St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

BLEPHEROPLASTY

Facility

$4,914.88

Service Code	HCPCS 15820
Hospital Charge Code	40062310
Hospital Revenue Code	360
Min. Negotiated Rate	$1,409.00
Max. Negotiated Rate	$3,686.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,108.87
Rate for Payer: Aetna Government	$2,108.87
Rate for Payer: Affinity Essential Plan 1&2	$1,476.21
Rate for Payer: Affinity Essential Plan 3&4	$1,476.21
Rate for Payer: Affinity Medicaid/CHP/HARP	$1,476.21
Rate for Payer: Brighton Health Commercial	$3,686.16
Rate for Payer: Cash Price	$2,108.87
Rate for Payer: Cash Price	$2,108.87
Rate for Payer: Cash Price	$2,108.87
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$2,108.87
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	$2,108.87
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$1,792.54
Rate for Payer: Fidelis Essential Plan QHP	$1,876.89
Rate for Payer: Fidelis Medicare Advantage	$2,108.87
Rate for Payer: Fidelis Qualified Health Plan	$1,876.89
Rate for Payer: Group Health Inc Commercial	$2,108.87
Rate for Payer: Group Health Inc Medicare	$2,108.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,457.44
Rate for Payer: Hamaspik Choice Inc Medicare	$2,108.87
Rate for Payer: Healthfirst Medicare Advantage	$1,792.54
Rate for Payer: Healthfirst QHP	$2,108.87
Rate for Payer: Humana Medicare	$2,151.05
Rate for Payer: Senior Whole Health Medicare Advantage	$2,108.87
Rate for Payer: United Healthcare Commercial	$1,409.00
Rate for Payer: United Healthcare Medicare Advantage	$2,108.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,108.87
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1,687.10
Rate for Payer: Wellcare Medicare	$2,003.43

BLN SPL SPRINTER LEGEND

Facility

$337.50

Service Code	HCPCS C1725
Hospital Charge Code	66520149
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.75
Rate for Payer: Hamaspik Choice Inc Medicare	$168.75

BLN SPL SPRINTER LEGEND

Facility

$337.50

Service Code	HCPCS C1725
Hospital Charge Code	66520149
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$354.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$185.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$202.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$194.06
Rate for Payer: EmblemHealth Commercial	$168.75
Rate for Payer: Fidelis Medicare Advantage	$354.38
Rate for Payer: Group Health Inc Commercial	$168.75
Rate for Payer: Group Health Inc Medicare	$118.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.75
Rate for Payer: Hamaspik Choice Inc Medicare	$168.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$219.38

BLOCK BITE ADJUSTABLE

Facility

$1.12

Hospital Charge Code	64906821
Hospital Revenue Code	270
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$0.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.56
Rate for Payer: Aetna Government	$0.56
Rate for Payer: Brighton Health Commercial	$0.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.76
Rate for Payer: Group Health Inc Commercial	$0.56
Rate for Payer: Group Health Inc Medicare	$0.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.56
Rate for Payer: Hamaspik Choice Inc Medicare	$0.56

BLOCK BITE DISPOSABLE

Facility

$6.38

Hospital Charge Code	64903957
Hospital Revenue Code	270
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$5.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.19
Rate for Payer: Aetna Government	$3.19
Rate for Payer: Brighton Health Commercial	$4.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.34
Rate for Payer: Group Health Inc Commercial	$3.19
Rate for Payer: Group Health Inc Medicare	$2.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.19
Rate for Payer: Hamaspik Choice Inc Medicare	$3.19

BLOCK BITE DISPOSABLE

Facility

$11.38

Hospital Charge Code	40201034
Hospital Revenue Code	270
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$9.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.69
Rate for Payer: Aetna Government	$5.69
Rate for Payer: Brighton Health Commercial	$8.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.74
Rate for Payer: Group Health Inc Commercial	$5.69
Rate for Payer: Group Health Inc Medicare	$3.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.69
Rate for Payer: Hamaspik Choice Inc Medicare	$5.69

