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Hospital Charge Code 66528342
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528343
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528344
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528345
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528346
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528347
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528348
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528349
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528350
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528351
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528352
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528353
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60
Hospital Charge Code 66528354
Hospital Revenue Code 270
Min. Negotiated Rate $16.28
Max. Negotiated Rate $37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.25
Rate for Payer: Aetna Government $23.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $37.20
Rate for Payer: Cigna LocalPlus Benefit Plan $31.62
Rate for Payer: Group Health Inc Commercial $23.25
Rate for Payer: Group Health Inc Medicare $16.28
Rate for Payer: Hamaspik Choice Inc Medicaid $23.25
Rate for Payer: Hamaspik Choice Inc Medicare $23.25
Hospital Charge Code 66528423
Hospital Revenue Code 270
Min. Negotiated Rate $16.28
Max. Negotiated Rate $37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.25
Rate for Payer: Aetna Government $23.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $37.20
Rate for Payer: Cigna LocalPlus Benefit Plan $31.62
Rate for Payer: Group Health Inc Commercial $23.25
Rate for Payer: Group Health Inc Medicare $16.28
Rate for Payer: Hamaspik Choice Inc Medicaid $23.25
Rate for Payer: Hamaspik Choice Inc Medicare $23.25
Hospital Charge Code 66528422
Hospital Revenue Code 270
Min. Negotiated Rate $16.28
Max. Negotiated Rate $37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.25
Rate for Payer: Aetna Government $23.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $37.20
Rate for Payer: Cigna LocalPlus Benefit Plan $31.62
Rate for Payer: Group Health Inc Commercial $23.25
Rate for Payer: Group Health Inc Medicare $16.28
Rate for Payer: Hamaspik Choice Inc Medicaid $23.25
Rate for Payer: Hamaspik Choice Inc Medicare $23.25
Hospital Charge Code 66528419
Hospital Revenue Code 270
Min. Negotiated Rate $16.28
Max. Negotiated Rate $37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.25
Rate for Payer: Aetna Government $23.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $37.20
Rate for Payer: Cigna LocalPlus Benefit Plan $31.62
Rate for Payer: Group Health Inc Commercial $23.25
Rate for Payer: Group Health Inc Medicare $16.28
Rate for Payer: Hamaspik Choice Inc Medicaid $23.25
Rate for Payer: Hamaspik Choice Inc Medicare $23.25
Hospital Charge Code 66528420
Hospital Revenue Code 270
Min. Negotiated Rate $16.28
Max. Negotiated Rate $37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.25
Rate for Payer: Aetna Government $23.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $37.20
Rate for Payer: Cigna LocalPlus Benefit Plan $31.62
Rate for Payer: Group Health Inc Commercial $23.25
Rate for Payer: Group Health Inc Medicare $16.28
Rate for Payer: Hamaspik Choice Inc Medicaid $23.25
Rate for Payer: Hamaspik Choice Inc Medicare $23.25
Hospital Charge Code 66528421
Hospital Revenue Code 270
Min. Negotiated Rate $16.28
Max. Negotiated Rate $37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.25
Rate for Payer: Aetna Government $23.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $37.20
Rate for Payer: Cigna LocalPlus Benefit Plan $31.62
Rate for Payer: Group Health Inc Commercial $23.25
Rate for Payer: Group Health Inc Medicare $16.28
Rate for Payer: Hamaspik Choice Inc Medicaid $23.25
Rate for Payer: Hamaspik Choice Inc Medicare $23.25
Hospital Charge Code 66529927
Hospital Revenue Code 270
Min. Negotiated Rate $8.44
Max. Negotiated Rate $19.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial $13.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12.06
Rate for Payer: Aetna Government $12.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $19.30
Rate for Payer: Cigna LocalPlus Benefit Plan $16.40
Rate for Payer: Group Health Inc Commercial $12.06
Rate for Payer: Group Health Inc Medicare $8.44
Rate for Payer: Hamaspik Choice Inc Medicaid $12.06
Rate for Payer: Hamaspik Choice Inc Medicare $12.06
Hospital Charge Code 66529929
Hospital Revenue Code 270
Min. Negotiated Rate $8.44
Max. Negotiated Rate $19.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial $13.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $12.06
Rate for Payer: Aetna Government $12.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $19.30
Rate for Payer: Cigna LocalPlus Benefit Plan $16.40
Rate for Payer: Group Health Inc Commercial $12.06
Rate for Payer: Group Health Inc Medicare $8.44
Rate for Payer: Hamaspik Choice Inc Medicaid $12.06
Rate for Payer: Hamaspik Choice Inc Medicare $12.06
Hospital Charge Code 66528400
Hospital Revenue Code 270
Min. Negotiated Rate $16.62
Max. Negotiated Rate $38.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $26.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.75
Rate for Payer: Aetna Government $23.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $38.00
Rate for Payer: Cigna LocalPlus Benefit Plan $32.30
Rate for Payer: Group Health Inc Commercial $23.75
Rate for Payer: Group Health Inc Medicare $16.62
Rate for Payer: Hamaspik Choice Inc Medicaid $23.75
Rate for Payer: Hamaspik Choice Inc Medicare $23.75
Hospital Charge Code 66529926
Hospital Revenue Code 270
Min. Negotiated Rate $15.92
Max. Negotiated Rate $36.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $22.75
Rate for Payer: Aetna Government $22.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $36.40
Rate for Payer: Cigna LocalPlus Benefit Plan $30.94
Rate for Payer: Group Health Inc Commercial $22.75
Rate for Payer: Group Health Inc Medicare $15.92
Rate for Payer: Hamaspik Choice Inc Medicaid $22.75
Rate for Payer: Hamaspik Choice Inc Medicare $22.75
Hospital Charge Code 66528417
Hospital Revenue Code 270
Min. Negotiated Rate $20.12
Max. Negotiated Rate $46.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $31.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $28.75
Rate for Payer: Aetna Government $28.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $46.00
Rate for Payer: Cigna LocalPlus Benefit Plan $39.10
Rate for Payer: Group Health Inc Commercial $28.75
Rate for Payer: Group Health Inc Medicare $20.12
Rate for Payer: Hamaspik Choice Inc Medicaid $28.75
Rate for Payer: Hamaspik Choice Inc Medicare $28.75
Hospital Charge Code 66528418
Hospital Revenue Code 270
Min. Negotiated Rate $16.28
Max. Negotiated Rate $37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.25
Rate for Payer: Aetna Government $23.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $37.20
Rate for Payer: Cigna LocalPlus Benefit Plan $31.62
Rate for Payer: Group Health Inc Commercial $23.25
Rate for Payer: Group Health Inc Medicare $16.28
Rate for Payer: Hamaspik Choice Inc Medicaid $23.25
Rate for Payer: Hamaspik Choice Inc Medicare $23.25
Hospital Charge Code 66528331
Hospital Revenue Code 270
Min. Negotiated Rate $3.22
Max. Negotiated Rate $7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.60
Rate for Payer: Aetna Government $4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.36
Rate for Payer: Cigna LocalPlus Benefit Plan $6.26
Rate for Payer: Group Health Inc Commercial $4.60
Rate for Payer: Group Health Inc Medicare $3.22
Rate for Payer: Hamaspik Choice Inc Medicaid $4.60
Rate for Payer: Hamaspik Choice Inc Medicare $4.60