St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

9.5MM ENTRY REAMER

Facility

$750.00

Hospital Charge Code	40203559
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$600.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$412.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$375.00
Rate for Payer: Aetna Government	$375.00
Rate for Payer: Brighton Health Commercial	$562.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$600.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$510.00
Rate for Payer: Group Health Inc Commercial	$375.00
Rate for Payer: Group Health Inc Medicare	$262.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$375.00
Rate for Payer: Hamaspik Choice Inc Medicare	$375.00

95MM SCREW

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64902886
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$644.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$368.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$307.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.19
Rate for Payer: EmblemHealth Commercial	$307.12
Rate for Payer: Fidelis Medicare Advantage	$644.96
Rate for Payer: Group Health Inc Commercial	$307.12
Rate for Payer: Group Health Inc Medicare	$214.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$399.26

95MM SCREW

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64902886
Hospital Revenue Code	278
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$307.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12

9 NORMAL SALINE 1000 CC

Facility

$4.25

Hospital Charge Code	40504000
Hospital Revenue Code	260
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.12
Rate for Payer: Aetna Government	$2.12
Rate for Payer: Brighton Health Commercial	$3.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.89
Rate for Payer: Group Health Inc Commercial	$2.12
Rate for Payer: Group Health Inc Medicare	$1.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2.12
Rate for Payer: United Healthcare Commercial	$76.00

9 NORMAL SALINE 100 CC

Facility

$6.03

Hospital Charge Code	40509789
Hospital Revenue Code	260
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.02
Rate for Payer: Aetna Government	$3.02
Rate for Payer: Brighton Health Commercial	$4.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.10
Rate for Payer: Group Health Inc Commercial	$3.02
Rate for Payer: Group Health Inc Medicare	$2.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.02
Rate for Payer: Hamaspik Choice Inc Medicare	$3.02
Rate for Payer: United Healthcare Commercial	$76.00

9 NORMAL SALINE 250 CC

Facility

$3.55

Hospital Charge Code	40504002
Hospital Revenue Code	260
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.78
Rate for Payer: Aetna Government	$1.78
Rate for Payer: Brighton Health Commercial	$2.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.41
Rate for Payer: Group Health Inc Commercial	$1.78
Rate for Payer: Group Health Inc Medicare	$1.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.78
Rate for Payer: Hamaspik Choice Inc Medicare	$1.78
Rate for Payer: United Healthcare Commercial	$76.00

9 NORMAL SALINE 500 CC

Facility

$3.90

Hospital Charge Code	40504001
Hospital Revenue Code	260
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.95
Rate for Payer: Aetna Government	$1.95
Rate for Payer: Brighton Health Commercial	$2.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.65
Rate for Payer: Group Health Inc Commercial	$1.95
Rate for Payer: Group Health Inc Medicare	$1.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.95
Rate for Payer: Hamaspik Choice Inc Medicare	$1.95
Rate for Payer: United Healthcare Commercial	$76.00

9 NORMAL SALINE 50 CC

Facility

$6.03

Hospital Charge Code	40509788
Hospital Revenue Code	260
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.02
Rate for Payer: Aetna Government	$3.02
Rate for Payer: Brighton Health Commercial	$4.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.10
Rate for Payer: Group Health Inc Commercial	$3.02
Rate for Payer: Group Health Inc Medicare	$2.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.02
Rate for Payer: Hamaspik Choice Inc Medicare	$3.02
Rate for Payer: United Healthcare Commercial	$76.00

9+ REGIONS

Facility

$189.23

Service Code	HCPCS 98929
Hospital Charge Code	30305017
Hospital Revenue Code	530
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$151.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$104.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.00
Rate for Payer: Aetna Government	$30.00
Rate for Payer: Affinity Essential Plan 1&2	$21.00
Rate for Payer: Affinity Essential Plan 3&4	$21.00
Rate for Payer: Affinity Medicaid/CHP/HARP	$21.00
Rate for Payer: Brighton Health Commercial	$141.92
Rate for Payer: Cash Price	$30.00
Rate for Payer: Cash Price	$30.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$151.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$128.68
Rate for Payer: Elderplan Medicare Advantage	$30.00
Rate for Payer: EmblemHealth Commercial	$30.00
Rate for Payer: Fidelis Essential Plan Aliesa	$25.50
Rate for Payer: Fidelis Essential Plan QHP	$26.70
Rate for Payer: Fidelis Medicare Advantage	$30.00
Rate for Payer: Fidelis Qualified Health Plan	$26.70
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$30.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$94.62
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00
Rate for Payer: Healthfirst Medicare Advantage	$25.50
Rate for Payer: Healthfirst QHP	$30.00
Rate for Payer: Humana Medicare	$30.60
Rate for Payer: Senior Whole Health Medicare Advantage	$30.00
Rate for Payer: United Healthcare Medicare Advantage	$30.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$30.00
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24.00
Rate for Payer: Wellcare Medicare	$28.50

