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 40009280
Hospital Revenue Code 278
Min. Negotiated Rate $2,500.00
Max. Negotiated Rate $2,500.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,500.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,500.00
Service Code HCPCS C1776
Hospital Charge Code 40009280
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $5,250.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,750.00
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 $2,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,875.00
Rate for Payer: Fidelis Medicare Advantage $5,250.00
Rate for Payer: Group Health Inc Commercial $2,500.00
Rate for Payer: Group Health Inc Medicare $1,750.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,500.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,250.00
Service Code HCPCS C1776
Hospital Charge Code 40003451
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,870.00
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 $1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,955.00
Rate for Payer: Fidelis Medicare Advantage $3,570.00
Rate for Payer: Group Health Inc Commercial $1,700.00
Rate for Payer: Group Health Inc Medicare $1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,210.00
Service Code HCPCS C1776
Hospital Charge Code 40003451
Hospital Revenue Code 278
Min. Negotiated Rate $1,700.00
Max. Negotiated Rate $1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,700.00
Service Code HCPCS C1776
Hospital Charge Code 40009263
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,870.00
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 $1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,955.00
Rate for Payer: Fidelis Medicare Advantage $3,570.00
Rate for Payer: Group Health Inc Commercial $1,700.00
Rate for Payer: Group Health Inc Medicare $1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,210.00
Service Code HCPCS C1776
Hospital Charge Code 40009263
Hospital Revenue Code 278
Min. Negotiated Rate $1,700.00
Max. Negotiated Rate $1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,700.00
Service Code HCPCS C1776
Hospital Charge Code 40005208
Hospital Revenue Code 278
Min. Negotiated Rate $311.50
Max. Negotiated Rate $934.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $489.50
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 $445.00
Rate for Payer: Cigna LocalPlus Benefit Plan $511.75
Rate for Payer: Fidelis Medicare Advantage $934.50
Rate for Payer: Group Health Inc Commercial $445.00
Rate for Payer: Group Health Inc Medicare $311.50
Rate for Payer: Hamaspik Choice Inc Medicaid $445.00
Rate for Payer: Hamaspik Choice Inc Medicare $445.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $578.50
Service Code HCPCS C1776
Hospital Charge Code 40005208
Hospital Revenue Code 278
Min. Negotiated Rate $445.00
Max. Negotiated Rate $445.00
Rate for Payer: Hamaspik Choice Inc Medicaid $445.00
Rate for Payer: Hamaspik Choice Inc Medicare $445.00
Service Code HCPCS C1776
Hospital Charge Code 40005207
Hospital Revenue Code 278
Min. Negotiated Rate $445.00
Max. Negotiated Rate $445.00
Rate for Payer: Hamaspik Choice Inc Medicaid $445.00
Rate for Payer: Hamaspik Choice Inc Medicare $445.00
Service Code HCPCS C1776
Hospital Charge Code 40005207
Hospital Revenue Code 278
Min. Negotiated Rate $311.50
Max. Negotiated Rate $934.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $489.50
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 $445.00
Rate for Payer: Cigna LocalPlus Benefit Plan $511.75
Rate for Payer: Fidelis Medicare Advantage $934.50
Rate for Payer: Group Health Inc Commercial $445.00
Rate for Payer: Group Health Inc Medicare $311.50
Rate for Payer: Hamaspik Choice Inc Medicaid $445.00
Rate for Payer: Hamaspik Choice Inc Medicare $445.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $578.50
Service Code HCPCS C1713
Hospital Charge Code 40005205
Hospital Revenue Code 278
Min. Negotiated Rate $445.00
Max. Negotiated Rate $445.00
Rate for Payer: Hamaspik Choice Inc Medicaid $445.00
Rate for Payer: Hamaspik Choice Inc Medicare $445.00
Service Code HCPCS C1713
Hospital Charge Code 40005205
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $934.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $489.50
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 $445.00
Rate for Payer: Cigna LocalPlus Benefit Plan $511.75
Rate for Payer: Fidelis Medicare Advantage $934.50
Rate for Payer: Group Health Inc Commercial $445.00
Rate for Payer: Group Health Inc Medicare $311.50
Rate for Payer: Hamaspik Choice Inc Medicaid $445.00
Rate for Payer: Hamaspik Choice Inc Medicare $445.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $578.50
Service Code HCPCS C1776
Hospital Charge Code 40005206
Hospital Revenue Code 278
Min. Negotiated Rate $2,630.00
Max. Negotiated Rate $2,630.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,630.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,630.00
Service Code HCPCS C1776
Hospital Charge Code 40005206
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $5,523.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,893.00
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 $2,630.00
Rate for Payer: Cigna LocalPlus Benefit Plan $3,024.50
