Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code EAPG 00025
Hospital Charge Code EAPG 00025
Min. Negotiated Rate $2,615.84
Max. Negotiated Rate $5,885.64
Rate for Payer: Affinity Essential Plan 1&2 $5,885.64
Rate for Payer: Affinity Essential Plan 3&4 $5,885.64
Rate for Payer: Affinity Medicaid/CHP/HARP $2,615.84
Rate for Payer: Amida Care Medicaid $2,615.84
Rate for Payer: Fidelis CHP/HARP/Medicaid $2,615.84
Rate for Payer: Fidelis Essential Plan Aliesa $5,885.64
Rate for Payer: Fidelis Essential Plan QHP $5,885.64
Rate for Payer: Fidelis Qualified Health Plan $2,746.63
Rate for Payer: Hamaspik Choice Inc Medicaid $2,615.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid $2,615.84
Rate for Payer: Healthfirst Essential Plan $5,885.64
Rate for Payer: Healthfirst QHP $2,615.84
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,615.84
Rate for Payer: SOMOS Essential $5,885.64
Rate for Payer: United Healthcare Essential Plan 1&2 $5,885.64
Rate for Payer: United Healthcare Essential Plan 3&4 $2,877.42
Rate for Payer: United Healthcare Medicaid $2,615.84
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,615.84
Service Code EAPG 00026
Hospital Charge Code EAPG 00026
Min. Negotiated Rate $2,014.99
Max. Negotiated Rate $4,533.73
Rate for Payer: Affinity Essential Plan 1&2 $4,533.73
Rate for Payer: Affinity Essential Plan 3&4 $4,533.73
Rate for Payer: Affinity Medicaid/CHP/HARP $2,014.99
Rate for Payer: Amida Care Medicaid $2,014.99
Rate for Payer: Fidelis CHP/HARP/Medicaid $2,014.99
Rate for Payer: Fidelis Essential Plan Aliesa $4,533.73
Rate for Payer: Fidelis Essential Plan QHP $4,533.73
Rate for Payer: Fidelis Qualified Health Plan $2,115.74
Rate for Payer: Hamaspik Choice Inc Medicaid $2,014.99
Rate for Payer: Healthfirst CHP/FHP/Medicaid $2,014.99
Rate for Payer: Healthfirst Essential Plan $4,533.73
Rate for Payer: Healthfirst QHP $2,014.99
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,014.99
Rate for Payer: SOMOS Essential $4,533.73
Rate for Payer: United Healthcare Essential Plan 1&2 $4,533.73
Rate for Payer: United Healthcare Essential Plan 3&4 $2,216.49
Rate for Payer: United Healthcare Medicaid $2,014.99
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,014.99
Service Code EAPG 00027
Hospital Charge Code EAPG 00027
Min. Negotiated Rate $2,516.50
Max. Negotiated Rate $5,662.12
Rate for Payer: Affinity Essential Plan 1&2 $5,662.12
Rate for Payer: Affinity Essential Plan 3&4 $5,662.12
Rate for Payer: Affinity Medicaid/CHP/HARP $2,516.50
Rate for Payer: Amida Care Medicaid $2,516.50
Rate for Payer: Fidelis CHP/HARP/Medicaid $2,516.50
Rate for Payer: Fidelis Essential Plan Aliesa $5,662.12
Rate for Payer: Fidelis Essential Plan QHP $5,662.12
Rate for Payer: Fidelis Qualified Health Plan $2,642.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,516.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid $2,516.50
Rate for Payer: Healthfirst Essential Plan $5,662.12
Rate for Payer: Healthfirst QHP $2,516.50
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,516.50
Rate for Payer: SOMOS Essential $5,662.12
Rate for Payer: United Healthcare Essential Plan 1&2 $5,662.12
Rate for Payer: United Healthcare Essential Plan 3&4 $2,768.15
Rate for Payer: United Healthcare Medicaid $2,516.50
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,516.50
Service Code EAPG 00028
