St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

URINARY CREATININE

Facility

$12.95

Service Code	HCPCS 82570
Hospital Charge Code	40602260
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.18

URINARY CREATININE

Facility

$12.95

Service Code	HCPCS 82570
Hospital Charge Code	40602260
Hospital Revenue Code	301
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$9.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.18
Rate for Payer: Aetna Government	$5.18
Rate for Payer: Brighton Health Commercial	$9.71
Rate for Payer: Cash Price	$5.18
Rate for Payer: Cash Price	$5.18
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.96
Rate for Payer: Elderplan Medicare Advantage	$5.18
Rate for Payer: EmblemHealth Commercial	$5.18
Rate for Payer: Fidelis Essential Plan Aliesa	$4.40
Rate for Payer: Fidelis Essential Plan QHP	$4.61
Rate for Payer: Fidelis Medicare Advantage	$5.18
Rate for Payer: Fidelis Qualified Health Plan	$4.61
Rate for Payer: Group Health Inc Commercial	$5.18
Rate for Payer: Group Health Inc Medicare	$5.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.48
Rate for Payer: Hamaspik Choice Inc Medicare	$5.18
Rate for Payer: Healthfirst Medicare Advantage	$5.18
Rate for Payer: Healthfirst QHP	$5.18
Rate for Payer: Senior Whole Health Medicare Advantage	$5.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.18
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.14
Rate for Payer: Wellcare Medicare	$4.66

URINARY DRAINAGE BAG

Facility

$10.28

Hospital Charge Code	40000425
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$8.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.14
Rate for Payer: Aetna Government	$5.14
Rate for Payer: Brighton Health Commercial	$7.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.99
Rate for Payer: Group Health Inc Commercial	$5.14
Rate for Payer: Group Health Inc Medicare	$3.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.14
Rate for Payer: Hamaspik Choice Inc Medicare	$5.14

URINARY DRAINAGE BAG

Facility

$8.15

Hospital Charge Code	40191222
Hospital Revenue Code	710
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$6.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.54
Rate for Payer: Group Health Inc Commercial	$4.08
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.08
Rate for Payer: Hamaspik Choice Inc Medicare	$4.08

URINARY-PHOSPHORUS

Facility

$14.45

Service Code	HCPCS 84105
Hospital Charge Code	40602255
Hospital Revenue Code	301
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$10.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.78
Rate for Payer: Aetna Government	$5.78
Rate for Payer: Brighton Health Commercial	$10.84
Rate for Payer: Cash Price	$5.78
Rate for Payer: Cash Price	$5.78
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.96
Rate for Payer: Elderplan Medicare Advantage	$5.78
Rate for Payer: EmblemHealth Commercial	$5.78
Rate for Payer: Fidelis Essential Plan Aliesa	$4.91
Rate for Payer: Fidelis Essential Plan QHP	$5.14
Rate for Payer: Fidelis Medicare Advantage	$5.78
Rate for Payer: Fidelis Qualified Health Plan	$5.14
Rate for Payer: Group Health Inc Commercial	$5.78
Rate for Payer: Group Health Inc Medicare	$5.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.22
Rate for Payer: Hamaspik Choice Inc Medicare	$5.78
Rate for Payer: Healthfirst Medicare Advantage	$5.78
Rate for Payer: Healthfirst QHP	$5.78
Rate for Payer: Senior Whole Health Medicare Advantage	$5.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.78
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.62
Rate for Payer: Wellcare Medicare	$5.20

URINARY-PHOSPHORUS

Facility

$14.45

Service Code	HCPCS 84105
Hospital Charge Code	40602255
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.78

URINARY-SODIUM (NA)

Facility

$12.65

Service Code	HCPCS 84300
Hospital Charge Code	40602230
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.06

URINARY-SODIUM (NA)

Facility

$12.65

Service Code	HCPCS 84300
Hospital Charge Code	40602230
Hospital Revenue Code	301
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$9.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.06
Rate for Payer: Aetna Government	$5.06
Rate for Payer: Brighton Health Commercial	$9.49
Rate for Payer: Cash Price	$5.06
Rate for Payer: Cash Price	$5.06
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.54
Rate for Payer: Elderplan Medicare Advantage	$5.06
Rate for Payer: EmblemHealth Commercial	$5.06
Rate for Payer: Fidelis Essential Plan Aliesa	$4.30
Rate for Payer: Fidelis Essential Plan QHP	$4.50
Rate for Payer: Fidelis Medicare Advantage	$5.06
Rate for Payer: Fidelis Qualified Health Plan	$4.50
Rate for Payer: Group Health Inc Commercial	$5.06
Rate for Payer: Group Health Inc Medicare	$5.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.32
Rate for Payer: Hamaspik Choice Inc Medicare	$5.06
Rate for Payer: Healthfirst Medicare Advantage	$5.06
Rate for Payer: Healthfirst QHP	$5.06
Rate for Payer: Senior Whole Health Medicare Advantage	$5.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.06
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.05
Rate for Payer: Wellcare Medicare	$4.55

