St. Barnabas Hospital

All Charges

Charge

Type

Price

APR-DRG 4443: Renal dialysis access device procedure only

Facility IP

$86,496.34

Service Code	APR-DRG 4443
Min. Negotiated Rate	$33,511.00
Max. Negotiated Rate	$86,496.34
Rate for Payer: Amida Care Medicaid	$38,442.82
Rate for Payer: Fidelis CHP/HARP/Medicaid	$38,442.82
Rate for Payer: Fidelis Qualified Health Plan	$46,131.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$38,442.82
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$38,442.82
Rate for Payer: Healthfirst Commercial	$57,702.00
Rate for Payer: Healthfirst Essential Plan	$86,496.34
Rate for Payer: Healthfirst QHP	$33,511.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$38,442.82
Rate for Payer: SOMOS Essential	$86,496.34
Rate for Payer: Wellcare CHP/FHP/Medicaid	$38,442.82

APR-DRG 4444: Renal dialysis access device procedure only

Facility IP

$138,437.42

Service Code	APR-DRG 4444
Min. Negotiated Rate	$61,527.74
Max. Negotiated Rate	$138,437.42
Rate for Payer: Amida Care Medicaid	$61,527.74
Rate for Payer: Fidelis CHP/HARP/Medicaid	$61,527.74
Rate for Payer: Fidelis Qualified Health Plan	$73,833.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$61,527.74
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$61,527.74
Rate for Payer: Healthfirst Commercial	$111,996.00
Rate for Payer: Healthfirst Essential Plan	$138,437.42
Rate for Payer: Healthfirst QHP	$74,800.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$61,527.74
Rate for Payer: SOMOS Essential	$138,437.42
Rate for Payer: Wellcare CHP/FHP/Medicaid	$61,527.74

APR-DRG 4451: Other bladder procedures

Facility IP

$44,089.47

Service Code	APR-DRG 4451
Min. Negotiated Rate	$8,222.00
Max. Negotiated Rate	$44,089.47
Rate for Payer: Amida Care Medicaid	$19,595.32
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,595.32
Rate for Payer: Fidelis Qualified Health Plan	$23,514.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,595.32
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,595.32
Rate for Payer: Healthfirst Commercial	$14,301.00
Rate for Payer: Healthfirst Essential Plan	$44,089.47
Rate for Payer: Healthfirst QHP	$8,222.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,595.32
Rate for Payer: SOMOS Essential	$44,089.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,595.32

APR-DRG 4452: Other bladder procedures

Facility IP

$51,963.37

Service Code	APR-DRG 4452
Min. Negotiated Rate	$13,123.00
Max. Negotiated Rate	$51,963.37
Rate for Payer: Amida Care Medicaid	$23,094.83
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,094.83
Rate for Payer: Fidelis Qualified Health Plan	$27,713.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,094.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,094.83
Rate for Payer: Healthfirst Commercial	$22,612.00
Rate for Payer: Healthfirst Essential Plan	$51,963.37
Rate for Payer: Healthfirst QHP	$13,123.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,094.83
Rate for Payer: SOMOS Essential	$51,963.37
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,094.83

APR-DRG 4453: Other bladder procedures

Facility IP

$62,580.92

Service Code	APR-DRG 4453
Min. Negotiated Rate	$16,655.00
Max. Negotiated Rate	$62,580.92
Rate for Payer: Amida Care Medicaid	$27,813.74
Rate for Payer: Fidelis CHP/HARP/Medicaid	$27,813.74
Rate for Payer: Fidelis Qualified Health Plan	$33,376.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$27,813.74
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$27,813.74
Rate for Payer: Healthfirst Commercial	$33,678.00
Rate for Payer: Healthfirst Essential Plan	$62,580.92
Rate for Payer: Healthfirst QHP	$16,655.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$27,813.74
Rate for Payer: SOMOS Essential	$62,580.92
Rate for Payer: Wellcare CHP/FHP/Medicaid	$27,813.74

APR-DRG 4454: Other bladder procedures

Facility IP

$72,725.38

Service Code	APR-DRG 4454
Min. Negotiated Rate	$21,779.00
Max. Negotiated Rate	$72,725.38
Rate for Payer: Amida Care Medicaid	$32,322.39
Rate for Payer: Fidelis CHP/HARP/Medicaid	$32,322.39
Rate for Payer: Fidelis Qualified Health Plan	$38,786.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$32,322.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32,322.39
Rate for Payer: Healthfirst Commercial	$43,972.00
Rate for Payer: Healthfirst Essential Plan	$72,725.38
Rate for Payer: Healthfirst QHP	$21,779.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32,322.39
Rate for Payer: SOMOS Essential	$72,725.38
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32,322.39