Hospital Charge Code EAPG 00028
Min. Negotiated Rate $3,705.01
Max. Negotiated Rate $8,336.27
Rate for Payer: Affinity Essential Plan 1&2 $8,336.27
Rate for Payer: Affinity Essential Plan 3&4 $8,336.27
Rate for Payer: Affinity Medicaid/CHP/HARP $3,705.01
Rate for Payer: Amida Care Medicaid $3,705.01
Rate for Payer: Fidelis CHP/HARP/Medicaid $3,705.01
Rate for Payer: Fidelis Essential Plan Aliesa $8,336.27
Rate for Payer: Fidelis Essential Plan QHP $8,336.27
Rate for Payer: Fidelis Qualified Health Plan $3,890.26
Rate for Payer: Hamaspik Choice Inc Medicaid $3,705.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid $3,705.01
Rate for Payer: Healthfirst Essential Plan $8,336.27
Rate for Payer: Healthfirst QHP $3,705.01
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,705.01
Rate for Payer: SOMOS Essential $8,336.27
Rate for Payer: United Healthcare Essential Plan 1&2 $8,336.27
Rate for Payer: United Healthcare Essential Plan 3&4 $4,075.51
Rate for Payer: United Healthcare Medicaid $3,705.01
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,705.01
Service Code EAPG 00029
Hospital Charge Code EAPG 00029
Min. Negotiated Rate $4,493.49
Max. Negotiated Rate $10,110.35
Rate for Payer: Affinity Essential Plan 1&2 $10,110.35
Rate for Payer: Affinity Essential Plan 3&4 $10,110.35
Rate for Payer: Affinity Medicaid/CHP/HARP $4,493.49
Rate for Payer: Amida Care Medicaid $4,493.49
Rate for Payer: Fidelis CHP/HARP/Medicaid $4,493.49
Rate for Payer: Fidelis Essential Plan Aliesa $10,110.35
Rate for Payer: Fidelis Essential Plan QHP $10,110.35
Rate for Payer: Fidelis Qualified Health Plan $4,718.16
Rate for Payer: Hamaspik Choice Inc Medicaid $4,493.49
Rate for Payer: Healthfirst CHP/FHP/Medicaid $4,493.49
Rate for Payer: Healthfirst Essential Plan $10,110.35
Rate for Payer: Healthfirst QHP $4,493.49
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,493.49
Rate for Payer: SOMOS Essential $10,110.35
Rate for Payer: United Healthcare Essential Plan 1&2 $10,110.35
Rate for Payer: United Healthcare Essential Plan 3&4 $4,942.84
Rate for Payer: United Healthcare Medicaid $4,493.49
Rate for Payer: Wellcare CHP/FHP/Medicaid $4,493.49
Service Code EAPG 00030
Hospital Charge Code EAPG 00030
Min. Negotiated Rate $3,002.82
Max. Negotiated Rate $3,002.82
Rate for Payer: Healthfirst Commercial $3,002.82
Service Code EAPG 00033
Hospital Charge Code EAPG 00033
Min. Negotiated Rate $1,452.89
Max. Negotiated Rate $3,269.00
Rate for Payer: Affinity Essential Plan 1&2 $3,269.00
Rate for Payer: Affinity Essential Plan 3&4 $3,269.00
Rate for Payer: Affinity Medicaid/CHP/HARP $1,452.89
Rate for Payer: Amida Care Medicaid $1,452.89
Rate for Payer: Fidelis CHP/HARP/Medicaid $1,452.89
Rate for Payer: Fidelis Essential Plan Aliesa $3,269.00
Rate for Payer: Fidelis Essential Plan QHP $3,269.00
Rate for Payer: Fidelis Qualified Health Plan $1,525.53
Rate for Payer: Hamaspik Choice Inc Medicaid $1,452.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1,452.89
Rate for Payer: Healthfirst Commercial $2,201.62
Rate for Payer: Healthfirst Essential Plan $3,269.00
Rate for Payer: Healthfirst QHP $1,452.89
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,452.89
Rate for Payer: SOMOS Essential $3,269.00
Rate for Payer: United Healthcare Essential Plan 1&2 $3,269.00
Rate for Payer: United Healthcare Essential Plan 3&4 $1,598.18
