St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

BIOPRO GO-EZ SCREW 3.0X14MM

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	40209087
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25

BIOPRO GO-EZ SCREW 3.0X14MM

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	40209087
Hospital Revenue Code	278
Min. Negotiated Rate	$91.88
Max. Negotiated Rate	$275.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$150.94
Rate for Payer: EmblemHealth Commercial	$131.25
Rate for Payer: Fidelis Medicare Advantage	$275.62
Rate for Payer: Group Health Inc Commercial	$131.25
Rate for Payer: Group Health Inc Medicare	$91.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$170.62

BIOPRO GO-EZ SCREW 3.0X16MM

Facility

$370.00

Service Code	HCPCS C1776
Hospital Charge Code	40208105
Hospital Revenue Code	278
Min. Negotiated Rate	$129.50
Max. Negotiated Rate	$388.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$203.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$222.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$185.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$212.75
Rate for Payer: EmblemHealth Commercial	$185.00
Rate for Payer: Fidelis Medicare Advantage	$388.50
Rate for Payer: Group Health Inc Commercial	$185.00
Rate for Payer: Group Health Inc Medicare	$129.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$240.50

BIOPRO GO-EZ SCREW 3.0X16MM

Facility

$370.00

Service Code	HCPCS C1776
Hospital Charge Code	40208105
Hospital Revenue Code	278
Min. Negotiated Rate	$185.00
Max. Negotiated Rate	$185.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00

BIOPRO GO-EZ SCREW 3.0X28MM

Facility

$370.00

Service Code	HCPCS C1776
Hospital Charge Code	40209082
Hospital Revenue Code	278
Min. Negotiated Rate	$129.50
Max. Negotiated Rate	$388.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$203.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$222.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$185.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$212.75
Rate for Payer: EmblemHealth Commercial	$185.00
Rate for Payer: Fidelis Medicare Advantage	$388.50
Rate for Payer: Group Health Inc Commercial	$185.00
Rate for Payer: Group Health Inc Medicare	$129.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$240.50

BIOPRO GO-EZ SCREW 3.0X28MM

Facility

$370.00

Service Code	HCPCS C1776
Hospital Charge Code	40209082
Hospital Revenue Code	278
Min. Negotiated Rate	$185.00
Max. Negotiated Rate	$185.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00

BIOPRO GO-EZSCREW 3.0X32MM

Facility

$370.00

Service Code	HCPCS C1776
Hospital Charge Code	40209083
Hospital Revenue Code	278
Min. Negotiated Rate	$129.50
Max. Negotiated Rate	$388.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$203.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$222.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$185.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$212.75
Rate for Payer: EmblemHealth Commercial	$185.00
Rate for Payer: Fidelis Medicare Advantage	$388.50
Rate for Payer: Group Health Inc Commercial	$185.00
Rate for Payer: Group Health Inc Medicare	$129.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$240.50

BIOPRO GO-EZSCREW 3.0X32MM

Facility

$370.00

Service Code	HCPCS C1776
Hospital Charge Code	40209083
Hospital Revenue Code	278
Min. Negotiated Rate	$185.00
Max. Negotiated Rate	$185.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00

BIOPRO GO-EZ SCREW 4.0

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	40206240
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$220.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$126.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$105.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$120.75
Rate for Payer: EmblemHealth Commercial	$105.00
Rate for Payer: Fidelis Medicare Advantage	$220.50
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$136.50

BIOPRO GO-EZ SCREW 4.0

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	40206240
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

BIOPRO GO EZ SCREW 4.5 X

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	40205693
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

BIOPRO GO EZ SCREW 4.5 X

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	40205693
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$220.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$126.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$105.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$120.75
Rate for Payer: EmblemHealth Commercial	$105.00
Rate for Payer: Fidelis Medicare Advantage	$220.50
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$136.50

BIOPRO GO-EZ SCRW 3.0X18MM

Facility

$210.00

Service Code	HCPCS C1776
Hospital Charge Code	40208160
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$126.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$105.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$120.75
Rate for Payer: EmblemHealth Commercial	$105.00
Rate for Payer: Fidelis Medicare Advantage	$220.50
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$136.50

