St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCT 7-8 STUDIES

Facility

$766.58

Service Code	HCPCS 95910 TC
Hospital Charge Code	30305744
Hospital Revenue Code	920
Min. Negotiated Rate	$94.00
Max. Negotiated Rate	$613.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$421.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$362.98
Rate for Payer: Aetna Government	$362.98
Rate for Payer: Affinity Essential Plan 1&2	$254.09
Rate for Payer: Affinity Essential Plan 3&4	$254.09
Rate for Payer: Affinity Medicaid/CHP/HARP	$254.09
Rate for Payer: Brighton Health Commercial	$574.94
Rate for Payer: Cash Price	$362.98
Rate for Payer: Cash Price	$362.98
Rate for Payer: Cash Price	$362.98
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$362.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$613.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$521.27
Rate for Payer: Elderplan Medicare Advantage	$362.98
Rate for Payer: EmblemHealth Commercial	$362.98
Rate for Payer: Fidelis Essential Plan Aliesa	$308.53
Rate for Payer: Fidelis Essential Plan QHP	$323.05
Rate for Payer: Fidelis Medicare Advantage	$362.98
Rate for Payer: Fidelis Qualified Health Plan	$323.05
Rate for Payer: Group Health Inc Commercial	$362.98
Rate for Payer: Group Health Inc Medicare	$362.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$383.29
Rate for Payer: Hamaspik Choice Inc Medicare	$362.98
Rate for Payer: Healthfirst Medicare Advantage	$308.53
Rate for Payer: Healthfirst QHP	$362.98
Rate for Payer: Humana Medicare	$370.24
Rate for Payer: Senior Whole Health Medicare Advantage	$362.98
Rate for Payer: United Healthcare Commercial	$94.00
Rate for Payer: United Healthcare Medicare Advantage	$362.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$362.98
Rate for Payer: Wellcare CHP/FHP/Medicaid	$290.38
Rate for Payer: Wellcare Medicare	$344.83

NCT 7-8 STUDIES

Facility

$766.58

Service Code	HCPCS 95910 TC
Hospital Charge Code	30305744
Hospital Revenue Code	920
Rate for Payer: Cash Price	$362.98

NCT 9-10 STUDIES

Facility

$1,470.80

Service Code	HCPCS 95911 TC
Hospital Charge Code	30305745
Hospital Revenue Code	920
Rate for Payer: Cash Price	$619.82

NCT 9-10 STUDIES

Facility

$1,470.80

Service Code	HCPCS 95911 TC
Hospital Charge Code	30305745
Hospital Revenue Code	920
Min. Negotiated Rate	$94.00
Max. Negotiated Rate	$1,176.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$808.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$619.82
Rate for Payer: Aetna Government	$619.82
Rate for Payer: Affinity Essential Plan 1&2	$433.87
Rate for Payer: Affinity Essential Plan 3&4	$433.87
Rate for Payer: Affinity Medicaid/CHP/HARP	$433.87
Rate for Payer: Brighton Health Commercial	$1,103.10
Rate for Payer: Cash Price	$619.82
Rate for Payer: Cash Price	$619.82
Rate for Payer: Cash Price	$619.82
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$619.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,176.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,000.14
Rate for Payer: Elderplan Medicare Advantage	$619.82
Rate for Payer: EmblemHealth Commercial	$619.82
Rate for Payer: Fidelis Essential Plan Aliesa	$526.85
Rate for Payer: Fidelis Essential Plan QHP	$551.64
Rate for Payer: Fidelis Medicare Advantage	$619.82
Rate for Payer: Fidelis Qualified Health Plan	$551.64
Rate for Payer: Group Health Inc Commercial	$619.82
Rate for Payer: Group Health Inc Medicare	$619.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$735.40
Rate for Payer: Hamaspik Choice Inc Medicare	$619.82
Rate for Payer: Healthfirst Medicare Advantage	$526.85
Rate for Payer: Healthfirst QHP	$619.82
Rate for Payer: Humana Medicare	$632.22
Rate for Payer: Senior Whole Health Medicare Advantage	$619.82
Rate for Payer: United Healthcare Commercial	$94.00
Rate for Payer: United Healthcare Medicare Advantage	$619.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$619.82
Rate for Payer: Wellcare CHP/FHP/Medicaid	$495.86
Rate for Payer: Wellcare Medicare	$588.83