Rate for Payer: United Healthcare Medicaid $1,452.89
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,452.89
Service Code EAPG 00034
Hospital Charge Code EAPG 00034
Min. Negotiated Rate $2,403.10
Max. Negotiated Rate $5,406.98
Rate for Payer: Affinity Essential Plan 1&2 $5,406.98
Rate for Payer: Affinity Essential Plan 3&4 $5,406.98
Rate for Payer: Affinity Medicaid/CHP/HARP $2,403.10
Rate for Payer: Amida Care Medicaid $2,403.10
Rate for Payer: Fidelis CHP/HARP/Medicaid $2,403.10
Rate for Payer: Fidelis Essential Plan Aliesa $5,406.98
Rate for Payer: Fidelis Essential Plan QHP $5,406.98
Rate for Payer: Fidelis Qualified Health Plan $2,523.26
Rate for Payer: Hamaspik Choice Inc Medicaid $2,403.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid $2,403.10
Rate for Payer: Healthfirst Commercial $3,641.50
Rate for Payer: Healthfirst Essential Plan $5,406.98
Rate for Payer: Healthfirst QHP $2,403.10
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,403.10
Rate for Payer: SOMOS Essential $5,406.98
Rate for Payer: United Healthcare Essential Plan 1&2 $5,406.98
Rate for Payer: United Healthcare Essential Plan 3&4 $2,643.41
Rate for Payer: United Healthcare Medicaid $2,403.10
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,403.10
Service Code EAPG 00035
Hospital Charge Code EAPG 00035
Min. Negotiated Rate $1,871.53
Max. Negotiated Rate $4,210.94
Rate for Payer: Affinity Essential Plan 1&2 $4,210.94
Rate for Payer: Affinity Essential Plan 3&4 $4,210.94
Rate for Payer: Affinity Medicaid/CHP/HARP $1,871.53
Rate for Payer: Amida Care Medicaid $1,871.53
Rate for Payer: Fidelis CHP/HARP/Medicaid $1,871.53
Rate for Payer: Fidelis Essential Plan Aliesa $4,210.94
Rate for Payer: Fidelis Essential Plan QHP $4,210.94
Rate for Payer: Fidelis Qualified Health Plan $1,965.11
Rate for Payer: Hamaspik Choice Inc Medicaid $1,871.53
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1,871.53
Rate for Payer: Healthfirst Commercial $2,836.00
Rate for Payer: Healthfirst Essential Plan $4,210.94
Rate for Payer: Healthfirst QHP $1,871.53
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,871.53
Rate for Payer: SOMOS Essential $4,210.94
Rate for Payer: United Healthcare Essential Plan 1&2 $4,210.94
Rate for Payer: United Healthcare Essential Plan 3&4 $2,058.68
Rate for Payer: United Healthcare Medicaid $1,871.53
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,871.53
Service Code EAPG 00036
Hospital Charge Code EAPG 00036
Min. Negotiated Rate $2,394.71
Max. Negotiated Rate $5,388.10
Rate for Payer: Affinity Essential Plan 1&2 $5,388.10
Rate for Payer: Affinity Essential Plan 3&4 $5,388.10
Rate for Payer: Affinity Medicaid/CHP/HARP $2,394.71
Rate for Payer: Amida Care Medicaid $2,394.71
Rate for Payer: Fidelis CHP/HARP/Medicaid $2,394.71
Rate for Payer: Fidelis Essential Plan Aliesa $5,388.10
Rate for Payer: Fidelis Essential Plan QHP $5,388.10
Rate for Payer: Fidelis Qualified Health Plan $2,514.45
Rate for Payer: Hamaspik Choice Inc Medicaid $2,394.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid $2,394.71
Rate for Payer: Healthfirst Commercial $3,628.80
Rate for Payer: Healthfirst Essential Plan $5,388.10
Rate for Payer: Healthfirst QHP $2,394.71
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,394.71
Rate for Payer: SOMOS Essential $5,388.10
