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Service Code HCPCS 58345 TC
Hospital Charge Code 41547462
Hospital Revenue Code 361
Rate for Payer: Cash Price $3,615.39
Service Code HCPCS 58345 TC
Hospital Charge Code 41547462
Hospital Revenue Code 361
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $5,674.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,615.39
Rate for Payer: Aetna Government $3,615.39
Rate for Payer: Affinity Essential Plan 1&2 $2,530.77
Rate for Payer: Affinity Essential Plan 3&4 $2,530.77
Rate for Payer: Affinity Medicaid/CHP/HARP $2,530.77
Rate for Payer: Brighton Health Commercial $5,674.60
Rate for Payer: Cash Price $3,615.39
Rate for Payer: Cash Price $3,615.39
Rate for Payer: Cash Price $3,615.39
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,615.39
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 $3,615.39
Rate for Payer: EmblemHealth Commercial $3,615.39
Rate for Payer: Fidelis Essential Plan Aliesa $3,073.08
Rate for Payer: Fidelis Essential Plan QHP $3,217.70
Rate for Payer: Fidelis Medicare Advantage $3,615.39
Rate for Payer: Fidelis Qualified Health Plan $3,217.70
Rate for Payer: Group Health Inc Commercial $3,615.39
Rate for Payer: Group Health Inc Medicare $3,615.39
Rate for Payer: Hamaspik Choice Inc Medicaid $3,783.06
Rate for Payer: Hamaspik Choice Inc Medicare $3,615.39
Rate for Payer: Healthfirst Medicare Advantage $3,073.08
Rate for Payer: Healthfirst QHP $3,615.39
Rate for Payer: Humana Medicare $3,687.70
Rate for Payer: Senior Whole Health Medicare Advantage $3,615.39
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $3,615.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,615.39
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,892.31
Rate for Payer: Wellcare Medicare $3,434.62
Service Code HCPCS 36481 TC
Hospital Charge Code 41547687
Hospital Revenue Code 361
Min. Negotiated Rate $437.42
Max. Negotiated Rate $4,065.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $4,065.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2,195.76
Rate for Payer: Aetna Government $2,195.76
Rate for Payer: Brighton Health Commercial $937.34
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: Group Health Inc Commercial $624.89
Rate for Payer: Group Health Inc Medicare $437.42
Rate for Payer: Hamaspik Choice Inc Medicaid $624.89
Rate for Payer: Hamaspik Choice Inc Medicare $624.89
Rate for Payer: United Healthcare Commercial $1,113.00
Service Code HCPCS 37200 TC
Hospital Charge Code 41547653
Hospital Revenue Code 361
Min. Negotiated Rate $1,888.00
Max. Negotiated Rate $10,440.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $6,354.94
Rate for Payer: Aetna Government $6,354.94
Rate for Payer: Affinity Essential Plan 1&2 $4,448.46
Rate for Payer: Affinity Essential Plan 3&4 $4,448.46
Rate for Payer: Affinity Medicaid/CHP/HARP $4,448.46
Rate for Payer: Brighton Health Commercial $10,440.52
Rate for Payer: Cash Price $6,354.94
Rate for Payer: Cash Price $6,354.94
Rate for Payer: Cash Price $6,354.94
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $6,354.94
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 $6,354.94
Rate for Payer: EmblemHealth Commercial $6,354.94
Rate for Payer: Fidelis Essential Plan Aliesa $5,401.70
Rate for Payer: Fidelis Essential Plan QHP $5,655.90
Rate for Payer: Fidelis Medicare Advantage $6,354.94
Rate for Payer: Fidelis Qualified Health Plan $5,655.90
Rate for Payer: Group Health Inc Commercial $6,354.94
Rate for Payer: Group Health Inc Medicare $6,354.94
Rate for Payer: Hamaspik Choice Inc Medicaid $6,960.35
Rate for Payer: Hamaspik Choice Inc Medicare $6,354.94
Rate for Payer: Healthfirst Medicare Advantage $5,401.70
Rate for Payer: Healthfirst QHP $6,354.94
Rate for Payer: Humana Medicare $6,482.04
Rate for Payer: Senior Whole Health Medicare Advantage $6,354.94
Rate for Payer: United Healthcare Commercial $2,546.00
Rate for Payer: United Healthcare Medicare Advantage $6,354.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $6,354.94
Rate for Payer: Wellcare CHP/FHP/Medicaid $5,083.95
