Price Transparency.

Search and browse your out-of-pocket costs for provider care & services.

search
Charge Type Price  
Hospital Charge Code 66528332
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 66528245
Hospital Revenue Code 270
Min. Negotiated Rate $16.10
Max. Negotiated Rate $36.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.00
Rate for Payer: Aetna Government $23.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $36.80
Rate for Payer: Cigna LocalPlus Benefit Plan $31.28
Rate for Payer: Group Health Inc Commercial $23.00
Rate for Payer: Group Health Inc Medicare $16.10
Rate for Payer: Hamaspik Choice Inc Medicaid $23.00
Rate for Payer: Hamaspik Choice Inc Medicare $23.00
Hospital Charge Code 66528356
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 66528247
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
Service Code HCPCS C1725
Hospital Charge Code 66520314
Hospital Revenue Code 278
Min. Negotiated Rate $44.85
Max. Negotiated Rate $157.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $82.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $75.00
Rate for Payer: Cigna LocalPlus Benefit Plan $86.25
Rate for Payer: Fidelis Medicare Advantage $157.50
Rate for Payer: Group Health Inc Commercial $75.00
Rate for Payer: Group Health Inc Medicare $52.50
Rate for Payer: Hamaspik Choice Inc Medicaid $75.00
Rate for Payer: Hamaspik Choice Inc Medicare $75.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $97.50
Service Code HCPCS C1725
Hospital Charge Code 66520314
Hospital Revenue Code 278
Min. Negotiated Rate $75.00
Max. Negotiated Rate $75.00
Rate for Payer: Hamaspik Choice Inc Medicaid $75.00
Rate for Payer: Hamaspik Choice Inc Medicare $75.00
Service Code HCPCS C1876
Hospital Charge Code 66528576
Hospital Revenue Code 278
Min. Negotiated Rate $154.62
Max. Negotiated Rate $154.62
Rate for Payer: Hamaspik Choice Inc Medicaid $154.62
Rate for Payer: Hamaspik Choice Inc Medicare $154.62
Service Code HCPCS C1876
Hospital Charge Code 66528576
Hospital Revenue Code 278
Min. Negotiated Rate $108.24
Max. Negotiated Rate $398.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial $170.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $154.62
Rate for Payer: Cigna LocalPlus Benefit Plan $177.82
Rate for Payer: Fidelis Medicare Advantage $324.71
Rate for Payer: Group Health Inc Commercial $154.62
Rate for Payer: Group Health Inc Medicare $108.24
Rate for Payer: Hamaspik Choice Inc Medicaid $154.62
Rate for Payer: Hamaspik Choice Inc Medicare $154.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $201.01
Service Code HCPCS C1876
Hospital Charge Code 66528565
Hospital Revenue Code 278
Min. Negotiated Rate $1,158.30
Max. Negotiated Rate $1,158.30
Rate for Payer: Hamaspik Choice Inc Medicaid $1,158.30
Rate for Payer: Hamaspik Choice Inc Medicare $1,158.30
Service Code HCPCS C1876
Hospital Charge Code 66528565
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $2,432.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,274.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,158.30
Rate for Payer: Cigna LocalPlus Benefit Plan $1,332.04
Rate for Payer: Fidelis Medicare Advantage $2,432.43
Rate for Payer: Group Health Inc Commercial $1,158.30
Rate for Payer: Group Health Inc Medicare $810.81
Rate for Payer: Hamaspik Choice Inc Medicaid $1,158.30
Rate for Payer: Hamaspik Choice Inc Medicare $1,158.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,505.79
Service Code HCPCS C1876
Hospital Charge Code 66528564
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan $1,475.56
Rate for Payer: Fidelis Medicare Advantage $2,694.51
Rate for Payer: Group Health Inc Commercial $1,283.10
Rate for Payer: Group Health Inc Medicare $898.17
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,668.03
Service Code HCPCS C1876
Hospital Charge Code 66528564
Hospital Revenue Code 278
Min. Negotiated Rate $1,283.10
Max. Negotiated Rate $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Service Code HCPCS C1876
Hospital Charge Code 66528563
Hospital Revenue Code 278
Min. Negotiated Rate $1,283.10
Max. Negotiated Rate $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Service Code HCPCS C1876