NDL STR KEITH ABD.030D 2.244L

Facility

$5.73

Hospital Charge Code	64904894
Hospital Revenue Code	270
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$4.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.86
Rate for Payer: Aetna Government	$2.86
Rate for Payer: Brighton Health Commercial	$4.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.90
Rate for Payer: Group Health Inc Commercial	$2.86
Rate for Payer: Group Health Inc Medicare	$2.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.86
Rate for Payer: Hamaspik Choice Inc Medicare	$2.86

NDL STR TAPER FINE.024D

Facility

$5.73

Hospital Charge Code	64904892
Hospital Revenue Code	270
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$4.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.86
Rate for Payer: Aetna Government	$2.86
Rate for Payer: Brighton Health Commercial	$4.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.90
Rate for Payer: Group Health Inc Commercial	$2.86
Rate for Payer: Group Health Inc Medicare	$2.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.86
Rate for Payer: Hamaspik Choice Inc Medicare	$2.86

NEBULIZER MULTIFIT MISTY OX 441VF

Facility

$6.96

Hospital Charge Code	64901823
Hospital Revenue Code	270
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$5.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.48
Rate for Payer: Aetna Government	$3.48
Rate for Payer: Brighton Health Commercial	$5.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.73
Rate for Payer: Group Health Inc Commercial	$3.48
Rate for Payer: Group Health Inc Medicare	$2.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.48
Rate for Payer: Hamaspik Choice Inc Medicare	$3.48

NEBULIZER, NEBU TECH HDN A

Facility

$317.50

Hospital Charge Code	64902128
Hospital Revenue Code	270
Min. Negotiated Rate	$111.12
Max. Negotiated Rate	$254.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$174.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$158.75
Rate for Payer: Aetna Government	$158.75
Rate for Payer: Brighton Health Commercial	$238.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$254.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$215.90
Rate for Payer: Group Health Inc Commercial	$158.75
Rate for Payer: Group Health Inc Medicare	$111.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.75
Rate for Payer: Hamaspik Choice Inc Medicare	$158.75

NEBULIZER TREATMENT

Facility

$557.18

Service Code	HCPCS 94640
Hospital Charge Code	30301298
Hospital Revenue Code	410
Min. Negotiated Rate	$132.45
Max. Negotiated Rate	$417.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$306.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$246.65
Rate for Payer: Aetna Government	$246.65
Rate for Payer: Affinity Essential Plan 1&2	$172.66
Rate for Payer: Affinity Essential Plan 3&4	$172.66
Rate for Payer: Affinity Medicaid/CHP/HARP	$172.66
Rate for Payer: Brighton Health Commercial	$417.88
Rate for Payer: Cash Price	$246.65
Rate for Payer: Cash Price	$246.65
Rate for Payer: Cash Price	$246.65
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$246.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$155.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.45
Rate for Payer: Elderplan Medicare Advantage	$246.65
Rate for Payer: EmblemHealth Commercial	$246.65
Rate for Payer: Fidelis Essential Plan Aliesa	$209.65
Rate for Payer: Fidelis Essential Plan QHP	$219.52
Rate for Payer: Fidelis Medicare Advantage	$246.65
Rate for Payer: Fidelis Qualified Health Plan	$219.52
Rate for Payer: Group Health Inc Commercial	$246.65
Rate for Payer: Group Health Inc Medicare	$246.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$278.59
Rate for Payer: Hamaspik Choice Inc Medicare	$246.65
Rate for Payer: Healthfirst Medicare Advantage	$209.65
Rate for Payer: Healthfirst QHP	$246.65
Rate for Payer: Humana Medicare	$251.58
Rate for Payer: Senior Whole Health Medicare Advantage	$246.65
Rate for Payer: United Healthcare Commercial	$278.59
Rate for Payer: United Healthcare Medicare Advantage	$246.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$246.65
Rate for Payer: Wellcare CHP/FHP/Medicaid	$197.32
Rate for Payer: Wellcare Medicare	$234.32