URINARY STONES WITH MCC

Facility

$27,507.58

Service Code	MSDRG 693
Min. Negotiated Rate	$12,144.80
Max. Negotiated Rate	$27,507.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20,883.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26,968.22
Rate for Payer: Aetna Government	$26,968.22
Rate for Payer: Brighton Health Commercial	$20,536.35
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$27,507.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24,458.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$20,183.86
Rate for Payer: Elderplan Medicare Advantage	$25,619.81
Rate for Payer: EmblemHealth Commercial	$12,144.80
Rate for Payer: Fidelis Medicare Advantage	$26,968.22
Rate for Payer: Group Health Inc Commercial	$26,968.22
Rate for Payer: Group Health Inc Medicare	$26,968.22
Rate for Payer: Hamaspik Choice Inc Medicare	$26,968.22
Rate for Payer: Healthfirst Medicare Advantage	$12,540.22
Rate for Payer: Senior Whole Health Medicare Advantage	$26,968.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26,968.22
Rate for Payer: Wellcare Medicare	$25,619.81

URINARY STONES WITHOUT MCC

Facility

$18,545.48

Service Code	MSDRG 694
Min. Negotiated Rate	$6,711.65
Max. Negotiated Rate	$18,545.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11,540.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18,181.84
Rate for Payer: Aetna Government	$18,181.84
Rate for Payer: Brighton Health Commercial	$11,349.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$18,545.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13,516.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$11,154.35
Rate for Payer: Elderplan Medicare Advantage	$17,272.75
Rate for Payer: EmblemHealth Commercial	$6,711.65
Rate for Payer: Fidelis Medicare Advantage	$18,181.84
Rate for Payer: Group Health Inc Commercial	$18,181.84
Rate for Payer: Group Health Inc Medicare	$18,181.84
Rate for Payer: Hamaspik Choice Inc Medicare	$18,181.84
Rate for Payer: Healthfirst Medicare Advantage	$8,454.56
Rate for Payer: Senior Whole Health Medicare Advantage	$18,181.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18,181.84
Rate for Payer: Wellcare Medicare	$17,272.75

URINARY URIC ACID

Facility

$12.70

Service Code	HCPCS 84560
Hospital Charge Code	40602275
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.08

URINARY URIC ACID

Facility

$12.70

Service Code	HCPCS 84560
Hospital Charge Code	40602275
Hospital Revenue Code	301
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$9.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.08
Rate for Payer: Aetna Government	$5.08
Rate for Payer: Brighton Health Commercial	$9.52
Rate for Payer: Cash Price	$5.08
Rate for Payer: Cash Price	$5.08
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.38
Rate for Payer: Elderplan Medicare Advantage	$5.08
Rate for Payer: EmblemHealth Commercial	$5.08
Rate for Payer: Fidelis Essential Plan Aliesa	$4.32
Rate for Payer: Fidelis Essential Plan QHP	$4.52
Rate for Payer: Fidelis Medicare Advantage	$5.08
Rate for Payer: Fidelis Qualified Health Plan	$4.52
Rate for Payer: Group Health Inc Commercial	$5.08
Rate for Payer: Group Health Inc Medicare	$5.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.35
Rate for Payer: Hamaspik Choice Inc Medicare	$5.08
Rate for Payer: Healthfirst Medicare Advantage	$5.08
Rate for Payer: Healthfirst QHP	$5.08
Rate for Payer: Senior Whole Health Medicare Advantage	$5.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.08
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.06
Rate for Payer: Wellcare Medicare	$4.57

URINE 5 DRUG SCREEN

Facility

$155.35

Service Code	HCPCS 80361
Hospital Charge Code	40602470
Hospital Revenue Code	301
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$124.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$116.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$124.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$105.64
Rate for Payer: Group Health Inc Commercial	$77.68
Rate for Payer: Group Health Inc Medicare	$54.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.68
Rate for Payer: Hamaspik Choice Inc Medicare	$77.68