9+ REGIONS

Facility

$189.23

Service Code	HCPCS 98929
Hospital Charge Code	30305017
Hospital Revenue Code	530
Rate for Payer: Cash Price	$30.00

.9 SOD. CHLOR. IRRIG. 3000CC

Facility

$35.08

Hospital Charge Code	40509812
Hospital Revenue Code	260
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.54
Rate for Payer: Aetna Government	$17.54
Rate for Payer: Brighton Health Commercial	$26.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.85
Rate for Payer: Group Health Inc Commercial	$17.54
Rate for Payer: Group Health Inc Medicare	$12.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.54
Rate for Payer: Hamaspik Choice Inc Medicare	$17.54
Rate for Payer: United Healthcare Commercial	$76.00

9% SODIUM CHLORIDE IRR.1000CC

Facility

$9.22

Hospital Charge Code	40509792
Hospital Revenue Code	260
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.61
Rate for Payer: Aetna Government	$4.61
Rate for Payer: Brighton Health Commercial	$6.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.27
Rate for Payer: Group Health Inc Commercial	$4.61
Rate for Payer: Group Health Inc Medicare	$3.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.61
Rate for Payer: Hamaspik Choice Inc Medicare	$4.61
Rate for Payer: United Healthcare Commercial	$76.00

9X300MM T2 TIBIAL NAIL STANDARD

Facility

$2,066.00

Service Code	HCPCS C1713
Hospital Charge Code	40200564
Hospital Revenue Code	278
Min. Negotiated Rate	$1,033.00
Max. Negotiated Rate	$1,033.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,033.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,033.00

9X300MM T2 TIBIAL NAIL STANDARD

Facility

$2,066.00

Service Code	HCPCS C1713
Hospital Charge Code	40200564
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,169.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,136.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,239.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,033.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,187.95
Rate for Payer: EmblemHealth Commercial	$1,033.00
Rate for Payer: Fidelis Medicare Advantage	$2,169.30
Rate for Payer: Group Health Inc Commercial	$1,033.00
Rate for Payer: Group Health Inc Medicare	$723.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,033.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,033.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,342.90

9X315MM T2 TIBIAL NAIL STANDARD

Facility

$2,366.00

Service Code	HCPCS C1713
Hospital Charge Code	40200565
Hospital Revenue Code	278
Min. Negotiated Rate	$1,183.00
Max. Negotiated Rate	$1,183.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,183.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,183.00

9X315MM T2 TIBIAL NAIL STANDARD

Facility

$2,366.00

Service Code	HCPCS C1713
Hospital Charge Code	40200565
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,484.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,301.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,419.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,183.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,360.45
Rate for Payer: EmblemHealth Commercial	$1,183.00
Rate for Payer: Fidelis Medicare Advantage	$2,484.30
Rate for Payer: Group Health Inc Commercial	$1,183.00
Rate for Payer: Group Health Inc Medicare	$828.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,183.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,183.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,537.90

9X360MM T2 TIBIAL NAIL STANDARD

Facility

$2,066.00

Service Code	HCPCS C1713
Hospital Charge Code	40200566
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,169.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,136.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,239.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,033.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,187.95
Rate for Payer: EmblemHealth Commercial	$1,033.00
Rate for Payer: Fidelis Medicare Advantage	$2,169.30
Rate for Payer: Group Health Inc Commercial	$1,033.00
Rate for Payer: Group Health Inc Medicare	$723.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,033.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,033.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,342.90

9X360MM T2 TIBIAL NAIL STANDARD

Facility

$2,066.00

Service Code	HCPCS C1713
Hospital Charge Code	40200566
Hospital Revenue Code	278
Min. Negotiated Rate	$1,033.00
Max. Negotiated Rate	$1,033.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,033.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,033.00

