St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ASNIS CANN SCREW SS 8.0X80MM 25MM

Facility

$292.00

Service Code	HCPCS C1713
Hospital Charge Code	40205643
Hospital Revenue Code	278
Min. Negotiated Rate	$102.20
Max. Negotiated Rate	$306.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$160.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$175.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$146.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.90
Rate for Payer: EmblemHealth Commercial	$146.00
Rate for Payer: Fidelis Medicare Advantage	$306.60
Rate for Payer: Group Health Inc Commercial	$146.00
Rate for Payer: Group Health Inc Medicare	$102.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.00
Rate for Payer: Hamaspik Choice Inc Medicare	$146.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$189.80

ASNIS CANN SCREW SS 8.0X80MM 25MM

Facility

$292.00

Service Code	HCPCS C1713
Hospital Charge Code	40205643
Hospital Revenue Code	278
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$146.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.00
Rate for Payer: Hamaspik Choice Inc Medicare	$146.00

ASNIS CANN SCRW SS4.0X60MM 1/3

Facility

$298.00

Service Code	HCPCS C1776
Hospital Charge Code	40205174
Hospital Revenue Code	278
Min. Negotiated Rate	$104.30
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$178.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$149.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$171.35
Rate for Payer: EmblemHealth Commercial	$149.00
Rate for Payer: Fidelis Medicare Advantage	$312.90
Rate for Payer: Group Health Inc Commercial	$149.00
Rate for Payer: Group Health Inc Medicare	$104.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.00
Rate for Payer: Hamaspik Choice Inc Medicare	$149.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$193.70

ASNIS CANN SCRW SS4.0X60MM 1/3

Facility

$298.00

Service Code	HCPCS C1776
Hospital Charge Code	40205174
Hospital Revenue Code	278
Min. Negotiated Rate	$149.00
Max. Negotiated Rate	$149.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.00
Rate for Payer: Hamaspik Choice Inc Medicare	$149.00

ASNIS CAN SCRW 4.0X70MM 1/3 TH

Facility

$279.00

Service Code	HCPCS C1713
Hospital Charge Code	40205475
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$139.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.50
Rate for Payer: Hamaspik Choice Inc Medicare	$139.50

ASNIS CAN SCRW 4.0X70MM 1/3 TH

Facility

$279.00

Service Code	HCPCS C1713
Hospital Charge Code	40205475
Hospital Revenue Code	278
Min. Negotiated Rate	$97.65
Max. Negotiated Rate	$292.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$153.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$167.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$139.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$160.42
Rate for Payer: EmblemHealth Commercial	$139.50
Rate for Payer: Fidelis Medicare Advantage	$292.95
Rate for Payer: Group Health Inc Commercial	$139.50
Rate for Payer: Group Health Inc Medicare	$97.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.50
Rate for Payer: Hamaspik Choice Inc Medicare	$139.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$181.35

ASNIS CAN. SCRW SS4.0X40MM 1/3 TH

Facility

$291.80

Service Code	HCPCS C1713
Hospital Charge Code	40205471
Hospital Revenue Code	278
Min. Negotiated Rate	$145.90
Max. Negotiated Rate	$145.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.90
Rate for Payer: Hamaspik Choice Inc Medicare	$145.90

ASNIS CAN. SCRW SS4.0X40MM 1/3 TH

Facility

$291.80

Service Code	HCPCS C1713
Hospital Charge Code	40205471
Hospital Revenue Code	278
Min. Negotiated Rate	$102.13
Max. Negotiated Rate	$306.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$160.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$175.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$145.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.78
Rate for Payer: EmblemHealth Commercial	$145.90
Rate for Payer: Fidelis Medicare Advantage	$306.39
Rate for Payer: Group Health Inc Commercial	$145.90
Rate for Payer: Group Health Inc Medicare	$102.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.90
Rate for Payer: Hamaspik Choice Inc Medicare	$145.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$189.67

ASNIS CAN SCRW SS4.0X44MM 1/3 TH

Facility

$291.20

Service Code	HCPCS C1713
Hospital Charge Code	40205556
Hospital Revenue Code	278
Min. Negotiated Rate	$101.92
Max. Negotiated Rate	$305.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$160.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$174.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$145.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.44
Rate for Payer: EmblemHealth Commercial	$145.60
Rate for Payer: Fidelis Medicare Advantage	$305.76
Rate for Payer: Group Health Inc Commercial	$145.60
Rate for Payer: Group Health Inc Medicare	$101.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.60
Rate for Payer: Hamaspik Choice Inc Medicare	$145.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$189.28

