercial	$13.70
Rate for Payer: Aetna of NY Medicare	$9.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$7.83
Rate for Payer: Cash Price	$14.68
Rate for Payer: CDPHP Medicare	$7.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$15.66
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$15.66
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$15.66
Rate for Payer: EmblemHealth Medicaid	$15.66
Rate for Payer: EmblemHealth Medicare	$6.65
Rate for Payer: EmblemHealth Select Care	$14.09
Rate for Payer: Fidelis Medicare	$7.83
Rate for Payer: Galaxy Health Commercial	$12.72
Rate for Payer: Hamaspik Choice Medicare	$7.83
Rate for Payer: Humana Medicare	$7.83
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$13.70
Rate for Payer: Local 1199SEIU Medicare	$9.00
Rate for Payer: MVP Health Care of NY Commercial	$14.68
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$11.02
Rate for Payer: MVP Health Care of NY Medicare	$8.22
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.94
Rate for Payer: United Healthcare Medicare	$7.83
Rate for Payer: WellCare Medicare	$10.76

POST-OP SHOE MALE MEDIUM

Facility

$19.57

Hospital Charge Code	4471588
Hospital Revenue Code	270
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Cash Price	$14.68
Rate for Payer: Galaxy Health Commercial	$12.72

POST-OP SHOE MALE SMALL

Facility

$19.57

Hospital Charge Code	4471587
Hospital Revenue Code	270
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$12.72
Rate for Payer: Cash Price	$14.68
Rate for Payer: Galaxy Health Commercial	$12.72

POST-OP SHOE MALE SMALL

Facility

$19.57

Hospital Charge Code	4471587
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$15.66
Rate for Payer: Aetna of NY Commercial	$13.70
Rate for Payer: Aetna of NY Medicare	$9.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$7.83
Rate for Payer: Cash Price	$14.68
Rate for Payer: CDPHP Medicare	$7.24
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$15.66
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$15.66
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$15.66
Rate for Payer: EmblemHealth Medicaid	$15.66
Rate for Payer: EmblemHealth Medicare	$6.65
Rate for Payer: EmblemHealth Select Care	$14.09
Rate for Payer: Fidelis Medicare	$7.83
Rate for Payer: Galaxy Health Commercial	$12.72
Rate for Payer: Hamaspik Choice Medicare	$7.83
Rate for Payer: Humana Medicare	$7.83
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$13.70
Rate for Payer: Local 1199SEIU Medicare	$9.00
Rate for Payer: MVP Health Care of NY Commercial	$14.68
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$11.02
Rate for Payer: MVP Health Care of NY Medicare	$8.22
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.94
Rate for Payer: United Healthcare Medicare	$7.83
Rate for Payer: WellCare Medicare	$10.76

POST-OP SHOE MALE XLARGE

Facility

$46.35

Hospital Charge Code	4471590
Hospital Revenue Code	270
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$37.08
Rate for Payer: Aetna of NY Commercial	$32.45
Rate for Payer: Aetna of NY Medicare	$21.32
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$18.54
Rate for Payer: Cash Price	$34.76
Rate for Payer: CDPHP Medicare	$17.15
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$37.08
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$37.08
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$37.08
Rate for Payer: EmblemHealth Medicaid	$37.08
Rate for Payer: EmblemHealth Medicare	$15.76
Rate for Payer: EmblemHealth Select Care	$33.37
Rate for Payer: Fidelis Medicare	$18.54
Rate for Payer: Galaxy Health Commercial	$30.13
Rate for Payer: Hamaspik Choice Medicare	$18.54
Rate for Payer: Humana Medicare	$18.54
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$32.45
Rate for Payer: Local 1199SEIU Medicare	$21.32
Rate for Payer: MVP Health Care of NY Commercial	$34.76
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$26.10
Rate for Payer: MVP Health Care of NY Medicare	$19.47
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$6.95
Rate for Payer: United Healthcare Medicare	$18.54
Rate for Payer: WellCare Medicare	$25.49

Know your out-of-pocket cost for care.

All Charges