Price Transparency.

Search and browse your out-of-pocket costs for provider care & services.

search
Charge Type Price  
Service Code HCPCS C1776
Hospital Charge Code 40205236
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $4,196.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,198.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $339.17
Rate for Payer: Aetna Government $339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,998.29
Rate for Payer: Cigna LocalPlus Benefit Plan $2,298.03
Rate for Payer: Fidelis Medicare Advantage $4,196.41
Rate for Payer: Group Health Inc Commercial $1,998.29
Rate for Payer: Group Health Inc Medicare $1,398.80
Rate for Payer: Hamaspik Choice Inc Medicaid $1,998.29
Rate for Payer: Hamaspik Choice Inc Medicare $1,998.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,597.78
Service Code HCPCS C1713
Hospital Charge Code 40205532
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,430.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,797.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,633.64
Rate for Payer: Cigna LocalPlus Benefit Plan $1,878.69
Rate for Payer: Fidelis Medicare Advantage $3,430.64
Rate for Payer: Group Health Inc Commercial $1,633.64
Rate for Payer: Group Health Inc Medicare $1,143.55
Rate for Payer: Hamaspik Choice Inc Medicaid $1,633.64
Rate for Payer: Hamaspik Choice Inc Medicare $1,633.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,123.73
Service Code HCPCS C1713
Hospital Charge Code 40205532
Hospital Revenue Code 278
Min. Negotiated Rate $1,633.64
Max. Negotiated Rate $1,633.64
Rate for Payer: Hamaspik Choice Inc Medicaid $1,633.64
Rate for Payer: Hamaspik Choice Inc Medicare $1,633.64
Service Code HCPCS C1713
Hospital Charge Code 40206041
Hospital Revenue Code 278
Min. Negotiated Rate $1,071.00
Max. Negotiated Rate $1,071.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,071.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,071.00
Service Code HCPCS C1713
Hospital Charge Code 40206041
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,249.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,178.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,071.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,231.65
Rate for Payer: Fidelis Medicare Advantage $2,249.10
Rate for Payer: Group Health Inc Commercial $1,071.00
Rate for Payer: Group Health Inc Medicare $749.70
Rate for Payer: Hamaspik Choice Inc Medicaid $1,071.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,071.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,392.30
Service Code HCPCS C1713
Hospital Charge Code 40205540
Hospital Revenue Code 278
Min. Negotiated Rate $1,114.00
Max. Negotiated Rate $1,114.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,114.00
Service Code HCPCS C1713
Hospital Charge Code 40205540
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,339.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,225.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,114.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,281.10
Rate for Payer: Fidelis Medicare Advantage $2,339.40
Rate for Payer: Group Health Inc Commercial $1,114.00
Rate for Payer: Group Health Inc Medicare $779.80
Rate for Payer: Hamaspik Choice Inc Medicaid $1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,448.20
Hospital Charge Code 40205371
Hospital Revenue Code 270
Min. Negotiated Rate $312.55
Max. Negotiated Rate $714.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $491.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $446.50
Rate for Payer: Aetna Government $446.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $714.40
Rate for Payer: Cigna LocalPlus Benefit Plan $607.24
Rate for Payer: Group Health Inc Commercial $446.50
Rate for Payer: Group Health Inc Medicare $312.55
Rate for Payer: Hamaspik Choice Inc Medicaid $446.50
Rate for Payer: Hamaspik Choice Inc Medicare $446.50
Hospital Charge Code 40205712
Hospital Revenue Code 270
Min. Negotiated Rate $129.15
Max. Negotiated Rate $295.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $202.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $184.50
Rate for Payer: Aetna Government $184.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $295.20
Rate for Payer: Cigna LocalPlus Benefit Plan $250.92
Rate for Payer: Group Health Inc Commercial $184.50
Rate for Payer: Group Health Inc Medicare $129.15
Rate for Payer: Hamaspik Choice Inc Medicaid $184.50
Rate for Payer: Hamaspik Choice Inc Medicare $184.50
Service Code HCPCS C1713
Hospital Charge Code 40209952
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,837.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $962.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $875.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,006.25
Rate for Payer: Fidelis Medicare Advantage $1,837.50
Rate for Payer: Group Health Inc Commercial $875.00
Rate for Payer: Group Health Inc Medicare $612.50
Rate for Payer: Hamaspik Choice Inc Medicaid $875.00
Rate for Payer: Hamaspik Choice Inc Medicare $875.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,137.50
Service Code HCPCS C1713
Hospital Charge Code 40209952
Hospital Revenue Code 278
Min. Negotiated Rate $875.00
Max. Negotiated Rate $875.00
Rate for Payer: Hamaspik Choice Inc Medicaid $875.00
Rate for Payer: Hamaspik Choice Inc Medicare $875.00
Service Code HCPCS C1713
Hospital Charge Code 40201458
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $424.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $222.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $201.96
Rate for Payer: Cigna LocalPlus Benefit Plan $232.25
Rate for Payer: Fidelis Medicare Advantage $424.12
Rate for Payer: Group Health Inc Commercial $201.96
Rate for Payer: Group Health Inc Medicare $141.37
Rate for Payer: Hamaspik Choice Inc Medicaid $201.96
Rate for Payer: Hamaspik Choice Inc Medicare $201.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $262.55
Service Code HCPCS C1713
Hospital Charge Code 40201458
Hospital Revenue Code 278
Min. Negotiated Rate $201.96
Max. Negotiated Rate $201.96
Rate for Payer: Hamaspik Choice Inc Medicaid $201.96