Rate for Payer: United Healthcare Essential Plan 1&2 $5,388.10
Rate for Payer: United Healthcare Essential Plan 3&4 $2,634.18
Rate for Payer: United Healthcare Medicaid $2,394.71
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,394.71
Service Code EAPG 00037
Hospital Charge Code EAPG 00037
Min. Negotiated Rate $2,093.57
Max. Negotiated Rate $4,710.53
Rate for Payer: Affinity Essential Plan 1&2 $4,710.53
Rate for Payer: Affinity Essential Plan 3&4 $4,710.53
Rate for Payer: Affinity Medicaid/CHP/HARP $2,093.57
Rate for Payer: Amida Care Medicaid $2,093.57
Rate for Payer: Fidelis CHP/HARP/Medicaid $2,093.57
Rate for Payer: Fidelis Essential Plan Aliesa $4,710.53
Rate for Payer: Fidelis Essential Plan QHP $4,710.53
Rate for Payer: Fidelis Qualified Health Plan $2,198.25
Rate for Payer: Hamaspik Choice Inc Medicaid $2,093.57
Rate for Payer: Healthfirst CHP/FHP/Medicaid $2,093.57
Rate for Payer: Healthfirst Commercial $3,172.45
Rate for Payer: Healthfirst Essential Plan $4,710.53
Rate for Payer: Healthfirst QHP $2,093.57
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,093.57
Rate for Payer: SOMOS Essential $4,710.53
Rate for Payer: United Healthcare Essential Plan 1&2 $4,710.53
Rate for Payer: United Healthcare Essential Plan 3&4 $2,302.93
Rate for Payer: United Healthcare Medicaid $2,093.57
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,093.57
Service Code EAPG 00038
Hospital Charge Code EAPG 00038
Min. Negotiated Rate $3,978.60
Max. Negotiated Rate $8,951.85
Rate for Payer: Affinity Essential Plan 1&2 $8,951.85
Rate for Payer: Affinity Essential Plan 3&4 $8,951.85
Rate for Payer: Affinity Medicaid/CHP/HARP $3,978.60
Rate for Payer: Amida Care Medicaid $3,978.60
Rate for Payer: Fidelis CHP/HARP/Medicaid $3,978.60
Rate for Payer: Fidelis Essential Plan Aliesa $8,951.85
Rate for Payer: Fidelis Essential Plan QHP $8,951.85
Rate for Payer: Fidelis Qualified Health Plan $4,177.53
Rate for Payer: Hamaspik Choice Inc Medicaid $3,978.60
Rate for Payer: Healthfirst CHP/FHP/Medicaid $3,978.60
Rate for Payer: Healthfirst Commercial $6,028.93
Rate for Payer: Healthfirst Essential Plan $8,951.85
Rate for Payer: Healthfirst QHP $3,978.60
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,978.60
Rate for Payer: SOMOS Essential $8,951.85
Rate for Payer: United Healthcare Essential Plan 1&2 $8,951.85
Rate for Payer: United Healthcare Essential Plan 3&4 $4,376.46
Rate for Payer: United Healthcare Medicaid $3,978.60
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,978.60
Service Code EAPG 00039
Hospital Charge Code EAPG 00039
Min. Negotiated Rate $332.73
Max. Negotiated Rate $748.64
Rate for Payer: Affinity Essential Plan 1&2 $748.64
Rate for Payer: Affinity Essential Plan 3&4 $748.64
Rate for Payer: Affinity Medicaid/CHP/HARP $332.73
Rate for Payer: Amida Care Medicaid $332.73
Rate for Payer: Fidelis CHP/HARP/Medicaid $332.73
Rate for Payer: Fidelis Essential Plan Aliesa $748.64
Rate for Payer: Fidelis Essential Plan QHP $748.64
Rate for Payer: Fidelis Qualified Health Plan $349.37
Rate for Payer: Hamaspik Choice Inc Medicaid $332.73
Rate for Payer: Healthfirst CHP/FHP/Medicaid $332.73
Rate for Payer: Healthfirst Commercial $504.21
Rate for Payer: Healthfirst Essential Plan $748.64
Rate for Payer: Healthfirst QHP $332.73
Rate for Payer: SOMOS CHP/HARP/Medicaid $332.73
Rate for Payer: SOMOS Essential $748.64
