St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

TRANSMETATARSAL AMPUTATN

Facility

$8,291.05

Service Code	HCPCS 28820
Hospital Charge Code	40082760
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$6,218.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,743.15
Rate for Payer: Aetna Government	$3,743.15
Rate for Payer: Brighton Health Commercial	$6,218.29
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,743.15
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	$3,743.15
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$3,181.68
Rate for Payer: Fidelis Essential Plan QHP	$3,331.40
Rate for Payer: Fidelis Medicare Advantage	$3,743.15
Rate for Payer: Fidelis Qualified Health Plan	$3,331.40
Rate for Payer: Group Health Inc Commercial	$3,743.15
Rate for Payer: Group Health Inc Medicare	$3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare	$3,743.15
Rate for Payer: Healthfirst Medicare Advantage	$3,181.68
Rate for Payer: Healthfirst QHP	$3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage	$3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,994.52
Rate for Payer: Wellcare Medicare	$3,555.99

TRANSMETATARSAL AMPUTATN

Facility

$8,291.05

Service Code	HCPCS 28820
Hospital Charge Code	40082760
Hospital Revenue Code	360
Rate for Payer: Cash Price	$3,743.15

TRANSOSSEOUS IMPLANT

Facility

$6,396.00

Service Code	HCPCS D6050
Hospital Charge Code	42301425
Hospital Revenue Code	361
Min. Negotiated Rate	$1,726.08
Max. Negotiated Rate	$4,797.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,517.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,726.08
Rate for Payer: Aetna Government	$1,726.08
Rate for Payer: Brighton Health Commercial	$4,797.00
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	$3,198.00
Rate for Payer: Group Health Inc Medicare	$2,238.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,198.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,198.00

TRANSPARENT FILM DRESSING

Facility

$9.04

Service Code	HCPCS A6258
Hospital Charge Code	41809570
Hospital Revenue Code	270
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$7.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.62
Rate for Payer: Aetna Government	$2.62
Rate for Payer: Brighton Health Commercial	$6.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.15
Rate for Payer: Group Health Inc Commercial	$4.52
Rate for Payer: Group Health Inc Medicare	$3.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.52
Rate for Payer: Hamaspik Choice Inc Medicare	$4.52

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately in addition to code for primary procedure)

Facility

$4,065.00

Service Code	CPT 63057
Hospital Revenue Code	360
Min. Negotiated Rate	$396.51
Max. Negotiated Rate	$4,065.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,065.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$396.51
Rate for Payer: Aetna Government	$396.51
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: EmblemHealth Commercial	$1,505.00

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc)

Facility

$8,273.12

Service Code	CPT 63056
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$8,273.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,065.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8,273.12
Rate for Payer: Aetna Government	$8,273.12
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$8,273.12
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	$8,273.12
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$7,032.15
Rate for Payer: Fidelis Essential Plan QHP	$7,363.08
Rate for Payer: Fidelis Medicare Advantage	$8,273.12
Rate for Payer: Fidelis Qualified Health Plan	$7,363.08
Rate for Payer: Group Health Inc Commercial	$8,273.12
Rate for Payer: Group Health Inc Medicare	$8,273.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8,273.12
Rate for Payer: Healthfirst Medicare Advantage	$7,032.15
Rate for Payer: Healthfirst QHP	$8,273.12
Rate for Payer: Senior Whole Health Medicare Advantage	$8,273.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8,273.12
Rate for Payer: Wellcare CHP/FHP/Medicaid	$6,618.50
Rate for Payer: Wellcare Medicare	$7,859.46

TRANSPLANT/GRAFT PALM TENDON

Facility

$8,291.05

Service Code	HCPCS 26489
Hospital Charge Code	40029825
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$6,218.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,743.15
Rate for Payer: Aetna Government	$3,743.15
Rate for Payer: Brighton Health Commercial	$6,218.29
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,743.15
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	$3,743.15
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$3,181.68
Rate for Payer: Fidelis Essential Plan QHP	$3,331.40
Rate for Payer: Fidelis Medicare Advantage	$3,743.15
Rate for Payer: Fidelis Qualified Health Plan	$3,331.40
Rate for Payer: Group Health Inc Commercial	$3,743.15
Rate for Payer: Group Health Inc Medicare	$3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare	$3,743.15
Rate for Payer: Healthfirst Medicare Advantage	$3,181.68
Rate for Payer: Healthfirst QHP	$3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage	$3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,994.52
Rate for Payer: Wellcare Medicare	$3,555.99

TRANSPLANT/GRAFT PALM TENDON

Facility

$8,291.05

Service Code	HCPCS 26489
Hospital Charge Code	40029825
Hospital Revenue Code	360
Rate for Payer: Cash Price	$3,743.15

TRANS ROD 110

Facility

$580.00

Service Code	HCPCS C1713
Hospital Charge Code	40209703
Hospital Revenue Code	278
Min. Negotiated Rate	$290.00
Max. Negotiated Rate	$290.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$290.00
Rate for Payer: Hamaspik Choice Inc Medicare	$290.00

