Ellenville Regional Hospital

All Charges

Charge

Type

Setting

Price

3-0 2.0 METRIC SILK

Facility

$33.99

Hospital Charge Code	4478156
Hospital Revenue Code	270
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$27.19
Rate for Payer: Aetna of NY Commercial	$23.79
Rate for Payer: Aetna of NY Medicare	$15.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$13.60
Rate for Payer: Cash Price	$25.49
Rate for Payer: CDPHP Medicare	$12.58
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$27.19
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$27.19
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$27.19
Rate for Payer: EmblemHealth Medicaid	$27.19
Rate for Payer: EmblemHealth Medicare	$11.56
Rate for Payer: EmblemHealth Select Care	$24.47
Rate for Payer: Fidelis Medicare	$13.60
Rate for Payer: Galaxy Health Commercial	$22.09
Rate for Payer: Hamaspik Choice Medicare	$13.60
Rate for Payer: Humana Medicare	$13.60
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$23.79
Rate for Payer: Local 1199SEIU Medicare	$15.64
Rate for Payer: MVP Health Care of NY Commercial	$25.49
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$19.14
Rate for Payer: MVP Health Care of NY Medicare	$14.28
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$5.10
Rate for Payer: United Healthcare Medicare	$13.60
Rate for Payer: WellCare Medicare	$18.69

3-0 2.0 METRIC SILK

Facility

$33.99

Hospital Charge Code	4478156
Hospital Revenue Code	270
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$22.09
Rate for Payer: Cash Price	$25.49
Rate for Payer: Galaxy Health Commercial	$22.09

3-0 ETHILON 18" PS-2 CUTTING

Facility

$19.57

Hospital Charge Code	4471172
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

3-0 ETHILON 18" PS-2 CUTTING

Facility

$19.57

Hospital Charge Code	4471172
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

3-0 MONOSOF P-12

Facility

$33.99

Hospital Charge Code	4478155
Hospital Revenue Code	270
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$27.19
Rate for Payer: Aetna of NY Commercial	$23.79
Rate for Payer: Aetna of NY Medicare	$15.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$13.60
Rate for Payer: Cash Price	$25.49
Rate for Payer: CDPHP Medicare	$12.58
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$27.19
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$27.19
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$27.19
Rate for Payer: EmblemHealth Medicaid	$27.19
Rate for Payer: EmblemHealth Medicare	$11.56
Rate for Payer: EmblemHealth Select Care	$24.47
Rate for Payer: Fidelis Medicare	$13.60
Rate for Payer: Galaxy Health Commercial	$22.09
Rate for Payer: Hamaspik Choice Medicare	$13.60
Rate for Payer: Humana Medicare	$13.60
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$23.79
Rate for Payer: Local 1199SEIU Medicare	$15.64
Rate for Payer: MVP Health Care of NY Commercial	$25.49
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$19.14
Rate for Payer: MVP Health Care of NY Medicare	$14.28
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$5.10
Rate for Payer: United Healthcare Medicare	$13.60
Rate for Payer: WellCare Medicare	$18.69

3-0 MONOSOF P-12

Facility

$33.99

Hospital Charge Code	4478155
Hospital Revenue Code	270
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$22.09
Rate for Payer: Cash Price	$25.49
Rate for Payer: Galaxy Health Commercial	$22.09

3-0 POLYSORB GL-126

Facility

$13.39

Hospital Charge Code	4478160
Hospital Revenue Code	270
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$10.71
Rate for Payer: Aetna of NY Commercial	$9.37
Rate for Payer: Aetna of NY Medicare	$6.16
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$5.36
Rate for Payer: Cash Price	$10.04
Rate for Payer: CDPHP Medicare	$4.95
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$10.71
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$10.71
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$10.71
Rate for Payer: EmblemHealth Medicaid	$10.71
Rate for Payer: EmblemHealth Medicare	$4.55
Rate for Payer: EmblemHealth Select Care	$9.64
Rate for Payer: Fidelis Medicare	$5.36
Rate for Payer: Galaxy Health Commercial	$8.70
Rate for Payer: Hamaspik Choice Medicare	$5.36
Rate for Payer: Humana Medicare	$5.36
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$9.37
Rate for Payer: Local 1199SEIU Medicare	$6.16
Rate for Payer: MVP Health Care of NY Commercial	$10.04
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$7.54
Rate for Payer: MVP Health Care of NY Medicare	$5.62
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.01
Rate for Payer: United Healthcare Medicare	$5.36
Rate for Payer: WellCare Medicare	$7.36

