St. Barnabas Hospital

All Charges

Charge

Type

Price

APR-DRG 5414: Vaginal delivery w sterilization &/or D&C

Facility IP

$48,829.28

Service Code	APR-DRG 5414
Min. Negotiated Rate	$11,247.00
Max. Negotiated Rate	$48,829.28
Rate for Payer: Amida Care Medicaid	$21,701.90
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,701.90
Rate for Payer: Fidelis Qualified Health Plan	$26,042.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,701.90
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,701.90
Rate for Payer: Healthfirst Commercial	$19,693.00
Rate for Payer: Healthfirst Essential Plan	$48,829.28
Rate for Payer: Healthfirst QHP	$11,247.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,701.90
Rate for Payer: SOMOS Essential	$48,829.28
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,701.90

APR-DRG 5421: Vaginal delivery w complicating procedures exc sterilization &/or D&C

Facility IP

$40,109.42

Service Code	APR-DRG 5421
Min. Negotiated Rate	$5,612.00
Max. Negotiated Rate	$40,109.42
Rate for Payer: Amida Care Medicaid	$17,826.41
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,826.41
Rate for Payer: Fidelis Qualified Health Plan	$21,391.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,826.41
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,826.41
Rate for Payer: Healthfirst Commercial	$10,244.00
Rate for Payer: Healthfirst Essential Plan	$40,109.42
Rate for Payer: Healthfirst QHP	$5,612.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,826.41
Rate for Payer: SOMOS Essential	$40,109.42
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,826.41

APR-DRG 5422: Vaginal delivery w complicating procedures exc sterilization &/or D&C

Facility IP

$41,570.93

Service Code	APR-DRG 5422
Min. Negotiated Rate	$6,392.00
Max. Negotiated Rate	$41,570.93
Rate for Payer: Amida Care Medicaid	$18,475.97
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,475.97
Rate for Payer: Fidelis Qualified Health Plan	$22,171.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,475.97
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,475.97
Rate for Payer: Healthfirst Commercial	$11,573.00
Rate for Payer: Healthfirst Essential Plan	$41,570.93
Rate for Payer: Healthfirst QHP	$6,392.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,475.97
Rate for Payer: SOMOS Essential	$41,570.93
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,475.97

APR-DRG 5423: Vaginal delivery w complicating procedures exc sterilization &/or D&C

Facility IP

$51,127.96

Service Code	APR-DRG 5423
Min. Negotiated Rate	$11,551.00
Max. Negotiated Rate	$51,127.96
Rate for Payer: Amida Care Medicaid	$22,723.54
Rate for Payer: Fidelis CHP/HARP/Medicaid	$22,723.54
Rate for Payer: Fidelis Qualified Health Plan	$27,268.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,723.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$22,723.54
Rate for Payer: Healthfirst Commercial	$22,130.00
Rate for Payer: Healthfirst Essential Plan	$51,127.96
Rate for Payer: Healthfirst QHP	$11,551.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22,723.54
Rate for Payer: SOMOS Essential	$51,127.96
Rate for Payer: Wellcare CHP/FHP/Medicaid	$22,723.54

APR-DRG 5424: Vaginal delivery w complicating procedures exc sterilization &/or D&C

Facility IP

$56,743.65

Service Code	APR-DRG 5424
Min. Negotiated Rate	$13,125.00
Max. Negotiated Rate	$56,743.65
Rate for Payer: Amida Care Medicaid	$25,219.40
Rate for Payer: Fidelis CHP/HARP/Medicaid	$25,219.40
Rate for Payer: Fidelis Qualified Health Plan	$30,263.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$25,219.40
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$25,219.40
Rate for Payer: Healthfirst Commercial	$27,308.00
Rate for Payer: Healthfirst Essential Plan	$56,743.65
Rate for Payer: Healthfirst QHP	$13,125.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$25,219.40
Rate for Payer: SOMOS Essential	$56,743.65
Rate for Payer: Wellcare CHP/FHP/Medicaid	$25,219.40

APR-DRG 5441: D&C, aspiration curettage or hysterotomy for obstetric diagnoses

Facility IP

$38,083.34

Service Code	APR-DRG 5441
Min. Negotiated Rate	$5,600.00
Max. Negotiated Rate	$38,083.34
Rate for Payer: Amida Care Medicaid	$16,925.93
Rate for Payer: Fidelis CHP/HARP/Medicaid	$16,925.93
Rate for Payer: Fidelis Qualified Health Plan	$20,311.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$16,925.93
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$16,925.93
Rate for Payer: Healthfirst Commercial	$9,922.00
Rate for Payer: Healthfirst Essential Plan	$38,083.34
Rate for Payer: Healthfirst QHP	$5,600.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$16,925.93
Rate for Payer: SOMOS Essential	$38,083.34
Rate for Payer: Wellcare CHP/FHP/Medicaid	$16,925.93

