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Service Code HCPCS 36905
Hospital Charge Code 66524702
Hospital Revenue Code 361
Min. Negotiated Rate $2,477.75
Max. Negotiated Rate $22,507.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5,593.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12,721.98
Rate for Payer: Aetna Government $12,721.98
Rate for Payer: Brighton Health Commercial $22,507.72
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $12,721.98
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 $12,721.98
Rate for Payer: EmblemHealth Commercial $12,721.98
Rate for Payer: Fidelis Essential Plan Aliesa $10,813.68
Rate for Payer: Fidelis Essential Plan QHP $11,322.56
Rate for Payer: Fidelis Medicare Advantage $12,721.98
Rate for Payer: Fidelis Qualified Health Plan $11,322.56
Rate for Payer: Group Health Inc Commercial $12,721.98
Rate for Payer: Group Health Inc Medicare $12,721.98
Rate for Payer: Hamaspik Choice Inc Medicaid $15,005.15
Rate for Payer: Hamaspik Choice Inc Medicare $12,721.98
Rate for Payer: Healthfirst Medicare Advantage $10,813.68
Rate for Payer: Healthfirst QHP $12,721.98
Rate for Payer: Senior Whole Health Medicare Advantage $12,721.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $12,721.98
Rate for Payer: Wellcare CHP/FHP/Medicaid $10,177.58
Rate for Payer: Wellcare Medicare $12,085.88
Service Code HCPCS 36905
Hospital Charge Code 66524702
Hospital Revenue Code 361
Rate for Payer: Cash Price $12,721.98
Service Code HCPCS 36905
Hospital Charge Code 40034507
Hospital Revenue Code 361
Min. Negotiated Rate $2,477.75
Max. Negotiated Rate $22,507.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5,593.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12,721.98
Rate for Payer: Aetna Government $12,721.98
Rate for Payer: Brighton Health Commercial $22,507.72
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $12,721.98
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 $12,721.98
Rate for Payer: EmblemHealth Commercial $12,721.98
Rate for Payer: Fidelis Essential Plan Aliesa $10,813.68
Rate for Payer: Fidelis Essential Plan QHP $11,322.56
Rate for Payer: Fidelis Medicare Advantage $12,721.98
Rate for Payer: Fidelis Qualified Health Plan $11,322.56
Rate for Payer: Group Health Inc Commercial $12,721.98
Rate for Payer: Group Health Inc Medicare $12,721.98
Rate for Payer: Hamaspik Choice Inc Medicaid $15,005.15
Rate for Payer: Hamaspik Choice Inc Medicare $12,721.98
Rate for Payer: Healthfirst Medicare Advantage $10,813.68
Rate for Payer: Healthfirst QHP $12,721.98
Rate for Payer: Senior Whole Health Medicare Advantage $12,721.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $12,721.98
Rate for Payer: Wellcare CHP/FHP/Medicaid $10,177.58
Rate for Payer: Wellcare Medicare $12,085.88
Service Code HCPCS 36905
Hospital Charge Code 66574709
Hospital Revenue Code 361
Rate for Payer: Cash Price $12,721.98
Service Code HCPCS 36905
Hospital Charge Code 66574709
Hospital Revenue Code 361
Min. Negotiated Rate $2,477.75
Max. Negotiated Rate $22,507.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5,593.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12,721.98
Rate for Payer: Aetna Government $12,721.98
Rate for Payer: Brighton Health Commercial $22,507.72
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Cash Price $12,721.98
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $12,721.98
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 $12,721.98
Rate for Payer: EmblemHealth Commercial $12,721.98
Rate for Payer: Fidelis Essential Plan Aliesa $10,813.68
Rate for Payer: Fidelis Essential Plan QHP $11,322.56
Rate for Payer: Fidelis Medicare Advantage $12,721.98
Rate for Payer: Fidelis Qualified Health Plan $11,322.56
Rate for Payer: Group Health Inc Commercial $12,721.98
Rate for Payer: Group Health Inc Medicare $12,721.98
Rate for Payer: Hamaspik Choice Inc Medicaid $15,005.15
Rate for Payer: Hamaspik Choice Inc Medicare $12,721.98
Rate for Payer: Healthfirst Medicare Advantage $10,813.68
Rate for Payer: Healthfirst QHP $12,721.98
Rate for Payer: Senior Whole Health Medicare Advantage $12,721.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $12,721.98
Rate for Payer: Wellcare CHP/FHP/Medicaid $10,177.58
Rate for Payer: Wellcare Medicare $12,085.88
