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Hospital Charge Code 41656555
Hospital Revenue Code 250
Min. Negotiated Rate $0.32
Max. Negotiated Rate $0.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.45
Rate for Payer: Aetna Government $0.45
Rate for Payer: Brighton Health Commercial $0.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.72
Rate for Payer: Cigna LocalPlus Benefit Plan $0.61
Rate for Payer: Group Health Inc Commercial $0.45
Rate for Payer: Group Health Inc Medicare $0.32
Rate for Payer: Hamaspik Choice Inc Medicaid $0.45
Rate for Payer: Hamaspik Choice Inc Medicare $0.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.59
Hospital Charge Code 41656604
Hospital Revenue Code 250
Min. Negotiated Rate $0.39
Max. Negotiated Rate $0.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.56
Rate for Payer: Aetna Government $0.56
Rate for Payer: Brighton Health Commercial $0.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.90
Rate for Payer: Cigna LocalPlus Benefit Plan $0.76
Rate for Payer: Group Health Inc Commercial $0.56
Rate for Payer: Group Health Inc Medicare $0.39
Rate for Payer: Hamaspik Choice Inc Medicaid $0.56
Rate for Payer: Hamaspik Choice Inc Medicare $0.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.73
Hospital Charge Code 41646604
Hospital Revenue Code 250
Min. Negotiated Rate $0.39
Max. Negotiated Rate $0.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.56
Rate for Payer: Aetna Government $0.56
Rate for Payer: Brighton Health Commercial $0.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.90
Rate for Payer: Cigna LocalPlus Benefit Plan $0.76
Rate for Payer: Group Health Inc Commercial $0.56
Rate for Payer: Group Health Inc Medicare $0.39
Rate for Payer: Hamaspik Choice Inc Medicaid $0.56
Rate for Payer: Hamaspik Choice Inc Medicare $0.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.73
Service Code HCPCS D6609
Hospital Charge Code 42303457
Hospital Revenue Code 361
Min. Negotiated Rate $272.80
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $682.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $272.80
Rate for Payer: Aetna Government $272.80
Rate for Payer: Brighton Health Commercial $930.00
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: Group Health Inc Commercial $620.00
Rate for Payer: Group Health Inc Medicare $434.00
Rate for Payer: Hamaspik Choice Inc Medicaid $620.00
Rate for Payer: Hamaspik Choice Inc Medicare $620.00
Hospital Charge Code 42905265
Hospital Revenue Code 801
Min. Negotiated Rate $6.08
Max. Negotiated Rate $13.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8.68
Rate for Payer: Aetna Government $8.68
Rate for Payer: Brighton Health Commercial $13.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $13.90
Rate for Payer: Cigna LocalPlus Benefit Plan $11.81
Rate for Payer: Group Health Inc Commercial $8.68
Rate for Payer: Group Health Inc Medicare $6.08
Rate for Payer: Hamaspik Choice Inc Medicaid $8.68
Rate for Payer: Hamaspik Choice Inc Medicare $8.68
Service Code HCPCS C1874
Hospital Charge Code 66521446
Hospital Revenue Code 278
Min. Negotiated Rate $265.52
Max. Negotiated Rate $2,756.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,443.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $265.52
Rate for Payer: Aetna Government $265.52
Rate for Payer: Brighton Health Commercial $1,575.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,312.50
Rate for Payer: Cigna LocalPlus Benefit Plan $1,509.38
Rate for Payer: EmblemHealth Commercial $1,312.50
Rate for Payer: Fidelis Medicare Advantage $2,756.25
Rate for Payer: Group Health Inc Commercial $1,312.50
Rate for Payer: Group Health Inc Medicare $918.75
Rate for Payer: Hamaspik Choice Inc Medicaid $1,312.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,312.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,706.25
Service Code HCPCS C1874
Hospital Charge Code 66521446
Hospital Revenue Code 278
Min. Negotiated Rate $1,312.50
Max. Negotiated Rate $1,312.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1,312.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,312.50
Service Code HCPCS 58940
Hospital Charge Code 40059985
Hospital Revenue Code 360
Min. Negotiated Rate $460.38