Rate for Payer: United Healthcare Essential Plan 1&2 $748.64
Rate for Payer: United Healthcare Essential Plan 3&4 $366.00
Rate for Payer: United Healthcare Medicaid $332.73
Rate for Payer: Wellcare CHP/FHP/Medicaid $332.73
Service Code EAPG 00040
Hospital Charge Code EAPG 00040
Min. Negotiated Rate $243.46
Max. Negotiated Rate $547.78
Rate for Payer: Affinity Essential Plan 1&2 $547.78
Rate for Payer: Affinity Essential Plan 3&4 $547.78
Rate for Payer: Affinity Medicaid/CHP/HARP $243.46
Rate for Payer: Amida Care Medicaid $243.46
Rate for Payer: Fidelis CHP/HARP/Medicaid $243.46
Rate for Payer: Fidelis Essential Plan Aliesa $547.78
Rate for Payer: Fidelis Essential Plan QHP $547.78
Rate for Payer: Fidelis Qualified Health Plan $255.63
Rate for Payer: Hamaspik Choice Inc Medicaid $243.46
Rate for Payer: Healthfirst CHP/FHP/Medicaid $243.46
Rate for Payer: Healthfirst Commercial $368.92
Rate for Payer: Healthfirst Essential Plan $547.78
Rate for Payer: Healthfirst QHP $243.46
Rate for Payer: SOMOS CHP/HARP/Medicaid $243.46
Rate for Payer: SOMOS Essential $547.78
Rate for Payer: United Healthcare Essential Plan 1&2 $547.78
Rate for Payer: United Healthcare Essential Plan 3&4 $267.81
Rate for Payer: United Healthcare Medicaid $243.46
Rate for Payer: Wellcare CHP/FHP/Medicaid $243.46
Service Code EAPG 00041
Hospital Charge Code EAPG 00041
Min. Negotiated Rate $577.18
Max. Negotiated Rate $1,298.66
Rate for Payer: Affinity Essential Plan 1&2 $1,298.66
Rate for Payer: Affinity Essential Plan 3&4 $1,298.66
Rate for Payer: Affinity Medicaid/CHP/HARP $577.18
Rate for Payer: Amida Care Medicaid $577.18
Rate for Payer: Fidelis CHP/HARP/Medicaid $577.18
Rate for Payer: Fidelis Essential Plan Aliesa $1,298.66
Rate for Payer: Fidelis Essential Plan QHP $1,298.66
Rate for Payer: Fidelis Qualified Health Plan $606.04
Rate for Payer: Hamaspik Choice Inc Medicaid $577.18
Rate for Payer: Healthfirst CHP/FHP/Medicaid $577.18
Rate for Payer: Healthfirst Commercial $874.61
Rate for Payer: Healthfirst Essential Plan $1,298.66
Rate for Payer: Healthfirst QHP $577.18
Rate for Payer: SOMOS CHP/HARP/Medicaid $577.18
Rate for Payer: SOMOS Essential $1,298.66
Rate for Payer: United Healthcare Essential Plan 1&2 $1,298.66
Rate for Payer: United Healthcare Essential Plan 3&4 $634.90
Rate for Payer: United Healthcare Medicaid $577.18
Rate for Payer: Wellcare CHP/FHP/Medicaid $577.18
Service Code EAPG 00043
Hospital Charge Code EAPG 00043
Min. Negotiated Rate $3,403.66
Max. Negotiated Rate $7,658.24
Rate for Payer: Affinity Essential Plan 1&2 $7,658.24
Rate for Payer: Affinity Essential Plan 3&4 $7,658.24
Rate for Payer: Affinity Medicaid/CHP/HARP $3,403.66
Rate for Payer: Amida Care Medicaid $3,403.66
Rate for Payer: Fidelis CHP/HARP/Medicaid $3,403.66
Rate for Payer: Fidelis Essential Plan Aliesa $7,658.24
Rate for Payer: Fidelis Essential Plan QHP $7,658.24
Rate for Payer: Fidelis Qualified Health Plan $3,573.84
Rate for Payer: Hamaspik Choice Inc Medicaid $3,403.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid $3,403.66
Rate for Payer: Healthfirst Commercial $5,157.69
Rate for Payer: Healthfirst Essential Plan $7,658.24
Rate for Payer: Healthfirst QHP $3,403.66
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,403.66
Rate for Payer: SOMOS Essential $7,658.24
Rate for Payer: United Healthcare Essential Plan 1&2 $7,658.24