Service Code HCPCS 84445
Hospital Charge Code 40609124
Hospital Revenue Code 300
Min. Negotiated Rate $40.69
Max. Negotiated Rate $95.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $69.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $50.86
Rate for Payer: Aetna Government $50.86
Rate for Payer: Brighton Health Commercial $95.36
Rate for Payer: Cash Price $50.86
Rate for Payer: Cash Price $50.86
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $50.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $80.82
Rate for Payer: Cigna LocalPlus Benefit Plan $68.39
Rate for Payer: Elderplan Medicare Advantage $50.86
Rate for Payer: EmblemHealth Commercial $50.86
Rate for Payer: Fidelis Essential Plan Aliesa $43.23
Rate for Payer: Fidelis Essential Plan QHP $45.27
Rate for Payer: Fidelis Medicare Advantage $50.86
Rate for Payer: Fidelis Qualified Health Plan $45.27
Rate for Payer: Group Health Inc Commercial $50.86
Rate for Payer: Group Health Inc Medicare $50.86
Rate for Payer: Hamaspik Choice Inc Medicaid $63.58
Rate for Payer: Hamaspik Choice Inc Medicare $50.86
Rate for Payer: Healthfirst Medicare Advantage $50.86
Rate for Payer: Healthfirst QHP $50.86
Rate for Payer: Senior Whole Health Medicare Advantage $50.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $50.86
Rate for Payer: Wellcare CHP/FHP/Medicaid $40.69
Rate for Payer: Wellcare Medicare $45.77
Service Code HCPCS 84445
Hospital Charge Code 40609124
Hospital Revenue Code 300
Rate for Payer: Cash Price $50.86
Hospital Charge Code 64905676
Hospital Revenue Code 270
Min. Negotiated Rate $6.08
Max. Negotiated Rate $13.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8.69
Rate for Payer: Aetna Government $8.69
Rate for Payer: Brighton Health Commercial $13.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $13.90
Rate for Payer: Cigna LocalPlus Benefit Plan $11.82
Rate for Payer: Group Health Inc Commercial $8.69
Rate for Payer: Group Health Inc Medicare $6.08
Rate for Payer: Hamaspik Choice Inc Medicaid $8.69
Rate for Payer: Hamaspik Choice Inc Medicare $8.69
Hospital Charge Code 64904844
Hospital Revenue Code 270
Min. Negotiated Rate $129.11
Max. Negotiated Rate $295.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $202.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $184.44
Rate for Payer: Aetna Government $184.44
Rate for Payer: Brighton Health Commercial $276.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $295.10
Rate for Payer: Cigna LocalPlus Benefit Plan $250.84
Rate for Payer: Group Health Inc Commercial $184.44
Rate for Payer: Group Health Inc Medicare $129.11
Rate for Payer: Hamaspik Choice Inc Medicaid $184.44
Rate for Payer: Hamaspik Choice Inc Medicare $184.44
Hospital Charge Code 64907407
Hospital Revenue Code 270
Min. Negotiated Rate $124.22
Max. Negotiated Rate $283.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial $195.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $177.45
Rate for Payer: Aetna Government $177.45
Rate for Payer: Brighton Health Commercial $266.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $283.92
Rate for Payer: Cigna LocalPlus Benefit Plan $241.33
Rate for Payer: Group Health Inc Commercial $177.45
Rate for Payer: Group Health Inc Medicare $124.22
Rate for Payer: Hamaspik Choice Inc Medicaid $177.45
Rate for Payer: Hamaspik Choice Inc Medicare $177.45
Hospital Charge Code 64902740
Hospital Revenue Code 270
Min. Negotiated Rate $193.36
Max. Negotiated Rate $441.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial $303.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $276.22
Rate for Payer: Aetna Government $276.22
Rate for Payer: Brighton Health Commercial $414.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $441.96
Rate for Payer: Cigna LocalPlus Benefit Plan $375.67
Rate for Payer: Group Health Inc Commercial $276.22
Rate for Payer: Group Health Inc Medicare $193.36
Rate for Payer: Hamaspik Choice Inc Medicaid $276.22
Rate for Payer: Hamaspik Choice Inc Medicare $276.22
Service Code HCPCS 86800
Hospital Charge Code 40609150
Hospital Revenue Code 300
Rate for Payer: Cash Price $15.91
Service Code HCPCS 86800
Hospital Charge Code 40609150
Hospital Revenue Code 300
Min. Negotiated Rate $12.73