3-0 POLYSORB GL-126

Facility

$13.39

Hospital Charge Code	4478160
Hospital Revenue Code	270
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Cash Price	$10.04
Rate for Payer: Galaxy Health Commercial	$8.70

3-0PROLENE FS-1

Facility

$22.66

Hospital Charge Code	4478158
Hospital Revenue Code	270
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$18.13
Rate for Payer: Aetna of NY Commercial	$15.86
Rate for Payer: Aetna of NY Medicare	$10.42
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$9.06
Rate for Payer: Cash Price	$17.00
Rate for Payer: CDPHP Medicare	$8.38
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$18.13
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$18.13
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$18.13
Rate for Payer: EmblemHealth Medicaid	$18.13
Rate for Payer: EmblemHealth Medicare	$7.70
Rate for Payer: EmblemHealth Select Care	$16.32
Rate for Payer: Fidelis Medicare	$9.06
Rate for Payer: Galaxy Health Commercial	$14.73
Rate for Payer: Hamaspik Choice Medicare	$9.06
Rate for Payer: Humana Medicare	$9.06
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$15.86
Rate for Payer: Local 1199SEIU Medicare	$10.42
Rate for Payer: MVP Health Care of NY Commercial	$17.00
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$12.76
Rate for Payer: MVP Health Care of NY Medicare	$9.52
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$3.40
Rate for Payer: United Healthcare Medicare	$9.06
Rate for Payer: WellCare Medicare	$12.46

3-0PROLENE FS-1

Facility

$22.66

Hospital Charge Code	4478158
Hospital Revenue Code	270
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$14.73
Rate for Payer: Cash Price	$17.00
Rate for Payer: Galaxy Health Commercial	$14.73

3-0 SURGIPRO 18" C-14 CUTTING

Facility

$15.45

Hospital Charge Code	4472085
Hospital Revenue Code	270
Min. Negotiated Rate	$10.04
Max. Negotiated Rate	$10.04
Rate for Payer: Cash Price	$11.59
Rate for Payer: Galaxy Health Commercial	$10.04

3-0 SURGIPRO 18" C-14 CUTTING

Facility

$15.45

Hospital Charge Code	4472085
Hospital Revenue Code	270
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$12.36
Rate for Payer: Aetna of NY Commercial	$10.81
Rate for Payer: Aetna of NY Medicare	$7.11
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$6.18
Rate for Payer: Cash Price	$11.59
Rate for Payer: CDPHP Medicare	$5.72
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$12.36
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$12.36
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$12.36
Rate for Payer: EmblemHealth Medicaid	$12.36
Rate for Payer: EmblemHealth Medicare	$5.25
Rate for Payer: EmblemHealth Select Care	$11.12
Rate for Payer: Fidelis Medicare	$6.18
Rate for Payer: Galaxy Health Commercial	$10.04
Rate for Payer: Hamaspik Choice Medicare	$6.18
Rate for Payer: Humana Medicare	$6.18
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$10.81
Rate for Payer: Local 1199SEIU Medicare	$7.11
Rate for Payer: MVP Health Care of NY Commercial	$11.59
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$8.70
Rate for Payer: MVP Health Care of NY Medicare	$6.49
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.32
Rate for Payer: United Healthcare Medicare	$6.18
Rate for Payer: WellCare Medicare	$8.50

3-0 SURGIPRO II P-14

Facility

$15.45

Hospital Charge Code	4478161
Hospital Revenue Code	270
Min. Negotiated Rate	$10.04
Max. Negotiated Rate	$10.04
Rate for Payer: Cash Price	$11.59
Rate for Payer: Galaxy Health Commercial	$10.04