Rate for Payer: United Healthcare Essential Plan 3&4 $3,744.03
Rate for Payer: United Healthcare Medicaid $3,403.66
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,403.66
Service Code EAPG 00044
Hospital Charge Code EAPG 00044
Min. Negotiated Rate $1,063.65
Max. Negotiated Rate $2,393.21
Rate for Payer: Affinity Essential Plan 1&2 $2,393.21
Rate for Payer: Affinity Essential Plan 3&4 $2,393.21
Rate for Payer: Affinity Medicaid/CHP/HARP $1,063.65
Rate for Payer: Amida Care Medicaid $1,063.65
Rate for Payer: Fidelis CHP/HARP/Medicaid $1,063.65
Rate for Payer: Fidelis Essential Plan Aliesa $2,393.21
Rate for Payer: Fidelis Essential Plan QHP $2,393.21
Rate for Payer: Fidelis Qualified Health Plan $1,116.83
Rate for Payer: Hamaspik Choice Inc Medicaid $1,063.65
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1,063.65
Rate for Payer: Healthfirst Commercial $1,611.78
Rate for Payer: Healthfirst Essential Plan $2,393.21
Rate for Payer: Healthfirst QHP $1,063.65
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,063.65
Rate for Payer: SOMOS Essential $2,393.21
Rate for Payer: United Healthcare Essential Plan 1&2 $2,393.21
Rate for Payer: United Healthcare Essential Plan 3&4 $1,170.02
Rate for Payer: United Healthcare Medicaid $1,063.65
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,063.65
Service Code EAPG 00046
Hospital Charge Code EAPG 00046
Min. Negotiated Rate $3,491.40
Max. Negotiated Rate $7,855.65
Rate for Payer: Affinity Essential Plan 1&2 $7,855.65
Rate for Payer: Affinity Essential Plan 3&4 $7,855.65
Rate for Payer: Affinity Medicaid/CHP/HARP $3,491.40
Rate for Payer: Amida Care Medicaid $3,491.40
Rate for Payer: Fidelis CHP/HARP/Medicaid $3,491.40
Rate for Payer: Fidelis Essential Plan Aliesa $7,855.65
Rate for Payer: Fidelis Essential Plan QHP $7,855.65
Rate for Payer: Fidelis Qualified Health Plan $3,665.97
Rate for Payer: Hamaspik Choice Inc Medicaid $3,491.40
Rate for Payer: Healthfirst CHP/FHP/Medicaid $3,491.40
Rate for Payer: Healthfirst Commercial $5,290.65
Rate for Payer: Healthfirst Essential Plan $7,855.65
Rate for Payer: Healthfirst QHP $3,491.40
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,491.40
Rate for Payer: SOMOS Essential $7,855.65
Rate for Payer: United Healthcare Essential Plan 1&2 $7,855.65
Rate for Payer: United Healthcare Essential Plan 3&4 $3,840.54
Rate for Payer: United Healthcare Medicaid $3,491.40
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,491.40
Service Code EAPG 00047
Hospital Charge Code EAPG 00047
Min. Negotiated Rate $4,011.09
Max. Negotiated Rate $9,024.95
Rate for Payer: Affinity Essential Plan 1&2 $9,024.95
Rate for Payer: Affinity Essential Plan 3&4 $9,024.95
Rate for Payer: Affinity Medicaid/CHP/HARP $4,011.09
Rate for Payer: Amida Care Medicaid $4,011.09
Rate for Payer: Fidelis CHP/HARP/Medicaid $4,011.09
Rate for Payer: Fidelis Essential Plan Aliesa $9,024.95
Rate for Payer: Fidelis Essential Plan QHP $9,024.95
Rate for Payer: Fidelis Qualified Health Plan $4,211.64
Rate for Payer: Hamaspik Choice Inc Medicaid $4,011.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid $4,011.09
Rate for Payer: Healthfirst Commercial $6,078.16
Rate for Payer: Healthfirst Essential Plan $9,024.95
Rate for Payer: Healthfirst QHP $4,011.09
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,011.09