NEBULIZER TREATMENT

Facility

$557.18

Service Code	HCPCS 94640
Hospital Charge Code	30301298
Hospital Revenue Code	410
Rate for Payer: Cash Price	$246.65

NECK ANGLE HIP STEM

Facility

$13,168.00

Service Code	HCPCS C1713
Hospital Charge Code	40201257
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$13,826.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,242.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$7,900.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,584.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,571.60
Rate for Payer: EmblemHealth Commercial	$6,584.00
Rate for Payer: Fidelis Medicare Advantage	$13,826.40
Rate for Payer: Group Health Inc Commercial	$6,584.00
Rate for Payer: Group Health Inc Medicare	$4,608.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,584.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,584.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8,559.20

NECK ANGLE HIP STEM

Facility

$13,168.00

Service Code	HCPCS C1713
Hospital Charge Code	40201257
Hospital Revenue Code	278
Min. Negotiated Rate	$6,584.00
Max. Negotiated Rate	$6,584.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,584.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,584.00

NECK ANGLE HIP STEM

Facility

$17,115.75

Service Code	HCPCS C1776
Hospital Charge Code	64902917
Hospital Revenue Code	278
Min. Negotiated Rate	$8,557.88
Max. Negotiated Rate	$8,557.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$8,557.88
Rate for Payer: Hamaspik Choice Inc Medicare	$8,557.88

NECK ANGLE HIP STEM

Facility

$17,115.75

Service Code	HCPCS C1776
Hospital Charge Code	64902917
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$17,971.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9,413.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$10,269.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8,557.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$9,841.56
Rate for Payer: EmblemHealth Commercial	$8,557.88
Rate for Payer: Fidelis Medicare Advantage	$17,971.54
Rate for Payer: Group Health Inc Commercial	$8,557.88
Rate for Payer: Group Health Inc Medicare	$5,990.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$8,557.88
Rate for Payer: Hamaspik Choice Inc Medicare	$8,557.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11,125.24

NECK EXP - LYMPH NODES

Facility

$14,640.10

Service Code	HCPCS 38542
Hospital Charge Code	40109020
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$10,980.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,672.53
Rate for Payer: Aetna Government	$6,672.53
Rate for Payer: Affinity Essential Plan 1&2	$4,670.77
Rate for Payer: Affinity Essential Plan 3&4	$4,670.77
Rate for Payer: Affinity Medicaid/CHP/HARP	$4,670.77
Rate for Payer: Brighton Health Commercial	$10,980.08
Rate for Payer: Cash Price	$6,672.53
Rate for Payer: Cash Price	$6,672.53
Rate for Payer: Cash Price	$6,672.53
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6,672.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$6,672.53
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$5,671.65
Rate for Payer: Fidelis Essential Plan QHP	$5,938.55
Rate for Payer: Fidelis Medicare Advantage	$6,672.53
Rate for Payer: Fidelis Qualified Health Plan	$5,938.55
Rate for Payer: Group Health Inc Commercial	$6,672.53
Rate for Payer: Group Health Inc Medicare	$6,672.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,320.05
Rate for Payer: Hamaspik Choice Inc Medicare	$6,672.53
Rate for Payer: Healthfirst Medicare Advantage	$5,671.65
Rate for Payer: Healthfirst QHP	$6,672.53
Rate for Payer: Humana Medicare	$6,805.98
Rate for Payer: Senior Whole Health Medicare Advantage	$6,672.53
Rate for Payer: United Healthcare Commercial	$2,546.00
Rate for Payer: United Healthcare Medicare Advantage	$6,672.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,672.53
Rate for Payer: Wellcare CHP/FHP/Medicaid	$5,338.02
Rate for Payer: Wellcare Medicare	$6,338.90

NECK EXP - LYMPH NODES

Facility

$14,640.10

Service Code	HCPCS 38542
Hospital Charge Code	40109020
Hospital Revenue Code	360
Rate for Payer: Cash Price	$6,672.53