3-0 SURGIPRO II P-14

Facility

$15.45

Hospital Charge Code	4478161
Hospital Revenue Code	270
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$12.36
Rate for Payer: Aetna of NY Commercial	$10.81
Rate for Payer: Aetna of NY Medicare	$7.11
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$6.18
Rate for Payer: Cash Price	$11.59
Rate for Payer: CDPHP Medicare	$5.72
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$12.36
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$12.36
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$12.36
Rate for Payer: EmblemHealth Medicaid	$12.36
Rate for Payer: EmblemHealth Medicare	$5.25
Rate for Payer: EmblemHealth Select Care	$11.12
Rate for Payer: Fidelis Medicare	$6.18
Rate for Payer: Galaxy Health Commercial	$10.04
Rate for Payer: Hamaspik Choice Medicare	$6.18
Rate for Payer: Humana Medicare	$6.18
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$10.81
Rate for Payer: Local 1199SEIU Medicare	$7.11
Rate for Payer: MVP Health Care of NY Commercial	$11.59
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$8.70
Rate for Payer: MVP Health Care of NY Medicare	$6.49
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.32
Rate for Payer: United Healthcare Medicare	$6.18
Rate for Payer: WellCare Medicare	$8.50

3-0 VICRYL MHV-26 SUTURE

Facility

$15.45

Hospital Charge Code	4471907
Hospital Revenue Code	270
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$12.36
Rate for Payer: Aetna of NY Commercial	$10.81
Rate for Payer: Aetna of NY Medicare	$7.11
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$6.18
Rate for Payer: Cash Price	$11.59
Rate for Payer: CDPHP Medicare	$5.72
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$12.36
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$12.36
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$12.36
Rate for Payer: EmblemHealth Medicaid	$12.36
Rate for Payer: EmblemHealth Medicare	$5.25
Rate for Payer: EmblemHealth Select Care	$11.12
Rate for Payer: Fidelis Medicare	$6.18
Rate for Payer: Galaxy Health Commercial	$10.04
Rate for Payer: Hamaspik Choice Medicare	$6.18
Rate for Payer: Humana Medicare	$6.18
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$10.81
Rate for Payer: Local 1199SEIU Medicare	$7.11
Rate for Payer: MVP Health Care of NY Commercial	$11.59
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$8.70
Rate for Payer: MVP Health Care of NY Medicare	$6.49
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$2.32
Rate for Payer: United Healthcare Medicare	$6.18
Rate for Payer: WellCare Medicare	$8.50

3-0 VICRYL MHV-26 SUTURE

Facility

$15.45

Hospital Charge Code	4471907
Hospital Revenue Code	270
Min. Negotiated Rate	$10.04
Max. Negotiated Rate	$10.04
Rate for Payer: Cash Price	$11.59
Rate for Payer: Galaxy Health Commercial	$10.04

3.5MM CALCANEAL PLATE

Facility

$1,621.22

Hospital Charge Code	4472232
Hospital Revenue Code	278
Min. Negotiated Rate	$243.18
Max. Negotiated Rate	$1,296.98
Rate for Payer: Aetna of NY Commercial	$1,134.85
Rate for Payer: Aetna of NY Medicare	$745.76
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$648.49
Rate for Payer: Cash Price	$1,215.92
Rate for Payer: CDPHP Medicare	$599.85
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$810.61
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$1,296.98
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$1,296.98
Rate for Payer: EmblemHealth Medicaid	$1,296.98
Rate for Payer: EmblemHealth Medicare	$551.21
Rate for Payer: EmblemHealth Select Care	$810.61
Rate for Payer: Fidelis Medicare	$648.49
Rate for Payer: Galaxy Health Commercial	$1,053.79
Rate for Payer: Hamaspik Choice Medicare	$648.49
Rate for Payer: Humana Medicare	$648.49
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$1,134.85
Rate for Payer: Local 1199SEIU Medicare	$745.76
Rate for Payer: MVP Health Care of NY Commercial	$1,053.79
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$1,053.79
Rate for Payer: MVP Health Care of NY Medicare	$680.91
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$243.18
Rate for Payer: United Healthcare Medicare	$648.49
Rate for Payer: WellCare Medicare	$891.67