BIOPRO GO-EZ SCRW 3.0X18MM

Facility

$210.00

Service Code	HCPCS C1776
Hospital Charge Code	40208160
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

BIOPRO GREAT TOE M-P JOINT M 20MM

Facility

$1,600.00

Service Code	HCPCS C1776
Hospital Charge Code	40205204
Hospital Revenue Code	278
Min. Negotiated Rate	$800.00
Max. Negotiated Rate	$800.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$800.00
Rate for Payer: Hamaspik Choice Inc Medicare	$800.00

BIOPRO GREAT TOE M-P JOINT M 20MM

Facility

$1,600.00

Service Code	HCPCS C1776
Hospital Charge Code	40205204
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,680.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$960.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$800.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$920.00
Rate for Payer: EmblemHealth Commercial	$800.00
Rate for Payer: Fidelis Medicare Advantage	$1,680.00
Rate for Payer: Group Health Inc Commercial	$800.00
Rate for Payer: Group Health Inc Medicare	$560.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$800.00
Rate for Payer: Hamaspik Choice Inc Medicare	$800.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,040.00

BIOPRO GREAT TOE M-P JOINT/MED SM

Facility

$1,600.00

Service Code	HCPCS C1776
Hospital Charge Code	40208159
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,680.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$960.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$800.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$920.00
Rate for Payer: EmblemHealth Commercial	$800.00
Rate for Payer: Fidelis Medicare Advantage	$1,680.00
Rate for Payer: Group Health Inc Commercial	$800.00
Rate for Payer: Group Health Inc Medicare	$560.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$800.00
Rate for Payer: Hamaspik Choice Inc Medicare	$800.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,040.00

BIOPRO GREAT TOE M-P JOINT/MED SM

Facility

$1,600.00

Service Code	HCPCS C1776
Hospital Charge Code	40208159
Hospital Revenue Code	278
Min. Negotiated Rate	$800.00
Max. Negotiated Rate	$800.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$800.00
Rate for Payer: Hamaspik Choice Inc Medicare	$800.00

BIO PRO GUIDE PIN

Facility

$30.00

Service Code	HCPCS C1713
Hospital Charge Code	40200695
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

BIO PRO GUIDE PIN

Facility

$30.00

Service Code	HCPCS C1713
Hospital Charge Code	40200695
Hospital Revenue Code	278
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$18.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.25
Rate for Payer: EmblemHealth Commercial	$15.00
Rate for Payer: Fidelis Medicare Advantage	$31.50
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.50

BIOPRO MEMORY STAPLE 15X12

Facility

$550.00

Hospital Charge Code	40205534
Hospital Revenue Code	279
Min. Negotiated Rate	$192.50
Max. Negotiated Rate	$440.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$302.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$275.00
Rate for Payer: Aetna Government	$275.00
Rate for Payer: Brighton Health Commercial	$412.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$440.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$374.00
Rate for Payer: Group Health Inc Commercial	$275.00
Rate for Payer: Group Health Inc Medicare	$192.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$275.00
Rate for Payer: Hamaspik Choice Inc Medicare	$275.00

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility

$55,527.34

Service Code	MSDRG 478
Min. Negotiated Rate	$18,778.34
Max. Negotiated Rate	$55,527.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35,147.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$40,383.52
Rate for Payer: Aetna Government	$40,383.52
Rate for Payer: Brighton Health Commercial	$34,563.65
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$41,191.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41,164.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$33,970.39
Rate for Payer: Elderplan Medicare Advantage	$38,364.34
Rate for Payer: EmblemHealth Commercial	$20,440.20
Rate for Payer: Fidelis Medicare Advantage	$40,383.52
Rate for Payer: Group Health Inc Commercial	$40,383.52
Rate for Payer: Group Health Inc Medicare	$40,383.52
Rate for Payer: Hamaspik Choice Inc Medicare	$40,383.52
Rate for Payer: Healthfirst Medicare Advantage	$18,778.34
Rate for Payer: Humana Medicare	$55,527.34
Rate for Payer: Senior Whole Health Medicare Advantage	$40,383.52
Rate for Payer: United Healthcare Commercial	$47,404.64
Rate for Payer: United Healthcare Medicare Advantage	$40,383.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$40,383.52
Rate for Payer: Wellcare Medicare	$38,364.34