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $723.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $664.04
Rate for Payer: Aetna Government $664.04
Rate for Payer: Brighton Health Commercial $986.54
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: EmblemHealth Commercial $1,505.00
Rate for Payer: Group Health Inc Commercial $657.69
Rate for Payer: Group Health Inc Medicare $460.38
Rate for Payer: Hamaspik Choice Inc Medicaid $657.69
Rate for Payer: Hamaspik Choice Inc Medicare $657.69
Rate for Payer: United Healthcare Commercial $1,835.00
Service Code HCPCS 58943
Hospital Charge Code 40052249
Hospital Revenue Code 360
Min. Negotiated Rate $1,049.14
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,648.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,504.05
Rate for Payer: Aetna Government $1,504.05
Rate for Payer: Brighton Health Commercial $2,248.15
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: EmblemHealth Commercial $1,505.00
Rate for Payer: Group Health Inc Commercial $1,498.76
Rate for Payer: Group Health Inc Medicare $1,049.14
Rate for Payer: Hamaspik Choice Inc Medicaid $1,498.76
Rate for Payer: Hamaspik Choice Inc Medicare $1,498.76
Rate for Payer: United Healthcare Commercial $1,835.00
Service Code HCPCS 59160
Hospital Charge Code 30102500
Hospital Revenue Code 450
Min. Negotiated Rate $165.00
Max. Negotiated Rate $3,783.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,615.39
Rate for Payer: Aetna Government $3,615.39
Rate for Payer: Affinity Essential Plan 1&2 $2,530.77
Rate for Payer: Affinity Essential Plan 3&4 $2,530.77
Rate for Payer: Affinity Medicaid/CHP/HARP $2,530.77
Rate for Payer: Brighton Health Commercial $874.00
Rate for Payer: Carelon Behavioral Health CHP/Medicaid $3,615.39
Rate for Payer: Carelon Behavioral Health Medicare Advantage $3,615.39
Rate for Payer: Cash Price $3,615.39
Rate for Payer: Cash Price $3,615.39
Rate for Payer: Cash Price $3,615.39
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,615.39
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 $3,615.39
Rate for Payer: EmblemHealth Commercial $525.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,073.08
Rate for Payer: Fidelis Essential Plan QHP $3,217.70
Rate for Payer: Fidelis Medicare Advantage $3,615.39
Rate for Payer: Fidelis Qualified Health Plan $3,217.70
Rate for Payer: Group Health Inc Commercial $525.00
Rate for Payer: Group Health Inc Medicare $525.00
Rate for Payer: Hamaspik Choice Inc Medicaid $3,783.06
Rate for Payer: Hamaspik Choice Inc Medicare $3,615.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid $165.00
Rate for Payer: Healthfirst Medicare Advantage $225.00
Rate for Payer: Healthfirst QHP $3,615.39
Rate for Payer: Humana Medicare $3,687.70
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $3,615.39
Rate for Payer: Senior Whole Health Medicare Advantage $3,615.39
Rate for Payer: United Healthcare Commercial $569.00
Rate for Payer: United Healthcare Medicare Advantage $3,615.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,615.39
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,892.31
Rate for Payer: Wellcare Medicare $3,434.62
Service Code HCPCS 59160
Hospital Charge Code 30102500
Hospital Revenue Code 450
Rate for Payer: Cash Price $3,615.39
Service Code HCPCS 20220
Hospital Charge Code 40021550
Hospital Revenue Code 360
Min. Negotiated Rate $1,188.00
Max. Negotiated Rate $3,117.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,874.89
Rate for Payer: Aetna Government $1,874.89
Rate for Payer: Affinity Essential Plan 1&2 $1,312.42
Rate for Payer: Affinity Essential Plan 3&4 $1,312.42
Rate for Payer: Affinity Medicaid/CHP/HARP $1,312.42
Rate for Payer: Brighton Health Commercial $3,117.94
Rate for Payer: Cash Price $1,874.89
Rate for Payer: Cash Price $1,874.89
Rate for Payer: Cash Price $1,874.89
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,874.89
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 $1,874.89
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $1,593.66
Rate for Payer: Fidelis Essential Plan QHP $1,668.65
Rate for Payer: Fidelis Medicare Advantage $1,874.89
Rate for Payer: Fidelis Qualified Health Plan $1,668.65
Rate for Payer: Group Health Inc Commercial $1,874.89