APR-DRG 5442: D&C, aspiration curettage or hysterotomy for obstetric diagnoses

Facility IP

$40,527.99

Service Code	APR-DRG 5442
Min. Negotiated Rate	$6,774.00
Max. Negotiated Rate	$40,527.99
Rate for Payer: Amida Care Medicaid	$18,012.44
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,012.44
Rate for Payer: Fidelis Qualified Health Plan	$21,614.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,012.44
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,012.44
Rate for Payer: Healthfirst Commercial	$12,259.00
Rate for Payer: Healthfirst Essential Plan	$40,527.99
Rate for Payer: Healthfirst QHP	$6,774.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,012.44
Rate for Payer: SOMOS Essential	$40,527.99
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,012.44

APR-DRG 5443: D&C, aspiration curettage or hysterotomy for obstetric diagnoses

Facility IP

$48,978.79

Service Code	APR-DRG 5443
Min. Negotiated Rate	$11,067.00
Max. Negotiated Rate	$48,978.79
Rate for Payer: Amida Care Medicaid	$21,768.35
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,768.35
Rate for Payer: Fidelis Qualified Health Plan	$26,122.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,768.35
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,768.35
Rate for Payer: Healthfirst Commercial	$20,413.00
Rate for Payer: Healthfirst Essential Plan	$48,978.79
Rate for Payer: Healthfirst QHP	$11,067.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,768.35
Rate for Payer: SOMOS Essential	$48,978.79
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,768.35

APR-DRG 5444: D&C, aspiration curettage or hysterotomy for obstetric diagnoses

Facility IP

$80,129.70

Service Code	APR-DRG 5444
Min. Negotiated Rate	$30,618.00
Max. Negotiated Rate	$80,129.70
Rate for Payer: Amida Care Medicaid	$35,613.20
Rate for Payer: Fidelis CHP/HARP/Medicaid	$35,613.20
Rate for Payer: Fidelis Qualified Health Plan	$42,735.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$35,613.20
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$35,613.20
Rate for Payer: Healthfirst Commercial	$56,980.00
Rate for Payer: Healthfirst Essential Plan	$80,129.70
Rate for Payer: Healthfirst QHP	$30,618.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$35,613.20
Rate for Payer: SOMOS Essential	$80,129.70
Rate for Payer: Wellcare CHP/FHP/Medicaid	$35,613.20

APR-DRG 5451: Ectopic pregnancy procedure

Facility IP

$41,868.16

Service Code	APR-DRG 5451
Min. Negotiated Rate	$7,970.00
Max. Negotiated Rate	$41,868.16
Rate for Payer: Amida Care Medicaid	$18,608.07
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,608.07
Rate for Payer: Fidelis Qualified Health Plan	$22,329.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,608.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,608.07
Rate for Payer: Healthfirst Commercial	$13,541.00
Rate for Payer: Healthfirst Essential Plan	$41,868.16
Rate for Payer: Healthfirst QHP	$7,970.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,608.07
Rate for Payer: SOMOS Essential	$41,868.16
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,608.07

APR-DRG 5452: Ectopic pregnancy procedure

Facility IP

$43,449.28

Service Code	APR-DRG 5452
Min. Negotiated Rate	$9,267.00
Max. Negotiated Rate	$43,449.28
Rate for Payer: Amida Care Medicaid	$19,310.79
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,310.79
Rate for Payer: Fidelis Qualified Health Plan	$23,172.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,310.79
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,310.79
Rate for Payer: Healthfirst Commercial	$15,310.00
Rate for Payer: Healthfirst Essential Plan	$43,449.28
Rate for Payer: Healthfirst QHP	$9,267.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,310.79
Rate for Payer: SOMOS Essential	$43,449.28
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,310.79

APR-DRG 5453: Ectopic pregnancy procedure

Facility IP

$49,012.20

Service Code	APR-DRG 5453
Min. Negotiated Rate	$11,653.00
Max. Negotiated Rate	$49,012.20
Rate for Payer: Amida Care Medicaid	$21,783.20
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,783.20
Rate for Payer: Fidelis Qualified Health Plan	$26,139.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,783.20
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,783.20
Rate for Payer: Healthfirst Commercial	$20,863.00
Rate for Payer: Healthfirst Essential Plan	$49,012.20
Rate for Payer: Healthfirst QHP	$11,653.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,783.20
Rate for Payer: SOMOS Essential	$49,012.20
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,783.20