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$74,314.72

Service Code	MSDRG 477
Min. Negotiated Rate	$25,131.89
Max. Negotiated Rate	$74,314.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$49,675.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$54,047.07
Rate for Payer: Aetna Government	$54,047.07
Rate for Payer: Brighton Health Commercial	$48,850.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$55,128.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58,179.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$48,012.02
Rate for Payer: Elderplan Medicare Advantage	$51,344.72
Rate for Payer: EmblemHealth Commercial	$28,889.20
Rate for Payer: Fidelis Medicare Advantage	$54,047.07
Rate for Payer: Group Health Inc Commercial	$54,047.07
Rate for Payer: Group Health Inc Medicare	$54,047.07
Rate for Payer: Hamaspik Choice Inc Medicare	$54,047.07
Rate for Payer: Healthfirst Medicare Advantage	$25,131.89
Rate for Payer: Humana Medicare	$74,314.72
Rate for Payer: Senior Whole Health Medicare Advantage	$54,047.07
Rate for Payer: United Healthcare Commercial	$66,999.30
Rate for Payer: United Healthcare Medicare Advantage	$54,047.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$54,047.07
Rate for Payer: Wellcare Medicare	$51,344.72

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility

$45,617.91

Service Code	MSDRG 479
Min. Negotiated Rate	$15,427.15
Max. Negotiated Rate	$45,617.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27,484.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$33,176.66
Rate for Payer: Aetna Government	$33,176.66
Rate for Payer: Brighton Health Commercial	$27,028.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$33,840.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32,189.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$26,564.09
Rate for Payer: Elderplan Medicare Advantage	$31,517.83
Rate for Payer: EmblemHealth Commercial	$15,983.80
Rate for Payer: Fidelis Medicare Advantage	$33,176.66
Rate for Payer: Group Health Inc Commercial	$33,176.66
Rate for Payer: Group Health Inc Medicare	$33,176.66
Rate for Payer: Hamaspik Choice Inc Medicare	$33,176.66
Rate for Payer: Healthfirst Medicare Advantage	$15,427.15
Rate for Payer: Humana Medicare	$45,617.91
Rate for Payer: Senior Whole Health Medicare Advantage	$33,176.66
Rate for Payer: United Healthcare Commercial	$37,069.37
Rate for Payer: United Healthcare Medicare Advantage	$33,176.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$33,176.66
Rate for Payer: Wellcare Medicare	$31,517.83

Biopsy, abdominal or retroperitoneal mass, percutaneous needle

Facility

$2,915.00

Service Code	CPT 49180
Hospital Revenue Code	361
Min. Negotiated Rate	$1,312.42
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,874.89
Rate for Payer: Aetna Government	$1,874.89
Rate for Payer: Affinity Essential Plan 1&2	$1,312.42
Rate for Payer: Affinity Essential Plan 3&4	$1,312.42
Rate for Payer: Affinity Medicaid/CHP/HARP	$1,312.42
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,874.89
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	$1,874.89
Rate for Payer: EmblemHealth Commercial	$1,874.89
Rate for Payer: Fidelis Essential Plan Aliesa	$1,593.66
Rate for Payer: Fidelis Essential Plan QHP	$1,668.65
Rate for Payer: Fidelis Medicare Advantage	$1,874.89
Rate for Payer: Fidelis Qualified Health Plan	$1,668.65
Rate for Payer: Group Health Inc Commercial	$1,874.89
Rate for Payer: Group Health Inc Medicare	$1,874.89
Rate for Payer: Hamaspik Choice Inc Medicare	$1,874.89
Rate for Payer: Healthfirst Medicare Advantage	$1,593.66
Rate for Payer: Healthfirst QHP	$1,874.89
Rate for Payer: Humana Medicare	$1,912.39
Rate for Payer: Senior Whole Health Medicare Advantage	$1,874.89
Rate for Payer: United Healthcare Commercial	$1,409.00
Rate for Payer: United Healthcare Medicare Advantage	$1,874.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,874.89
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1,499.91
Rate for Payer: Wellcare Medicare	$1,781.15

Know your out-of-pocket cost for care.

All Charges