St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

T2 HUMMERAL NAIL 9X27MM

Facility

$1,230.50

Service Code	HCPCS C1713
Hospital Charge Code	40200312
Hospital Revenue Code	278
Min. Negotiated Rate	$615.25
Max. Negotiated Rate	$615.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$615.25
Rate for Payer: Hamaspik Choice Inc Medicare	$615.25

T2 RECON 9X380MM

Facility

$3,294.60

Service Code	HCPCS C1776
Hospital Charge Code	40200313
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,459.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,812.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,976.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,647.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,894.40
Rate for Payer: EmblemHealth Commercial	$1,647.30
Rate for Payer: Fidelis Medicare Advantage	$3,459.33
Rate for Payer: Group Health Inc Commercial	$1,647.30
Rate for Payer: Group Health Inc Medicare	$1,153.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,647.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,647.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,141.49

T2 RECON 9X380MM

Facility

$3,294.60

Service Code	HCPCS C1776
Hospital Charge Code	40200313
Hospital Revenue Code	278
Min. Negotiated Rate	$1,647.30
Max. Negotiated Rate	$1,647.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,647.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,647.30

T-3 (TRIIODOTHYRONINE) LEV RIA

Facility

$35.45

Service Code	HCPCS 84480
Hospital Charge Code	40602355
Hospital Revenue Code	301
Min. Negotiated Rate	$11.34
Max. Negotiated Rate	$26.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.18
Rate for Payer: Aetna Government	$14.18
Rate for Payer: Brighton Health Commercial	$26.59
Rate for Payer: Cash Price	$14.18
Rate for Payer: Cash Price	$14.18
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$14.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.06
Rate for Payer: Elderplan Medicare Advantage	$14.18
Rate for Payer: EmblemHealth Commercial	$14.18
Rate for Payer: Fidelis Essential Plan Aliesa	$12.05
Rate for Payer: Fidelis Essential Plan QHP	$12.62
Rate for Payer: Fidelis Medicare Advantage	$14.18
Rate for Payer: Fidelis Qualified Health Plan	$12.62
Rate for Payer: Group Health Inc Commercial	$14.18
Rate for Payer: Group Health Inc Medicare	$14.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.72
Rate for Payer: Hamaspik Choice Inc Medicare	$14.18
Rate for Payer: Healthfirst Medicare Advantage	$14.18
Rate for Payer: Healthfirst QHP	$14.18
Rate for Payer: Senior Whole Health Medicare Advantage	$14.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.18
Rate for Payer: Wellcare CHP/FHP/Medicaid	$11.34
Rate for Payer: Wellcare Medicare	$12.76

T-3 (TRIIODOTHYRONINE) LEV RIA

Facility

$35.45

Service Code	HCPCS 84480
Hospital Charge Code	40602355
Hospital Revenue Code	301
Rate for Payer: Cash Price	$14.18

T3 UPTAKE

Facility

$16.18

Service Code	HCPCS 84479
Hospital Charge Code	40602340
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$12.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.47
Rate for Payer: Aetna Government	$6.47
Rate for Payer: Brighton Health Commercial	$12.14
Rate for Payer: Cash Price	$6.47
Rate for Payer: Cash Price	$6.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.70
Rate for Payer: Elderplan Medicare Advantage	$6.47
Rate for Payer: EmblemHealth Commercial	$6.47
Rate for Payer: Fidelis Essential Plan Aliesa	$5.50
Rate for Payer: Fidelis Essential Plan QHP	$5.76
Rate for Payer: Fidelis Medicare Advantage	$6.47
Rate for Payer: Fidelis Qualified Health Plan	$5.76
Rate for Payer: Group Health Inc Commercial	$6.47
Rate for Payer: Group Health Inc Medicare	$6.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.09
Rate for Payer: Hamaspik Choice Inc Medicare	$6.47
Rate for Payer: Healthfirst Medicare Advantage	$6.47
Rate for Payer: Healthfirst QHP	$6.47
Rate for Payer: Senior Whole Health Medicare Advantage	$6.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$5.18
Rate for Payer: Wellcare Medicare	$5.82

T3 UPTAKE

Facility

$16.18

Service Code	HCPCS 84479
Hospital Charge Code	40602340
Hospital Revenue Code	301
Rate for Payer: Cash Price	$6.47

