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Hospital Charge Code 64902153
Hospital Revenue Code 270
Min. Negotiated Rate $8.71
Max. Negotiated Rate $19.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $13.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12.44
Rate for Payer: Aetna Government $12.44
Rate for Payer: Brighton Health Commercial $18.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $19.90
Rate for Payer: Cigna LocalPlus Benefit Plan $16.92
Rate for Payer: Group Health Inc Commercial $12.44
Rate for Payer: Group Health Inc Medicare $8.71
Rate for Payer: Hamaspik Choice Inc Medicaid $12.44
Rate for Payer: Hamaspik Choice Inc Medicare $12.44
Hospital Charge Code 64901002
Hospital Revenue Code 270
Min. Negotiated Rate $7.61
Max. Negotiated Rate $17.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $11.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $10.88
Rate for Payer: Aetna Government $10.88
Rate for Payer: Brighton Health Commercial $16.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $17.40
Rate for Payer: Cigna LocalPlus Benefit Plan $14.79
Rate for Payer: Group Health Inc Commercial $10.88
Rate for Payer: Group Health Inc Medicare $7.61
Rate for Payer: Hamaspik Choice Inc Medicaid $10.88
Rate for Payer: Hamaspik Choice Inc Medicare $10.88
Hospital Charge Code 64901060
Hospital Revenue Code 270
Min. Negotiated Rate $9.90
Max. Negotiated Rate $22.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $15.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $14.14
Rate for Payer: Aetna Government $14.14
Rate for Payer: Brighton Health Commercial $21.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $22.62
Rate for Payer: Cigna LocalPlus Benefit Plan $19.23
Rate for Payer: Group Health Inc Commercial $14.14
Rate for Payer: Group Health Inc Medicare $9.90
Rate for Payer: Hamaspik Choice Inc Medicaid $14.14
Rate for Payer: Hamaspik Choice Inc Medicare $14.14
Hospital Charge Code 64901007
Hospital Revenue Code 270
Min. Negotiated Rate $7.61
Max. Negotiated Rate $17.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $11.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $10.88
Rate for Payer: Aetna Government $10.88
Rate for Payer: Brighton Health Commercial $16.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $17.40
Rate for Payer: Cigna LocalPlus Benefit Plan $14.79
Rate for Payer: Group Health Inc Commercial $10.88
Rate for Payer: Group Health Inc Medicare $7.61
Rate for Payer: Hamaspik Choice Inc Medicaid $10.88
Rate for Payer: Hamaspik Choice Inc Medicare $10.88
Hospital Charge Code 64906206
Hospital Revenue Code 270
Min. Negotiated Rate $6.35
Max. Negotiated Rate $14.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $9.06
Rate for Payer: Aetna Government $9.06
Rate for Payer: Brighton Health Commercial $13.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $14.50
Rate for Payer: Cigna LocalPlus Benefit Plan $12.33
Rate for Payer: Group Health Inc Commercial $9.06
Rate for Payer: Group Health Inc Medicare $6.35
Rate for Payer: Hamaspik Choice Inc Medicaid $9.06
Rate for Payer: Hamaspik Choice Inc Medicare $9.06
Hospital Charge Code 64906214
Hospital Revenue Code 270
Min. Negotiated Rate $208.25
Max. Negotiated Rate $476.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $327.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $297.50
Rate for Payer: Aetna Government $297.50
Rate for Payer: Brighton Health Commercial $446.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $476.00
Rate for Payer: Cigna LocalPlus Benefit Plan $404.60
Rate for Payer: Group Health Inc Commercial $297.50
Rate for Payer: Group Health Inc Medicare $208.25
Rate for Payer: Hamaspik Choice Inc Medicaid $297.50
Rate for Payer: Hamaspik Choice Inc Medicare $297.50
Hospital Charge Code 64905336
Hospital Revenue Code 270
Min. Negotiated Rate $17.00
Max. Negotiated Rate $38.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $26.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $24.28
Rate for Payer: Aetna Government $24.28
Rate for Payer: Brighton Health Commercial $36.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $38.85
Rate for Payer: Cigna LocalPlus Benefit Plan $33.02
Rate for Payer: Group Health Inc Commercial $24.28
Rate for Payer: Group Health Inc Medicare $17.00
Rate for Payer: Hamaspik Choice Inc Medicaid $24.28
Rate for Payer: Hamaspik Choice Inc Medicare $24.28
Hospital Charge Code 64902149