ASNIS CAN SCRW SS4.0X44MM 1/3 TH

Facility

$291.20

Service Code	HCPCS C1713
Hospital Charge Code	40205556
Hospital Revenue Code	278
Min. Negotiated Rate	$145.60
Max. Negotiated Rate	$145.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.60
Rate for Payer: Hamaspik Choice Inc Medicare	$145.60

ASNIS CAN. SCRW SS4.0X46/50

Facility

$313.60

Service Code	HCPCS C1713
Hospital Charge Code	40205396
Hospital Revenue Code	278
Min. Negotiated Rate	$156.80
Max. Negotiated Rate	$156.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.80
Rate for Payer: Hamaspik Choice Inc Medicare	$156.80

ASNIS CAN. SCRW SS4.0X46/50

Facility

$313.60

Service Code	HCPCS C1713
Hospital Charge Code	40205396
Hospital Revenue Code	278
Min. Negotiated Rate	$109.76
Max. Negotiated Rate	$329.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$172.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$188.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$180.32
Rate for Payer: EmblemHealth Commercial	$156.80
Rate for Payer: Fidelis Medicare Advantage	$329.28
Rate for Payer: Group Health Inc Commercial	$156.80
Rate for Payer: Group Health Inc Medicare	$109.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.80
Rate for Payer: Hamaspik Choice Inc Medicare	$156.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$203.84

ASNIS III 6.5/8.0 GUIDE WIRE

Facility

$368.75

Service Code	HCPCS C1713
Hospital Charge Code	64903565
Hospital Revenue Code	278
Min. Negotiated Rate	$129.06
Max. Negotiated Rate	$387.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$202.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$221.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$184.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$212.03
Rate for Payer: EmblemHealth Commercial	$184.38
Rate for Payer: Fidelis Medicare Advantage	$387.19
Rate for Payer: Group Health Inc Commercial	$184.38
Rate for Payer: Group Health Inc Medicare	$129.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$184.38
Rate for Payer: Hamaspik Choice Inc Medicare	$184.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$239.69

ASNIS III 6.5/8.0 GUIDE WIRE

Facility

$368.75

Service Code	HCPCS C1713
Hospital Charge Code	64903565
Hospital Revenue Code	278
Min. Negotiated Rate	$184.38
Max. Negotiated Rate	$184.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$184.38
Rate for Payer: Hamaspik Choice Inc Medicare	$184.38

ASPERGILLUS AB, QN, DID

Facility

$37.63

Service Code	HCPCS 86606
Hospital Charge Code	40729347
Hospital Revenue Code	300
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$28.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.05
Rate for Payer: Aetna Government	$15.05
Rate for Payer: Affinity Essential Plan 1&2	$10.54
Rate for Payer: Affinity Essential Plan 3&4	$10.54
Rate for Payer: Affinity Medicaid/CHP/HARP	$10.54
Rate for Payer: Brighton Health Commercial	$28.22
Rate for Payer: Cash Price	$15.05
Rate for Payer: Cash Price	$15.05
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$15.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.24
Rate for Payer: Elderplan Medicare Advantage	$15.05
Rate for Payer: EmblemHealth Commercial	$15.05
Rate for Payer: Fidelis Essential Plan Aliesa	$12.79
Rate for Payer: Fidelis Essential Plan QHP	$13.39
Rate for Payer: Fidelis Medicare Advantage	$15.05
Rate for Payer: Fidelis Qualified Health Plan	$13.39
Rate for Payer: Group Health Inc Commercial	$15.05
Rate for Payer: Group Health Inc Medicare	$15.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.82
Rate for Payer: Hamaspik Choice Inc Medicare	$15.05
Rate for Payer: Healthfirst Medicare Advantage	$15.05
Rate for Payer: Healthfirst QHP	$15.05
Rate for Payer: Humana Medicare	$15.35
Rate for Payer: Senior Whole Health Medicare Advantage	$15.05
Rate for Payer: United Healthcare Commercial	$19.07
Rate for Payer: United Healthcare Medicare Advantage	$15.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.05
Rate for Payer: Wellcare CHP/FHP/Medicaid	$12.04
Rate for Payer: Wellcare Medicare	$13.54