T4/T8 LYMPHO

Facility

$94.33

Service Code	HCPCS 86359
Hospital Charge Code	40627582
Hospital Revenue Code	300
Min. Negotiated Rate	$30.18
Max. Negotiated Rate	$70.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$37.73
Rate for Payer: Aetna Government	$37.73
Rate for Payer: Brighton Health Commercial	$70.75
Rate for Payer: Cash Price	$37.73
Rate for Payer: Cash Price	$37.73
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$37.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.73
Rate for Payer: Elderplan Medicare Advantage	$37.73
Rate for Payer: EmblemHealth Commercial	$37.73
Rate for Payer: Fidelis Essential Plan Aliesa	$32.07
Rate for Payer: Fidelis Essential Plan QHP	$33.58
Rate for Payer: Fidelis Medicare Advantage	$37.73
Rate for Payer: Fidelis Qualified Health Plan	$33.58
Rate for Payer: Group Health Inc Commercial	$37.73
Rate for Payer: Group Health Inc Medicare	$37.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$47.16
Rate for Payer: Hamaspik Choice Inc Medicare	$37.73
Rate for Payer: Healthfirst Medicare Advantage	$37.73
Rate for Payer: Healthfirst QHP	$37.73
Rate for Payer: Senior Whole Health Medicare Advantage	$37.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$37.73
Rate for Payer: Wellcare CHP/FHP/Medicaid	$30.18
Rate for Payer: Wellcare Medicare	$33.96

T4/T8 LYMPHO

Facility

$94.33

Service Code	HCPCS 86359
Hospital Charge Code	40627582
Hospital Revenue Code	300
Rate for Payer: Cash Price	$37.73

T4 (THYROXINE) BY CPB

Facility

$17.18

Service Code	HCPCS 84436
Hospital Charge Code	40602345
Hospital Revenue Code	301
Rate for Payer: Cash Price	$6.87

T4 (THYROXINE) BY CPB

Facility

$17.18

Service Code	HCPCS 84436
Hospital Charge Code	40602345
Hospital Revenue Code	301
Min. Negotiated Rate	$5.50
Max. Negotiated Rate	$12.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.87
Rate for Payer: Aetna Government	$6.87
Rate for Payer: Brighton Health Commercial	$12.88
Rate for Payer: Cash Price	$6.87
Rate for Payer: Cash Price	$6.87
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.25
Rate for Payer: Elderplan Medicare Advantage	$6.87
Rate for Payer: EmblemHealth Commercial	$6.87
Rate for Payer: Fidelis Essential Plan Aliesa	$5.84
Rate for Payer: Fidelis Essential Plan QHP	$6.11
Rate for Payer: Fidelis Medicare Advantage	$6.87
Rate for Payer: Fidelis Qualified Health Plan	$6.11
Rate for Payer: Group Health Inc Commercial	$6.87
Rate for Payer: Group Health Inc Medicare	$6.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.59
Rate for Payer: Hamaspik Choice Inc Medicare	$6.87
Rate for Payer: Healthfirst Medicare Advantage	$6.87
Rate for Payer: Healthfirst QHP	$6.87
Rate for Payer: Senior Whole Health Medicare Advantage	$6.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.87
Rate for Payer: Wellcare CHP/FHP/Medicaid	$5.50
Rate for Payer: Wellcare Medicare	$6.18

TAC ABSORABLE FIXATION W/SPIKES

Facility

$1,575.00

Hospital Charge Code	64902873
Hospital Revenue Code	270
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$1,260.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$866.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$787.50
Rate for Payer: Aetna Government	$787.50
Rate for Payer: Brighton Health Commercial	$1,181.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,260.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,071.00
Rate for Payer: Group Health Inc Commercial	$787.50
Rate for Payer: Group Health Inc Medicare	$551.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$787.50
Rate for Payer: Hamaspik Choice Inc Medicare	$787.50