Rate for Payer: SOMOS Essential $9,024.95
Rate for Payer: United Healthcare Essential Plan 1&2 $9,024.95
Rate for Payer: United Healthcare Essential Plan 3&4 $4,412.20
Rate for Payer: United Healthcare Medicaid $4,011.09
Rate for Payer: Wellcare CHP/FHP/Medicaid $4,011.09
Service Code EAPG 00049
Hospital Charge Code EAPG 00049
Min. Negotiated Rate $336.53
Max. Negotiated Rate $757.19
Rate for Payer: Affinity Essential Plan 1&2 $757.19
Rate for Payer: Affinity Essential Plan 3&4 $757.19
Rate for Payer: Affinity Medicaid/CHP/HARP $336.53
Rate for Payer: Amida Care Medicaid $336.53
Rate for Payer: Fidelis CHP/HARP/Medicaid $336.53
Rate for Payer: Fidelis Essential Plan Aliesa $757.19
Rate for Payer: Fidelis Essential Plan QHP $757.19
Rate for Payer: Fidelis Qualified Health Plan $353.36
Rate for Payer: Hamaspik Choice Inc Medicaid $336.53
Rate for Payer: Healthfirst CHP/FHP/Medicaid $336.53
Rate for Payer: Healthfirst Commercial $509.96
Rate for Payer: Healthfirst Essential Plan $757.19
Rate for Payer: Healthfirst QHP $336.53
Rate for Payer: SOMOS CHP/HARP/Medicaid $336.53
Rate for Payer: SOMOS Essential $757.19
Rate for Payer: United Healthcare Essential Plan 1&2 $757.19
Rate for Payer: United Healthcare Essential Plan 3&4 $370.18
Rate for Payer: United Healthcare Medicaid $336.53
Rate for Payer: Wellcare CHP/FHP/Medicaid $336.53
Service Code EAPG 00050
Hospital Charge Code EAPG 00050
Min. Negotiated Rate $610.72
Max. Negotiated Rate $1,374.12
Rate for Payer: Affinity Essential Plan 1&2 $1,374.12
Rate for Payer: Affinity Essential Plan 3&4 $1,374.12
Rate for Payer: Affinity Medicaid/CHP/HARP $610.72
Rate for Payer: Amida Care Medicaid $610.72
Rate for Payer: Fidelis CHP/HARP/Medicaid $610.72
Rate for Payer: Fidelis Essential Plan Aliesa $1,374.12
Rate for Payer: Fidelis Essential Plan QHP $1,374.12
Rate for Payer: Fidelis Qualified Health Plan $641.26
Rate for Payer: Hamaspik Choice Inc Medicaid $610.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid $610.72
Rate for Payer: Healthfirst Essential Plan $1,374.12
Rate for Payer: Healthfirst QHP $610.72
Rate for Payer: SOMOS CHP/HARP/Medicaid $610.72
Rate for Payer: SOMOS Essential $1,374.12
Rate for Payer: United Healthcare Essential Plan 1&2 $1,374.12
Rate for Payer: United Healthcare Essential Plan 3&4 $671.79
Rate for Payer: United Healthcare Medicaid $610.72
Rate for Payer: Wellcare CHP/FHP/Medicaid $610.72
Service Code EAPG 00052
Hospital Charge Code EAPG 00052
Min. Negotiated Rate $2,296.70
Max. Negotiated Rate $5,167.58
Rate for Payer: Affinity Essential Plan 1&2 $5,167.58
Rate for Payer: Affinity Essential Plan 3&4 $5,167.58
Rate for Payer: Affinity Medicaid/CHP/HARP $2,296.70
Rate for Payer: Amida Care Medicaid $2,296.70
Rate for Payer: Fidelis CHP/HARP/Medicaid $2,296.70
Rate for Payer: Fidelis Essential Plan Aliesa $5,167.58
Rate for Payer: Fidelis Essential Plan QHP $5,167.58
Rate for Payer: Fidelis Qualified Health Plan $2,411.54
Rate for Payer: Hamaspik Choice Inc Medicaid $2,296.70
Rate for Payer: Healthfirst CHP/FHP/Medicaid $2,296.70
Rate for Payer: Healthfirst Essential Plan $5,167.58
Rate for Payer: Healthfirst QHP $2,296.70
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,296.70
Rate for Payer: SOMOS Essential $5,167.58
Rate for Payer: United Healthcare Essential Plan 1&2 $5,167.58
Rate for Payer: United Healthcare Essential Plan 3&4 $2,526.37