ASPERGILLUS AB, QN, DID

Facility

$37.63

Service Code	HCPCS 86606
Hospital Charge Code	40729347
Hospital Revenue Code	300
Rate for Payer: Cash Price	$15.05

ASPERGILLUS AG BAL/SERUM

Facility

$517.50

Service Code	HCPCS 87305
Hospital Charge Code	40601158
Hospital Revenue Code	306
Rate for Payer: Cash Price	$11.98

ASPERGILLUS AG BAL/SERUM

Facility

$517.50

Service Code	HCPCS 87305
Hospital Charge Code	40601158
Hospital Revenue Code	306
Min. Negotiated Rate	$8.39
Max. Negotiated Rate	$388.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$284.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.98
Rate for Payer: Aetna Government	$11.98
Rate for Payer: Affinity Essential Plan 1&2	$8.39
Rate for Payer: Affinity Essential Plan 3&4	$8.39
Rate for Payer: Affinity Medicaid/CHP/HARP	$8.39
Rate for Payer: Brighton Health Commercial	$388.12
Rate for Payer: Cash Price	$11.98
Rate for Payer: Cash Price	$11.98
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$11.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.13
Rate for Payer: Elderplan Medicare Advantage	$11.98
Rate for Payer: EmblemHealth Commercial	$11.98
Rate for Payer: Fidelis Essential Plan Aliesa	$10.18
Rate for Payer: Fidelis Essential Plan QHP	$10.66
Rate for Payer: Fidelis Medicare Advantage	$11.98
Rate for Payer: Fidelis Qualified Health Plan	$10.66
Rate for Payer: Group Health Inc Commercial	$11.98
Rate for Payer: Group Health Inc Medicare	$11.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$258.75
Rate for Payer: Hamaspik Choice Inc Medicare	$11.98
Rate for Payer: Healthfirst Medicare Advantage	$11.98
Rate for Payer: Healthfirst QHP	$11.98
Rate for Payer: Humana Medicare	$12.22
Rate for Payer: Senior Whole Health Medicare Advantage	$11.98
Rate for Payer: United Healthcare Commercial	$15.19
Rate for Payer: United Healthcare Medicare Advantage	$11.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.98
Rate for Payer: Wellcare CHP/FHP/Medicaid	$9.58
Rate for Payer: Wellcare Medicare	$10.78

ASPERGILUS AB PROFILE

Facility

$37.63

Service Code	HCPCS 86606
Hospital Charge Code	40728122
Hospital Revenue Code	302
Rate for Payer: Cash Price	$15.05

ASPERGILUS AB PROFILE

Facility

$37.63

Service Code	HCPCS 86606
Hospital Charge Code	40728122
Hospital Revenue Code	302
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$28.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.05
Rate for Payer: Aetna Government	$15.05
Rate for Payer: Affinity Essential Plan 1&2	$10.54
Rate for Payer: Affinity Essential Plan 3&4	$10.54
Rate for Payer: Affinity Medicaid/CHP/HARP	$10.54
Rate for Payer: Brighton Health Commercial	$28.22
Rate for Payer: Cash Price	$15.05
Rate for Payer: Cash Price	$15.05
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$15.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.24
Rate for Payer: Elderplan Medicare Advantage	$15.05
Rate for Payer: EmblemHealth Commercial	$15.05
Rate for Payer: Fidelis Essential Plan Aliesa	$12.79
Rate for Payer: Fidelis Essential Plan QHP	$13.39
Rate for Payer: Fidelis Medicare Advantage	$15.05
Rate for Payer: Fidelis Qualified Health Plan	$13.39
Rate for Payer: Group Health Inc Commercial	$15.05
Rate for Payer: Group Health Inc Medicare	$15.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.82
Rate for Payer: Hamaspik Choice Inc Medicare	$15.05
Rate for Payer: Healthfirst Medicare Advantage	$15.05
Rate for Payer: Healthfirst QHP	$15.05
Rate for Payer: Humana Medicare	$15.35
Rate for Payer: Senior Whole Health Medicare Advantage	$15.05
Rate for Payer: United Healthcare Commercial	$19.07
Rate for Payer: United Healthcare Medicare Advantage	$15.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.05
Rate for Payer: Wellcare CHP/FHP/Medicaid	$12.04
Rate for Payer: Wellcare Medicare	$13.54