APR-DRG 4461: Urethral & transurethral procedures

Facility IP

$41,681.74

Service Code	APR-DRG 4461
Min. Negotiated Rate	$7,519.00
Max. Negotiated Rate	$41,681.74
Rate for Payer: Amida Care Medicaid	$18,525.22
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,525.22
Rate for Payer: Fidelis Qualified Health Plan	$22,230.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,525.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,525.22
Rate for Payer: Healthfirst Commercial	$12,609.00
Rate for Payer: Healthfirst Essential Plan	$41,681.74
Rate for Payer: Healthfirst QHP	$7,519.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,525.22
Rate for Payer: SOMOS Essential	$41,681.74
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,525.22

APR-DRG 4462: Urethral & transurethral procedures

Facility IP

$43,540.74

Service Code	APR-DRG 4462
Min. Negotiated Rate	$8,662.00
Max. Negotiated Rate	$43,540.74
Rate for Payer: Amida Care Medicaid	$19,351.44
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,351.44
Rate for Payer: Fidelis Qualified Health Plan	$23,221.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,351.44
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,351.44
Rate for Payer: Healthfirst Commercial	$14,893.00
Rate for Payer: Healthfirst Essential Plan	$43,540.74
Rate for Payer: Healthfirst QHP	$8,662.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,351.44
Rate for Payer: SOMOS Essential	$43,540.74
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,351.44

APR-DRG 4463: Urethral & transurethral procedures

Facility IP

$56,161.48

Service Code	APR-DRG 4463
Min. Negotiated Rate	$15,287.00
Max. Negotiated Rate	$56,161.48
Rate for Payer: Amida Care Medicaid	$24,960.66
Rate for Payer: Fidelis CHP/HARP/Medicaid	$24,960.66
Rate for Payer: Fidelis Qualified Health Plan	$29,952.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$24,960.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$24,960.66
Rate for Payer: Healthfirst Commercial	$26,632.00
Rate for Payer: Healthfirst Essential Plan	$56,161.48
Rate for Payer: Healthfirst QHP	$15,287.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24,960.66
Rate for Payer: SOMOS Essential	$56,161.48
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24,960.66

APR-DRG 4464: Urethral & transurethral procedures

Facility IP

$87,486.52

Service Code	APR-DRG 4464
Min. Negotiated Rate	$27,304.00
Max. Negotiated Rate	$87,486.52
Rate for Payer: Amida Care Medicaid	$38,882.90
Rate for Payer: Fidelis CHP/HARP/Medicaid	$38,882.90
Rate for Payer: Fidelis Qualified Health Plan	$46,659.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$38,882.90
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$38,882.90
Rate for Payer: Healthfirst Commercial	$65,055.00
Rate for Payer: Healthfirst Essential Plan	$87,486.52
Rate for Payer: Healthfirst QHP	$27,304.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$38,882.90
Rate for Payer: SOMOS Essential	$87,486.52
Rate for Payer: Wellcare CHP/FHP/Medicaid	$38,882.90

APR-DRG 4471: Other kidney, urinary tract & related procedures

Facility IP

$50,690.05

Service Code	APR-DRG 4471
Min. Negotiated Rate	$13,171.00
Max. Negotiated Rate	$50,690.05
Rate for Payer: Amida Care Medicaid	$22,528.91
Rate for Payer: Fidelis CHP/HARP/Medicaid	$22,528.91
Rate for Payer: Fidelis Qualified Health Plan	$27,034.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,528.91
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$22,528.91
Rate for Payer: Healthfirst Commercial	$21,777.00
Rate for Payer: Healthfirst Essential Plan	$50,690.05
Rate for Payer: Healthfirst QHP	$13,171.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22,528.91
Rate for Payer: SOMOS Essential	$50,690.05
Rate for Payer: Wellcare CHP/FHP/Medicaid	$22,528.91

APR-DRG 4472: Other kidney, urinary tract & related procedures

Facility IP

$52,549.02

Service Code	APR-DRG 4472
Min. Negotiated Rate	$16,343.00
Max. Negotiated Rate	$52,549.02
Rate for Payer: Amida Care Medicaid	$23,355.12
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,355.12
Rate for Payer: Fidelis Qualified Health Plan	$28,026.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,355.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,355.12
Rate for Payer: Healthfirst Commercial	$26,836.00
Rate for Payer: Healthfirst Essential Plan	$52,549.02
Rate for Payer: Healthfirst QHP	$16,343.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,355.12
Rate for Payer: SOMOS Essential	$52,549.02
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,355.12

