St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STOCKINETTE 4

Facility

$69.27

Hospital Charge Code	64901915
Hospital Revenue Code	270
Min. Negotiated Rate	$24.24
Max. Negotiated Rate	$55.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$34.64
Rate for Payer: Aetna Government	$34.64
Rate for Payer: Brighton Health Commercial	$51.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$55.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$47.10
Rate for Payer: Group Health Inc Commercial	$34.64
Rate for Payer: Group Health Inc Medicare	$24.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.64
Rate for Payer: Hamaspik Choice Inc Medicare	$34.64

STOCKINETTE 6

Facility

$27.00

Hospital Charge Code	64902159
Hospital Revenue Code	270
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$21.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.50
Rate for Payer: Aetna Government	$13.50
Rate for Payer: Brighton Health Commercial	$20.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.36
Rate for Payer: Group Health Inc Commercial	$13.50
Rate for Payer: Group Health Inc Medicare	$9.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.50
Rate for Payer: Hamaspik Choice Inc Medicare	$13.50

STOCKINETTE,IMPERVIOUS,12X48

Facility

$8.19

Hospital Charge Code	64903410
Hospital Revenue Code	270
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$6.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.10
Rate for Payer: Aetna Government	$4.10
Rate for Payer: Brighton Health Commercial	$6.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.57
Rate for Payer: Group Health Inc Commercial	$4.10
Rate for Payer: Group Health Inc Medicare	$2.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.10
Rate for Payer: Hamaspik Choice Inc Medicare	$4.10

STOCKINETTE,IMPERVIOUS,9X36,S

Facility

$6.87

Hospital Charge Code	64903408
Hospital Revenue Code	270
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$5.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.44
Rate for Payer: Aetna Government	$3.44
Rate for Payer: Brighton Health Commercial	$5.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.67
Rate for Payer: Group Health Inc Commercial	$3.44
Rate for Payer: Group Health Inc Medicare	$2.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.44
Rate for Payer: Hamaspik Choice Inc Medicare	$3.44

STOCKINETTE SGL PLY 4 X 3' STERIL

Facility

$4.43

Hospital Charge Code	64902755
Hospital Revenue Code	270
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$3.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.22
Rate for Payer: Aetna Government	$2.22
Rate for Payer: Brighton Health Commercial	$3.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.01
Rate for Payer: Group Health Inc Commercial	$2.22
Rate for Payer: Group Health Inc Medicare	$1.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.22
Rate for Payer: Hamaspik Choice Inc Medicare	$2.22

STOCKINETTE SGL PLY 6 X 4' STERIL

Facility

$5.94

Hospital Charge Code	64902758
Hospital Revenue Code	270
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$4.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Brighton Health Commercial	$4.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.04
Rate for Payer: Group Health Inc Commercial	$2.97
Rate for Payer: Group Health Inc Medicare	$2.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.97
Rate for Payer: Hamaspik Choice Inc Medicare	$2.97

STOCKING KNEE HI LARGE LONG

Facility

$5.80

Hospital Charge Code	64901698
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Brighton Health Commercial	$4.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKING KNEE HI LARGE REGULAR

Facility

$5.68

Hospital Charge Code	64901696
Hospital Revenue Code	270
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$4.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Brighton Health Commercial	$4.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.86
Rate for Payer: Group Health Inc Commercial	$2.84
Rate for Payer: Group Health Inc Medicare	$1.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2.84

STOCKING KNEE HI MEDIUM REGULAR

Facility

$5.80

Hospital Charge Code	64901445
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Brighton Health Commercial	$4.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKING KNEE HI X-LARGE

Facility

$5.80

Hospital Charge Code	64901702
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Brighton Health Commercial	$4.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKING,KNEE LENGTH,NYLON,X-LGE

Facility

$5.80

Hospital Charge Code	64901692
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Brighton Health Commercial	$4.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKINGS KNEE LARGE REG

Facility

$36.50

Hospital Charge Code	40205742
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Brighton Health Commercial	$27.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKINGS KNEE MEDIUM REG

Facility

$36.50

Hospital Charge Code	40205741
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Brighton Health Commercial	$27.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKINGS KNEE X-LENGTH

Facility

$36.50

Hospital Charge Code	40205743
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Brighton Health Commercial	$27.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKINGS THIGH LARGE LONG

Facility

$32.25

Hospital Charge Code	40201543
Hospital Revenue Code	270
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$25.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.12
Rate for Payer: Aetna Government	$16.12
Rate for Payer: Brighton Health Commercial	$24.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.93
Rate for Payer: Group Health Inc Commercial	$16.12
Rate for Payer: Group Health Inc Medicare	$11.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.12
Rate for Payer: Hamaspik Choice Inc Medicare	$16.12

STOCKINGS THIGH LARGE REG.