NECK MDULAR REJUVENATE

Facility

$1,980.00

Service Code	HCPCS C1776
Hospital Charge Code	40208088
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,079.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,089.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,188.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$990.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,138.50
Rate for Payer: EmblemHealth Commercial	$990.00
Rate for Payer: Fidelis Medicare Advantage	$2,079.00
Rate for Payer: Group Health Inc Commercial	$990.00
Rate for Payer: Group Health Inc Medicare	$693.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$990.00
Rate for Payer: Hamaspik Choice Inc Medicare	$990.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,287.00

NECK MDULAR REJUVENATE

Facility

$1,980.00

Service Code	HCPCS C1776
Hospital Charge Code	40208088
Hospital Revenue Code	278
Min. Negotiated Rate	$990.00
Max. Negotiated Rate	$990.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$990.00
Rate for Payer: Hamaspik Choice Inc Medicare	$990.00

NECK MOD REJUV 30MM 127/132D

Facility

$1,802.50

Service Code	HCPCS C1776
Hospital Charge Code	64902403
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,892.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$991.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,081.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$901.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,036.44
Rate for Payer: EmblemHealth Commercial	$901.25
Rate for Payer: Fidelis Medicare Advantage	$1,892.62
Rate for Payer: Group Health Inc Commercial	$901.25
Rate for Payer: Group Health Inc Medicare	$630.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$901.25
Rate for Payer: Hamaspik Choice Inc Medicare	$901.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,171.62

NECK MOD REJUV 30MM 127/132D

Facility

$1,802.50

Service Code	HCPCS C1776
Hospital Charge Code	64902403
Hospital Revenue Code	278
Min. Negotiated Rate	$901.25
Max. Negotiated Rate	$901.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$901.25
Rate for Payer: Hamaspik Choice Inc Medicare	$901.25

NEDDLE BIOPSY 18G PROSTATE

Facility

$95.00

Hospital Charge Code	40206069
Hospital Revenue Code	270
Min. Negotiated Rate	$33.25
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$52.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$47.50
Rate for Payer: Aetna Government	$47.50
Rate for Payer: Brighton Health Commercial	$71.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$76.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$64.60
Rate for Payer: Group Health Inc Commercial	$47.50
Rate for Payer: Group Health Inc Medicare	$33.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$47.50
Rate for Payer: Hamaspik Choice Inc Medicare	$47.50

NEEDLE 1/2 MAYO CATGUT

Facility

$12.73

Hospital Charge Code	64903117
Hospital Revenue Code	270
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$10.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.36
Rate for Payer: Aetna Government	$6.36
Rate for Payer: Brighton Health Commercial	$9.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.66
Rate for Payer: Group Health Inc Commercial	$6.36
Rate for Payer: Group Health Inc Medicare	$4.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.36
Rate for Payer: Hamaspik Choice Inc Medicare	$6.36

NEEDLE 1/2 MAYO CATGUT

Facility

$600.00

Hospital Charge Code	40200969
Hospital Revenue Code	270
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$480.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$330.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$300.00
Rate for Payer: Aetna Government	$300.00
Rate for Payer: Brighton Health Commercial	$450.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$480.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$408.00
Rate for Payer: Group Health Inc Commercial	$300.00
Rate for Payer: Group Health Inc Medicare	$210.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$300.00
Rate for Payer: Hamaspik Choice Inc Medicare	$300.00

NEEDLE,22GX3.5,BLACK HUB,STRL,S

Facility

$3.30

Hospital Charge Code	64904735
Hospital Revenue Code	270
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$2.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.65
Rate for Payer: Aetna Government	$1.65
Rate for Payer: Brighton Health Commercial	$2.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.24
Rate for Payer: Group Health Inc Commercial	$1.65
Rate for Payer: Group Health Inc Medicare	$1.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.65
Rate for Payer: Hamaspik Choice Inc Medicare	$1.65

NEEDLE, 22GX7, BLACK, LONG, STR

Facility

$9.09

Hospital Charge Code	64904523
Hospital Revenue Code	270
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$7.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.54
Rate for Payer: Aetna Government	$4.54
Rate for Payer: Brighton Health Commercial	$6.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.18
Rate for Payer: Group Health Inc Commercial	$4.54
Rate for Payer: Group Health Inc Medicare	$3.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.54
Rate for Payer: Hamaspik Choice Inc Medicare	$4.54

Know your out-of-pocket cost for care.

All Charges