APR-DRG 4473: Other kidney, urinary tract & related procedures

Facility IP

$81,195.48

Service Code	APR-DRG 4473
Min. Negotiated Rate	$27,966.00
Max. Negotiated Rate	$81,195.48
Rate for Payer: Amida Care Medicaid	$36,086.88
Rate for Payer: Fidelis CHP/HARP/Medicaid	$36,086.88
Rate for Payer: Fidelis Qualified Health Plan	$43,304.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$36,086.88
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$36,086.88
Rate for Payer: Healthfirst Commercial	$52,989.00
Rate for Payer: Healthfirst Essential Plan	$81,195.48
Rate for Payer: Healthfirst QHP	$27,966.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$36,086.88
Rate for Payer: SOMOS Essential	$81,195.48
Rate for Payer: Wellcare CHP/FHP/Medicaid	$36,086.88

APR-DRG 4474: Other kidney, urinary tract & related procedures

Facility IP

$163,846.01

Service Code	APR-DRG 4474
Min. Negotiated Rate	$72,820.45
Max. Negotiated Rate	$163,846.01
Rate for Payer: Amida Care Medicaid	$72,820.45
Rate for Payer: Fidelis CHP/HARP/Medicaid	$72,820.45
Rate for Payer: Fidelis Qualified Health Plan	$87,384.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$72,820.45
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$72,820.45
Rate for Payer: Healthfirst Commercial	$123,417.00
Rate for Payer: Healthfirst Essential Plan	$163,846.01
Rate for Payer: Healthfirst QHP	$76,315.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$72,820.45
Rate for Payer: SOMOS Essential	$163,846.01
Rate for Payer: Wellcare CHP/FHP/Medicaid	$72,820.45

APR-DRG 4611: Kidney & urinary tract malignancy

Facility IP

$37,638.38

Service Code	APR-DRG 4611
Min. Negotiated Rate	$5,588.00
Max. Negotiated Rate	$37,638.38
Rate for Payer: Amida Care Medicaid	$16,728.17
Rate for Payer: Fidelis CHP/HARP/Medicaid	$16,728.17
Rate for Payer: Fidelis Qualified Health Plan	$20,073.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$16,728.17
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$16,728.17
Rate for Payer: Healthfirst Commercial	$11,009.00
Rate for Payer: Healthfirst Essential Plan	$37,638.38
Rate for Payer: Healthfirst QHP	$5,588.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$16,728.17
Rate for Payer: SOMOS Essential	$37,638.38
Rate for Payer: Wellcare CHP/FHP/Medicaid	$16,728.17

APR-DRG 4612: Kidney & urinary tract malignancy

Facility IP

$43,804.55

Service Code	APR-DRG 4612
Min. Negotiated Rate	$8,823.00
Max. Negotiated Rate	$43,804.55
Rate for Payer: Amida Care Medicaid	$19,468.69
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,468.69
Rate for Payer: Fidelis Qualified Health Plan	$23,362.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,468.69
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,468.69
Rate for Payer: Healthfirst Commercial	$15,164.00
Rate for Payer: Healthfirst Essential Plan	$43,804.55
Rate for Payer: Healthfirst QHP	$8,823.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,468.69
Rate for Payer: SOMOS Essential	$43,804.55
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,468.69

APR-DRG 4613: Kidney & urinary tract malignancy

Facility IP

$56,075.31

Service Code	APR-DRG 4613
Min. Negotiated Rate	$14,288.00
Max. Negotiated Rate	$56,075.31
Rate for Payer: Amida Care Medicaid	$24,922.36
Rate for Payer: Fidelis CHP/HARP/Medicaid	$24,922.36
Rate for Payer: Fidelis Qualified Health Plan	$29,906.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$24,922.36
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$24,922.36
Rate for Payer: Healthfirst Commercial	$23,888.00
Rate for Payer: Healthfirst Essential Plan	$56,075.31
Rate for Payer: Healthfirst QHP	$14,288.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24,922.36
Rate for Payer: SOMOS Essential	$56,075.31
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24,922.36

APR-DRG 4614: Kidney & urinary tract malignancy

Facility IP

$70,588.48

Service Code	APR-DRG 4614
Min. Negotiated Rate	$22,064.00
Max. Negotiated Rate	$70,588.48
Rate for Payer: Amida Care Medicaid	$31,372.66
Rate for Payer: Fidelis CHP/HARP/Medicaid	$31,372.66
Rate for Payer: Fidelis Qualified Health Plan	$37,647.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$31,372.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$31,372.66
Rate for Payer: Healthfirst Commercial	$50,818.00
Rate for Payer: Healthfirst Essential Plan	$70,588.48
Rate for Payer: Healthfirst QHP	$22,064.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$31,372.66
Rate for Payer: SOMOS Essential	$70,588.48
Rate for Payer: Wellcare CHP/FHP/Medicaid	$31,372.66

