St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

US VV CENT VASC/CAR BIL

Facility

$705.83

Service Code	HCPCS 93880 TC
Hospital Charge Code	41307800
Hospital Revenue Code	921
Rate for Payer: Cash Price	$283.37

US VV PVR ARTER BILAT

Facility

$419.03

Service Code	HCPCS 93923 TC
Hospital Charge Code	41307805
Hospital Revenue Code	921
Rate for Payer: Cash Price	$180.64

US VV PVR ARTER BILAT

Facility

$419.03

Service Code	HCPCS 93923 TC
Hospital Charge Code	41307805
Hospital Revenue Code	921
Min. Negotiated Rate	$146.66
Max. Negotiated Rate	$335.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$230.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$209.52
Rate for Payer: Aetna Government	$209.52
Rate for Payer: Brighton Health Commercial	$314.27
Rate for Payer: Cash Price	$180.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$335.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$284.94
Rate for Payer: Group Health Inc Commercial	$209.52
Rate for Payer: Group Health Inc Medicare	$146.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$209.52
Rate for Payer: Hamaspik Choice Inc Medicare	$209.52

US VV RETROPERITONEAL LIM

Facility

$339.45

Service Code	HCPCS 76775 TC
Hospital Charge Code	41307802
Hospital Revenue Code	402
Min. Negotiated Rate	$118.81
Max. Negotiated Rate	$271.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.72
Rate for Payer: Aetna Government	$169.72
Rate for Payer: Brighton Health Commercial	$254.59
Rate for Payer: Cash Price	$127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.83
Rate for Payer: Group Health Inc Commercial	$169.72
Rate for Payer: Group Health Inc Medicare	$118.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.72
Rate for Payer: Hamaspik Choice Inc Medicare	$169.72

US VV RETROPERITONEAL LIM

Facility

$339.45

Service Code	HCPCS 76775 TC
Hospital Charge Code	41307802
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

US VV SAPHENOUS MAP BIL

Facility

$705.83

Service Code	HCPCS 93970 TC
Hospital Charge Code	41307803
Hospital Revenue Code	921
Rate for Payer: Cash Price	$283.37

US VV SAPHENOUS MAP BIL

Facility

$705.83

Service Code	HCPCS 93970 TC
Hospital Charge Code	41307803
Hospital Revenue Code	921
Min. Negotiated Rate	$247.04
Max. Negotiated Rate	$564.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$388.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$352.92
Rate for Payer: Aetna Government	$352.92
Rate for Payer: Brighton Health Commercial	$529.37
Rate for Payer: Cash Price	$283.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$564.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$479.96
Rate for Payer: Group Health Inc Commercial	$352.92
Rate for Payer: Group Health Inc Medicare	$247.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$352.92
Rate for Payer: Hamaspik Choice Inc Medicare	$352.92

US VV SAPHENOUS MAP UNI

Facility

$339.45

Service Code	HCPCS 93971 TC
Hospital Charge Code	41307804
Hospital Revenue Code	921
Min. Negotiated Rate	$118.81
Max. Negotiated Rate	$271.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.72
Rate for Payer: Aetna Government	$169.72
Rate for Payer: Brighton Health Commercial	$254.59
Rate for Payer: Cash Price	$127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.83
Rate for Payer: Group Health Inc Commercial	$169.72
Rate for Payer: Group Health Inc Medicare	$118.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.72
Rate for Payer: Hamaspik Choice Inc Medicare	$169.72

US VV SAPHENOUS MAP UNI

Facility

$339.45

Service Code	HCPCS 93971 TC
Hospital Charge Code	41307804
Hospital Revenue Code	921
Rate for Payer: Cash Price	$127.14

US XTR NON-VASC COMPLETE

Facility

$339.45

Service Code	HCPCS 76881 TC
Hospital Charge Code	41304038
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