3.5MM CALCANEAL PLATE

Facility

$1,621.22

Hospital Charge Code	4472232
Hospital Revenue Code	278
Min. Negotiated Rate	$729.55
Max. Negotiated Rate	$1,134.85
Rate for Payer: Aetna of NY Commercial	$1,134.85
Rate for Payer: Cash Price	$1,215.92
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$810.61
Rate for Payer: EmblemHealth Select Care	$810.61
Rate for Payer: Galaxy Health Commercial	$1,053.79
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$1,134.85
Rate for Payer: Multiplan Commercial	$729.55
Rate for Payer: MVP Health Care of NY Commercial	$1,053.79
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$1,053.79
Rate for Payer: WellCare Medicare	$891.67

3.5MM CLOVERLEAF PLATE, 3-5 HOLES

Facility

$1,008.37

Hospital Charge Code	4472230
Hospital Revenue Code	278
Min. Negotiated Rate	$151.26
Max. Negotiated Rate	$806.70
Rate for Payer: Aetna of NY Commercial	$705.86
Rate for Payer: Aetna of NY Medicare	$463.85
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$403.35
Rate for Payer: Cash Price	$756.28
Rate for Payer: CDPHP Medicare	$373.10
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$504.19
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$806.70
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$806.70
Rate for Payer: EmblemHealth Medicaid	$806.70
Rate for Payer: EmblemHealth Medicare	$342.85
Rate for Payer: EmblemHealth Select Care	$504.19
Rate for Payer: Fidelis Medicare	$403.35
Rate for Payer: Galaxy Health Commercial	$655.44
Rate for Payer: Hamaspik Choice Medicare	$403.35
Rate for Payer: Humana Medicare	$403.35
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$705.86
Rate for Payer: Local 1199SEIU Medicare	$463.85
Rate for Payer: MVP Health Care of NY Commercial	$655.44
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$655.44
Rate for Payer: MVP Health Care of NY Medicare	$423.52
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$151.26
Rate for Payer: United Healthcare Medicare	$403.35
Rate for Payer: WellCare Medicare	$554.60

3.5MM CLOVERLEAF PLATE, 3-5 HOLES

Facility

$1,008.37

Hospital Charge Code	4472230
Hospital Revenue Code	278
Min. Negotiated Rate	$453.77
Max. Negotiated Rate	$705.86
Rate for Payer: Aetna of NY Commercial	$705.86
Rate for Payer: Cash Price	$756.28
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$504.19
Rate for Payer: EmblemHealth Select Care	$504.19
Rate for Payer: Galaxy Health Commercial	$655.44
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$705.86
Rate for Payer: Multiplan Commercial	$453.77
Rate for Payer: MVP Health Care of NY Commercial	$655.44
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$655.44
Rate for Payer: WellCare Medicare	$554.60

3.5MM CLOVERLEAF PLATE, 5> HOLES

Facility

$1,461.57

Hospital Charge Code	4472231
Hospital Revenue Code	278
Min. Negotiated Rate	$219.24
Max. Negotiated Rate	$1,169.26
Rate for Payer: Aetna of NY Commercial	$1,023.10
Rate for Payer: Aetna of NY Medicare	$672.32
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$584.63
Rate for Payer: Cash Price	$1,096.18
Rate for Payer: CDPHP Medicare	$540.78
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$730.78
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$1,169.26
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$1,169.26
Rate for Payer: EmblemHealth Medicaid	$1,169.26
Rate for Payer: EmblemHealth Medicare	$496.93
Rate for Payer: EmblemHealth Select Care	$730.78
Rate for Payer: Fidelis Medicare	$584.63
Rate for Payer: Galaxy Health Commercial	$950.02
Rate for Payer: Hamaspik Choice Medicare	$584.63
Rate for Payer: Humana Medicare	$584.63
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$1,023.10
Rate for Payer: Local 1199SEIU Medicare	$672.32
Rate for Payer: MVP Health Care of NY Commercial	$950.02
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$950.02
Rate for Payer: MVP Health Care of NY Medicare	$613.86
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$219.24
Rate for Payer: United Healthcare Medicare	$584.63
Rate for Payer: WellCare Medicare	$803.86

