|
METAMUCIL FIBER SINGLES PACKET 1 ea, 44 eaches
|
Facility
OP
|
$6.00
|
|
| Hospital Charge Code |
4401419
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$2.04 |
| Max. Negotiated Rate |
$4.83 |
| Rate for Payer: Aetna of NY Commercial |
$4.20
|
| Rate for Payer: Aetna of NY Medicare |
$2.76
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$4.50
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$4.50
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$2.22
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$3.00
|
| Rate for Payer: Cash Price |
$4.50
|
| Rate for Payer: CDPHP Commercial |
$4.83
|
| Rate for Payer: CDPHP Medicare |
$2.22
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$4.80
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$4.80
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$4.80
|
| Rate for Payer: EmblemHealth Medicaid |
$4.80
|
| Rate for Payer: EmblemHealth Medicare |
$2.04
|
| Rate for Payer: EmblemHealth Select Care |
$4.32
|
| Rate for Payer: Fidelis Medicare |
$2.29
|
| Rate for Payer: Galaxy Health Commercial |
$3.90
|
| Rate for Payer: Hamaspik Choice Medicare |
$2.22
|
| Rate for Payer: Humana Medicare |
$2.22
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$4.20
|
| Rate for Payer: Local 1199SEIU Medicare |
$2.76
|
| Rate for Payer: MVP Health Care of NY Commercial |
$4.50
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$3.38
|
| Rate for Payer: MVP Health Care of NY Medicare |
$2.33
|
| Rate for Payer: United Healthcare Medicare |
$2.22
|
| Rate for Payer: WellCare Medicare |
$3.30
|
|
|
METANEPHRINES 24 HR URIN
|
Facility
OP
|
$66.00
|
|
|
Service Code
|
HCPCS 83835
|
| Hospital Charge Code |
4300556
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.94 |
| Max. Negotiated Rate |
$53.13 |
| Rate for Payer: Aetna of NY Commercial |
$42.90
|
| Rate for Payer: Aetna of NY Medicare |
$30.36
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$24.42
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$33.00
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: CDPHP Commercial |
$53.13
|
| Rate for Payer: CDPHP Medicare |
$24.42
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$52.80
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$52.80
|
| Rate for Payer: EmblemHealth Medicaid |
$52.80
|
| Rate for Payer: EmblemHealth Medicare |
$22.44
|
| Rate for Payer: Fidelis Medicare |
$25.15
|
| Rate for Payer: Galaxy Health Commercial |
$42.90
|
| Rate for Payer: Hamaspik Choice Medicare |
$24.42
|
| Rate for Payer: Humana Medicare |
$24.42
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$42.90
|
| Rate for Payer: Local 1199SEIU Medicare |
$30.36
|
| Rate for Payer: MVP Health Care of NY Commercial |
$49.50
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$37.16
|
| Rate for Payer: MVP Health Care of NY Medicare |
$25.64
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$49.50
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$16.94
|
| Rate for Payer: United Healthcare Commercial |
$49.50
|
| Rate for Payer: United Healthcare Medicare |
$24.42
|
| Rate for Payer: WellCare Medicare |
$36.30
|
|
|
METATARSAL DECOMPRESSION IMPLANT (MDI)
|
Facility
OP
|
$16,738.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
4471665
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,690.92 |
| Max. Negotiated Rate |
$13,474.09 |
| Rate for Payer: Aetna of NY Commercial |
$11,716.60
|
| Rate for Payer: Aetna of NY Medicare |
$7,699.48
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$7,532.10
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$7,532.10
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$6,193.06
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$8,369.00
|
| Rate for Payer: Cash Price |
$12,553.50
|
| Rate for Payer: CDPHP Commercial |
$13,474.09
|
| Rate for Payer: CDPHP Medicare |
$6,193.06
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$8,369.00
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$13,390.40
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$13,390.40
|
| Rate for Payer: EmblemHealth Medicaid |
$13,390.40
|
| Rate for Payer: EmblemHealth Medicare |
$5,690.92
|
| Rate for Payer: EmblemHealth Select Care |
$8,369.00