BLOCKERS

Facility

$792.43

Hospital Charge Code	64902872
Hospital Revenue Code	279
Min. Negotiated Rate	$277.35
Max. Negotiated Rate	$633.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$435.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$396.22
Rate for Payer: Aetna Government	$396.22
Rate for Payer: Brighton Health Commercial	$594.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$633.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$538.85
Rate for Payer: Group Health Inc Commercial	$396.22
Rate for Payer: Group Health Inc Medicare	$277.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$396.22
Rate for Payer: Hamaspik Choice Inc Medicare	$396.22

BLOCKERS HOWMEDICA

Facility

$291.74

Service Code	HCPCS C1776
Hospital Charge Code	40206066
Hospital Revenue Code	278
Min. Negotiated Rate	$102.11
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$160.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$175.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$145.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.75
Rate for Payer: EmblemHealth Commercial	$145.87
Rate for Payer: Fidelis Medicare Advantage	$306.33
Rate for Payer: Group Health Inc Commercial	$145.87
Rate for Payer: Group Health Inc Medicare	$102.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.87
Rate for Payer: Hamaspik Choice Inc Medicare	$145.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$189.63

BLOCKERS HOWMEDICA

Facility

$291.74

Service Code	HCPCS C1776
Hospital Charge Code	40206066
Hospital Revenue Code	278
Min. Negotiated Rate	$145.87
Max. Negotiated Rate	$145.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.87
Rate for Payer: Hamaspik Choice Inc Medicare	$145.87

BLOCKER SPINAL 5MM

Facility

$417.33

Hospital Charge Code	64901303
Hospital Revenue Code	270
Min. Negotiated Rate	$146.07
Max. Negotiated Rate	$333.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$229.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$208.66
Rate for Payer: Aetna Government	$208.66
Rate for Payer: Brighton Health Commercial	$313.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$333.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$283.78
Rate for Payer: Group Health Inc Commercial	$208.66
Rate for Payer: Group Health Inc Medicare	$146.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$208.66
Rate for Payer: Hamaspik Choice Inc Medicare	$208.66

BLOCKER SPINAL REDUCTION

Facility

$1,135.20

Service Code	HCPCS C1820
Hospital Charge Code	64904651
Hospital Revenue Code	278
Min. Negotiated Rate	$397.32
Max. Negotiated Rate	$2,494.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$624.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,494.69
Rate for Payer: Aetna Government	$2,494.69
Rate for Payer: Brighton Health Commercial	$681.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$567.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$652.74
Rate for Payer: EmblemHealth Commercial	$567.60
Rate for Payer: Fidelis Medicare Advantage	$1,191.96
Rate for Payer: Group Health Inc Commercial	$567.60
Rate for Payer: Group Health Inc Medicare	$397.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$567.60
Rate for Payer: Hamaspik Choice Inc Medicare	$567.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$737.88

BLOCKER SPINAL REDUCTION

Facility

$1,135.20

Service Code	HCPCS C1820
Hospital Charge Code	64904651
Hospital Revenue Code	278
Min. Negotiated Rate	$567.60
Max. Negotiated Rate	$567.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$567.60
Rate for Payer: Hamaspik Choice Inc Medicare	$567.60

BLOCK NEEDLE 20 GA X 6 SINGLE

Facility

$905.25

Hospital Charge Code	64903812
Hospital Revenue Code	270
Min. Negotiated Rate	$316.84
Max. Negotiated Rate	$724.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$497.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$452.62
Rate for Payer: Aetna Government	$452.62
Rate for Payer: Brighton Health Commercial	$678.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$724.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$615.57
Rate for Payer: Group Health Inc Commercial	$452.62
Rate for Payer: Group Health Inc Medicare	$316.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$452.62
Rate for Payer: Hamaspik Choice Inc Medicare	$452.62