Rate for Payer: Group Health Inc Medicare $1,874.89
Rate for Payer: Hamaspik Choice Inc Medicaid $2,078.62
Rate for Payer: Hamaspik Choice Inc Medicare $1,874.89
Rate for Payer: Healthfirst Medicare Advantage $1,593.66
Rate for Payer: Healthfirst QHP $1,874.89
Rate for Payer: Humana Medicare $1,912.39
Rate for Payer: Senior Whole Health Medicare Advantage $1,874.89
Rate for Payer: United Healthcare Commercial $1,188.00
Rate for Payer: United Healthcare Medicare Advantage $1,874.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,874.89
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,499.91
Rate for Payer: Wellcare Medicare $1,781.15
Service Code HCPCS 20220
Hospital Charge Code 40021550
Hospital Revenue Code 360
Rate for Payer: Cash Price $1,874.89
Service Code HCPCS D7810
Hospital Charge Code 42301940
Hospital Revenue Code 361
Min. Negotiated Rate $1,268.75
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,993.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,322.76
Rate for Payer: Aetna Government $1,322.76
Rate for Payer: Brighton Health Commercial $2,718.75
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: Group Health Inc Commercial $1,812.50
Rate for Payer: Group Health Inc Medicare $1,268.75
Rate for Payer: Hamaspik Choice Inc Medicaid $1,812.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,812.50
Service Code HCPCS 21422
Hospital Charge Code 40029820
Hospital Revenue Code 360
Min. Negotiated Rate $941.42
Max. Negotiated Rate $6,907.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $6,772.21
Rate for Payer: Aetna Government $6,772.21
Rate for Payer: Affinity Essential Plan 1&2 $4,740.55
Rate for Payer: Affinity Essential Plan 3&4 $4,740.55
Rate for Payer: Affinity Medicaid/CHP/HARP $4,740.55
Rate for Payer: Brighton Health Commercial $1,412.14
Rate for Payer: Cash Price $6,772.21
Rate for Payer: Cash Price $6,772.21
Rate for Payer: Cash Price $6,772.21
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $6,772.21
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 $6,772.21
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $5,756.38
Rate for Payer: Fidelis Essential Plan QHP $6,027.27
Rate for Payer: Fidelis Medicare Advantage $6,772.21
Rate for Payer: Fidelis Qualified Health Plan $6,027.27
Rate for Payer: Group Health Inc Commercial $6,772.21
Rate for Payer: Group Health Inc Medicare $6,772.21
Rate for Payer: Hamaspik Choice Inc Medicaid $941.42
Rate for Payer: Hamaspik Choice Inc Medicare $6,772.21
Rate for Payer: Healthfirst Medicare Advantage $5,756.38
Rate for Payer: Healthfirst QHP $6,772.21
Rate for Payer: Humana Medicare $6,907.65
Rate for Payer: Senior Whole Health Medicare Advantage $6,772.21
Rate for Payer: United Healthcare Commercial $2,683.00
Rate for Payer: United Healthcare Medicare Advantage $6,772.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $6,772.21
Rate for Payer: Wellcare CHP/FHP/Medicaid $5,417.77
Rate for Payer: Wellcare Medicare $6,433.60
Service Code HCPCS 21422
Hospital Charge Code 40029820
Hospital Revenue Code 360
Rate for Payer: Cash Price $6,772.21
Service Code HCPCS 50205
Hospital Charge Code 40123025
Hospital Revenue Code 360
Min. Negotiated Rate $817.14
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,284.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $955.41
Rate for Payer: Aetna Government $955.41
Rate for Payer: Brighton Health Commercial $1,751.01
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: EmblemHealth Commercial $1,505.00
Rate for Payer: Group Health Inc Commercial $1,167.34
Rate for Payer: Group Health Inc Medicare $817.14
Rate for Payer: Hamaspik Choice Inc Medicaid $1,167.34
Rate for Payer: Hamaspik Choice Inc Medicare $1,167.34
Rate for Payer: United Healthcare Commercial $1,496.00
Service Code HCPCS 26715
Hospital Charge Code 30101226
Hospital Revenue Code 360
Rate for Payer: Cash Price $3,743.15
Service Code HCPCS 26715
Hospital Charge Code 30101226
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $6,218.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Affinity Essential Plan 1&2 $2,620.20
Rate for Payer: Affinity Essential Plan 3&4 $2,620.20
Rate for Payer: Affinity Medicaid/CHP/HARP $2,620.20
Rate for Payer: Brighton Health Commercial $6,218.29