TAC ABSORABLE FIXATION W/SPIKES

Facility

$492.66

Hospital Charge Code	40200713
Hospital Revenue Code	272
Min. Negotiated Rate	$172.43
Max. Negotiated Rate	$394.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$270.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$246.33
Rate for Payer: Aetna Government	$246.33
Rate for Payer: Brighton Health Commercial	$369.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$394.13
Rate for Payer: Cigna LocalPlus Benefit Plan	$335.01
Rate for Payer: Group Health Inc Commercial	$246.33
Rate for Payer: Group Health Inc Medicare	$172.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$246.33
Rate for Payer: Hamaspik Choice Inc Medicare	$246.33

TACROLIMUS 0.5 MG CAP

Facility

$5.32

Service Code	HCPCS J7507
Hospital Charge Code	41654127
Hospital Revenue Code	636
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.66
Rate for Payer: Hamaspik Choice Inc Medicare	$2.66

TACROLIMUS 0.5 MG CAP

Facility

$5.32

Service Code	HCPCS J7507
Hospital Charge Code	41654127
Hospital Revenue Code	636
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$3.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$3.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.06
Rate for Payer: Group Health Inc Commercial	$2.66
Rate for Payer: Group Health Inc Medicare	$1.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.66
Rate for Payer: Hamaspik Choice Inc Medicare	$2.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.29
Rate for Payer: SOMOS Essential	$0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.46

TACROLIMUS 0.5 MG CAP

Facility

$5.32

Service Code	HCPCS J7507
Hospital Charge Code	41644127
Hospital Revenue Code	636
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.66
Rate for Payer: Hamaspik Choice Inc Medicare	$2.66

TACROLIMUS 0.5 MG CAP

Facility

$5.32

Service Code	HCPCS J7507
Hospital Charge Code	41644127
Hospital Revenue Code	636
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$3.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$3.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.06
Rate for Payer: Group Health Inc Commercial	$2.66
Rate for Payer: Group Health Inc Medicare	$1.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.66
Rate for Payer: Hamaspik Choice Inc Medicare	$2.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.29
Rate for Payer: SOMOS Essential	$0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.46

TACROLIMUS 0.5 MG/ML PO SUSP - COMPOUNDED [701406]

Facility

$0.55

Service Code	HCPCS J7507
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.27
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.29
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.29
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.29

TACROLIMUS 0.5 MG/ML SUSP

Facility

$1.00

Service Code	HCPCS J7507
Hospital Charge Code	41643347
Hospital Revenue Code	636
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$0.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.29
Rate for Payer: SOMOS Essential	$0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

TACROLIMUS 0.5 MG/ML SUSP

Facility

$1.00

Service Code	HCPCS J7507
Hospital Charge Code	41643347
Hospital Revenue Code	636
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

TACROLIMUS 0.5 MG/ML SUSP

Facility

$1.00

Service Code	HCPCS J7507
Hospital Charge Code	41653347
Hospital Revenue Code	636
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

TACROLIMUS 0.5 MG/ML SUSP

Facility

$1.00

Service Code	HCPCS J7507
Hospital Charge Code	41653347
Hospital Revenue Code	636
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$0.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.29
Rate for Payer: SOMOS Essential	$0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

TACROLIMUS 0.5 MG PO CAPS [24914]

Facility

$1.26

Service Code	HCPCS J7507
Hospital Charge Code	00904662361
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$1.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$0.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.86
Rate for Payer: Group Health Inc Commercial	$0.63
Rate for Payer: Group Health Inc Medicare	$0.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.63
Rate for Payer: Hamaspik Choice Inc Medicare	$0.63
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.27
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.29
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.29
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.82

TACROLIMUS 0.5 MG PO CAPS [24914]

Facility

$2.23

Service Code	HCPCS J7507
Hospital Charge Code	69452015320
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$1.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.52
Rate for Payer: Group Health Inc Commercial	$1.12
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.12
Rate for Payer: Hamaspik Choice Inc Medicare	$1.12
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.27
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.29
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.29
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.45

TACROLIMUS 0.5 MG PO CAPS [24914]

Facility

$2.23

Service Code	HCPCS J7507
Hospital Charge Code	70377001411
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$1.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.52
Rate for Payer: Group Health Inc Commercial	$1.12
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.12
Rate for Payer: Hamaspik Choice Inc Medicare	$1.12
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.27
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.29
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.29
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.45

Know your out-of-pocket cost for care.

All Charges