URINE ACTH

Facility

$96.55

Service Code	HCPCS 82024
Hospital Charge Code	40607117
Hospital Revenue Code	300
Min. Negotiated Rate	$30.90
Max. Negotiated Rate	$72.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$38.62
Rate for Payer: Aetna Government	$38.62
Rate for Payer: Brighton Health Commercial	$72.41
Rate for Payer: Cash Price	$38.62
Rate for Payer: Cash Price	$38.62
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$38.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$51.95
Rate for Payer: Elderplan Medicare Advantage	$38.62
Rate for Payer: EmblemHealth Commercial	$38.62
Rate for Payer: Fidelis Essential Plan Aliesa	$32.83
Rate for Payer: Fidelis Essential Plan QHP	$34.37
Rate for Payer: Fidelis Medicare Advantage	$38.62
Rate for Payer: Fidelis Qualified Health Plan	$34.37
Rate for Payer: Group Health Inc Commercial	$38.62
Rate for Payer: Group Health Inc Medicare	$38.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.28
Rate for Payer: Hamaspik Choice Inc Medicare	$38.62
Rate for Payer: Healthfirst Medicare Advantage	$38.62
Rate for Payer: Healthfirst QHP	$38.62
Rate for Payer: Senior Whole Health Medicare Advantage	$38.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$38.62
Rate for Payer: Wellcare CHP/FHP/Medicaid	$30.90
Rate for Payer: Wellcare Medicare	$34.76

URINE ACTH

Facility

$96.55

Service Code	HCPCS 82024
Hospital Charge Code	40607117
Hospital Revenue Code	300
Rate for Payer: Cash Price	$38.62

URINE AMYLASE/DAY

Facility

$16.20

Service Code	HCPCS 82150
Hospital Charge Code	40602290
Hospital Revenue Code	301
Rate for Payer: Cash Price	$6.48

URINE AMYLASE/DAY

Facility

$16.20

Service Code	HCPCS 82150
Hospital Charge Code	40602290
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$12.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.48
Rate for Payer: Aetna Government	$6.48
Rate for Payer: Brighton Health Commercial	$12.15
Rate for Payer: Cash Price	$6.48
Rate for Payer: Cash Price	$6.48
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.31
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.72
Rate for Payer: Elderplan Medicare Advantage	$6.48
Rate for Payer: EmblemHealth Commercial	$6.48
Rate for Payer: Fidelis Essential Plan Aliesa	$5.51
Rate for Payer: Fidelis Essential Plan QHP	$5.77
Rate for Payer: Fidelis Medicare Advantage	$6.48
Rate for Payer: Fidelis Qualified Health Plan	$5.77
Rate for Payer: Group Health Inc Commercial	$6.48
Rate for Payer: Group Health Inc Medicare	$6.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.10
Rate for Payer: Hamaspik Choice Inc Medicare	$6.48
Rate for Payer: Healthfirst Medicare Advantage	$6.48
Rate for Payer: Healthfirst QHP	$6.48
Rate for Payer: Senior Whole Health Medicare Advantage	$6.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.48
Rate for Payer: Wellcare CHP/FHP/Medicaid	$5.18
Rate for Payer: Wellcare Medicare	$5.83

URINE AMYLASE RANDOM

Facility

$16.20

Service Code	HCPCS 82150
Hospital Charge Code	40602285
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$12.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.48
Rate for Payer: Aetna Government	$6.48
Rate for Payer: Brighton Health Commercial	$12.15
Rate for Payer: Cash Price	$6.48
Rate for Payer: Cash Price	$6.48
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.31
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.72
Rate for Payer: Elderplan Medicare Advantage	$6.48
Rate for Payer: EmblemHealth Commercial	$6.48
Rate for Payer: Fidelis Essential Plan Aliesa	$5.51
Rate for Payer: Fidelis Essential Plan QHP	$5.77
Rate for Payer: Fidelis Medicare Advantage	$6.48
Rate for Payer: Fidelis Qualified Health Plan	$5.77
Rate for Payer: Group Health Inc Commercial	$6.48
Rate for Payer: Group Health Inc Medicare	$6.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.10
Rate for Payer: Hamaspik Choice Inc Medicare	$6.48
Rate for Payer: Healthfirst Medicare Advantage	$6.48
Rate for Payer: Healthfirst QHP	$6.48
Rate for Payer: Senior Whole Health Medicare Advantage	$6.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.48
Rate for Payer: Wellcare CHP/FHP/Medicaid	$5.18
Rate for Payer: Wellcare Medicare	$5.83

URINE AMYLASE RANDOM

Facility

$16.20

Service Code	HCPCS 82150
Hospital Charge Code	40602285
Hospital Revenue Code	301
Rate for Payer: Cash Price	$6.48