Rate for Payer: Wellcare Medicare $6,037.19
Service Code HCPCS 37200 TC
Hospital Charge Code 41547653
Hospital Revenue Code 361
Rate for Payer: Cash Price $6,354.94
Service Code HCPCS 62282
Hospital Charge Code 41561541
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,054.06
Service Code HCPCS 62282
Hospital Charge Code 41561541
Hospital Revenue Code 361
Min. Negotiated Rate $737.84
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,054.06
Rate for Payer: Aetna Government $1,054.06
Rate for Payer: Affinity Essential Plan 1&2 $737.84
Rate for Payer: Affinity Essential Plan 3&4 $737.84
Rate for Payer: Affinity Medicaid/CHP/HARP $737.84
Rate for Payer: Brighton Health Commercial $1,844.62
Rate for Payer: Cash Price $1,054.06
Rate for Payer: Cash Price $1,054.06
Rate for Payer: Cash Price $1,054.06
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,054.06
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 $1,054.06
Rate for Payer: EmblemHealth Commercial $1,054.06
Rate for Payer: Fidelis Essential Plan Aliesa $895.95
Rate for Payer: Fidelis Essential Plan QHP $938.11
Rate for Payer: Fidelis Medicare Advantage $1,054.06
Rate for Payer: Fidelis Qualified Health Plan $938.11
Rate for Payer: Group Health Inc Commercial $1,054.06
Rate for Payer: Group Health Inc Medicare $1,054.06
Rate for Payer: Hamaspik Choice Inc Medicaid $1,229.75
Rate for Payer: Hamaspik Choice Inc Medicare $1,054.06
Rate for Payer: Healthfirst Medicare Advantage $895.95
Rate for Payer: Healthfirst QHP $1,054.06
Rate for Payer: Humana Medicare $1,075.14
Rate for Payer: Senior Whole Health Medicare Advantage $1,054.06
Rate for Payer: United Healthcare Commercial $1,188.00
Rate for Payer: United Healthcare Medicare Advantage $1,054.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,054.06
Rate for Payer: Wellcare CHP/FHP/Medicaid $843.25
Rate for Payer: Wellcare Medicare $1,001.36
Service Code HCPCS 62281
Hospital Charge Code 41561540
Hospital Revenue Code 361
Min. Negotiated Rate $737.84
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,054.06
Rate for Payer: Aetna Government $1,054.06
Rate for Payer: Affinity Essential Plan 1&2 $737.84
Rate for Payer: Affinity Essential Plan 3&4 $737.84
Rate for Payer: Affinity Medicaid/CHP/HARP $737.84
Rate for Payer: Brighton Health Commercial $1,844.62
Rate for Payer: Cash Price $1,054.06
Rate for Payer: Cash Price $1,054.06
Rate for Payer: Cash Price $1,054.06
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,054.06
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 $1,054.06
Rate for Payer: EmblemHealth Commercial $1,054.06
Rate for Payer: Fidelis Essential Plan Aliesa $895.95
Rate for Payer: Fidelis Essential Plan QHP $938.11
Rate for Payer: Fidelis Medicare Advantage $1,054.06
Rate for Payer: Fidelis Qualified Health Plan $938.11
Rate for Payer: Group Health Inc Commercial $1,054.06
Rate for Payer: Group Health Inc Medicare $1,054.06
Rate for Payer: Hamaspik Choice Inc Medicaid $1,229.75
Rate for Payer: Hamaspik Choice Inc Medicare $1,054.06
Rate for Payer: Healthfirst Medicare Advantage $895.95
Rate for Payer: Healthfirst QHP $1,054.06
Rate for Payer: Humana Medicare $1,075.14
Rate for Payer: Senior Whole Health Medicare Advantage $1,054.06
Rate for Payer: United Healthcare Commercial $1,188.00
Rate for Payer: United Healthcare Medicare Advantage $1,054.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,054.06
Rate for Payer: Wellcare CHP/FHP/Medicaid $843.25
Rate for Payer: Wellcare Medicare $1,001.36
Service Code HCPCS 62281
Hospital Charge Code 41561540
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,054.06
Service Code HCPCS 36581 TC
Hospital Charge Code 41549845
Hospital Revenue Code 361
Min. Negotiated Rate $1,835.00
Max. Negotiated Rate $6,295.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,686.08
Rate for Payer: Aetna Government $3,686.08
Rate for Payer: Affinity Essential Plan 1&2 $2,580.26
Rate for Payer: Affinity Essential Plan 3&4 $2,580.26
Rate for Payer: Affinity Medicaid/CHP/HARP $2,580.26