A1 ANTIGEN

Facility

$858.38

Service Code	HCPCS 86905
Hospital Charge Code	40701266
Hospital Revenue Code	300
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$643.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$472.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$415.67
Rate for Payer: Aetna Government	$415.67
Rate for Payer: Affinity Essential Plan 1&2	$290.97
Rate for Payer: Affinity Essential Plan 3&4	$290.97
Rate for Payer: Affinity Medicaid/CHP/HARP	$290.97
Rate for Payer: Brighton Health Commercial	$643.78
Rate for Payer: Cash Price	$415.67
Rate for Payer: Cash Price	$415.67
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$415.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.15
Rate for Payer: Elderplan Medicare Advantage	$415.67
Rate for Payer: EmblemHealth Commercial	$415.67
Rate for Payer: Fidelis Essential Plan Aliesa	$353.32
Rate for Payer: Fidelis Essential Plan QHP	$369.95
Rate for Payer: Fidelis Medicare Advantage	$415.67
Rate for Payer: Fidelis Qualified Health Plan	$369.95
Rate for Payer: Group Health Inc Commercial	$415.67
Rate for Payer: Group Health Inc Medicare	$415.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$429.19
Rate for Payer: Hamaspik Choice Inc Medicare	$415.67
Rate for Payer: Healthfirst Medicare Advantage	$415.67
Rate for Payer: Healthfirst QHP	$415.67
Rate for Payer: Humana Medicare	$423.98
Rate for Payer: Senior Whole Health Medicare Advantage	$415.67
Rate for Payer: United Healthcare Commercial	$4.84
Rate for Payer: United Healthcare Medicare Advantage	$415.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$415.67
Rate for Payer: Wellcare CHP/FHP/Medicaid	$332.54
Rate for Payer: Wellcare Medicare	$374.10

A1 ANTIGEN

Facility

$858.38

Service Code	HCPCS 86905
Hospital Charge Code	40701266
Hospital Revenue Code	300
Rate for Payer: Cash Price	$415.67

ABACAV/DOLUTEGRAV/LAMIV TAB

Facility

$199.54

Hospital Charge Code	41656630
Hospital Revenue Code	250
Min. Negotiated Rate	$69.84
Max. Negotiated Rate	$159.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$99.77
Rate for Payer: Aetna Government	$99.77
Rate for Payer: Brighton Health Commercial	$149.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$159.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$135.69
Rate for Payer: Group Health Inc Commercial	$99.77
Rate for Payer: Group Health Inc Medicare	$69.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.77
Rate for Payer: Hamaspik Choice Inc Medicare	$99.77
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$129.70

ABACAV/DOLUTEGRAY/LAMIV TAB

Facility

$199.54

Hospital Charge Code	41646630
Hospital Revenue Code	250
Min. Negotiated Rate	$69.84
Max. Negotiated Rate	$159.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$99.77
Rate for Payer: Aetna Government	$99.77
Rate for Payer: Brighton Health Commercial	$149.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$159.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$135.69
Rate for Payer: Group Health Inc Commercial	$99.77
Rate for Payer: Group Health Inc Medicare	$69.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.77
Rate for Payer: Hamaspik Choice Inc Medicare	$99.77
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$129.70

ABACAVIR 20 MG/ML SOLN

Facility

$2.00

Hospital Charge Code	41652021
Hospital Revenue Code	250
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.00
Rate for Payer: Aetna Government	$1.00
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.36
Rate for Payer: Group Health Inc Commercial	$1.00
Rate for Payer: Group Health Inc Medicare	$0.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.30

ABACAVIR 20 MG/ML SOLN

Facility

$2.00

Hospital Charge Code	41642021
Hospital Revenue Code	250
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.00
Rate for Payer: Aetna Government	$1.00
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.36
Rate for Payer: Group Health Inc Commercial	$1.00
Rate for Payer: Group Health Inc Medicare	$0.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.30

ABACAVIR 300 MG TAB

Facility

$18.43

Hospital Charge Code	41652020
Hospital Revenue Code	250
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$14.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.22
Rate for Payer: Aetna Government	$9.22
Rate for Payer: Brighton Health Commercial	$13.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.53
Rate for Payer: Group Health Inc Commercial	$9.22
Rate for Payer: Group Health Inc Medicare	$6.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.22
Rate for Payer: Hamaspik Choice Inc Medicare	$9.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.98

Know your out-of-pocket cost for care.

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