3.5MM CLOVERLEAF PLATE, 5> HOLES

Facility

$1,461.57

Hospital Charge Code	4472231
Hospital Revenue Code	278
Min. Negotiated Rate	$657.71
Max. Negotiated Rate	$1,023.10
Rate for Payer: Aetna of NY Commercial	$1,023.10
Rate for Payer: Cash Price	$1,096.18
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$730.78
Rate for Payer: EmblemHealth Select Care	$730.78
Rate for Payer: Galaxy Health Commercial	$950.02
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$1,023.10
Rate for Payer: Multiplan Commercial	$657.71
Rate for Payer: MVP Health Care of NY Commercial	$950.02
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$950.02
Rate for Payer: WellCare Medicare	$803.86

3.5MM COMPRESSION PLATE, 12> HOLES

Facility

$1,447.15

Hospital Charge Code	4472225
Hospital Revenue Code	278
Min. Negotiated Rate	$217.07
Max. Negotiated Rate	$1,157.72
Rate for Payer: Aetna of NY Commercial	$1,013.00
Rate for Payer: Aetna of NY Medicare	$665.69
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare	$578.86
Rate for Payer: Cash Price	$1,085.36
Rate for Payer: CDPHP Medicare	$535.45
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$723.58
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2	$1,157.72
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4	$1,157.72
Rate for Payer: EmblemHealth Medicaid	$1,157.72
Rate for Payer: EmblemHealth Medicare	$492.03
Rate for Payer: EmblemHealth Select Care	$723.58
Rate for Payer: Fidelis Medicare	$578.86
Rate for Payer: Galaxy Health Commercial	$940.65
Rate for Payer: Hamaspik Choice Medicare	$578.86
Rate for Payer: Humana Medicare	$578.86
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$1,013.00
Rate for Payer: Local 1199SEIU Medicare	$665.69
Rate for Payer: MVP Health Care of NY Commercial	$940.65
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$940.65
Rate for Payer: MVP Health Care of NY Medicare	$607.80
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid	$217.07
Rate for Payer: United Healthcare Medicare	$578.86
Rate for Payer: WellCare Medicare	$795.93

3.5MM COMPRESSION PLATE, 12> HOLES

Facility

$1,447.15

Hospital Charge Code	4472225
Hospital Revenue Code	278
Min. Negotiated Rate	$651.22
Max. Negotiated Rate	$1,013.00
Rate for Payer: Aetna of NY Commercial	$1,013.00
Rate for Payer: Cash Price	$1,085.36
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$723.58
Rate for Payer: EmblemHealth Select Care	$723.58
Rate for Payer: Galaxy Health Commercial	$940.65
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$1,013.00
Rate for Payer: Multiplan Commercial	$651.22
Rate for Payer: MVP Health Care of NY Commercial	$940.65
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$940.65
Rate for Payer: WellCare Medicare	$795.93

3.5MM COMPRESSION PLATE, 2-8 HOLES

Facility

$494.40

Hospital Charge Code	4472223
Hospital Revenue Code	278
Min. Negotiated Rate	$222.48
Max. Negotiated Rate	$346.08
Rate for Payer: Aetna of NY Commercial	$346.08
Rate for Payer: Cash Price	$370.80
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access	$247.20
Rate for Payer: EmblemHealth Select Care	$247.20
Rate for Payer: Galaxy Health Commercial	$321.36
Rate for Payer: Local 1199SEIU Aetna Signature Administrators	$346.08
Rate for Payer: Multiplan Commercial	$222.48
Rate for Payer: MVP Health Care of NY Commercial	$321.36
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan	$321.36
Rate for Payer: WellCare Medicare	$271.92

Know your out-of-pocket cost for care.

All Charges