Hospital Revenue Code 270
Min. Negotiated Rate $8.31
Max. Negotiated Rate $19.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $13.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $11.88
Rate for Payer: Aetna Government $11.88
Rate for Payer: Brighton Health Commercial $17.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $19.00
Rate for Payer: Cigna LocalPlus Benefit Plan $16.15
Rate for Payer: Group Health Inc Commercial $11.88
Rate for Payer: Group Health Inc Medicare $8.31
Rate for Payer: Hamaspik Choice Inc Medicaid $11.88
Rate for Payer: Hamaspik Choice Inc Medicare $11.88
Hospital Charge Code 64902441
Hospital Revenue Code 270
Min. Negotiated Rate $8.97
Max. Negotiated Rate $20.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $14.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12.82
Rate for Payer: Aetna Government $12.82
Rate for Payer: Brighton Health Commercial $19.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $20.50
Rate for Payer: Cigna LocalPlus Benefit Plan $17.43
Rate for Payer: Group Health Inc Commercial $12.82
Rate for Payer: Group Health Inc Medicare $8.97
Rate for Payer: Hamaspik Choice Inc Medicaid $12.82
Rate for Payer: Hamaspik Choice Inc Medicare $12.82
Hospital Charge Code 64902442
Hospital Revenue Code 270
Min. Negotiated Rate $8.97
Max. Negotiated Rate $20.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $14.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12.82
Rate for Payer: Aetna Government $12.82
Rate for Payer: Brighton Health Commercial $19.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $20.50
Rate for Payer: Cigna LocalPlus Benefit Plan $17.43
Rate for Payer: Group Health Inc Commercial $12.82
Rate for Payer: Group Health Inc Medicare $8.97
Rate for Payer: Hamaspik Choice Inc Medicaid $12.82
Rate for Payer: Hamaspik Choice Inc Medicare $12.82
Hospital Charge Code 64902151
Hospital Revenue Code 270
Min. Negotiated Rate $8.31
Max. Negotiated Rate $19.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $13.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $11.88
Rate for Payer: Aetna Government $11.88
Rate for Payer: Brighton Health Commercial $17.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $19.00
Rate for Payer: Cigna LocalPlus Benefit Plan $16.15
Rate for Payer: Group Health Inc Commercial $11.88
Rate for Payer: Group Health Inc Medicare $8.31
Rate for Payer: Hamaspik Choice Inc Medicaid $11.88
Rate for Payer: Hamaspik Choice Inc Medicare $11.88
Hospital Charge Code 64903231
Hospital Revenue Code 270
Min. Negotiated Rate $118.12
Max. Negotiated Rate $270.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $185.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $168.75
Rate for Payer: Aetna Government $168.75
Rate for Payer: Brighton Health Commercial $253.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $270.00
Rate for Payer: Cigna LocalPlus Benefit Plan $229.50
Rate for Payer: Group Health Inc Commercial $168.75
Rate for Payer: Group Health Inc Medicare $118.12
Rate for Payer: Hamaspik Choice Inc Medicaid $168.75
Rate for Payer: Hamaspik Choice Inc Medicare $168.75
Hospital Charge Code 64901654
Hospital Revenue Code 270
Min. Negotiated Rate $4.94
Max. Negotiated Rate $11.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial $7.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $7.05
Rate for Payer: Aetna Government $7.05
Rate for Payer: Brighton Health Commercial $10.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $11.28
Rate for Payer: Cigna LocalPlus Benefit Plan $9.59
Rate for Payer: Group Health Inc Commercial $7.05
Rate for Payer: Group Health Inc Medicare $4.94
Rate for Payer: Hamaspik Choice Inc Medicaid $7.05
Rate for Payer: Hamaspik Choice Inc Medicare $7.05
Hospital Charge Code 64906830
Hospital Revenue Code 270
Min. Negotiated Rate $11.81
Max. Negotiated Rate $27.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $18.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $16.88
Rate for Payer: Aetna Government $16.88
Rate for Payer: Brighton Health Commercial $25.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $27.00
Rate for Payer: Cigna LocalPlus Benefit Plan $22.95
Rate for Payer: Group Health Inc Commercial $16.88
Rate for Payer: Group Health Inc Medicare $11.81
Rate for Payer: Hamaspik Choice Inc Medicaid $16.88
Rate for Payer: Hamaspik Choice Inc Medicare $16.88
Hospital Charge Code 64903296
Hospital Revenue Code 270
