Price Transparency.

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

search
Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40205792
Hospital Revenue Code 278
Min. Negotiated Rate $614.25
Max. Negotiated Rate $614.25
Rate for Payer: Hamaspik Choice Inc Medicaid $614.25
Rate for Payer: Hamaspik Choice Inc Medicare $614.25
Service Code HCPCS C1713
Hospital Charge Code 40205792
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,289.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial $675.68
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 $614.25
Rate for Payer: Cigna LocalPlus Benefit Plan $706.39
Rate for Payer: Fidelis Medicare Advantage $1,289.92
Rate for Payer: Group Health Inc Commercial $614.25
Rate for Payer: Group Health Inc Medicare $429.98
Rate for Payer: Hamaspik Choice Inc Medicaid $614.25
Rate for Payer: Hamaspik Choice Inc Medicare $614.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $798.52
Service Code HCPCS C1713
Hospital Charge Code 40205551
Hospital Revenue Code 278
Min. Negotiated Rate $20.19
Max. Negotiated Rate $20.19
Rate for Payer: Hamaspik Choice Inc Medicaid $20.19
Rate for Payer: Hamaspik Choice Inc Medicare $20.19
Service Code HCPCS C1713
Hospital Charge Code 40205551
Hospital Revenue Code 278
Min. Negotiated Rate $14.13
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $22.21
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 $20.19
Rate for Payer: Cigna LocalPlus Benefit Plan $23.22
Rate for Payer: Fidelis Medicare Advantage $42.40
Rate for Payer: Group Health Inc Commercial $20.19
Rate for Payer: Group Health Inc Medicare $14.13
Rate for Payer: Hamaspik Choice Inc Medicaid $20.19
Rate for Payer: Hamaspik Choice Inc Medicare $20.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $26.25
Service Code HCPCS C1713
Hospital Charge Code 40205591
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $214.50
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 $195.00
Rate for Payer: Cigna LocalPlus Benefit Plan $224.25
Rate for Payer: Fidelis Medicare Advantage $409.50
Rate for Payer: Group Health Inc Commercial $195.00
Rate for Payer: Group Health Inc Medicare $136.50
Rate for Payer: Hamaspik Choice Inc Medicaid $195.00
Rate for Payer: Hamaspik Choice Inc Medicare $195.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $253.50
Service Code HCPCS C1713
Hospital Charge Code 40205591
Hospital Revenue Code 278
Min. Negotiated Rate $195.00
Max. Negotiated Rate $195.00
Rate for Payer: Hamaspik Choice Inc Medicaid $195.00
Rate for Payer: Hamaspik Choice Inc Medicare $195.00
Service Code HCPCS C1713
Hospital Charge Code 40203832
Hospital Revenue Code 278
Min. Negotiated Rate $9.80
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $15.40
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 $14.00
Rate for Payer: Cigna LocalPlus Benefit Plan $16.10
Rate for Payer: Fidelis Medicare Advantage $29.40
Rate for Payer: Group Health Inc Commercial $14.00
Rate for Payer: Group Health Inc Medicare $9.80
Rate for Payer: Hamaspik Choice Inc Medicaid $14.00
Rate for Payer: Hamaspik Choice Inc Medicare $14.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $18.20
Service Code HCPCS C1713
Hospital Charge Code 40203832
Hospital Revenue Code 278
Min. Negotiated Rate $14.00
Max. Negotiated Rate $14.00
Rate for Payer: Hamaspik Choice Inc Medicaid $14.00
Rate for Payer: Hamaspik Choice Inc Medicare $14.00
Service Code HCPCS C1713
Hospital Charge Code 40203833
Hospital Revenue Code 278
Min. Negotiated Rate $19.91
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $31.28
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 $28.44
Rate for Payer: Cigna LocalPlus Benefit Plan $32.71
Rate for Payer: Fidelis Medicare Advantage $59.72
Rate for Payer: Group Health Inc Commercial $28.44
Rate for Payer: Group Health Inc Medicare $19.91
Rate for Payer: Hamaspik Choice Inc Medicaid $28.44
Rate for Payer: Hamaspik Choice Inc Medicare $28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $36.97
Service Code HCPCS C1713
Hospital Charge Code 40203833
Hospital Revenue Code 278
Min. Negotiated Rate $28.44
Max. Negotiated Rate $28.44
Rate for Payer: Hamaspik Choice Inc Medicaid $28.44
Rate for Payer: Hamaspik Choice Inc Medicare $28.44
Service Code HCPCS C1713
Hospital Charge Code 40203834
Hospital Revenue Code 278
Min. Negotiated Rate $40.91
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $64.28
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 $58.44
Rate for Payer: Cigna LocalPlus Benefit Plan $67.21
Rate for Payer: Fidelis Medicare Advantage $122.72
Rate for Payer: Group Health Inc Commercial $58.44
Rate for Payer: Group Health Inc Medicare $40.91
Rate for Payer: Hamaspik Choice Inc Medicaid $58.44
Rate for Payer: Hamaspik Choice Inc Medicare $58.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $75.97
Service Code HCPCS C1713
Hospital Charge Code 40203834
Hospital Revenue Code 278
Min. Negotiated Rate $58.44
Max. Negotiated Rate $58.44
Rate for Payer: Hamaspik Choice Inc Medicaid $58.44
Rate for Payer: Hamaspik Choice Inc Medicare $58.44
Service Code HCPCS C1713
Hospital Charge Code 40205369
Hospital Revenue Code 278
Min. Negotiated Rate $21.05
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $33.08