TRANS ROD 110

Facility

$580.00

Service Code	HCPCS C1713
Hospital Charge Code	40209703
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$609.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$319.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$348.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$290.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$333.50
Rate for Payer: EmblemHealth Commercial	$290.00
Rate for Payer: Fidelis Medicare Advantage	$609.00
Rate for Payer: Group Health Inc Commercial	$290.00
Rate for Payer: Group Health Inc Medicare	$203.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$290.00
Rate for Payer: Hamaspik Choice Inc Medicare	$290.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$377.00

TRANSSEPTAL FIBEROTOMY

Facility

$262.00

Service Code	HCPCS D7291
Hospital Charge Code	42301730
Hospital Revenue Code	361
Rate for Payer: Cash Price	$1,018.19

TRANSSEPTAL FIBEROTOMY

Facility

$262.00

Service Code	HCPCS D7291
Hospital Charge Code	42301730
Hospital Revenue Code	361
Min. Negotiated Rate	$131.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,018.19
Rate for Payer: Aetna Government	$1,018.19
Rate for Payer: Brighton Health Commercial	$196.50
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,018.19
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	$1,018.19
Rate for Payer: EmblemHealth Commercial	$1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa	$865.46
Rate for Payer: Fidelis Essential Plan QHP	$906.19
Rate for Payer: Fidelis Medicare Advantage	$1,018.19
Rate for Payer: Fidelis Qualified Health Plan	$906.19
Rate for Payer: Group Health Inc Commercial	$1,018.19
Rate for Payer: Group Health Inc Medicare	$1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,018.19
Rate for Payer: Healthfirst Medicare Advantage	$865.46
Rate for Payer: Healthfirst QHP	$1,018.19
Rate for Payer: Senior Whole Health Medicare Advantage	$1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$814.55
Rate for Payer: Wellcare Medicare	$967.28

TRANSUR ELECTR RESECT OF PROSTATE

Facility

$12,816.53

Service Code	HCPCS 52601
Hospital Charge Code	40122970
Hospital Revenue Code	360
Rate for Payer: Cash Price	$5,983.74

TRANSUR ELECTR RESECT OF PROSTATE

Facility

$12,816.53

Service Code	HCPCS 52601
Hospital Charge Code	40122970
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$9,612.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,983.74
Rate for Payer: Aetna Government	$5,983.74
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	$1,505.00
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: Senior Whole Health 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

TRANSUR ELECTR RESECT OF PROSTATE

Facility

$12,816.53

Service Code	HCPCS 52601
Hospital Charge Code	40014289
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$9,612.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,983.74
Rate for Payer: Aetna Government	$5,983.74
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	$1,505.00
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: Senior Whole Health 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

TRANSUR ELECTR RESECT OF PROSTATE

Facility

$12,816.53

Service Code	HCPCS 52601
Hospital Charge Code	40014289
Hospital Revenue Code	360
Rate for Payer: Cash Price	$5,983.74

Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)

Facility

$5,983.74

Service Code	CPT 52601
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$5,983.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,983.74
Rate for Payer: Aetna Government	$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	$1,505.00
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 Medicare	$5,983.74
Rate for Payer: Healthfirst Medicare Advantage	$5,086.18
Rate for Payer: Healthfirst QHP	$5,983.74
Rate for Payer: Senior Whole Health 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

Transurethral incision of prostate

Facility

$4,031.47

Service Code	CPT 52450
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$4,031.47
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: 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	$1,505.00
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 Medicare	$4,031.47
Rate for Payer: Healthfirst Medicare Advantage	$3,426.75
Rate for Payer: Healthfirst QHP	$4,031.47
Rate for Payer: Senior Whole Health 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

TRANSURETHRAL PROCEDURES WITH CC

Facility

$29,180.92

Service Code	MSDRG 669
Min. Negotiated Rate	$13,159.20
Max. Negotiated Rate	$29,180.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22,627.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28,608.75
Rate for Payer: Aetna Government	$28,608.75
Rate for Payer: Brighton Health Commercial	$22,251.70
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$29,180.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26,501.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$21,869.77
Rate for Payer: Elderplan Medicare Advantage	$27,178.31
Rate for Payer: EmblemHealth Commercial	$13,159.20
Rate for Payer: Fidelis Medicare Advantage	$28,608.75
Rate for Payer: Group Health Inc Commercial	$28,608.75
Rate for Payer: Group Health Inc Medicare	$28,608.75
Rate for Payer: Hamaspik Choice Inc Medicare	$28,608.75
Rate for Payer: Healthfirst Medicare Advantage	$13,303.07
Rate for Payer: Senior Whole Health Medicare Advantage	$28,608.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28,608.75
Rate for Payer: Wellcare Medicare	$27,178.31