|
| Rate for Payer: Fidelis Medicare |
$6,378.85
|
| Rate for Payer: Galaxy Health Commercial |
$10,879.70
|
| Rate for Payer: Hamaspik Choice Medicare |
$6,193.06
|
| Rate for Payer: Humana Medicare |
$6,193.06
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$11,716.60
|
| Rate for Payer: Local 1199SEIU Medicare |
$7,699.48
|
| Rate for Payer: MVP Health Care of NY Commercial |
$10,879.70
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$10,879.70
|
| Rate for Payer: MVP Health Care of NY Medicare |
$6,502.71
|
| Rate for Payer: United Healthcare Medicare |
$6,193.06
|
| Rate for Payer: WellCare Medicare |
$9,205.90
|
|
|
METAXALONE 800 MG
|
Facility
OP
|
$18.54
|
|
| Hospital Charge Code |
4409020
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$14.92 |
| Rate for Payer: Aetna of NY Commercial |
$12.98
|
| Rate for Payer: Aetna of NY Medicare |
$8.53
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$13.90
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$13.90
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$6.86
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$9.27
|
| Rate for Payer: Cash Price |
$13.90
|
| Rate for Payer: CDPHP Commercial |
$14.92
|
| Rate for Payer: CDPHP Medicare |
$6.86
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$14.83
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$14.83
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$14.83
|
| Rate for Payer: EmblemHealth Medicaid |
$14.83
|
| Rate for Payer: EmblemHealth Medicare |
$6.30
|
| Rate for Payer: EmblemHealth Select Care |
$13.35
|
| Rate for Payer: Fidelis Medicare |
$7.07
|
| Rate for Payer: Galaxy Health Commercial |
$12.05
|
| Rate for Payer: Hamaspik Choice Medicare |
$6.86
|
| Rate for Payer: Humana Medicare |
$6.86
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$12.98
|
| Rate for Payer: Local 1199SEIU Medicare |
$8.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$13.90
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$10.44
|
| Rate for Payer: MVP Health Care of NY Medicare |
$7.20
|
| Rate for Payer: United Healthcare Medicare |
$6.86
|
| Rate for Payer: WellCare Medicare |
$10.20
|
|
|
METER PEAK FLOW
|
Facility
OP
|
$72.00
|
|
| Hospital Charge Code |
4471034
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.48 |
| Max. Negotiated Rate |
$57.96 |
| Rate for Payer: Aetna of NY Commercial |
$50.40
|
| Rate for Payer: Aetna of NY Medicare |
$33.12
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$54.00
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$54.00
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$26.64
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$36.00
|
| Rate for Payer: Cash Price |
$54.00
|
| Rate for Payer: CDPHP Commercial |
$57.96
|
| Rate for Payer: CDPHP Medicare |
$26.64
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$57.60
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$57.60
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$57.60
|
| Rate for Payer: EmblemHealth Medicaid |
$57.60
|
| Rate for Payer: EmblemHealth Medicare |
$24.48
|
| Rate for Payer: EmblemHealth Select Care |
$51.84
|
| Rate for Payer: Fidelis Medicare |
$27.44
|
| Rate for Payer: Galaxy Health Commercial |
$46.80
|
| Rate for Payer: Hamaspik Choice Medicare |
$26.64
|
| Rate for Payer: Humana Medicare |
$26.64
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$50.40
|
| Rate for Payer: Local 1199SEIU Medicare |
$33.12
|
| Rate for Payer: MVP Health Care of NY Commercial |
$54.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$40.54
|
| Rate for Payer: MVP Health Care of NY Medicare |
$27.97
|
| Rate for Payer: United Healthcare Medicare |
$26.64
|
| Rate for Payer: WellCare Medicare |
$39.60
|
|
|
METFORMIN 500 MG TAB
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4409019
|
|
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
|
|
|
METFORMIN HCL 1000MG TABS 10X10EA
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4400493
|
|
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
|
|
|
METFORMIN HCL 500MG TABS 100 EA
|
Facility
OP
|
$20.00
|
|
| Hospital Charge Code |
4400492
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$16.10 |