APR-DRG 5454: Ectopic pregnancy procedure

Facility IP

$50,310.16

Service Code	APR-DRG 5454
Min. Negotiated Rate	$12,982.00
Max. Negotiated Rate	$50,310.16
Rate for Payer: Amida Care Medicaid	$22,360.07
Rate for Payer: Fidelis CHP/HARP/Medicaid	$22,360.07
Rate for Payer: Fidelis Qualified Health Plan	$26,832.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,360.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$22,360.07
Rate for Payer: Healthfirst Commercial	$22,878.00
Rate for Payer: Healthfirst Essential Plan	$50,310.16
Rate for Payer: Healthfirst QHP	$12,982.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22,360.07
Rate for Payer: SOMOS Essential	$50,310.16
Rate for Payer: Wellcare CHP/FHP/Medicaid	$22,360.07

APR-DRG 5461: Other O.R. proc for obstetric diagnoses except delivery diagnoses

Facility IP

$39,762.94

Service Code	APR-DRG 5461
Min. Negotiated Rate	$5,873.00
Max. Negotiated Rate	$39,762.94
Rate for Payer: Amida Care Medicaid	$17,672.42
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,672.42
Rate for Payer: Fidelis Qualified Health Plan	$21,206.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,672.42
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,672.42
Rate for Payer: Healthfirst Commercial	$10,572.00
Rate for Payer: Healthfirst Essential Plan	$39,762.94
Rate for Payer: Healthfirst QHP	$5,873.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,672.42
Rate for Payer: SOMOS Essential	$39,762.94
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,672.42

APR-DRG 5462: Other O.R. proc for obstetric diagnoses except delivery diagnoses

Facility IP

$43,352.55

Service Code	APR-DRG 5462
Min. Negotiated Rate	$8,491.00
Max. Negotiated Rate	$43,352.55
Rate for Payer: Amida Care Medicaid	$19,267.80
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,267.80
Rate for Payer: Fidelis Qualified Health Plan	$23,121.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,267.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,267.80
Rate for Payer: Healthfirst Commercial	$14,196.00
Rate for Payer: Healthfirst Essential Plan	$43,352.55
Rate for Payer: Healthfirst QHP	$8,491.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,267.80
Rate for Payer: SOMOS Essential	$43,352.55
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,267.80

APR-DRG 5463: Other O.R. proc for obstetric diagnoses except delivery diagnoses

Facility IP

$59,082.77

Service Code	APR-DRG 5463
Min. Negotiated Rate	$19,236.00
Max. Negotiated Rate	$59,082.77
Rate for Payer: Amida Care Medicaid	$26,259.01
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,259.01
Rate for Payer: Fidelis Qualified Health Plan	$31,510.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,259.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,259.01
Rate for Payer: Healthfirst Commercial	$26,557.00
Rate for Payer: Healthfirst Essential Plan	$59,082.77
Rate for Payer: Healthfirst QHP	$19,236.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,259.01
Rate for Payer: SOMOS Essential	$59,082.77
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,259.01

APR-DRG 5464: Other O.R. proc for obstetric diagnoses except delivery diagnoses

Facility IP

$105,404.62

Service Code	APR-DRG 5464
Min. Negotiated Rate	$23,584.00
Max. Negotiated Rate	$105,404.62
Rate for Payer: Amida Care Medicaid	$46,846.50
Rate for Payer: Fidelis CHP/HARP/Medicaid	$46,846.50
Rate for Payer: Fidelis Qualified Health Plan	$56,215.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$46,846.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$46,846.50
Rate for Payer: Healthfirst Commercial	$31,841.00
Rate for Payer: Healthfirst Essential Plan	$105,404.62
Rate for Payer: Healthfirst QHP	$23,584.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$46,846.50
Rate for Payer: SOMOS Essential	$105,404.62
Rate for Payer: Wellcare CHP/FHP/Medicaid	$46,846.50

APR-DRG 5601: Vaginal delivery

Facility IP

$38,955.69

Service Code	APR-DRG 5601
Min. Negotiated Rate	$5,615.00
Max. Negotiated Rate	$38,955.69
Rate for Payer: Amida Care Medicaid	$17,313.64
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,313.64
Rate for Payer: Fidelis Qualified Health Plan	$20,776.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,313.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,313.64
Rate for Payer: Healthfirst Commercial	$9,868.00
Rate for Payer: Healthfirst Essential Plan	$38,955.69
Rate for Payer: Healthfirst QHP	$5,615.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,313.64
Rate for Payer: SOMOS Essential	$38,955.69
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,313.64