TRANSURETHRAL PROCEDURES WITH MCC

Facility

$48,664.04

Service Code	MSDRG 668
Min. Negotiated Rate	$21,578.85
Max. Negotiated Rate	$48,664.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41,551.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$46,406.13
Rate for Payer: Aetna Government	$46,406.13
Rate for Payer: Brighton Health Commercial	$40,861.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$47,334.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48,664.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$40,159.66
Rate for Payer: Elderplan Medicare Advantage	$44,085.82
Rate for Payer: EmblemHealth Commercial	$24,164.40
Rate for Payer: Fidelis Medicare Advantage	$46,406.13
Rate for Payer: Group Health Inc Commercial	$46,406.13
Rate for Payer: Group Health Inc Medicare	$46,406.13
Rate for Payer: Hamaspik Choice Inc Medicare	$46,406.13
Rate for Payer: Healthfirst Medicare Advantage	$21,578.85
Rate for Payer: Senior Whole Health Medicare Advantage	$46,406.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$46,406.13
Rate for Payer: Wellcare Medicare	$44,085.82

TRANSURETHRAL PROCEDURES WITHOUT CC/MCC

Facility

$21,090.12

Service Code	MSDRG 670
Min. Negotiated Rate	$8,254.30
Max. Negotiated Rate	$21,090.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14,193.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20,676.59
Rate for Payer: Aetna Government	$20,676.59
Rate for Payer: Brighton Health Commercial	$13,957.70
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$21,090.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16,623.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$13,718.13
Rate for Payer: Elderplan Medicare Advantage	$19,642.76
Rate for Payer: EmblemHealth Commercial	$8,254.30
Rate for Payer: Fidelis Medicare Advantage	$20,676.59
Rate for Payer: Group Health Inc Commercial	$20,676.59
Rate for Payer: Group Health Inc Medicare	$20,676.59
Rate for Payer: Hamaspik Choice Inc Medicare	$20,676.59
Rate for Payer: Healthfirst Medicare Advantage	$9,614.61
Rate for Payer: Senior Whole Health Medicare Advantage	$20,676.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20,676.59
Rate for Payer: Wellcare Medicare	$19,642.76

TRANSURETHRAL PROSTATECTOMY WITH CC/MCC

Facility

$27,994.16

Service Code	MSDRG 713
Min. Negotiated Rate	$12,439.80
Max. Negotiated Rate	$27,994.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21,390.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27,445.25
Rate for Payer: Aetna Government	$27,445.25
Rate for Payer: Brighton Health Commercial	$21,035.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$27,994.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25,052.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$20,674.10
Rate for Payer: Elderplan Medicare Advantage	$26,072.99
Rate for Payer: EmblemHealth Commercial	$12,439.80
Rate for Payer: Fidelis Medicare Advantage	$27,445.25
Rate for Payer: Group Health Inc Commercial	$27,445.25
Rate for Payer: Group Health Inc Medicare	$27,445.25
Rate for Payer: Hamaspik Choice Inc Medicare	$27,445.25
Rate for Payer: Healthfirst Medicare Advantage	$12,762.04
Rate for Payer: Senior Whole Health Medicare Advantage	$27,445.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27,445.25
Rate for Payer: Wellcare Medicare	$26,072.99

TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC

Facility

$21,032.12

Service Code	MSDRG 714
Min. Negotiated Rate	$8,219.14
Max. Negotiated Rate	$21,032.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14,133.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20,619.73
Rate for Payer: Aetna Government	$20,619.73
Rate for Payer: Brighton Health Commercial	$13,898.25
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$21,032.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16,552.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$13,659.70
Rate for Payer: Elderplan Medicare Advantage	$19,588.74
Rate for Payer: EmblemHealth Commercial	$8,219.14
Rate for Payer: Fidelis Medicare Advantage	$20,619.73
Rate for Payer: Group Health Inc Commercial	$20,619.73
Rate for Payer: Group Health Inc Medicare	$20,619.73
Rate for Payer: Hamaspik Choice Inc Medicare	$20,619.73
Rate for Payer: Healthfirst Medicare Advantage	$9,588.17
Rate for Payer: Senior Whole Health Medicare Advantage	$20,619.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20,619.73
Rate for Payer: Wellcare Medicare	$19,588.74

TRANVAGINAL MID URETHRA SLING SYS

Facility

$438.00

Hospital Charge Code	40205635
Hospital Revenue Code	270
Min. Negotiated Rate	$153.30
Max. Negotiated Rate	$350.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$240.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$219.00
Rate for Payer: Aetna Government	$219.00
Rate for Payer: Brighton Health Commercial	$328.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$350.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$297.84
Rate for Payer: Group Health Inc Commercial	$219.00
Rate for Payer: Group Health Inc Medicare	$153.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$219.00
Rate for Payer: Hamaspik Choice Inc Medicare	$219.00

TRAPEXID RX 3.0CM

Facility

$730.00

Hospital Charge Code	64905334
Hospital Revenue Code	270
Min. Negotiated Rate	$255.50
Max. Negotiated Rate	$584.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$401.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$365.00
Rate for Payer: Aetna Government	$365.00
Rate for Payer: Brighton Health Commercial	$547.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$584.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$496.40
Rate for Payer: Group Health Inc Commercial	$365.00
Rate for Payer: Group Health Inc Medicare	$255.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$365.00
Rate for Payer: Hamaspik Choice Inc Medicare	$365.00

Know your out-of-pocket cost for care.

All Charges