| Rate for Payer: Aetna of NY Commercial |
$14.00
|
| Rate for Payer: Aetna of NY Medicare |
$9.20
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$15.00
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$15.00
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$7.40
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$10.00
|
| Rate for Payer: Cash Price |
$15.00
|
| Rate for Payer: CDPHP Commercial |
$16.10
|
| Rate for Payer: CDPHP Medicare |
$7.40
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$16.00
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$16.00
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$16.00
|
| Rate for Payer: EmblemHealth Medicaid |
$16.00
|
| Rate for Payer: EmblemHealth Medicare |
$6.80
|
| Rate for Payer: EmblemHealth Select Care |
$14.40
|
| Rate for Payer: Fidelis Medicare |
$7.62
|
| Rate for Payer: Galaxy Health Commercial |
$13.00
|
| Rate for Payer: Hamaspik Choice Medicare |
$7.40
|
| Rate for Payer: Humana Medicare |
$7.40
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$14.00
|
| Rate for Payer: Local 1199SEIU Medicare |
$9.20
|
| Rate for Payer: MVP Health Care of NY Commercial |
$15.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$11.26
|
| Rate for Payer: MVP Health Care of NY Medicare |
$7.77
|
| Rate for Payer: United Healthcare Medicare |
$7.40
|
| Rate for Payer: WellCare Medicare |
$11.00
|
|
|
METHADONE HCL 10MG TABS 10X10EA
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4400497
|
|
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
|
|
|
METHYLDOPA 250 MG TAB
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4409080
|
|
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
|
|
|
METHYLENE BLUE 0.01 SDV 10X10ML
|
Facility
OP
|
$506.50
|
|
| Hospital Charge Code |
4400500
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$172.21 |
| Max. Negotiated Rate |
$407.73 |
| Rate for Payer: Aetna of NY Commercial |
$354.55
|
| Rate for Payer: Aetna of NY Medicare |
$232.99
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$379.88
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$379.88
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$187.40
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$253.25
|
| Rate for Payer: Cash Price |
$379.88
|
| Rate for Payer: CDPHP Commercial |
$407.73
|
| Rate for Payer: CDPHP Medicare |
$187.40
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$405.20
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$405.20
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$405.20
|
| Rate for Payer: EmblemHealth Medicaid |
$405.20
|
| Rate for Payer: EmblemHealth Medicare |
$172.21
|
| Rate for Payer: EmblemHealth Select Care |
$364.68
|
| Rate for Payer: Fidelis Medicare |
$193.03
|
| Rate for Payer: Galaxy Health Commercial |
$329.22
|
| Rate for Payer: Hamaspik Choice Medicare |
$187.40
|
| Rate for Payer: Humana Medicare |
$187.40
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$354.55
|
| Rate for Payer: Local 1199SEIU Medicare |
$232.99
|
| Rate for Payer: MVP Health Care of NY Commercial |
$379.88
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$285.16
|
| Rate for Payer: MVP Health Care of NY Medicare |
$196.78
|
| Rate for Payer: United Healthcare Medicare |
$187.40
|
| Rate for Payer: WellCare Medicare |
$278.58
|
|
|
METHYLMALONIC ACID, SERUM
|
Facility
OP
|
$76.00
|
|
|
Service Code
|
HCPCS 83921
|
| Hospital Charge Code |
4300099
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$21.21 |
| Max. Negotiated Rate |
$61.18 |
| Rate for Payer: Aetna of NY Commercial |
$49.40
|
| Rate for Payer: Aetna of NY Medicare |
$34.96
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$57.00
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$57.00
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$28.12
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$38.00
|
| Rate for Payer: Cash Price |
$57.00
|
| Rate for Payer: Cash Price |
$57.00
|
| Rate for Payer: CDPHP Commercial |
$61.18
|
| Rate for Payer: CDPHP Medicare |
$28.12
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$60.80
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$60.80
|
| Rate for Payer: EmblemHealth Medicaid |
$60.80
|