BLOCK NEEDLE 21 GA X 4 SINGLE

Facility

$714.53

Hospital Charge Code	64903810
Hospital Revenue Code	270
Min. Negotiated Rate	$250.09
Max. Negotiated Rate	$571.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$392.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$357.26
Rate for Payer: Aetna Government	$357.26
Rate for Payer: Brighton Health Commercial	$535.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$571.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$485.88
Rate for Payer: Group Health Inc Commercial	$357.26
Rate for Payer: Group Health Inc Medicare	$250.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$357.26
Rate for Payer: Hamaspik Choice Inc Medicare	$357.26

BLOCK NEEDLE 22 GA X 2 SINGLE

Facility

$500.15

Hospital Charge Code	64903808
Hospital Revenue Code	270
Min. Negotiated Rate	$175.05
Max. Negotiated Rate	$400.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$250.08
Rate for Payer: Aetna Government	$250.08
Rate for Payer: Brighton Health Commercial	$375.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$400.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$340.10
Rate for Payer: Group Health Inc Commercial	$250.08
Rate for Payer: Group Health Inc Medicare	$175.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.08
Rate for Payer: Hamaspik Choice Inc Medicare	$250.08

BLOCK NEXGEN SZ F 10MM REV

Facility

$5,498.73

Service Code	HCPCS C1776
Hospital Charge Code	64906993
Hospital Revenue Code	278
Min. Negotiated Rate	$2,749.36
Max. Negotiated Rate	$2,749.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,749.36
Rate for Payer: Hamaspik Choice Inc Medicare	$2,749.36

BLOCK NEXGEN SZ F 10MM REV

Facility

$5,498.73

Service Code	HCPCS C1776
Hospital Charge Code	64906993
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,773.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,024.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,299.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,749.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,161.77
Rate for Payer: EmblemHealth Commercial	$2,749.36
Rate for Payer: Fidelis Medicare Advantage	$5,773.67
Rate for Payer: Group Health Inc Commercial	$2,749.36
Rate for Payer: Group Health Inc Medicare	$1,924.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,749.36
Rate for Payer: Hamaspik Choice Inc Medicare	$2,749.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,574.17

BLOD TRAN.SET STERL VENUS PUN

Facility

$14.53

Hospital Charge Code	40200630
Hospital Revenue Code	270
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$11.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.26
Rate for Payer: Aetna Government	$7.26
Rate for Payer: Brighton Health Commercial	$10.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.88
Rate for Payer: Group Health Inc Commercial	$7.26
Rate for Payer: Group Health Inc Medicare	$5.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.26
Rate for Payer: Hamaspik Choice Inc Medicare	$7.26

BLOOD ALCOHOL (ETHANOL)

Facility

$32.15

Service Code	HCPCS 80320
Hospital Charge Code	40602545
Hospital Revenue Code	301
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$25.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$24.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.86
Rate for Payer: Group Health Inc Commercial	$16.08
Rate for Payer: Group Health Inc Medicare	$11.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.08
Rate for Payer: Hamaspik Choice Inc Medicare	$16.08
Rate for Payer: United Healthcare Commercial	$21.17

BLOOD BAG IN-LINE

Facility

$94.60

Hospital Charge Code	64902040
Hospital Revenue Code	270
Min. Negotiated Rate	$33.11
Max. Negotiated Rate	$75.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$52.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$47.30
Rate for Payer: Aetna Government	$47.30
Rate for Payer: Brighton Health Commercial	$70.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$75.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$64.33
Rate for Payer: Group Health Inc Commercial	$47.30
Rate for Payer: Group Health Inc Medicare	$33.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$47.30
Rate for Payer: Hamaspik Choice Inc Medicare	$47.30

BLOOD COLLECTION SET

Facility

$4.97

Hospital Charge Code	40509817
Hospital Revenue Code	260
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.48
Rate for Payer: Aetna Government	$2.48
Rate for Payer: Brighton Health Commercial	$3.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.38
Rate for Payer: Group Health Inc Commercial	$2.48
Rate for Payer: Group Health Inc Medicare	$1.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.48
Rate for Payer: Hamaspik Choice Inc Medicare	$2.48
Rate for Payer: United Healthcare Commercial	$76.00

BLOOD COUNT COMPLETE (CBC)