Hospital Charge Code 66528563
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan $1,475.56
Rate for Payer: Fidelis Medicare Advantage $2,694.51
Rate for Payer: Group Health Inc Commercial $1,283.10
Rate for Payer: Group Health Inc Medicare $898.17
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,668.03
Service Code HCPCS C1876
Hospital Charge Code 66528577
Hospital Revenue Code 278
Min. Negotiated Rate $1,618.50
Max. Negotiated Rate $1,618.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1,618.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,618.50
Service Code HCPCS C1876
Hospital Charge Code 66528577
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $3,398.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,780.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,618.50
Rate for Payer: Cigna LocalPlus Benefit Plan $1,861.28
Rate for Payer: Fidelis Medicare Advantage $3,398.85
Rate for Payer: Group Health Inc Commercial $1,618.50
Rate for Payer: Group Health Inc Medicare $1,132.95
Rate for Payer: Hamaspik Choice Inc Medicaid $1,618.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,618.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,104.05
Service Code HCPCS C1876
Hospital Charge Code 66528581
Hospital Revenue Code 278
Min. Negotiated Rate $1,158.30
Max. Negotiated Rate $1,158.30
Rate for Payer: Hamaspik Choice Inc Medicaid $1,158.30
Rate for Payer: Hamaspik Choice Inc Medicare $1,158.30
Service Code HCPCS C1876
Hospital Charge Code 66528581
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $2,432.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,274.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,158.30
Rate for Payer: Cigna LocalPlus Benefit Plan $1,332.04
Rate for Payer: Fidelis Medicare Advantage $2,432.43
Rate for Payer: Group Health Inc Commercial $1,158.30
Rate for Payer: Group Health Inc Medicare $810.81
Rate for Payer: Hamaspik Choice Inc Medicaid $1,158.30
Rate for Payer: Hamaspik Choice Inc Medicare $1,158.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,505.79
Service Code HCPCS C1876
Hospital Charge Code 66528580
Hospital Revenue Code 278
Min. Negotiated Rate $1,283.10
Max. Negotiated Rate $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Service Code HCPCS C1876
Hospital Charge Code 66528580
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan $1,475.56
Rate for Payer: Fidelis Medicare Advantage $2,694.51
Rate for Payer: Group Health Inc Commercial $1,283.10
Rate for Payer: Group Health Inc Medicare $898.17
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,668.03
Service Code HCPCS C1876
Hospital Charge Code 66528579
Hospital Revenue Code 278
Min. Negotiated Rate $1,283.10
Max. Negotiated Rate $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Service Code HCPCS C1876
Hospital Charge Code 66528579
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan $1,475.56
Rate for Payer: Fidelis Medicare Advantage $2,694.51
Rate for Payer: Group Health Inc Commercial $1,283.10
Rate for Payer: Group Health Inc Medicare $898.17
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,668.03
Service Code HCPCS C1876
Hospital Charge Code 66528578
Hospital Revenue Code 278
Min. Negotiated Rate $1,283.10
Max. Negotiated Rate $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Service Code HCPCS C1876
Hospital Charge Code 66528578
Hospital Revenue Code 278
Min. Negotiated Rate $398.18
Max. Negotiated Rate $2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $398.18
Rate for Payer: Aetna Government $398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan $1,475.56
Rate for Payer: Fidelis Medicare Advantage $2,694.51
Rate for Payer: Group Health Inc Commercial $1,283.10
Rate for Payer: Group Health Inc Medicare $898.17
Rate for Payer: Hamaspik Choice Inc Medicaid $1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare $1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,668.03
Service Code HCPCS C1876
Hospital Charge Code 66528569
Hospital Revenue Code 278
Min. Negotiated Rate $1,618.50
Max. Negotiated Rate $1,618.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1,618.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,618.50