US XTR NON-VASC COMPLETE

Facility

$339.45

Service Code	HCPCS 76881 TC
Hospital Charge Code	41304038
Hospital Revenue Code	402
Min. Negotiated Rate	$118.81
Max. Negotiated Rate	$271.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.72
Rate for Payer: Aetna Government	$169.72
Rate for Payer: Brighton Health Commercial	$254.59
Rate for Payer: Cash Price	$127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.83
Rate for Payer: Group Health Inc Commercial	$169.72
Rate for Payer: Group Health Inc Medicare	$118.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.72
Rate for Payer: Hamaspik Choice Inc Medicare	$169.72

UTER DILATORS S/ST45-47 TO 77-79

Facility

$1,044.00

Hospital Charge Code	40200684
Hospital Revenue Code	270
Min. Negotiated Rate	$365.40
Max. Negotiated Rate	$835.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$574.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$522.00
Rate for Payer: Aetna Government	$522.00
Rate for Payer: Brighton Health Commercial	$783.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$835.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$709.92
Rate for Payer: Group Health Inc Commercial	$522.00
Rate for Payer: Group Health Inc Medicare	$365.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$522.00
Rate for Payer: Hamaspik Choice Inc Medicare	$522.00

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC

Facility

$32,678.89

Service Code	MSDRG 742
Min. Negotiated Rate	$14,897.73
Max. Negotiated Rate	$32,678.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26,274.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32,038.13
Rate for Payer: Aetna Government	$32,038.13
Rate for Payer: Brighton Health Commercial	$25,837.55
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$32,678.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30,771.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$25,394.07
Rate for Payer: Elderplan Medicare Advantage	$30,436.22
Rate for Payer: EmblemHealth Commercial	$15,279.80
Rate for Payer: Fidelis Medicare Advantage	$32,038.13
Rate for Payer: Group Health Inc Commercial	$32,038.13
Rate for Payer: Group Health Inc Medicare	$32,038.13
Rate for Payer: Hamaspik Choice Inc Medicare	$32,038.13
Rate for Payer: Healthfirst Medicare Advantage	$14,897.73
Rate for Payer: Senior Whole Health Medicare Advantage	$32,038.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$32,038.13
Rate for Payer: Wellcare Medicare	$30,436.22

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Facility

$23,910.58

Service Code	MSDRG 743
Min. Negotiated Rate	$1,000.00
Max. Negotiated Rate	$23,910.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17,133.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23,441.75
Rate for Payer: Aetna Government	$23,441.75
Rate for Payer: Brighton Health Commercial	$16,849.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$23,910.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20,066.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$16,559.80
Rate for Payer: Elderplan Medicare Advantage	$22,269.66
Rate for Payer: EmblemHealth Commercial	$9,964.15
Rate for Payer: Fidelis Medicare Advantage	$23,441.75
Rate for Payer: Group Health Inc Commercial	$1,000.00
Rate for Payer: Group Health Inc Medicare	$23,441.75
Rate for Payer: Hamaspik Choice Inc Medicare	$23,441.75
Rate for Payer: Healthfirst Medicare Advantage	$10,900.41
Rate for Payer: Senior Whole Health Medicare Advantage	$23,441.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$23,441.75
Rate for Payer: Wellcare Medicare	$22,269.66

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC

Facility

$32,751.03

Service Code	MSDRG 740
Min. Negotiated Rate	$14,930.62
Max. Negotiated Rate	$32,751.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26,349.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32,108.85
Rate for Payer: Aetna Government	$32,108.85
Rate for Payer: Brighton Health Commercial	$25,911.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$32,751.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30,859.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$25,466.75
Rate for Payer: Elderplan Medicare Advantage	$30,503.41
Rate for Payer: EmblemHealth Commercial	$15,323.50
Rate for Payer: Fidelis Medicare Advantage	$32,108.85
Rate for Payer: Group Health Inc Commercial	$32,108.85
Rate for Payer: Group Health Inc Medicare	$32,108.85
Rate for Payer: Hamaspik Choice Inc Medicare	$32,108.85
Rate for Payer: Healthfirst Medicare Advantage	$14,930.62
Rate for Payer: Senior Whole Health Medicare Advantage	$32,108.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$32,108.85
Rate for Payer: Wellcare Medicare	$30,503.41