Facility

$19.43

Service Code	HCPCS 85025
Hospital Charge Code	40621535
Hospital Revenue Code	305
Rate for Payer: Cash Price	$7.77

BLOOD COUNT COMPLETE (CBC)

Facility

$19.43

Service Code	HCPCS 85025
Hospital Charge Code	40621535
Hospital Revenue Code	305
Min. Negotiated Rate	$5.44
Max. Negotiated Rate	$14.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.77
Rate for Payer: Aetna Government	$7.77
Rate for Payer: Affinity Essential Plan 1&2	$5.44
Rate for Payer: Affinity Essential Plan 3&4	$5.44
Rate for Payer: Affinity Medicaid/CHP/HARP	$5.44
Rate for Payer: Brighton Health Commercial	$14.57
Rate for Payer: Cash Price	$7.77
Rate for Payer: Cash Price	$7.77
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$7.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.45
Rate for Payer: Elderplan Medicare Advantage	$7.77
Rate for Payer: EmblemHealth Commercial	$7.77
Rate for Payer: Fidelis Essential Plan Aliesa	$6.60
Rate for Payer: Fidelis Essential Plan QHP	$6.92
Rate for Payer: Fidelis Medicare Advantage	$7.77
Rate for Payer: Fidelis Qualified Health Plan	$6.92
Rate for Payer: Group Health Inc Commercial	$7.77
Rate for Payer: Group Health Inc Medicare	$7.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.72
Rate for Payer: Hamaspik Choice Inc Medicare	$7.77
Rate for Payer: Healthfirst Medicare Advantage	$7.77
Rate for Payer: Healthfirst QHP	$7.77
Rate for Payer: Humana Medicare	$7.93
Rate for Payer: Senior Whole Health Medicare Advantage	$7.77
Rate for Payer: United Healthcare Commercial	$9.85
Rate for Payer: United Healthcare Medicare Advantage	$7.77
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.77
Rate for Payer: Wellcare CHP/FHP/Medicaid	$6.22
Rate for Payer: Wellcare Medicare	$6.99

BLOOD CULTURE FOR BACTERIA

Facility

$25.80

Service Code	HCPCS 87040
Hospital Charge Code	40614310
Hospital Revenue Code	300
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$19.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.32
Rate for Payer: Aetna Government	$10.32
Rate for Payer: Affinity Essential Plan 1&2	$7.22
Rate for Payer: Affinity Essential Plan 3&4	$7.22
Rate for Payer: Affinity Medicaid/CHP/HARP	$7.22
Rate for Payer: Brighton Health Commercial	$19.35
Rate for Payer: Cash Price	$10.32
Rate for Payer: Cash Price	$10.32
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$10.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.88
Rate for Payer: Elderplan Medicare Advantage	$10.32
Rate for Payer: EmblemHealth Commercial	$10.32
Rate for Payer: Fidelis Essential Plan Aliesa	$8.77
Rate for Payer: Fidelis Essential Plan QHP	$9.18
Rate for Payer: Fidelis Medicare Advantage	$10.32
Rate for Payer: Fidelis Qualified Health Plan	$9.18
Rate for Payer: Group Health Inc Commercial	$10.32
Rate for Payer: Group Health Inc Medicare	$10.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.90
Rate for Payer: Hamaspik Choice Inc Medicare	$10.32
Rate for Payer: Healthfirst Medicare Advantage	$10.32
Rate for Payer: Healthfirst QHP	$10.32
Rate for Payer: Humana Medicare	$10.53
Rate for Payer: Senior Whole Health Medicare Advantage	$10.32
Rate for Payer: United Healthcare Commercial	$13.08
Rate for Payer: United Healthcare Medicare Advantage	$10.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.32
Rate for Payer: Wellcare CHP/FHP/Medicaid	$8.26
Rate for Payer: Wellcare Medicare	$9.29

BLOOD CULTURE FOR BACTERIA

Facility

$25.80

Service Code	HCPCS 87040
Hospital Charge Code	40614310
Hospital Revenue Code	300
Rate for Payer: Cash Price	$10.32

Know your out-of-pocket cost for care.

All Charges