Max. Negotiated Rate $29.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial $21.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $15.91
Rate for Payer: Aetna Government $15.91
Rate for Payer: Brighton Health Commercial $29.84
Rate for Payer: Cash Price $15.91
Rate for Payer: Cash Price $15.91
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $15.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $25.28
Rate for Payer: Cigna LocalPlus Benefit Plan $21.40
Rate for Payer: Elderplan Medicare Advantage $15.91
Rate for Payer: EmblemHealth Commercial $15.91
Rate for Payer: Fidelis Essential Plan Aliesa $13.52
Rate for Payer: Fidelis Essential Plan QHP $14.16
Rate for Payer: Fidelis Medicare Advantage $15.91
Rate for Payer: Fidelis Qualified Health Plan $14.16
Rate for Payer: Group Health Inc Commercial $15.91
Rate for Payer: Group Health Inc Medicare $15.91
Rate for Payer: Hamaspik Choice Inc Medicaid $19.89
Rate for Payer: Hamaspik Choice Inc Medicare $15.91
Rate for Payer: Healthfirst Medicare Advantage $15.91
Rate for Payer: Healthfirst QHP $15.91
Rate for Payer: Senior Whole Health Medicare Advantage $15.91
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15.91
Rate for Payer: Wellcare CHP/FHP/Medicaid $12.73
Rate for Payer: Wellcare Medicare $14.32
Service Code HCPCS 86800
Hospital Charge Code 40608039
Hospital Revenue Code 300
Rate for Payer: Cash Price $15.91
Service Code HCPCS 86800
Hospital Charge Code 40608039
Hospital Revenue Code 300
Min. Negotiated Rate $12.73
Max. Negotiated Rate $29.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial $21.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $15.91
Rate for Payer: Aetna Government $15.91
Rate for Payer: Brighton Health Commercial $29.84
Rate for Payer: Cash Price $15.91
Rate for Payer: Cash Price $15.91
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $15.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $25.28
Rate for Payer: Cigna LocalPlus Benefit Plan $21.40
Rate for Payer: Elderplan Medicare Advantage $15.91
Rate for Payer: EmblemHealth Commercial $15.91
Rate for Payer: Fidelis Essential Plan Aliesa $13.52
Rate for Payer: Fidelis Essential Plan QHP $14.16
Rate for Payer: Fidelis Medicare Advantage $15.91
Rate for Payer: Fidelis Qualified Health Plan $14.16
Rate for Payer: Group Health Inc Commercial $15.91
Rate for Payer: Group Health Inc Medicare $15.91
Rate for Payer: Hamaspik Choice Inc Medicaid $19.89
Rate for Payer: Hamaspik Choice Inc Medicare $15.91
Rate for Payer: Healthfirst Medicare Advantage $15.91
Rate for Payer: Healthfirst QHP $15.91
Rate for Payer: Senior Whole Health Medicare Advantage $15.91
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15.91
Rate for Payer: Wellcare CHP/FHP/Medicaid $12.73
Rate for Payer: Wellcare Medicare $14.32
Service Code NDC 00456045701
Hospital Charge Code 00456045701
Hospital Revenue Code 250
Min. Negotiated Rate $0.34
Max. Negotiated Rate $0.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.49
Rate for Payer: Aetna Government $0.49
Rate for Payer: Brighton Health Commercial $0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.79
Rate for Payer: Cigna LocalPlus Benefit Plan $0.67
Rate for Payer: Group Health Inc Commercial $0.49
Rate for Payer: Group Health Inc Medicare $0.34
Rate for Payer: Hamaspik Choice Inc Medicaid $0.49
Rate for Payer: Hamaspik Choice Inc Medicare $0.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.64
Hospital Charge Code 41658412
Hospital Revenue Code 250
Min. Negotiated Rate $0.07
Max. Negotiated Rate $0.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.10
Rate for Payer: Aetna Government $0.10
Rate for Payer: Brighton Health Commercial $0.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.15
Rate for Payer: Cigna LocalPlus Benefit Plan $0.13
Rate for Payer: Group Health Inc Commercial $0.10
Rate for Payer: Group Health Inc Medicare $0.07
Rate for Payer: Hamaspik Choice Inc Medicaid $0.10
Rate for Payer: Hamaspik Choice Inc Medicare $0.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.12
Hospital Charge Code 41648412
Hospital Revenue Code 250
Min. Negotiated Rate $0.07
Max. Negotiated Rate $0.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.10
Rate for Payer: Aetna Government $0.10
Rate for Payer: Brighton Health Commercial $0.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.15