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC

Facility

$62,449.88

Service Code	MSDRG 739
Min. Negotiated Rate	$26,726.55
Max. Negotiated Rate	$62,449.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53,322.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57,476.46
Rate for Payer: Aetna Government	$57,476.46
Rate for Payer: Brighton Health Commercial	$52,436.35
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$58,625.99
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62,449.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$51,536.33
Rate for Payer: Elderplan Medicare Advantage	$54,602.64
Rate for Payer: EmblemHealth Commercial	$31,009.80
Rate for Payer: Fidelis Medicare Advantage	$57,476.46
Rate for Payer: Group Health Inc Commercial	$57,476.46
Rate for Payer: Group Health Inc Medicare	$57,476.46
Rate for Payer: Hamaspik Choice Inc Medicare	$57,476.46
Rate for Payer: Healthfirst Medicare Advantage	$26,726.55
Rate for Payer: Senior Whole Health Medicare Advantage	$57,476.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$57,476.46
Rate for Payer: Wellcare Medicare	$54,602.64

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$25,852.63

Service Code	MSDRG 741
Min. Negotiated Rate	$11,141.50
Max. Negotiated Rate	$25,852.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19,158.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25,345.72
Rate for Payer: Aetna Government	$25,345.72
Rate for Payer: Brighton Health Commercial	$18,839.85
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$25,852.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22,437.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$18,516.48
Rate for Payer: Elderplan Medicare Advantage	$24,078.43
Rate for Payer: EmblemHealth Commercial	$11,141.50
Rate for Payer: Fidelis Medicare Advantage	$25,345.72
Rate for Payer: Group Health Inc Commercial	$25,345.72
Rate for Payer: Group Health Inc Medicare	$25,345.72
Rate for Payer: Hamaspik Choice Inc Medicare	$25,345.72
Rate for Payer: Healthfirst Medicare Advantage	$11,785.76
Rate for Payer: Senior Whole Health Medicare Advantage	$25,345.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$25,345.72
Rate for Payer: Wellcare Medicare	$24,078.43

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC

Facility

$35,393.29

Service Code	MSDRG 737
Min. Negotiated Rate	$16,135.17
Max. Negotiated Rate	$35,393.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29,103.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$34,699.30
Rate for Payer: Aetna Government	$34,699.30
Rate for Payer: Brighton Health Commercial	$28,620.10
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$35,393.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34,085.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$28,128.86
Rate for Payer: Elderplan Medicare Advantage	$32,964.34
Rate for Payer: EmblemHealth Commercial	$16,925.30
Rate for Payer: Fidelis Medicare Advantage	$34,699.30
Rate for Payer: Group Health Inc Commercial	$34,699.30
Rate for Payer: Group Health Inc Medicare	$34,699.30
Rate for Payer: Hamaspik Choice Inc Medicare	$34,699.30
Rate for Payer: Healthfirst Medicare Advantage	$16,135.17
Rate for Payer: Senior Whole Health Medicare Advantage	$34,699.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$34,699.30
Rate for Payer: Wellcare Medicare	$32,964.34

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC

Facility

$67,128.06

Service Code	MSDRG 736
Min. Negotiated Rate	$28,473.41
Max. Negotiated Rate	$67,128.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57,316.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$61,233.13
Rate for Payer: Aetna Government	$61,233.13
Rate for Payer: Brighton Health Commercial	$56,364.40
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$62,457.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67,128.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$55,396.95
Rate for Payer: Elderplan Medicare Advantage	$58,171.47
Rate for Payer: EmblemHealth Commercial	$33,332.70
Rate for Payer: Fidelis Medicare Advantage	$61,233.13
Rate for Payer: Group Health Inc Commercial	$61,233.13
Rate for Payer: Group Health Inc Medicare	$61,233.13
Rate for Payer: Hamaspik Choice Inc Medicare	$61,233.13
Rate for Payer: Healthfirst Medicare Advantage	$28,473.41
Rate for Payer: Senior Whole Health Medicare Advantage	$61,233.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$61,233.13
Rate for Payer: Wellcare Medicare	$58,171.47