| Rate for Payer: EmblemHealth Medicare |
$25.84
|
| Rate for Payer: Fidelis Medicare |
$28.96
|
| Rate for Payer: Galaxy Health Commercial |
$49.40
|
| Rate for Payer: Hamaspik Choice Medicare |
$28.12
|
| Rate for Payer: Humana Medicare |
$28.12
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$49.40
|
| Rate for Payer: Local 1199SEIU Medicare |
$34.96
|
| Rate for Payer: MVP Health Care of NY Commercial |
$57.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$42.79
|
| Rate for Payer: MVP Health Care of NY Medicare |
$29.53
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$57.00
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$21.21
|
| Rate for Payer: United Healthcare Commercial |
$57.00
|
| Rate for Payer: United Healthcare Medicare |
$28.12
|
| Rate for Payer: WellCare Medicare |
$41.80
|
|
|
METHYLPREDNISOLONE 4 MG TAB
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4409045
|
|
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
|
|
|
METHYLPREDNISOLONE ACETATE INJ, 40 MG
|
Facility
OP
|
$30.64
|
|
|
Service Code
|
HCPCS J1030
|
| Hospital Charge Code |
4400209
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.42 |
| Max. Negotiated Rate |
$24.67 |
| Rate for Payer: Aetna of NY Commercial |
$16.85
|
| Rate for Payer: Aetna of NY Medicare |
$14.09
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$13.79
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$13.79
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$11.34
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$15.32
|
| Rate for Payer: Cash Price |
$22.98
|
| Rate for Payer: Cash Price |
$22.98
|
| Rate for Payer: CDPHP Commercial |
$24.67
|
| Rate for Payer: CDPHP Medicare |
$11.34
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$24.51
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$24.51
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$24.51
|
| Rate for Payer: EmblemHealth Medicaid |
$24.51
|
| Rate for Payer: EmblemHealth Medicare |
$10.42
|
| Rate for Payer: EmblemHealth Select Care |
$22.06
|
| Rate for Payer: Fidelis Medicare |
$11.68
|
| Rate for Payer: Galaxy Health Commercial |
$19.92
|
| Rate for Payer: Hamaspik Choice Medicare |
$11.34
|
| Rate for Payer: Humana Medicare |
$11.34
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$16.85
|
| Rate for Payer: Local 1199SEIU Medicare |
$14.09
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.98
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$17.25
|
| Rate for Payer: MVP Health Care of NY Medicare |
$11.90
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$12.56
|
| Rate for Payer: United Healthcare Commercial |
$12.56
|
| Rate for Payer: United Healthcare Medicare |
$11.34
|
| Rate for Payer: WellCare Medicare |
$16.85
|
|
|
METHYLPREDNISOLONE ACETATE INJ, 80 MG
|
Facility
OP
|
$53.30
|
|
|
Service Code
|
HCPCS J1040
|
| Hospital Charge Code |
4400210
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.12 |
| Max. Negotiated Rate |
$42.91 |
| Rate for Payer: Aetna of NY Commercial |
$29.32
|
| Rate for Payer: Aetna of NY Medicare |
$24.52
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$23.98
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$23.98
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$19.72
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$26.65
|
| Rate for Payer: Cash Price |
$39.97
|
| Rate for Payer: Cash Price |
$39.97
|
| Rate for Payer: CDPHP Commercial |
$42.91
|
| Rate for Payer: CDPHP Medicare |
$19.72
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$42.64
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$42.64
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$42.64
|
| Rate for Payer: EmblemHealth Medicaid |
$42.64
|
| Rate for Payer: EmblemHealth Medicare |
$18.12
|
| Rate for Payer: EmblemHealth Select Care |
$38.38
|
| Rate for Payer: Fidelis Medicare |
$20.31
|
| Rate for Payer: Galaxy Health Commercial |
$34.64
|
| Rate for Payer: Hamaspik Choice Medicare |
$19.72
|
| Rate for Payer: Humana Medicare |
$19.72
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$29.32
|
| Rate for Payer: Local 1199SEIU Medicare |
$24.52
|
| Rate for Payer: MVP Health Care of NY Commercial |
$39.98
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$30.01