Rate for Payer: United Healthcare Medicaid $2,296.70
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,296.70
Service Code EAPG 00053
Hospital Charge Code EAPG 00053
Min. Negotiated Rate $636.28
Max. Negotiated Rate $1,431.63
Rate for Payer: Affinity Essential Plan 1&2 $1,431.63
Rate for Payer: Affinity Essential Plan 3&4 $1,431.63
Rate for Payer: Affinity Medicaid/CHP/HARP $636.28
Rate for Payer: Amida Care Medicaid $636.28
Rate for Payer: Fidelis CHP/HARP/Medicaid $636.28
Rate for Payer: Fidelis Essential Plan Aliesa $1,431.63
Rate for Payer: Fidelis Essential Plan QHP $1,431.63
Rate for Payer: Fidelis Qualified Health Plan $668.09
Rate for Payer: Hamaspik Choice Inc Medicaid $636.28
Rate for Payer: Healthfirst CHP/FHP/Medicaid $636.28
Rate for Payer: Healthfirst Essential Plan $1,431.63
Rate for Payer: Healthfirst QHP $636.28
Rate for Payer: SOMOS CHP/HARP/Medicaid $636.28
Rate for Payer: SOMOS Essential $1,431.63
Rate for Payer: United Healthcare Essential Plan 1&2 $1,431.63
Rate for Payer: United Healthcare Essential Plan 3&4 $699.91
Rate for Payer: United Healthcare Medicaid $636.28
Rate for Payer: Wellcare CHP/FHP/Medicaid $636.28
Service Code EAPG 00060
Hospital Charge Code EAPG 00060
Min. Negotiated Rate $313.74
Max. Negotiated Rate $705.92
Rate for Payer: Affinity Essential Plan 1&2 $705.92
Rate for Payer: Affinity Essential Plan 3&4 $705.92
Rate for Payer: Affinity Medicaid/CHP/HARP $313.74
Rate for Payer: Amida Care Medicaid $313.74
Rate for Payer: Fidelis CHP/HARP/Medicaid $313.74
Rate for Payer: Fidelis Essential Plan Aliesa $705.92
Rate for Payer: Fidelis Essential Plan QHP $705.92
Rate for Payer: Fidelis Qualified Health Plan $329.43
Rate for Payer: Hamaspik Choice Inc Medicaid $313.74
Rate for Payer: Healthfirst CHP/FHP/Medicaid $313.74
Rate for Payer: Healthfirst Commercial $475.42
Rate for Payer: Healthfirst Essential Plan $705.92
Rate for Payer: Healthfirst QHP $313.74
Rate for Payer: SOMOS CHP/HARP/Medicaid $313.74
Rate for Payer: SOMOS Essential $705.92
Rate for Payer: United Healthcare Essential Plan 1&2 $705.92
Rate for Payer: United Healthcare Essential Plan 3&4 $345.11
Rate for Payer: United Healthcare Medicaid $313.74
Rate for Payer: Wellcare CHP/FHP/Medicaid $313.74
Service Code EAPG 00062
Hospital Charge Code EAPG 00062
Min. Negotiated Rate $438.09
Max. Negotiated Rate $985.70
Rate for Payer: Affinity Essential Plan 1&2 $985.70
Rate for Payer: Affinity Essential Plan 3&4 $985.70
Rate for Payer: Affinity Medicaid/CHP/HARP $438.09
Rate for Payer: Amida Care Medicaid $438.09
Rate for Payer: Fidelis CHP/HARP/Medicaid $438.09
Rate for Payer: Fidelis Essential Plan Aliesa $985.70
Rate for Payer: Fidelis Essential Plan QHP $985.70
Rate for Payer: Fidelis Qualified Health Plan $459.99
Rate for Payer: Hamaspik Choice Inc Medicaid $438.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid $438.09
Rate for Payer: Healthfirst Commercial $663.85
Rate for Payer: Healthfirst Essential Plan $985.70
Rate for Payer: Healthfirst QHP $438.09
Rate for Payer: SOMOS CHP/HARP/Medicaid $438.09
Rate for Payer: SOMOS Essential $985.70
Rate for Payer: United Healthcare Essential Plan 1&2 $985.70
Rate for Payer: United Healthcare Essential Plan 3&4 $481.90
Rate for Payer: United Healthcare Medicaid $438.09
Rate for Payer: Wellcare CHP/FHP/Medicaid $438.09