Min. Negotiated Rate $18.13
Max. Negotiated Rate $41.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial $28.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $25.90
Rate for Payer: Aetna Government $25.90
Rate for Payer: Brighton Health Commercial $38.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $41.44
Rate for Payer: Cigna LocalPlus Benefit Plan $35.22
Rate for Payer: Group Health Inc Commercial $25.90
Rate for Payer: Group Health Inc Medicare $18.13
Rate for Payer: Hamaspik Choice Inc Medicaid $25.90
Rate for Payer: Hamaspik Choice Inc Medicare $25.90
Hospital Charge Code 64906210
Hospital Revenue Code 270
Min. Negotiated Rate $6.76
Max. Negotiated Rate $15.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial $10.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $9.65
Rate for Payer: Aetna Government $9.65
Rate for Payer: Brighton Health Commercial $14.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $15.44
Rate for Payer: Cigna LocalPlus Benefit Plan $13.12
Rate for Payer: Group Health Inc Commercial $9.65
Rate for Payer: Group Health Inc Medicare $6.76
Rate for Payer: Hamaspik Choice Inc Medicaid $9.65
Rate for Payer: Hamaspik Choice Inc Medicare $9.65
Hospital Charge Code 64906832
Hospital Revenue Code 270
Min. Negotiated Rate $70.00
Max. Negotiated Rate $160.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $110.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $100.00
Rate for Payer: Aetna Government $100.00
Rate for Payer: Brighton Health Commercial $150.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $160.00
Rate for Payer: Cigna LocalPlus Benefit Plan $136.00
Rate for Payer: Group Health Inc Commercial $100.00
Rate for Payer: Group Health Inc Medicare $70.00
Rate for Payer: Hamaspik Choice Inc Medicaid $100.00
Rate for Payer: Hamaspik Choice Inc Medicare $100.00
Hospital Charge Code 64906831
Hospital Revenue Code 270
Min. Negotiated Rate $66.50
Max. Negotiated Rate $152.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $104.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $95.00
Rate for Payer: Aetna Government $95.00
Rate for Payer: Brighton Health Commercial $142.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $152.00
Rate for Payer: Cigna LocalPlus Benefit Plan $129.20
Rate for Payer: Group Health Inc Commercial $95.00
Rate for Payer: Group Health Inc Medicare $66.50
Rate for Payer: Hamaspik Choice Inc Medicaid $95.00
Rate for Payer: Hamaspik Choice Inc Medicare $95.00
Hospital Charge Code 64905411
Hospital Revenue Code 270
Min. Negotiated Rate $42.68
Max. Negotiated Rate $97.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial $67.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $60.98
Rate for Payer: Aetna Government $60.98
Rate for Payer: Brighton Health Commercial $91.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $97.56
Rate for Payer: Cigna LocalPlus Benefit Plan $82.93
Rate for Payer: Group Health Inc Commercial $60.98
Rate for Payer: Group Health Inc Medicare $42.68
Rate for Payer: Hamaspik Choice Inc Medicaid $60.98
Rate for Payer: Hamaspik Choice Inc Medicare $60.98
Service Code HCPCS 97533
Hospital Charge Code 41904877
Hospital Revenue Code 440
Min. Negotiated Rate $17.32
Max. Negotiated Rate $5,078.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $84.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $17.32
Rate for Payer: Aetna Government $17.32
Rate for Payer: Affinity Essential Plan 1&2 $114.26
Rate for Payer: Affinity Essential Plan 3&4 $114.26
Rate for Payer: Affinity Medicaid/CHP/HARP $50.78
Rate for Payer: Amida Care Medicaid $50.78
Rate for Payer: Brighton Health Commercial $182.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $147.00
Rate for Payer: Cigna LocalPlus Benefit Plan $124.95
Rate for Payer: Fidelis CHP/HARP/Medicaid $5,078.00
Rate for Payer: Fidelis Essential Plan Aliesa $50.78
Rate for Payer: Fidelis Essential Plan QHP $50.78
Rate for Payer: Fidelis Qualified Health Plan $53.32
Rate for Payer: Group Health Inc Commercial $76.62
Rate for Payer: Group Health Inc Medicare $120.00
Rate for Payer: Hamaspik Choice Inc Medicaid $50.78
Rate for Payer: Hamaspik Choice Inc Medicare $76.62
Rate for Payer: Healthfirst CHP/FHP/Medicaid $50.78
Rate for Payer: Healthfirst Essential Plan $114.26
Rate for Payer: Healthfirst QHP $50.78
Rate for Payer: SOMOS CHP/HARP/Medicaid $50.78
Rate for Payer: SOMOS Essential $114.26