|
| Rate for Payer: MVP Health Care of NY Medicare |
$20.71
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$19.65
|
| Rate for Payer: United Healthcare Commercial |
$19.65
|
| Rate for Payer: United Healthcare Medicare |
$19.72
|
| Rate for Payer: WellCare Medicare |
$29.32
|
|
|
METHYLPREDNISOLONE INJ TO 125 MG
|
Facility
OP
|
$29.36
|
|
|
Service Code
|
HCPCS J2930
|
| Hospital Charge Code |
4400713
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.45 |
| Max. Negotiated Rate |
$23.63 |
| Rate for Payer: Aetna of NY Commercial |
$16.15
|
| Rate for Payer: Aetna of NY Medicare |
$13.51
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$13.21
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$13.21
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$10.86
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$14.68
|
| Rate for Payer: Cash Price |
$22.02
|
| Rate for Payer: Cash Price |
$22.02
|
| Rate for Payer: CDPHP Commercial |
$23.63
|
| Rate for Payer: CDPHP Medicare |
$10.86
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$23.49
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$23.49
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$23.49
|
| Rate for Payer: EmblemHealth Medicaid |
$23.49
|
| Rate for Payer: EmblemHealth Medicare |
$9.98
|
| Rate for Payer: EmblemHealth Select Care |
$21.14
|
| Rate for Payer: Fidelis Medicare |
$11.19
|
| Rate for Payer: Galaxy Health Commercial |
$19.08
|
| Rate for Payer: Hamaspik Choice Medicare |
$10.86
|
| Rate for Payer: Humana Medicare |
$10.86
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$16.15
|
| Rate for Payer: Local 1199SEIU Medicare |
$13.51
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.02
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$16.53
|
| Rate for Payer: MVP Health Care of NY Medicare |
$11.41
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$9.45
|
| Rate for Payer: United Healthcare Commercial |
$9.45
|
| Rate for Payer: United Healthcare Medicare |
$10.86
|
| Rate for Payer: WellCare Medicare |
$16.15
|
|
|
METHYLPREDNISOLONE INJ TO 125 MG
|
Facility
OP
|
$126.69
|
|
|
Service Code
|
HCPCS J2930
|
| Hospital Charge Code |
4408989
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.45 |
| Max. Negotiated Rate |
$101.99 |
| Rate for Payer: Aetna of NY Commercial |
$69.68
|
| Rate for Payer: Aetna of NY Medicare |
$58.28
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$57.01
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$57.01
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$46.88
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$63.34
|
| Rate for Payer: Cash Price |
$95.02
|
| Rate for Payer: Cash Price |
$95.02
|
| Rate for Payer: CDPHP Commercial |
$101.99
|
| Rate for Payer: CDPHP Medicare |
$46.88
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$101.35
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$101.35
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$101.35
|
| Rate for Payer: EmblemHealth Medicaid |
$101.35
|
| Rate for Payer: EmblemHealth Medicare |
$43.07
|
| Rate for Payer: EmblemHealth Select Care |
$91.22
|
| Rate for Payer: Fidelis Medicare |
$48.28
|
| Rate for Payer: Galaxy Health Commercial |
$82.35
|
| Rate for Payer: Hamaspik Choice Medicare |
$46.88
|
| Rate for Payer: Humana Medicare |
$46.88
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$69.68
|
| Rate for Payer: Local 1199SEIU Medicare |
$58.28
|
| Rate for Payer: MVP Health Care of NY Commercial |
$95.02
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$71.33
|
| Rate for Payer: MVP Health Care of NY Medicare |
$49.22
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$9.45
|
| Rate for Payer: United Healthcare Commercial |
$9.45
|
| Rate for Payer: United Healthcare Medicare |
$46.88
|
| Rate for Payer: WellCare Medicare |
$69.68
|
|
|
METHYLPREDNISOLONE INJ TO 40 MG
|
Facility
OP
|
$18.28
|
|
|
Service Code
|
HCPCS J2920
|
| Hospital Charge Code |
4400714
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.22 |
| Max. Negotiated Rate |
$14.72 |
| Rate for Payer: Aetna of NY Commercial |
$10.05
|
| Rate for Payer: Aetna of NY Medicare |
$8.41