APR-DRG 4621: Nephritis & nephrosis

Facility IP

$40,023.25

Service Code	APR-DRG 4621
Min. Negotiated Rate	$5,860.00
Max. Negotiated Rate	$40,023.25
Rate for Payer: Amida Care Medicaid	$17,788.11
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,788.11
Rate for Payer: Fidelis Qualified Health Plan	$21,345.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,788.11
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,788.11
Rate for Payer: Healthfirst Commercial	$10,413.00
Rate for Payer: Healthfirst Essential Plan	$40,023.25
Rate for Payer: Healthfirst QHP	$5,860.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,788.11
Rate for Payer: SOMOS Essential	$40,023.25
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,788.11

APR-DRG 4622: Nephritis & nephrosis

Facility IP

$42,251.58

Service Code	APR-DRG 4622
Min. Negotiated Rate	$7,808.00
Max. Negotiated Rate	$42,251.58
Rate for Payer: Amida Care Medicaid	$18,778.48
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,778.48
Rate for Payer: Fidelis Qualified Health Plan	$22,534.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,778.48
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,778.48
Rate for Payer: Healthfirst Commercial	$12,840.00
Rate for Payer: Healthfirst Essential Plan	$42,251.58
Rate for Payer: Healthfirst QHP	$7,808.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,778.48
Rate for Payer: SOMOS Essential	$42,251.58
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,778.48

APR-DRG 4623: Nephritis & nephrosis

Facility IP

$51,887.74

Service Code	APR-DRG 4623
Min. Negotiated Rate	$11,817.00
Max. Negotiated Rate	$51,887.74
Rate for Payer: Amida Care Medicaid	$23,061.22
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,061.22
Rate for Payer: Fidelis Qualified Health Plan	$27,673.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,061.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,061.22
Rate for Payer: Healthfirst Commercial	$21,130.00
Rate for Payer: Healthfirst Essential Plan	$51,887.74
Rate for Payer: Healthfirst QHP	$11,817.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,061.22
Rate for Payer: SOMOS Essential	$51,887.74
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,061.22

APR-DRG 4624: Nephritis & nephrosis

Facility IP

$100,311.30

Service Code	APR-DRG 4624
Min. Negotiated Rate	$13,048.00
Max. Negotiated Rate	$100,311.30
Rate for Payer: Amida Care Medicaid	$44,582.80
Rate for Payer: Fidelis CHP/HARP/Medicaid	$44,582.80
Rate for Payer: Fidelis Qualified Health Plan	$53,499.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$44,582.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$44,582.80
Rate for Payer: Healthfirst Commercial	$23,114.00
Rate for Payer: Healthfirst Essential Plan	$100,311.30
Rate for Payer: Healthfirst QHP	$13,048.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$44,582.80
Rate for Payer: SOMOS Essential	$100,311.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$44,582.80

APR-DRG 4631: Kidney & urinary tract infections

Facility IP

$38,382.32

Service Code	APR-DRG 4631
Min. Negotiated Rate	$5,883.00
Max. Negotiated Rate	$38,382.32
Rate for Payer: Amida Care Medicaid	$17,058.81
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,058.81
Rate for Payer: Fidelis Qualified Health Plan	$20,470.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,058.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,058.81
Rate for Payer: Healthfirst Commercial	$10,218.00
Rate for Payer: Healthfirst Essential Plan	$38,382.32
Rate for Payer: Healthfirst QHP	$5,883.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,058.81
Rate for Payer: SOMOS Essential	$38,382.32
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,058.81

APR-DRG 4632: Kidney & urinary tract infections

Facility IP

$40,726.73

Service Code	APR-DRG 4632
Min. Negotiated Rate	$7,081.00
Max. Negotiated Rate	$40,726.73
Rate for Payer: Amida Care Medicaid	$18,100.77
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,100.77
Rate for Payer: Fidelis Qualified Health Plan	$21,720.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,100.77
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,100.77
Rate for Payer: Healthfirst Commercial	$12,176.00
Rate for Payer: Healthfirst Essential Plan	$40,726.73
Rate for Payer: Healthfirst QHP	$7,081.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,100.77
Rate for Payer: SOMOS Essential	$40,726.73
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,100.77

APR-DRG 4633: Kidney & urinary tract infections

Facility IP

$47,003.72

Service Code	APR-DRG 4633
Min. Negotiated Rate	$9,981.00
Max. Negotiated Rate	$47,003.72
Rate for Payer: Amida Care Medicaid	$20,890.54
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,890.54
Rate for Payer: Fidelis Qualified Health Plan	$25,068.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,890.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,890.54
Rate for Payer: Healthfirst Commercial	$17,568.00
Rate for Payer: Healthfirst Essential Plan	$47,003.72
Rate for Payer: Healthfirst QHP	$9,981.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,890.54
Rate for Payer: SOMOS Essential	$47,003.72
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,890.54

Price Transparency.

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