ASPIRATE/INJ GANGLION CYST

Facility

$792.83

Service Code	HCPCS 20612
Hospital Charge Code	30305200
Hospital Revenue Code	510
Min. Negotiated Rate	$222.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$342.51
Rate for Payer: Aetna Government	$342.51
Rate for Payer: Affinity Essential Plan 1&2	$239.76
Rate for Payer: Affinity Essential Plan 3&4	$239.76
Rate for Payer: Affinity Medicaid/CHP/HARP	$239.76
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cash Price	$342.51
Rate for Payer: Cash Price	$342.51
Rate for Payer: Cash Price	$342.51
Rate for Payer: Cash Price	$342.51
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$342.51
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	$342.51
Rate for Payer: Fidelis Essential Plan Aliesa	$291.13
Rate for Payer: Fidelis Essential Plan QHP	$304.83
Rate for Payer: Fidelis Medicare Advantage	$342.51
Rate for Payer: Fidelis Qualified Health Plan	$304.83
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$396.42
Rate for Payer: Hamaspik Choice Inc Medicare	$342.51
Rate for Payer: Healthfirst Medicare Advantage	$291.13
Rate for Payer: Healthfirst QHP	$342.51
Rate for Payer: Humana Medicare	$349.36
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$342.51
Rate for Payer: Senior Whole Health Medicare Advantage	$342.51
Rate for Payer: United Healthcare Commercial	$222.00
Rate for Payer: United Healthcare Medicare Advantage	$342.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$342.51
Rate for Payer: Wellcare CHP/FHP/Medicaid	$274.01
Rate for Payer: Wellcare Medicare	$325.38

ASPIRATE/INJ GANGLION CYST

Facility

$792.83

Service Code	HCPCS 20612
Hospital Charge Code	30305200
Hospital Revenue Code	510
Rate for Payer: Cash Price	$342.51

ASPIRATION CATH MEDTRONIC GUARDWI

Facility

$3,150.00

Service Code	HCPCS C1757
Hospital Charge Code	66522107
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$3,307.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,732.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$1,890.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,575.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,811.25
Rate for Payer: EmblemHealth Commercial	$1,575.00
Rate for Payer: Fidelis Medicare Advantage	$3,307.50
Rate for Payer: Group Health Inc Commercial	$1,575.00
Rate for Payer: Group Health Inc Medicare	$1,102.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,575.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,575.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,047.50

ASPIRATION CATH MEDTRONIC GUARDWI

Facility

$3,150.00

Service Code	HCPCS C1757
Hospital Charge Code	66522107
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$1,575.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,575.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,575.00

Aspiration of bladder; with insertion of suprapubic catheter

Facility

$2,915.00

Service Code	CPT 51102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,468.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,355.42
Rate for Payer: Aetna Government	$2,355.42
Rate for Payer: Affinity Essential Plan 1&2	$1,648.79
Rate for Payer: Affinity Essential Plan 3&4	$1,648.79
Rate for Payer: Affinity Medicaid/CHP/HARP	$1,648.79
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$2,355.42
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	$2,355.42
Rate for Payer: EmblemHealth Commercial	$2,355.42
Rate for Payer: Fidelis Essential Plan Aliesa	$2,002.11
Rate for Payer: Fidelis Essential Plan QHP	$2,096.32
Rate for Payer: Fidelis Medicare Advantage	$2,355.42
Rate for Payer: Fidelis Qualified Health Plan	$2,096.32
Rate for Payer: Group Health Inc Commercial	$2,355.42
Rate for Payer: Group Health Inc Medicare	$2,355.42
Rate for Payer: Hamaspik Choice Inc Medicare	$2,355.42
Rate for Payer: Healthfirst Medicare Advantage	$2,002.11
Rate for Payer: Healthfirst QHP	$2,355.42
Rate for Payer: Humana Medicare	$2,402.53
Rate for Payer: Senior Whole Health Medicare Advantage	$2,355.42
Rate for Payer: United Healthcare Commercial	$1,468.00
Rate for Payer: United Healthcare Medicare Advantage	$2,355.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,355.42
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1,884.34
Rate for Payer: Wellcare Medicare	$2,237.65

Know your out-of-pocket cost for care.

All Charges