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$8.23
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$8.23
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$6.76
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$9.14
|
| Rate for Payer: Cash Price |
$13.71
|
| Rate for Payer: Cash Price |
$13.71
|
| Rate for Payer: CDPHP Commercial |
$14.72
|
| Rate for Payer: CDPHP Medicare |
$6.76
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$14.62
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$14.62
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$14.62
|
| Rate for Payer: EmblemHealth Medicaid |
$14.62
|
| Rate for Payer: EmblemHealth Medicare |
$6.22
|
| Rate for Payer: EmblemHealth Select Care |
$13.16
|
| Rate for Payer: Fidelis Medicare |
$6.97
|
| Rate for Payer: Galaxy Health Commercial |
$11.88
|
| Rate for Payer: Hamaspik Choice Medicare |
$6.76
|
| Rate for Payer: Humana Medicare |
$6.76
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$10.05
|
| Rate for Payer: Local 1199SEIU Medicare |
$8.41
|
| Rate for Payer: MVP Health Care of NY Commercial |
$13.71
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$10.29
|
| Rate for Payer: MVP Health Care of NY Medicare |
$7.10
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$7.00
|
| Rate for Payer: United Healthcare Commercial |
$7.00
|
| Rate for Payer: United Healthcare Medicare |
$6.76
|
| Rate for Payer: WellCare Medicare |
$10.05
|
|
|
METOCLOPRAMIDE HCL 10MG TABS 100 EA
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4400501
|
|
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
|
|
|
METOCLOPRAMIDE HCL TO 10 MG
|
Facility
OP
|
$19.10
|
|
|
Service Code
|
HCPCS J2765
|
| Hospital Charge Code |
4400502
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.04 |
| Max. Negotiated Rate |
$15.38 |
| Rate for Payer: Aetna of NY Commercial |
$10.50
|
| Rate for Payer: Aetna of NY Medicare |
$8.79
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$1.04
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$1.04
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$7.07
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$9.55
|
| Rate for Payer: Cash Price |
$14.33
|
| Rate for Payer: Cash Price |
$14.33
|
| Rate for Payer: CDPHP Commercial |
$15.38
|
| Rate for Payer: CDPHP Medicare |
$7.07
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$1.04
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$15.28
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$15.28
|
| Rate for Payer: EmblemHealth Medicaid |
$15.28
|
| Rate for Payer: EmblemHealth Medicare |
$6.49
|
| Rate for Payer: EmblemHealth Select Care |
$1.04
|
| Rate for Payer: Fidelis Medicare |
$7.28
|
| Rate for Payer: Galaxy Health Commercial |
$12.42
|
| Rate for Payer: Hamaspik Choice Medicare |
$7.07
|
| Rate for Payer: Humana Medicare |
$7.07
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$10.50
|
| Rate for Payer: Local 1199SEIU Medicare |
$8.79
|
| Rate for Payer: MVP Health Care of NY Commercial |
$14.32
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$10.75
|
| Rate for Payer: MVP Health Care of NY Medicare |
$7.42
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$2.05
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$1.04
|
| Rate for Payer: United Healthcare Commercial |
$2.05
|
| Rate for Payer: United Healthcare Medicare |
$7.07
|
| Rate for Payer: WellCare Medicare |
$10.50
|
|
|
METOLAZONE 2.5MG TABS 10X10EA
|
Facility
OP
|
$10.04
|
|
| Hospital Charge Code |
4400504
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.41 |
| Max. Negotiated Rate |
$8.08 |
| Rate for Payer: Aetna of NY Commercial |
$7.03
|
| Rate for Payer: Aetna of NY Medicare |
$4.62
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$7.53
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$7.53
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$3.71
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$5.02
|
| Rate for Payer: Cash Price |
$7.53
|
| Rate for Payer: CDPHP Commercial |
$8.08
|
| Rate for Payer: CDPHP Medicare |
$3.71
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$8.03
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$8.03
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$8.03