Rate for Payer: Brighton Health Commercial $6,295.15
Rate for Payer: Cash Price $3,686.08
Rate for Payer: Cash Price $3,686.08
Rate for Payer: Cash Price $3,686.08
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,686.08
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 $3,686.08
Rate for Payer: EmblemHealth Commercial $3,686.08
Rate for Payer: Fidelis Essential Plan Aliesa $3,133.17
Rate for Payer: Fidelis Essential Plan QHP $3,280.61
Rate for Payer: Fidelis Medicare Advantage $3,686.08
Rate for Payer: Fidelis Qualified Health Plan $3,280.61
Rate for Payer: Group Health Inc Commercial $3,686.08
Rate for Payer: Group Health Inc Medicare $3,686.08
Rate for Payer: Hamaspik Choice Inc Medicaid $4,196.76
Rate for Payer: Hamaspik Choice Inc Medicare $3,686.08
Rate for Payer: Healthfirst Medicare Advantage $3,133.17
Rate for Payer: Healthfirst QHP $3,686.08
Rate for Payer: Humana Medicare $3,759.80
Rate for Payer: Senior Whole Health Medicare Advantage $3,686.08
Rate for Payer: United Healthcare Commercial $1,835.00
Rate for Payer: United Healthcare Medicare Advantage $3,686.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,686.08
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,948.86
Rate for Payer: Wellcare Medicare $3,501.78
Service Code HCPCS 36581 TC
Hospital Charge Code 41549845
Hospital Revenue Code 361
Rate for Payer: Cash Price $3,686.08
Service Code HCPCS 36558 TC
Hospital Charge Code 41549843
Hospital Revenue Code 361
Rate for Payer: Cash Price $3,686.08
Service Code HCPCS 36558 TC
Hospital Charge Code 41549843
Hospital Revenue Code 361
Min. Negotiated Rate $1,835.00
Max. Negotiated Rate $6,295.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,686.08
Rate for Payer: Aetna Government $3,686.08
Rate for Payer: Affinity Essential Plan 1&2 $2,580.26
Rate for Payer: Affinity Essential Plan 3&4 $2,580.26
Rate for Payer: Affinity Medicaid/CHP/HARP $2,580.26
Rate for Payer: Brighton Health Commercial $6,295.15
Rate for Payer: Cash Price $3,686.08
Rate for Payer: Cash Price $3,686.08
Rate for Payer: Cash Price $3,686.08
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,686.08
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 $3,686.08
Rate for Payer: EmblemHealth Commercial $3,686.08
Rate for Payer: Fidelis Essential Plan Aliesa $3,133.17
Rate for Payer: Fidelis Essential Plan QHP $3,280.61
Rate for Payer: Fidelis Medicare Advantage $3,686.08
Rate for Payer: Fidelis Qualified Health Plan $3,280.61
Rate for Payer: Group Health Inc Commercial $3,686.08
Rate for Payer: Group Health Inc Medicare $3,686.08
Rate for Payer: Hamaspik Choice Inc Medicaid $4,196.76
Rate for Payer: Hamaspik Choice Inc Medicare $3,686.08
Rate for Payer: Healthfirst Medicare Advantage $3,133.17
Rate for Payer: Healthfirst QHP $3,686.08
Rate for Payer: Humana Medicare $3,759.80
Rate for Payer: Senior Whole Health Medicare Advantage $3,686.08
Rate for Payer: United Healthcare Commercial $1,835.00
Rate for Payer: United Healthcare Medicare Advantage $3,686.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,686.08
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,948.86
Rate for Payer: Wellcare Medicare $3,501.78
Service Code HCPCS 36589 TC
Hospital Charge Code 41549847
Hospital Revenue Code 361
Min. Negotiated Rate $508.53
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $726.47
Rate for Payer: Aetna Government $726.47
Rate for Payer: Affinity Essential Plan 1&2 $508.53
Rate for Payer: Affinity Essential Plan 3&4 $508.53
Rate for Payer: Affinity Medicaid/CHP/HARP $508.53
Rate for Payer: Brighton Health Commercial $1,432.24
Rate for Payer: Cash Price $726.47
Rate for Payer: Cash Price $726.47
Rate for Payer: Cash Price $726.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $726.47
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 $726.47
Rate for Payer: EmblemHealth Commercial $726.47
Rate for Payer: Fidelis Essential Plan Aliesa $617.50
Rate for Payer: Fidelis Essential Plan QHP $646.56
Rate for Payer: Fidelis Medicare Advantage $726.47
Rate for Payer: Fidelis Qualified Health Plan $646.56