APR-DRG 5602: Vaginal delivery

Facility IP

$39,935.30

Service Code	APR-DRG 5602
Min. Negotiated Rate	$6,015.00
Max. Negotiated Rate	$39,935.30
Rate for Payer: Amida Care Medicaid	$17,749.02
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,749.02
Rate for Payer: Fidelis Qualified Health Plan	$21,298.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,749.02
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,749.02
Rate for Payer: Healthfirst Commercial	$10,525.00
Rate for Payer: Healthfirst Essential Plan	$39,935.30
Rate for Payer: Healthfirst QHP	$6,015.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,749.02
Rate for Payer: SOMOS Essential	$39,935.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,749.02

APR-DRG 5603: Vaginal delivery

Facility IP

$42,418.64

Service Code	APR-DRG 5603
Min. Negotiated Rate	$7,460.00
Max. Negotiated Rate	$42,418.64
Rate for Payer: Amida Care Medicaid	$18,852.73
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,852.73
Rate for Payer: Fidelis Qualified Health Plan	$22,623.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,852.73
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,852.73
Rate for Payer: Healthfirst Commercial	$12,737.00
Rate for Payer: Healthfirst Essential Plan	$42,418.64
Rate for Payer: Healthfirst QHP	$7,460.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,852.73
Rate for Payer: SOMOS Essential	$42,418.64
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,852.73

APR-DRG 5604: Vaginal delivery

Facility IP

$59,482.01

Service Code	APR-DRG 5604
Min. Negotiated Rate	$12,582.00
Max. Negotiated Rate	$59,482.01
Rate for Payer: Amida Care Medicaid	$26,436.45
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,436.45
Rate for Payer: Fidelis Qualified Health Plan	$31,723.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,436.45
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,436.45
Rate for Payer: Healthfirst Commercial	$27,288.00
Rate for Payer: Healthfirst Essential Plan	$59,482.01
Rate for Payer: Healthfirst QHP	$12,582.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,436.45
Rate for Payer: SOMOS Essential	$59,482.01
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,436.45

APR-DRG 5611: Postpartum & post abortion diagnoses w/o procedure

Facility IP

$8,488.00

Service Code	APR-DRG 5611
Min. Negotiated Rate	$2,200.63
Max. Negotiated Rate	$8,488.00
Rate for Payer: Carelon Behavioral Health HARP/QHP	$2,200.63
Rate for Payer: Fidelis Qualified Health Plan	$2,640.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,200.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,200.63
Rate for Payer: Healthfirst Commercial	$8,488.00
Rate for Payer: Healthfirst Essential Plan	$4,951.42
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$2,200.63
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$4,951.42
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$4,951.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,200.63
Rate for Payer: SOMOS Essential	$4,951.42

APR-DRG 5612: Postpartum & post abortion diagnoses w/o procedure

Facility IP

$9,801.00

Service Code	APR-DRG 5612
Min. Negotiated Rate	$2,200.63
Max. Negotiated Rate	$9,801.00
Rate for Payer: Carelon Behavioral Health HARP/QHP	$2,200.63
Rate for Payer: Fidelis Qualified Health Plan	$2,640.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,200.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,200.63
Rate for Payer: Healthfirst Commercial	$9,801.00
Rate for Payer: Healthfirst Essential Plan	$4,951.42
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$2,200.63
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$4,951.42
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$4,951.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,200.63
Rate for Payer: SOMOS Essential	$4,951.42

APR-DRG 5613: Postpartum & post abortion diagnoses w/o procedure

Facility IP

$13,649.00

Service Code	APR-DRG 5613
Min. Negotiated Rate	$2,200.63
Max. Negotiated Rate	$13,649.00
Rate for Payer: Carelon Behavioral Health HARP/QHP	$2,200.63
Rate for Payer: Fidelis Qualified Health Plan	$2,640.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,200.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,200.63
Rate for Payer: Healthfirst Commercial	$13,649.00
Rate for Payer: Healthfirst Essential Plan	$4,951.42
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$2,200.63
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$4,951.42
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$4,951.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,200.63
Rate for Payer: SOMOS Essential	$4,951.42

APR-DRG 5614: Postpartum & post abortion diagnoses w/o procedure

Facility IP

$29,997.00

Service Code	APR-DRG 5614
Min. Negotiated Rate	$2,200.63
Max. Negotiated Rate	$29,997.00
Rate for Payer: Carelon Behavioral Health HARP/QHP	$2,200.63
Rate for Payer: Fidelis Qualified Health Plan	$2,640.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,200.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,200.63
Rate for Payer: Healthfirst Commercial	$29,997.00
Rate for Payer: Healthfirst Essential Plan	$4,951.42
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$2,200.63
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$4,951.42
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$4,951.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,200.63
Rate for Payer: SOMOS Essential	$4,951.42

Price Transparency.

All Charges