|
| Rate for Payer: EmblemHealth Medicaid |
$8.03
|
| Rate for Payer: EmblemHealth Medicare |
$3.41
|
| Rate for Payer: EmblemHealth Select Care |
$7.23
|
| Rate for Payer: Fidelis Medicare |
$3.83
|
| Rate for Payer: Galaxy Health Commercial |
$6.53
|
| Rate for Payer: Hamaspik Choice Medicare |
$3.71
|
| Rate for Payer: Humana Medicare |
$3.71
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$7.03
|
| Rate for Payer: Local 1199SEIU Medicare |
$4.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$7.53
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$5.65
|
| Rate for Payer: MVP Health Care of NY Medicare |
$3.90
|
| Rate for Payer: United Healthcare Medicare |
$3.71
|
| Rate for Payer: WellCare Medicare |
$5.52
|
|
|
METOLAZONE 5MG TABS 10X10EA
|
Facility
OP
|
$11.59
|
|
| Hospital Charge Code |
4400505
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.94 |
| Max. Negotiated Rate |
$9.33 |
| Rate for Payer: Aetna of NY Commercial |
$8.11
|
| Rate for Payer: Aetna of NY Medicare |
$5.33
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$8.69
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$8.69
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$4.29
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$5.80
|
| Rate for Payer: Cash Price |
$8.69
|
| Rate for Payer: CDPHP Commercial |
$9.33
|
| Rate for Payer: CDPHP Medicare |
$4.29
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$9.27
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$9.27
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$9.27
|
| Rate for Payer: EmblemHealth Medicaid |
$9.27
|
| Rate for Payer: EmblemHealth Medicare |
$3.94
|
| Rate for Payer: EmblemHealth Select Care |
$8.34
|
| Rate for Payer: Fidelis Medicare |
$4.42
|
| Rate for Payer: Galaxy Health Commercial |
$7.53
|
| Rate for Payer: Hamaspik Choice Medicare |
$4.29
|
| Rate for Payer: Humana Medicare |
$4.29
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$8.11
|
| Rate for Payer: Local 1199SEIU Medicare |
$5.33
|
| Rate for Payer: MVP Health Care of NY Commercial |
$8.69
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$6.53
|
| Rate for Payer: MVP Health Care of NY Medicare |
$4.50
|
| Rate for Payer: United Healthcare Medicare |
$4.29
|
| Rate for Payer: WellCare Medicare |
$6.37
|
|
|
METOPROLOL SUCCINATE 25MG TABS 10X10EA
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4400766
|
|
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
|
|
|
METOPROLOL SUCCINATE 50MG TABS 10X10EA
|
Facility
OP
|
$6.35
|
|
| Hospital Charge Code |
4400767
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$2.16 |
| Max. Negotiated Rate |
$5.11 |
| Rate for Payer: Aetna of NY Commercial |
$4.44
|
| Rate for Payer: Aetna of NY Medicare |
$2.92
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group |
$4.76
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO |
$4.76
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$2.35
|
| Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp |
$3.18
|
| Rate for Payer: Cash Price |
$4.76
|
| Rate for Payer: CDPHP Commercial |
$5.11
|
| Rate for Payer: CDPHP Medicare |
$2.35
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$5.08
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$5.08
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$5.08
|
| Rate for Payer: EmblemHealth Medicaid |
$5.08
|
| Rate for Payer: EmblemHealth Medicare |
$2.16
|
| Rate for Payer: EmblemHealth Select Care |
$4.57
|
| Rate for Payer: Fidelis Medicare |
$2.42
|
| Rate for Payer: Galaxy Health Commercial |
$4.13
|
| Rate for Payer: Hamaspik Choice Medicare |
$2.35
|
| Rate for Payer: Humana Medicare |
$2.35
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$4.44
|
| Rate for Payer: Local 1199SEIU Medicare |
$2.92
|
| Rate for Payer: MVP Health Care of NY Commercial |
$4.76
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$3.58
|
| Rate for Payer: MVP Health Care of NY Medicare |
$2.47
|
| Rate for Payer: United Healthcare Medicare |
$2.35
|
| Rate for Payer: WellCare Medicare |
$3.49
|
|
|
METOPROLOL TARTRATE 100MG TABS 100 EA
|
Facility
OP
|
$6.18
|
|
| Hospital Charge Code |
4400507
|
|
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
|
|