URINE BACTERIA CULTURE

Facility

$20.23

Service Code	HCPCS 87088
Hospital Charge Code	40614338
Hospital Revenue Code	300
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$15.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.09
Rate for Payer: Aetna Government	$8.09
Rate for Payer: Brighton Health Commercial	$15.17
Rate for Payer: Cash Price	$8.09
Rate for Payer: Cash Price	$8.09
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$8.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.89
Rate for Payer: Elderplan Medicare Advantage	$8.09
Rate for Payer: EmblemHealth Commercial	$8.09
Rate for Payer: Fidelis Essential Plan Aliesa	$6.88
Rate for Payer: Fidelis Essential Plan QHP	$7.20
Rate for Payer: Fidelis Medicare Advantage	$8.09
Rate for Payer: Fidelis Qualified Health Plan	$7.20
Rate for Payer: Group Health Inc Commercial	$8.09
Rate for Payer: Group Health Inc Medicare	$8.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.09
Rate for Payer: Healthfirst Medicare Advantage	$8.09
Rate for Payer: Healthfirst QHP	$8.09
Rate for Payer: Senior Whole Health Medicare Advantage	$8.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.09
Rate for Payer: Wellcare CHP/FHP/Medicaid	$6.47
Rate for Payer: Wellcare Medicare	$7.28

URINE BACTERIA CULTURE

Facility

$20.23

Service Code	HCPCS 87088
Hospital Charge Code	40614338
Hospital Revenue Code	300
Rate for Payer: Cash Price	$8.09

URINE CHLORIDE DAY

Facility

$14.38

Service Code	HCPCS 82436
Hospital Charge Code	40602245
Hospital Revenue Code	301
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$10.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.75
Rate for Payer: Aetna Government	$5.75
Rate for Payer: Brighton Health Commercial	$10.78
Rate for Payer: Cash Price	$5.75
Rate for Payer: Cash Price	$5.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.76
Rate for Payer: Elderplan Medicare Advantage	$5.75
Rate for Payer: EmblemHealth Commercial	$5.75
Rate for Payer: Fidelis Essential Plan Aliesa	$4.89
Rate for Payer: Fidelis Essential Plan QHP	$5.12
Rate for Payer: Fidelis Medicare Advantage	$5.75
Rate for Payer: Fidelis Qualified Health Plan	$5.12
Rate for Payer: Group Health Inc Commercial	$5.75
Rate for Payer: Group Health Inc Medicare	$5.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.19
Rate for Payer: Hamaspik Choice Inc Medicare	$5.75
Rate for Payer: Healthfirst Medicare Advantage	$5.75
Rate for Payer: Healthfirst QHP	$5.75
Rate for Payer: Senior Whole Health Medicare Advantage	$5.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.75
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.60
Rate for Payer: Wellcare Medicare	$5.18

URINE CHLORIDE DAY

Facility

$14.38

Service Code	HCPCS 82436
Hospital Charge Code	40602245
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.75

URINE CHLORIDE RANDOM

Facility

$14.38

Service Code	HCPCS 82436
Hospital Charge Code	40602240
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.75

URINE CHLORIDE RANDOM

Facility

$14.38

Service Code	HCPCS 82436
Hospital Charge Code	40602240
Hospital Revenue Code	301
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$10.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.75
Rate for Payer: Aetna Government	$5.75
Rate for Payer: Brighton Health Commercial	$10.78
Rate for Payer: Cash Price	$5.75
Rate for Payer: Cash Price	$5.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.76
Rate for Payer: Elderplan Medicare Advantage	$5.75
Rate for Payer: EmblemHealth Commercial	$5.75
Rate for Payer: Fidelis Essential Plan Aliesa	$4.89
Rate for Payer: Fidelis Essential Plan QHP	$5.12
Rate for Payer: Fidelis Medicare Advantage	$5.75
Rate for Payer: Fidelis Qualified Health Plan	$5.12
Rate for Payer: Group Health Inc Commercial	$5.75
Rate for Payer: Group Health Inc Medicare	$5.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.19
Rate for Payer: Hamaspik Choice Inc Medicare	$5.75
Rate for Payer: Healthfirst Medicare Advantage	$5.75
Rate for Payer: Healthfirst QHP	$5.75
Rate for Payer: Senior Whole Health Medicare Advantage	$5.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.75
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.60
Rate for Payer: Wellcare Medicare	$5.18

Know your out-of-pocket cost for care.

All Charges