|
HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES
|
Facility
|
IP
|
$14.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
3018447801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.00
|
|
|
HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID
|
Facility
|
IP
|
$14.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
3018447802
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.00
|
|
|
HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID
|
Facility
|
OP
|
$14.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
3018447802
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.02 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.74
|
| Rate for Payer: Aetna Government |
$5.74
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$4.02
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$4.02
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$4.02
|
| Rate for Payer: Brighton Health Commercial |
$10.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.74
|
| Rate for Payer: EmblemHealth Commercial |
$5.74
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$5.17
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.88
|
| Rate for Payer: Fidelis Essential Plan QHP |
$5.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.74
|
| Rate for Payer: Fidelis Qualified Health Plan |
$5.11
|
| Rate for Payer: Group Health Inc Commercial |
$5.74
|
| Rate for Payer: Group Health Inc Medicare |
$5.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.74
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.74
|
| Rate for Payer: Healthfirst QHP |
$5.74
|
| Rate for Payer: Humana Medicare |
$5.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.74
|
| Rate for Payer: United Healthcare Commercial |
$7.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.74
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$5.17
|
|
|
HC ASSAY OF TROPONIN, QUANT - TROPONIN I
|
Facility
|
OP
|
$31.00
|
|
|
Service Code
|
CPT 84484
|
| Hospital Charge Code |
3018448402
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.13 |
| Max. Negotiated Rate |
$23.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$12.47
|
| Rate for Payer: Aetna Government |
$12.47
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$8.73
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$8.73
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$8.73
|
| Rate for Payer: Brighton Health Commercial |
$23.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$12.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14.08
|
| Rate for Payer: Elderplan Medicare Advantage |
$12.47
|
| Rate for Payer: EmblemHealth Commercial |
$12.47
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$11.22
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$10.60
|
| Rate for Payer: Fidelis Essential Plan QHP |
$11.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$12.47
|
| Rate for Payer: Fidelis Qualified Health Plan |
$11.10
|
| Rate for Payer: Group Health Inc Commercial |
$12.47
|
| Rate for Payer: Group Health Inc Medicare |
$12.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$12.47
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$8.13
|
| Rate for Payer: Healthfirst Essential Plan |
$18.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12.47
|
| Rate for Payer: Healthfirst QHP |
$12.47
|
| Rate for Payer: Humana Medicare |
$12.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$12.47
|
| Rate for Payer: United Healthcare Commercial |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$12.47
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$8.13
|
| Rate for Payer: Wellcare Medicare |
$11.22
|
|
|
HC ASSAY OF TROPONIN, QUANT - TROPONIN I
|
Facility
|
IP
|
$31.00
|
|
|
Service Code
|
CPT 84484
|
| Hospital Charge Code |
3018448402
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.50 |
| Max. Negotiated Rate |
$15.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$15.50
|
|
|
HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE
|
Facility
|
IP
|
$12.00
|
|
|
Service Code
|
CPT 84560
|
| Hospital Charge Code |
3018456004
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$6.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.00
|
|
|
HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE
|
Facility
|
OP
|
$12.00
|
|
|
Service Code
|
CPT 84560
|
| Hospital Charge Code |
3018456004
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.56 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.08
|
| Rate for Payer: Aetna Government |
$5.08
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.56
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.56
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.56
|
| Rate for Payer: Brighton Health Commercial |
$9.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$6.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.08
|
| Rate for Payer: EmblemHealth Commercial |
$5.08
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.57
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.32
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.08
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.52
|
| Rate for Payer: Group Health Inc Commercial |
$5.08
|
| Rate for Payer: Group Health Inc Medicare |
$5.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.08
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.08
|
| Rate for Payer: Healthfirst QHP |
$5.08
|
| Rate for Payer: Humana Medicare |
$5.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.08
|
| Rate for Payer: United Healthcare Commercial |
$6.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.08
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$4.57
|
|
|
HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE, 24 HOUR
|
Facility
|
IP
|
$12.00
|
|
|
Service Code
|
CPT 84560
|
| Hospital Charge Code |
3018456003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$6.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.00
|
|
|
HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE, 24 HOUR
|
Facility
|
OP
|
$12.00
|
|
|
Service Code
|
CPT 84560
|
| Hospital Charge Code |
3018456003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.56 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.08
|
| Rate for Payer: Aetna Government |
$5.08
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.56
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.56
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.56
|
| Rate for Payer: Brighton Health Commercial |
$9.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$6.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.08
|
| Rate for Payer: EmblemHealth Commercial |
$5.08
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.57
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.32
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.08