Rate for Payer: Fidelis Medicare Advantage $5,523.00
Rate for Payer: Group Health Inc Commercial $2,630.00
Rate for Payer: Group Health Inc Medicare $1,841.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,630.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,630.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,419.00
Service Code HCPCS C1776
Hospital Charge Code 40205159
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,714.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,945.90
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 $1,769.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,034.35
Rate for Payer: Fidelis Medicare Advantage $3,714.90
Rate for Payer: Group Health Inc Commercial $1,769.00
Rate for Payer: Group Health Inc Medicare $1,238.30
Rate for Payer: Hamaspik Choice Inc Medicaid $1,769.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,769.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,299.70
Service Code HCPCS C1776
Hospital Charge Code 40205159
Hospital Revenue Code 278
Min. Negotiated Rate $1,769.00
Max. Negotiated Rate $1,769.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,769.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,769.00
Service Code HCPCS C1776
Hospital Charge Code 40209098
Hospital Revenue Code 278
Min. Negotiated Rate $1,769.70
Max. Negotiated Rate $1,769.70
Rate for Payer: Hamaspik Choice Inc Medicaid $1,769.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,769.70
Service Code HCPCS C1776
Hospital Charge Code 40209098
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,716.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,946.67
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 $1,769.70
Rate for Payer: Cigna LocalPlus Benefit Plan $2,035.16
Rate for Payer: Fidelis Medicare Advantage $3,716.37
Rate for Payer: Group Health Inc Commercial $1,769.70
Rate for Payer: Group Health Inc Medicare $1,238.79
Rate for Payer: Hamaspik Choice Inc Medicaid $1,769.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,769.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,300.61
Service Code HCPCS C1776
Hospital Charge Code 40205316
Hospital Revenue Code 278
Min. Negotiated Rate $1,769.70
Max. Negotiated Rate $1,769.70
Rate for Payer: Hamaspik Choice Inc Medicaid $1,769.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,769.70
Service Code HCPCS C1776
Hospital Charge Code 40205316
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,716.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,946.67
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 $1,769.70
Rate for Payer: Cigna LocalPlus Benefit Plan $2,035.16
Rate for Payer: Fidelis Medicare Advantage $3,716.37
Rate for Payer: Group Health Inc Commercial $1,769.70
Rate for Payer: Group Health Inc Medicare $1,238.79
Rate for Payer: Hamaspik Choice Inc Medicaid $1,769.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,769.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,300.61
Service Code HCPCS C1776
Hospital Charge Code 40201558
Hospital Revenue Code 278
Min. Negotiated Rate $262.80
Max. Negotiated Rate $262.80
Rate for Payer: Hamaspik Choice Inc Medicaid $262.80
Rate for Payer: Hamaspik Choice Inc Medicare $262.80
Service Code HCPCS C1776
Hospital Charge Code 40201558
Hospital Revenue Code 278
Min. Negotiated Rate $183.96
Max. Negotiated Rate $551.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial $289.08
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 $262.80
Rate for Payer: Cigna LocalPlus Benefit Plan $302.22
Rate for Payer: Fidelis Medicare Advantage $551.88
Rate for Payer: Group Health Inc Commercial $262.80
Rate for Payer: Group Health Inc Medicare $183.96
Rate for Payer: Hamaspik Choice Inc Medicaid $262.80
Rate for Payer: Hamaspik Choice Inc Medicare $262.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $341.64
Hospital Charge Code 40205401
Hospital Revenue Code 270
Min. Negotiated Rate $114.24
Max. Negotiated Rate $261.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $179.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $163.20
Rate for Payer: Aetna Government $163.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $261.12
Rate for Payer: Cigna LocalPlus Benefit Plan $221.95
Rate for Payer: Group Health Inc Commercial $163.20
Rate for Payer: Group Health Inc Medicare $114.24
Rate for Payer: Hamaspik Choice Inc Medicaid $163.20
Rate for Payer: Hamaspik Choice Inc Medicare $163.20
Service Code HCPCS C1776
Hospital Charge Code 40004696
Hospital Revenue Code 278
Min. Negotiated Rate $3,424.00
Max. Negotiated Rate $3,424.00
Rate for Payer: Hamaspik Choice Inc Medicaid $3,424.00
Rate for Payer: Hamaspik Choice Inc Medicare $3,424.00
Service Code HCPCS C1776
Hospital Charge Code 40004696
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $7,190.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3,766.40
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 $3,424.00
Rate for Payer: Cigna LocalPlus Benefit Plan $3,937.60
Rate for Payer: Fidelis Medicare Advantage $7,190.40
Rate for Payer: Group Health Inc Commercial $3,424.00
Rate for Payer: Group Health Inc Medicare $2,396.80
Rate for Payer: Hamaspik Choice Inc Medicaid $3,424.00
Rate for Payer: Hamaspik Choice Inc Medicare $3,424.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,451.20