Rate for Payer: United Healthcare Commercial $222.00
Rate for Payer: United Healthcare Essential Plan 1&2 $114.26
Rate for Payer: United Healthcare Essential Plan 3&4 $55.86
Rate for Payer: United Healthcare Medicaid $50.78
Rate for Payer: Wellcare CHP/FHP/Medicaid $50.78
Rate for Payer: Wellcare Medicare $55.00
Hospital Charge Code 64905407
Hospital Revenue Code 270
Min. Negotiated Rate $38.03
Max. Negotiated Rate $86.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial $59.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $54.32
Rate for Payer: Aetna Government $54.32
Rate for Payer: Brighton Health Commercial $81.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $86.92
Rate for Payer: Cigna LocalPlus Benefit Plan $73.88
Rate for Payer: Group Health Inc Commercial $54.32
Rate for Payer: Group Health Inc Medicare $38.03
Rate for Payer: Hamaspik Choice Inc Medicaid $54.32
Rate for Payer: Hamaspik Choice Inc Medicare $54.32
Service Code HCPCS C1778
Hospital Charge Code 64906783
Hospital Revenue Code 278
Min. Negotiated Rate $955.00
Max. Negotiated Rate $955.00
Rate for Payer: Hamaspik Choice Inc Medicaid $955.00
Rate for Payer: Hamaspik Choice Inc Medicare $955.00
Service Code HCPCS C1778
Hospital Charge Code 64906783
Hospital Revenue Code 278
Min. Negotiated Rate $550.66
Max. Negotiated Rate $2,005.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,050.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $550.66
Rate for Payer: Aetna Government $550.66
Rate for Payer: Brighton Health Commercial $1,146.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $955.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,098.25
Rate for Payer: EmblemHealth Commercial $955.00
Rate for Payer: Fidelis Medicare Advantage $2,005.50
Rate for Payer: Group Health Inc Commercial $955.00
Rate for Payer: Group Health Inc Medicare $668.50
Rate for Payer: Hamaspik Choice Inc Medicaid $955.00
Rate for Payer: Hamaspik Choice Inc Medicare $955.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,241.50
Service Code MSDRG 549
Min. Negotiated Rate $10,343.20
Max. Negotiated Rate $33,075.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial $17,785.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $24,054.68
Rate for Payer: Aetna Government $24,054.68
Rate for Payer: Brighton Health Commercial $17,489.90
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $24,535.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $20,829.87
Rate for Payer: Cigna LocalPlus Benefit Plan $17,189.70
Rate for Payer: Elderplan Medicare Advantage $22,851.95
Rate for Payer: EmblemHealth Commercial $10,343.20
Rate for Payer: Fidelis Medicare Advantage $24,054.68
Rate for Payer: Group Health Inc Commercial $24,054.68
Rate for Payer: Group Health Inc Medicare $24,054.68
Rate for Payer: Hamaspik Choice Inc Medicare $24,054.68
Rate for Payer: Healthfirst Medicare Advantage $11,185.43
Rate for Payer: Humana Medicare $33,075.18
Rate for Payer: Senior Whole Health Medicare Advantage $24,054.68
Rate for Payer: United Healthcare Commercial $23,987.70
Rate for Payer: United Healthcare Medicare Advantage $24,054.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $24,054.68
Rate for Payer: Wellcare Medicare $22,851.95
Service Code MSDRG 548
Min. Negotiated Rate $15,980.40
Max. Negotiated Rate $47,253.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial $28,749.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $34,366.46
Rate for Payer: Aetna Government $34,366.46
Rate for Payer: Brighton Health Commercial $28,272.10
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $35,053.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $33,671.10
Rate for Payer: Cigna LocalPlus Benefit Plan $27,786.83
Rate for Payer: Elderplan Medicare Advantage $32,648.14
Rate for Payer: EmblemHealth Commercial $16,719.50
Rate for Payer: Fidelis Medicare Advantage $34,366.46
Rate for Payer: Group Health Inc Commercial $34,366.46
Rate for Payer: Group Health Inc Medicare $34,366.46
Rate for Payer: Hamaspik Choice Inc Medicare $34,366.46
Rate for Payer: Healthfirst Medicare Advantage $15,980.40
Rate for Payer: Humana Medicare $47,253.88
Rate for Payer: Senior Whole Health Medicare Advantage $34,366.46
Rate for Payer: United Healthcare Commercial $38,775.67
Rate for Payer: United Healthcare Medicare Advantage $34,366.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $34,366.46
Rate for Payer: Wellcare Medicare $32,648.14