Rate for Payer: Hamaspik Choice Inc Medicare $201.96
Service Code HCPCS C1713
Hospital Charge Code 40206090
Hospital Revenue Code 278
Min. Negotiated Rate $658.00
Max. Negotiated Rate $658.00
Rate for Payer: Hamaspik Choice Inc Medicaid $658.00
Rate for Payer: Hamaspik Choice Inc Medicare $658.00
Service Code HCPCS C1713
Hospital Charge Code 40206090
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,381.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $723.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $658.00
Rate for Payer: Cigna LocalPlus Benefit Plan $756.70
Rate for Payer: Fidelis Medicare Advantage $1,381.80
Rate for Payer: Group Health Inc Commercial $658.00
Rate for Payer: Group Health Inc Medicare $460.60
Rate for Payer: Hamaspik Choice Inc Medicaid $658.00
Rate for Payer: Hamaspik Choice Inc Medicare $658.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $855.40
Hospital Charge Code 40203391
Hospital Revenue Code 272
Min. Negotiated Rate $57.75
Max. Negotiated Rate $132.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $90.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $82.50
Rate for Payer: Aetna Government $82.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $132.00
Rate for Payer: Cigna LocalPlus Benefit Plan $112.20
Rate for Payer: Group Health Inc Commercial $82.50
Rate for Payer: Group Health Inc Medicare $57.75
Rate for Payer: Hamaspik Choice Inc Medicaid $82.50
Rate for Payer: Hamaspik Choice Inc Medicare $82.50
Hospital Charge Code 40205583
Hospital Revenue Code 270
Min. Negotiated Rate $48.51
Max. Negotiated Rate $110.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial $76.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $69.30
Rate for Payer: Aetna Government $69.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $110.88
Rate for Payer: Cigna LocalPlus Benefit Plan $94.25
Rate for Payer: Group Health Inc Commercial $69.30
Rate for Payer: Group Health Inc Medicare $48.51
Rate for Payer: Hamaspik Choice Inc Medicaid $69.30
Rate for Payer: Hamaspik Choice Inc Medicare $69.30
Hospital Charge Code 40029612
Hospital Revenue Code 272
Min. Negotiated Rate $101.50
Max. Negotiated Rate $232.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $159.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $145.00
Rate for Payer: Aetna Government $145.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $232.00
Rate for Payer: Cigna LocalPlus Benefit Plan $197.20
Rate for Payer: Group Health Inc Commercial $145.00
Rate for Payer: Group Health Inc Medicare $101.50
Rate for Payer: Hamaspik Choice Inc Medicaid $145.00
Rate for Payer: Hamaspik Choice Inc Medicare $145.00
Service Code HCPCS C1713
Hospital Charge Code 40201586
Hospital Revenue Code 278
Min. Negotiated Rate $154.00
Max. Negotiated Rate $154.00
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Service Code HCPCS C1713
Hospital Charge Code 40201586
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $169.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $154.00
Rate for Payer: Cigna LocalPlus Benefit Plan $177.10
Rate for Payer: Fidelis Medicare Advantage $323.40
Rate for Payer: Group Health Inc Commercial $154.00
Rate for Payer: Group Health Inc Medicare $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $200.20
Hospital Charge Code 40005864
Hospital Revenue Code 272
Min. Negotiated Rate $93.80
Max. Negotiated Rate $214.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $147.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.00
Rate for Payer: Aetna Government $134.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $214.40
Rate for Payer: Cigna LocalPlus Benefit Plan $182.24
Rate for Payer: Group Health Inc Commercial $134.00
Rate for Payer: Group Health Inc Medicare $93.80
Rate for Payer: Hamaspik Choice Inc Medicaid $134.00
Rate for Payer: Hamaspik Choice Inc Medicare $134.00
Hospital Charge Code 40005302
Hospital Revenue Code 272
Min. Negotiated Rate $70.04
Max. Negotiated Rate $160.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial $110.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $100.05
Rate for Payer: Aetna Government $100.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $160.08
Rate for Payer: Cigna LocalPlus Benefit Plan $136.07
Rate for Payer: Group Health Inc Commercial $100.05
Rate for Payer: Group Health Inc Medicare $70.04
Rate for Payer: Hamaspik Choice Inc Medicaid $100.05
Rate for Payer: Hamaspik Choice Inc Medicare $100.05
Hospital Charge Code 40205494
Hospital Revenue Code 270
Min. Negotiated Rate $73.50
Max. Negotiated Rate $168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $105.00
Rate for Payer: Aetna Government $105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $168.00
Rate for Payer: Cigna LocalPlus Benefit Plan $142.80
Rate for Payer: Group Health Inc Commercial $105.00
Rate for Payer: Group Health Inc Medicare $73.50
Rate for Payer: Hamaspik Choice Inc Medicaid $105.00
Rate for Payer: Hamaspik Choice Inc Medicare $105.00
Hospital Charge Code 40204669
Hospital Revenue Code 272
Min. Negotiated Rate $86.10
Max. Negotiated Rate $196.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $135.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $123.00
Rate for Payer: Aetna Government $123.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $196.80
Rate for Payer: Cigna LocalPlus Benefit Plan $167.28
Rate for Payer: Group Health Inc Commercial $123.00
Rate for Payer: Group Health Inc Medicare $86.10
Rate for Payer: Hamaspik Choice Inc Medicaid $123.00
Rate for Payer: Hamaspik Choice Inc Medicare $123.00
Hospital Charge Code 40205492
Hospital Revenue Code 270
Min. Negotiated Rate $69.09
Max. Negotiated Rate $157.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial $108.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $98.70
Rate for Payer: Aetna Government $98.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $157.92
Rate for Payer: Cigna LocalPlus Benefit Plan $134.23
Rate for Payer: Group Health Inc Commercial $98.70
Rate for Payer: Group Health Inc Medicare $69.09
Rate for Payer: Hamaspik Choice Inc Medicaid $98.70
Rate for Payer: Hamaspik Choice Inc Medicare $98.70