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Humana Medicare $3,818.01
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code HCPCS 21461
Hospital Charge Code 40029659
Hospital Revenue Code 360
Min. Negotiated Rate $1,505.00
Max. Negotiated Rate $11,018.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $6,772.21
Rate for Payer: Aetna Government $6,772.21
Rate for Payer: Affinity Essential Plan 1&2 $4,740.55
Rate for Payer: Affinity Essential Plan 3&4 $4,740.55
Rate for Payer: Affinity Medicaid/CHP/HARP $4,740.55
Rate for Payer: Brighton Health Commercial $11,018.29
Rate for Payer: Cash Price $6,772.21
Rate for Payer: Cash Price $6,772.21
Rate for Payer: Cash Price $6,772.21
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $6,772.21
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 $6,772.21
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $5,756.38
Rate for Payer: Fidelis Essential Plan QHP $6,027.27
Rate for Payer: Fidelis Medicare Advantage $6,772.21
Rate for Payer: Fidelis Qualified Health Plan $6,027.27
Rate for Payer: Group Health Inc Commercial $6,772.21
Rate for Payer: Group Health Inc Medicare $6,772.21
Rate for Payer: Hamaspik Choice Inc Medicaid $7,345.52
Rate for Payer: Hamaspik Choice Inc Medicare $6,772.21
Rate for Payer: Healthfirst Medicare Advantage $5,756.38
Rate for Payer: Healthfirst QHP $6,772.21
Rate for Payer: Humana Medicare $6,907.65
Rate for Payer: Senior Whole Health Medicare Advantage $6,772.21
Rate for Payer: United Healthcare Commercial $2,683.00
Rate for Payer: United Healthcare Medicare Advantage $6,772.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $6,772.21
Rate for Payer: Wellcare CHP/FHP/Medicaid $5,417.77
Rate for Payer: Wellcare Medicare $6,433.60
Service Code HCPCS 21461
Hospital Charge Code 40029659
Hospital Revenue Code 360
Rate for Payer: Cash Price $6,772.21
Service Code HCPCS 26746
Hospital Charge Code 40029422
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $6,218.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Affinity Essential Plan 1&2 $2,620.20
Rate for Payer: Affinity Essential Plan 3&4 $2,620.20
Rate for Payer: Affinity Medicaid/CHP/HARP $2,620.20
Rate for Payer: Brighton Health Commercial $6,218.29
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Humana Medicare $3,818.01
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code HCPCS 26746
Hospital Charge Code 40029422
Hospital Revenue Code 360
Rate for Payer: Cash Price $3,743.15
Service Code HCPCS 24579
Hospital Charge Code 40029691
Hospital Revenue Code 360
Min. Negotiated Rate $1,505.00
Max. Negotiated Rate $27,033.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $15,219.83
Rate for Payer: Aetna Government $15,219.83
Rate for Payer: Affinity Essential Plan 1&2 $10,653.88
Rate for Payer: Affinity Essential Plan 3&4 $10,653.88
Rate for Payer: Affinity Medicaid/CHP/HARP $10,653.88
Rate for Payer: Brighton Health Commercial $27,033.21
Rate for Payer: Cash Price $15,219.83
Rate for Payer: Cash Price $15,219.83
Rate for Payer: Cash Price $15,219.83
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $15,219.83
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 $15,219.83
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $12,936.86
Rate for Payer: Fidelis Essential Plan QHP $13,545.65
Rate for Payer: Fidelis Medicare Advantage $15,219.83
Rate for Payer: Fidelis Qualified Health Plan $13,545.65
Rate for Payer: Group Health Inc Commercial $15,219.83
Rate for Payer: Group Health Inc Medicare $15,219.83
Rate for Payer: Hamaspik Choice Inc Medicaid $18,022.14
Rate for Payer: Hamaspik Choice Inc Medicare $15,219.83
Rate for Payer: Healthfirst Medicare Advantage $12,936.86
Rate for Payer: Healthfirst QHP $15,219.83
Rate for Payer: Humana Medicare $15,524.23
Rate for Payer: Senior Whole Health Medicare Advantage $15,219.83
Rate for Payer: United Healthcare Commercial $2,546.00
Rate for Payer: United Healthcare Medicare Advantage $15,219.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15,219.83
Rate for Payer: Wellcare CHP/FHP/Medicaid $12,175.86
Rate for Payer: Wellcare Medicare $14,458.84
Service Code HCPCS 24579
Hospital Charge Code 40029691
Hospital Revenue Code 360
Rate for Payer: Cash Price $15,219.83