Rate for Payer: Group Health Inc Commercial $726.47
Rate for Payer: Group Health Inc Medicare $726.47
Rate for Payer: Hamaspik Choice Inc Medicaid $954.82
Rate for Payer: Hamaspik Choice Inc Medicare $726.47
Rate for Payer: Healthfirst Medicare Advantage $617.50
Rate for Payer: Healthfirst QHP $726.47
Rate for Payer: Humana Medicare $741.00
Rate for Payer: Senior Whole Health Medicare Advantage $726.47
Rate for Payer: United Healthcare Commercial $1,188.00
Rate for Payer: United Healthcare Medicare Advantage $726.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $726.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $581.18
Rate for Payer: Wellcare Medicare $690.15
Service Code HCPCS 36589 TC
Hospital Charge Code 41549847
Hospital Revenue Code 361
Rate for Payer: Cash Price $726.47
Service Code HCPCS 50705
Hospital Charge Code 41542912
Hospital Revenue Code 361
Min. Negotiated Rate $247.02
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $247.02
Rate for Payer: Aetna Government $247.02
Rate for Payer: Brighton Health Commercial $2,103.28
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: Group Health Inc Commercial $1,402.18
Rate for Payer: Group Health Inc Medicare $981.53
Rate for Payer: Hamaspik Choice Inc Medicaid $1,402.18
Rate for Payer: Hamaspik Choice Inc Medicare $1,402.18
Rate for Payer: United Healthcare Commercial $1,113.00
Service Code HCPCS 50553 TC
Hospital Charge Code 41547737
Hospital Revenue Code 361
Min. Negotiated Rate $745.00
Max. Negotiated Rate $9,612.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $5,983.74
Rate for Payer: Aetna Government $5,983.74
Rate for Payer: Affinity Essential Plan 1&2 $4,188.62
Rate for Payer: Affinity Essential Plan 3&4 $4,188.62
Rate for Payer: Affinity Medicaid/CHP/HARP $4,188.62
Rate for Payer: Brighton Health Commercial $9,612.40
Rate for Payer: Cash Price $5,983.74
Rate for Payer: Cash Price $5,983.74
Rate for Payer: Cash Price $5,983.74
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $5,983.74
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 $5,983.74
Rate for Payer: EmblemHealth Commercial $745.00
Rate for Payer: Fidelis Essential Plan Aliesa $5,086.18
Rate for Payer: Fidelis Essential Plan QHP $5,325.53
Rate for Payer: Fidelis Medicare Advantage $5,983.74
Rate for Payer: Fidelis Qualified Health Plan $5,325.53
Rate for Payer: Group Health Inc Commercial $5,983.74
Rate for Payer: Group Health Inc Medicare $5,983.74
Rate for Payer: Hamaspik Choice Inc Medicaid $6,408.26
Rate for Payer: Hamaspik Choice Inc Medicare $5,983.74
Rate for Payer: Healthfirst Medicare Advantage $5,086.18
Rate for Payer: Healthfirst QHP $5,983.74
Rate for Payer: Humana Medicare $6,103.41
Rate for Payer: Senior Whole Health Medicare Advantage $5,983.74
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $5,983.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $5,983.74
Rate for Payer: Wellcare CHP/FHP/Medicaid $4,786.99
Rate for Payer: Wellcare Medicare $5,684.55
Service Code HCPCS 50553 TC
Hospital Charge Code 41547737
Hospital Revenue Code 361
Rate for Payer: Cash Price $5,983.74
Service Code HCPCS 50694 TC
Hospital Charge Code 41546559
Hospital Revenue Code 361
Min. Negotiated Rate $1,835.00
Max. Negotiated Rate $6,856.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,031.47
Rate for Payer: Aetna Government $4,031.47
Rate for Payer: Affinity Essential Plan 1&2 $2,822.03
Rate for Payer: Affinity Essential Plan 3&4 $2,822.03
Rate for Payer: Affinity Medicaid/CHP/HARP $2,822.03
Rate for Payer: Brighton Health Commercial $6,856.80
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,031.47
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 $4,031.47
Rate for Payer: EmblemHealth Commercial $4,031.47
Rate for Payer: Fidelis Essential Plan Aliesa $3,426.75
Rate for Payer: Fidelis Essential Plan QHP $3,588.01
Rate for Payer: Fidelis Medicare Advantage $4,031.47
Rate for Payer: Fidelis Qualified Health Plan $3,588.01
Rate for Payer: Group Health Inc Commercial $4,031.47
Rate for Payer: Group Health Inc Medicare $4,031.47