Rate for Payer: Cigna LocalPlus Benefit Plan $0.13
Rate for Payer: Group Health Inc Commercial $0.10
Rate for Payer: Group Health Inc Medicare $0.07
Rate for Payer: Hamaspik Choice Inc Medicaid $0.10
Rate for Payer: Hamaspik Choice Inc Medicare $0.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.12
Service Code HCPCS 86376
Hospital Charge Code 40729346
Hospital Revenue Code 300
Rate for Payer: Cash Price $14.55
Service Code HCPCS 86376
Hospital Charge Code 40729346
Hospital Revenue Code 300
Min. Negotiated Rate $11.64
Max. Negotiated Rate $27.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial $20.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $14.55
Rate for Payer: Aetna Government $14.55
Rate for Payer: Brighton Health Commercial $27.28
Rate for Payer: Cash Price $14.55
Rate for Payer: Cash Price $14.55
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $14.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $23.13
Rate for Payer: Cigna LocalPlus Benefit Plan $19.57
Rate for Payer: Elderplan Medicare Advantage $14.55
Rate for Payer: EmblemHealth Commercial $14.55
Rate for Payer: Fidelis Essential Plan Aliesa $12.37
Rate for Payer: Fidelis Essential Plan QHP $12.95
Rate for Payer: Fidelis Medicare Advantage $14.55
Rate for Payer: Fidelis Qualified Health Plan $12.95
Rate for Payer: Group Health Inc Commercial $14.55
Rate for Payer: Group Health Inc Medicare $14.55
Rate for Payer: Hamaspik Choice Inc Medicaid $18.19
Rate for Payer: Hamaspik Choice Inc Medicare $14.55
Rate for Payer: Healthfirst Medicare Advantage $14.55
Rate for Payer: Healthfirst QHP $14.55
Rate for Payer: Senior Whole Health Medicare Advantage $14.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $14.55
Rate for Payer: Wellcare CHP/FHP/Medicaid $11.64
Rate for Payer: Wellcare Medicare $13.10
Service Code HCPCS 78018 TC
Hospital Charge Code 41505012
Hospital Revenue Code 340
Rate for Payer: Cash Price $625.05
Service Code HCPCS 78018 TC
Hospital Charge Code 41505012
Hospital Revenue Code 340
Min. Negotiated Rate $500.32
Max. Negotiated Rate $1,143.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $786.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $714.75
Rate for Payer: Aetna Government $714.75
Rate for Payer: Brighton Health Commercial $1,072.12
Rate for Payer: Cash Price $625.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,143.60
Rate for Payer: Cigna LocalPlus Benefit Plan $972.06
Rate for Payer: Group Health Inc Commercial $714.75
Rate for Payer: Group Health Inc Medicare $500.32
Rate for Payer: Hamaspik Choice Inc Medicaid $714.75
Rate for Payer: Hamaspik Choice Inc Medicare $714.75
Service Code HCPCS 60240
Hospital Charge Code 40109229
Hospital Revenue Code 360
Min. Negotiated Rate $1,505.00
Max. Negotiated Rate $10,980.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3,387.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $6,672.53
Rate for Payer: Aetna Government $6,672.53
Rate for Payer: Brighton Health Commercial $10,980.08
Rate for Payer: Cash Price $6,672.53
Rate for Payer: Cash Price $6,672.53
Rate for Payer: Cash Price $6,672.53
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $6,672.53
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 $6,672.53
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $5,671.65
Rate for Payer: Fidelis Essential Plan QHP $5,938.55
Rate for Payer: Fidelis Medicare Advantage $6,672.53
Rate for Payer: Fidelis Qualified Health Plan $5,938.55
Rate for Payer: Group Health Inc Commercial $6,672.53
Rate for Payer: Group Health Inc Medicare $6,672.53
Rate for Payer: Hamaspik Choice Inc Medicaid $7,320.05
Rate for Payer: Hamaspik Choice Inc Medicare $6,672.53
Rate for Payer: Healthfirst Medicare Advantage $5,671.65
Rate for Payer: Healthfirst QHP $6,672.53
Rate for Payer: Senior Whole Health Medicare Advantage $6,672.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $6,672.53
Rate for Payer: Wellcare CHP/FHP/Medicaid $5,338.02
Rate for Payer: Wellcare Medicare $6,338.90
Service Code HCPCS 60240
Hospital Charge Code 40109229
Hospital Revenue Code 360
Rate for Payer: Cash Price $6,672.53
Service Code HCPCS 60210
Hospital Charge Code 40019582
Hospital Revenue Code 360
Rate for Payer: Cash Price $6,672.53