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 $30.08
Rate for Payer: Cigna LocalPlus Benefit Plan $34.59
Rate for Payer: Fidelis Medicare Advantage $63.16
Rate for Payer: Group Health Inc Commercial $30.08
Rate for Payer: Group Health Inc Medicare $21.05
Rate for Payer: Hamaspik Choice Inc Medicaid $30.08
Rate for Payer: Hamaspik Choice Inc Medicare $30.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $39.10
Service Code HCPCS C1713
Hospital Charge Code 40205369
Hospital Revenue Code 278
Min. Negotiated Rate $30.08
Max. Negotiated Rate $30.08
Rate for Payer: Hamaspik Choice Inc Medicaid $30.08
Rate for Payer: Hamaspik Choice Inc Medicare $30.08
Service Code HCPCS C1776
Hospital Charge Code 40205172
Hospital Revenue Code 278
Min. Negotiated Rate $12.25
Max. Negotiated Rate $339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial $19.25
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 $17.50
Rate for Payer: Cigna LocalPlus Benefit Plan $20.12
Rate for Payer: Fidelis Medicare Advantage $36.75
Rate for Payer: Group Health Inc Commercial $17.50
Rate for Payer: Group Health Inc Medicare $12.25
Rate for Payer: Hamaspik Choice Inc Medicaid $17.50
Rate for Payer: Hamaspik Choice Inc Medicare $17.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $22.75
Service Code HCPCS C1776
Hospital Charge Code 40205172
Hospital Revenue Code 278
Min. Negotiated Rate $17.50
Max. Negotiated Rate $17.50
Rate for Payer: Hamaspik Choice Inc Medicaid $17.50
Rate for Payer: Hamaspik Choice Inc Medicare $17.50
Service Code HCPCS C1776
Hospital Charge Code 40208098
Hospital Revenue Code 278
Min. Negotiated Rate $337.12
Max. Negotiated Rate $1,011.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $529.76
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 $481.60
Rate for Payer: Cigna LocalPlus Benefit Plan $553.84
Rate for Payer: Fidelis Medicare Advantage $1,011.36
Rate for Payer: Group Health Inc Commercial $481.60
Rate for Payer: Group Health Inc Medicare $337.12
Rate for Payer: Hamaspik Choice Inc Medicaid $481.60
Rate for Payer: Hamaspik Choice Inc Medicare $481.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $626.08
Service Code HCPCS C1776
Hospital Charge Code 40208098
Hospital Revenue Code 278
Min. Negotiated Rate $481.60
Max. Negotiated Rate $481.60
Rate for Payer: Hamaspik Choice Inc Medicaid $481.60
Rate for Payer: Hamaspik Choice Inc Medicare $481.60
Service Code HCPCS C1776
Hospital Charge Code 40206055
Hospital Revenue Code 278
Min. Negotiated Rate $481.60
Max. Negotiated Rate $481.60
Rate for Payer: Hamaspik Choice Inc Medicaid $481.60
Rate for Payer: Hamaspik Choice Inc Medicare $481.60
Service Code HCPCS C1776
Hospital Charge Code 40206055
Hospital Revenue Code 278
Min. Negotiated Rate $337.12
Max. Negotiated Rate $1,011.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $529.76
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 $481.60
Rate for Payer: Cigna LocalPlus Benefit Plan $553.84
Rate for Payer: Fidelis Medicare Advantage $1,011.36
Rate for Payer: Group Health Inc Commercial $481.60
Rate for Payer: Group Health Inc Medicare $337.12
Rate for Payer: Hamaspik Choice Inc Medicaid $481.60
Rate for Payer: Hamaspik Choice Inc Medicare $481.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $626.08
Service Code HCPCS C1713
Hospital Charge Code 40204664
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $466.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial $244.53
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 $222.30
Rate for Payer: Cigna LocalPlus Benefit Plan $255.64
Rate for Payer: Fidelis Medicare Advantage $466.83
Rate for Payer: Group Health Inc Commercial $222.30
Rate for Payer: Group Health Inc Medicare $155.61
Rate for Payer: Hamaspik Choice Inc Medicaid $222.30
Rate for Payer: Hamaspik Choice Inc Medicare $222.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $288.99
Service Code HCPCS C1713
Hospital Charge Code 40204664
Hospital Revenue Code 278
Min. Negotiated Rate $222.30
Max. Negotiated Rate $222.30
Rate for Payer: Hamaspik Choice Inc Medicaid $222.30
Rate for Payer: Hamaspik Choice Inc Medicare $222.30
Service Code HCPCS C1713
Hospital Charge Code 40204665
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $465.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial $244.09
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 $221.90
Rate for Payer: Cigna LocalPlus Benefit Plan $255.18
Rate for Payer: Fidelis Medicare Advantage $465.99
Rate for Payer: Group Health Inc Commercial $221.90
Rate for Payer: Group Health Inc Medicare $155.33
Rate for Payer: Hamaspik Choice Inc Medicaid $221.90
Rate for Payer: Hamaspik Choice Inc Medicare $221.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $288.47
Service Code HCPCS C1713
Hospital Charge Code 40204665
Hospital Revenue Code 278
Min. Negotiated Rate $221.90
Max. Negotiated Rate $221.90
Rate for Payer: Hamaspik Choice Inc Medicaid $221.90
Rate for Payer: Hamaspik Choice Inc Medicare $221.90
Service Code HCPCS C1713
Hospital Charge Code 40204666
Hospital Revenue Code 278
Min. Negotiated Rate $201.30
Max. Negotiated Rate $201.30
Rate for Payer: Hamaspik Choice Inc Medicaid $201.30
Rate for Payer: Hamaspik Choice Inc Medicare $201.30