Rate for Payer: Hamaspik Choice Inc Medicaid $4,571.20
Rate for Payer: Hamaspik Choice Inc Medicare $4,031.47
Rate for Payer: Healthfirst Medicare Advantage $3,426.75
Rate for Payer: Healthfirst QHP $4,031.47
Rate for Payer: Humana Medicare $4,112.10
Rate for Payer: Senior Whole Health Medicare Advantage $4,031.47
Rate for Payer: United Healthcare Commercial $1,835.00
Rate for Payer: United Healthcare Medicare Advantage $4,031.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,031.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,225.18
Rate for Payer: Wellcare Medicare $3,829.90
Service Code HCPCS 50694 TC
Hospital Charge Code 41546559
Hospital Revenue Code 361
Rate for Payer: Cash Price $4,031.47
Service Code HCPCS 51610 TC
Hospital Charge Code 41542828
Hospital Revenue Code 361
Min. Negotiated Rate $129.47
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $129.47
Rate for Payer: Aetna Government $129.47
Rate for Payer: Brighton Health Commercial $641.86
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: Group Health Inc Commercial $427.90
Rate for Payer: Group Health Inc Medicare $299.53
Rate for Payer: Hamaspik Choice Inc Medicaid $427.90
Rate for Payer: Hamaspik Choice Inc Medicare $427.90
Rate for Payer: United Healthcare Commercial $1,113.00
Service Code HCPCS 51600 TC
Hospital Charge Code 41542526
Hospital Revenue Code 361
Min. Negotiated Rate $211.94
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $224.79
Rate for Payer: Aetna Government $224.79
Rate for Payer: Brighton Health Commercial $454.16
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: Group Health Inc Commercial $302.78
Rate for Payer: Group Health Inc Medicare $211.94
Rate for Payer: Hamaspik Choice Inc Medicaid $302.78
Rate for Payer: Hamaspik Choice Inc Medicare $302.78
Rate for Payer: United Healthcare Commercial $1,113.00
Service Code HCPCS 19285 TC
Hospital Charge Code 41104043
Hospital Revenue Code 361
Min. Negotiated Rate $342.00
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $813.63
Rate for Payer: Aetna Government $813.63
Rate for Payer: Affinity Essential Plan 1&2 $569.54
Rate for Payer: Affinity Essential Plan 3&4 $569.54
Rate for Payer: Affinity Medicaid/CHP/HARP $569.54
Rate for Payer: Brighton Health Commercial $1,385.68
Rate for Payer: Cash Price $813.63
Rate for Payer: Cash Price $813.63
Rate for Payer: Cash Price $813.63
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $813.63
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 $813.63
Rate for Payer: EmblemHealth Commercial $813.63
Rate for Payer: Fidelis Essential Plan Aliesa $691.59
Rate for Payer: Fidelis Essential Plan QHP $724.13
Rate for Payer: Fidelis Medicare Advantage $813.63
Rate for Payer: Fidelis Qualified Health Plan $724.13
Rate for Payer: Group Health Inc Commercial $813.63
Rate for Payer: Group Health Inc Medicare $813.63
Rate for Payer: Hamaspik Choice Inc Medicaid $923.79
Rate for Payer: Hamaspik Choice Inc Medicare $813.63
Rate for Payer: Healthfirst Medicare Advantage $691.59
Rate for Payer: Healthfirst QHP $813.63
Rate for Payer: Humana Medicare $829.90
Rate for Payer: Senior Whole Health Medicare Advantage $813.63
Rate for Payer: United Healthcare Commercial $1,188.00
Rate for Payer: United Healthcare Medicare Advantage $813.63
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $813.63
Rate for Payer: Wellcare CHP/FHP/Medicaid $650.90
Rate for Payer: Wellcare Medicare $772.95
Service Code HCPCS 19285 TC
Hospital Charge Code 41104043
Hospital Revenue Code 361
Rate for Payer: Cash Price $813.63
Service Code HCPCS 19084
Hospital Charge Code 41104021
Hospital Revenue Code 402
Min. Negotiated Rate $68.16
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $68.16
Rate for Payer: Aetna Government $68.16
Rate for Payer: Brighton Health Commercial $781.50
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: Group Health Inc Commercial $521.00
Rate for Payer: Group Health Inc Medicare $364.70
Rate for Payer: Hamaspik Choice Inc Medicaid $521.00
Rate for Payer: Hamaspik Choice Inc Medicare $521.00