Facility

$32.25

Hospital Charge Code	40201542
Hospital Revenue Code	270
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$25.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.12
Rate for Payer: Aetna Government	$16.12
Rate for Payer: Brighton Health Commercial	$24.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.93
Rate for Payer: Group Health Inc Commercial	$16.12
Rate for Payer: Group Health Inc Medicare	$11.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.12
Rate for Payer: Hamaspik Choice Inc Medicare	$16.12

STOCKINGS THIGH MEDIUM LONG

Facility

$32.25

Hospital Charge Code	40201541
Hospital Revenue Code	270
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$25.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.12
Rate for Payer: Aetna Government	$16.12
Rate for Payer: Brighton Health Commercial	$24.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.93
Rate for Payer: Group Health Inc Commercial	$16.12
Rate for Payer: Group Health Inc Medicare	$11.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.12
Rate for Payer: Hamaspik Choice Inc Medicare	$16.12

STOCKINGS THIGH MED REG

Facility

$36.50

Hospital Charge Code	40205744
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Brighton Health Commercial	$27.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKING THIGH HI LARGE REGULAR

Facility

$11.13

Hospital Charge Code	64901447
Hospital Revenue Code	270
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$8.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.56
Rate for Payer: Aetna Government	$5.56
Rate for Payer: Brighton Health Commercial	$8.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.57
Rate for Payer: Group Health Inc Commercial	$5.56
Rate for Payer: Group Health Inc Medicare	$3.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.56
Rate for Payer: Hamaspik Choice Inc Medicare	$5.56

STOCKING THIGH HI LARGE X-LARGE

Facility

$11.13

Hospital Charge Code	64901694
Hospital Revenue Code	270
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$8.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.56
Rate for Payer: Aetna Government	$5.56
Rate for Payer: Brighton Health Commercial	$8.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.57
Rate for Payer: Group Health Inc Commercial	$5.56
Rate for Payer: Group Health Inc Medicare	$3.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.56
Rate for Payer: Hamaspik Choice Inc Medicare	$5.56

STOCKING THIGH HI MEDIUM LONG

Facility

$11.13

Hospital Charge Code	64901700
Hospital Revenue Code	270
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$8.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.56
Rate for Payer: Aetna Government	$5.56
Rate for Payer: Brighton Health Commercial	$8.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.57
Rate for Payer: Group Health Inc Commercial	$5.56
Rate for Payer: Group Health Inc Medicare	$3.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.56
Rate for Payer: Hamaspik Choice Inc Medicare	$5.56

STOCKING THIGH HI MEDIUM REGULAR

Facility

$22.49

Hospital Charge Code	64901517
Hospital Revenue Code	270
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$17.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.24
Rate for Payer: Aetna Government	$11.24
Rate for Payer: Brighton Health Commercial	$16.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.29
Rate for Payer: Group Health Inc Commercial	$11.24
Rate for Payer: Group Health Inc Medicare	$7.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.24
Rate for Payer: Hamaspik Choice Inc Medicare	$11.24

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC

Facility

$43,127.60

Service Code	MSDRG 327
Min. Negotiated Rate	$19,511.52
Max. Negotiated Rate	$43,127.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36,824.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41,960.26
Rate for Payer: Aetna Government	$41,960.26
Rate for Payer: Brighton Health Commercial	$36,212.30
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$42,799.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43,127.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$35,590.75
Rate for Payer: Elderplan Medicare Advantage	$39,862.25
Rate for Payer: EmblemHealth Commercial	$21,415.20
Rate for Payer: Fidelis Medicare Advantage	$41,960.26
Rate for Payer: Group Health Inc Commercial	$41,960.26
Rate for Payer: Group Health Inc Medicare	$41,960.26
Rate for Payer: Hamaspik Choice Inc Medicare	$41,960.26
Rate for Payer: Healthfirst Medicare Advantage	$19,511.52
Rate for Payer: Senior Whole Health Medicare Advantage	$41,960.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41,960.26
Rate for Payer: Wellcare Medicare	$39,862.25

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC

Facility

$87,709.25

Service Code	MSDRG 326
Min. Negotiated Rate	$36,158.53
Max. Negotiated Rate	$87,709.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74,889.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$77,760.29
Rate for Payer: Aetna Government	$77,760.29
Rate for Payer: Brighton Health Commercial	$73,645.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$79,315.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87,709.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$72,381.44
Rate for Payer: Elderplan Medicare Advantage	$73,872.28
Rate for Payer: EmblemHealth Commercial	$43,552.40
Rate for Payer: Fidelis Medicare Advantage	$77,760.29
Rate for Payer: Group Health Inc Commercial	$77,760.29
Rate for Payer: Group Health Inc Medicare	$77,760.29
Rate for Payer: Hamaspik Choice Inc Medicare	$77,760.29
Rate for Payer: Healthfirst Medicare Advantage	$36,158.53
Rate for Payer: Senior Whole Health Medicare Advantage	$77,760.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$77,760.29
Rate for Payer: Wellcare Medicare	$73,872.28

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC

Facility

$30,067.77

Service Code	MSDRG 328
Min. Negotiated Rate	$13,696.80
Max. Negotiated Rate	$30,067.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23,552.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29,478.21
Rate for Payer: Aetna Government	$29,478.21
Rate for Payer: Brighton Health Commercial	$23,160.85
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$30,067.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27,583.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$22,763.31
Rate for Payer: Elderplan Medicare Advantage	$28,004.30
Rate for Payer: EmblemHealth Commercial	$13,696.80
Rate for Payer: Fidelis Medicare Advantage	$29,478.21
Rate for Payer: Group Health Inc Commercial	$29,478.21
Rate for Payer: Group Health Inc Medicare	$29,478.21
Rate for Payer: Hamaspik Choice Inc Medicare	$29,478.21
Rate for Payer: Healthfirst Medicare Advantage	$13,707.37
Rate for Payer: Senior Whole Health Medicare Advantage	$29,478.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$29,478.21
Rate for Payer: Wellcare Medicare	$28,004.30

Know your out-of-pocket cost for care.

All Charges