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$26,776.30

Service Code	MSDRG 738
Min. Negotiated Rate	$11,701.40
Max. Negotiated Rate	$26,776.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20,121.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26,251.27
Rate for Payer: Aetna Government	$26,251.27
Rate for Payer: Brighton Health Commercial	$19,786.70
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$26,776.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23,565.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$19,447.08
Rate for Payer: Elderplan Medicare Advantage	$24,938.71
Rate for Payer: EmblemHealth Commercial	$11,701.40
Rate for Payer: Fidelis Medicare Advantage	$26,251.27
Rate for Payer: Group Health Inc Commercial	$26,251.27
Rate for Payer: Group Health Inc Medicare	$26,251.27
Rate for Payer: Hamaspik Choice Inc Medicare	$26,251.27
Rate for Payer: Healthfirst Medicare Advantage	$12,206.84
Rate for Payer: Senior Whole Health Medicare Advantage	$26,251.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26,251.27
Rate for Payer: Wellcare Medicare	$24,938.71

UVULECTOMY

Facility

$7,933.18

Service Code	HCPCS 42140
Hospital Charge Code	30305004
Hospital Revenue Code	510
Min. Negotiated Rate	$233.00
Max. Negotiated Rate	$3,966.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,723.23
Rate for Payer: Aetna Government	$3,723.23
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cash Price	$3,723.23
Rate for Payer: Cash Price	$3,723.23
Rate for Payer: Cash Price	$3,723.23
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,723.23
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	$3,723.23
Rate for Payer: Fidelis Essential Plan Aliesa	$3,164.75
Rate for Payer: Fidelis Essential Plan QHP	$3,313.67
Rate for Payer: Fidelis Medicare Advantage	$3,723.23
Rate for Payer: Fidelis Qualified Health Plan	$3,313.67
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,966.59
Rate for Payer: Hamaspik Choice Inc Medicare	$3,723.23
Rate for Payer: Healthfirst Medicare Advantage	$3,164.75
Rate for Payer: Healthfirst QHP	$3,723.23
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$3,723.23
Rate for Payer: Senior Whole Health Medicare Advantage	$3,723.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,723.23
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,978.58
Rate for Payer: Wellcare Medicare	$3,537.07

UVULECTOMY

Facility

$7,933.18

Service Code	HCPCS 42140
Hospital Charge Code	30305004
Hospital Revenue Code	510
Rate for Payer: Cash Price	$3,723.23

VAC CANISTER 500ML

Facility

$706.24

Hospital Charge Code	40209319
Hospital Revenue Code	270
Min. Negotiated Rate	$247.18
Max. Negotiated Rate	$564.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$388.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$353.12
Rate for Payer: Aetna Government	$353.12
Rate for Payer: Brighton Health Commercial	$529.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$564.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$480.24
Rate for Payer: Group Health Inc Commercial	$353.12
Rate for Payer: Group Health Inc Medicare	$247.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$353.12
Rate for Payer: Hamaspik Choice Inc Medicare	$353.12

VACURETTE 14MM CURVED #21593A

Facility

$15.00

Hospital Charge Code	64906518
Hospital Revenue Code	270
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$12.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.50
Rate for Payer: Aetna Government	$7.50
Rate for Payer: Brighton Health Commercial	$11.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.20
Rate for Payer: Group Health Inc Commercial	$7.50
Rate for Payer: Group Health Inc Medicare	$5.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.50
Rate for Payer: Hamaspik Choice Inc Medicare	$7.50

VACURETTE CURVE 7MM

Facility

$11.44

Hospital Charge Code	64904009
Hospital Revenue Code	270
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$9.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.72
Rate for Payer: Aetna Government	$5.72
Rate for Payer: Brighton Health Commercial	$8.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.78
Rate for Payer: Group Health Inc Commercial	$5.72
Rate for Payer: Group Health Inc Medicare	$4.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.72
Rate for Payer: Hamaspik Choice Inc Medicare	$5.72

Know your out-of-pocket cost for care.

All Charges