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.52
|
| Rate for Payer: Group Health Inc Commercial |
$5.08
|
| Rate for Payer: Group Health Inc Medicare |
$5.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.08
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.08
|
| Rate for Payer: Healthfirst QHP |
$5.08
|
| Rate for Payer: Humana Medicare |
$5.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.08
|
| Rate for Payer: United Healthcare Commercial |
$6.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.08
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$4.57
|
|
|
HC ASSAY OF URIC ACID, BLOOD - URIC ACID
|
Facility
|
OP
|
$11.00
|
|
|
Service Code
|
CPT 84550
|
| Hospital Charge Code |
3018455001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.16 |
| Max. Negotiated Rate |
$10.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$4.52
|
| Rate for Payer: Aetna Government |
$4.52
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.16
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.16
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.16
|
| Rate for Payer: Brighton Health Commercial |
$8.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$4.52
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$7.69
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$6.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$4.52
|
| Rate for Payer: EmblemHealth Commercial |
$4.52
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.07
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$3.84
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.02
|
| Rate for Payer: Fidelis Medicare Advantage |
$4.52
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.02
|
| Rate for Payer: Group Health Inc Commercial |
$4.52
|
| Rate for Payer: Group Health Inc Medicare |
$4.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$4.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$4.52
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$4.52
|
| Rate for Payer: Healthfirst Essential Plan |
$10.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$4.52
|
| Rate for Payer: Healthfirst QHP |
$4.52
|
| Rate for Payer: Humana Medicare |
$4.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$4.52
|
| Rate for Payer: United Healthcare Commercial |
$5.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$4.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$4.52
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$4.52
|
| Rate for Payer: Wellcare Medicare |
$4.07
|
|
|
HC ASSAY OF URIC ACID, BLOOD - URIC ACID
|
Facility
|
IP
|
$11.00
|
|
|
Service Code
|
CPT 84550
|
| Hospital Charge Code |
3018455001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.50 |
| Max. Negotiated Rate |
$5.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.50
|
|
|
HC ASSAY OF URINE ALBUMIN - ALBUMIN BODY FLUID
|
Facility
|
IP
|
$19.00
|
|
|
Service Code
|
CPT 82042
|
| Hospital Charge Code |
3018204201
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.50 |
| Max. Negotiated Rate |
$9.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.50
|
|
|
HC ASSAY OF URINE ALBUMIN - ALBUMIN BODY FLUID
|
Facility
|
OP
|
$19.00
|
|
|
Service Code
|
CPT 82042
|
| Hospital Charge Code |
3018204201
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.08 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.78
|
| Rate for Payer: Aetna Government |
$7.78
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$5.45
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$5.45
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$5.45
|
| Rate for Payer: Brighton Health Commercial |
$14.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$7.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$7.78
|
| Rate for Payer: EmblemHealth Commercial |
$7.78
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$7.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$6.61
|
| Rate for Payer: Fidelis Essential Plan QHP |
$6.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$7.78
|
| Rate for Payer: Fidelis Qualified Health Plan |
$6.92
|
| Rate for Payer: Group Health Inc Commercial |
$7.78
|
| Rate for Payer: Group Health Inc Medicare |
$7.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$7.78
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7.78
|
| Rate for Payer: Healthfirst QHP |
$7.78
|
| Rate for Payer: Humana Medicare |
$7.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$7.78
|
| Rate for Payer: United Healthcare Commercial |
$6.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$7.78
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$7.00
|
|
|
HC ASSAY OF URINE ALBUMIN - POCT ALBUMIN
|
Facility
|
IP
|
$19.00
|
|
|
Service Code
|
CPT 82042
|
| Hospital Charge Code |
3018204202
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.50 |
| Max. Negotiated Rate |
$9.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.50
|
|
|
HC ASSAY OF URINE ALBUMIN - POCT ALBUMIN
|
Facility
|
OP
|
$19.00
|
|
|
Service Code
|
CPT 82042
|
| Hospital Charge Code |
3018204202
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.08 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.78
|
| Rate for Payer: Aetna Government |
$7.78
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$5.45
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$5.45
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$5.45
|
| Rate for Payer: Brighton Health Commercial |
$14.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$7.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$7.78
|
| Rate for Payer: EmblemHealth Commercial |
$7.78
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$7.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$6.61
|
| Rate for Payer: Fidelis Essential Plan QHP |
$6.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$7.78
|
| Rate for Payer: Fidelis Qualified Health Plan |
$6.92
|
| Rate for Payer: Group Health Inc Commercial |
$7.78
|
| Rate for Payer: Group Health Inc Medicare |
$7.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$7.78
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7.78
|
| Rate for Payer: Healthfirst QHP |
$7.78
|
| Rate for Payer: Humana Medicare |
$7.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$7.78
|
| Rate for Payer: United Healthcare Commercial |
$6.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$7.78
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$7.00
|
|
|
HC ASSAY OF URINE CHLORIDE - CHLORIDE URINE RANDOM
|
Facility
|
OP
|
$14.00
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
3018243601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.03 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.75
|
| Rate for Payer: Aetna Government |
$5.75
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$4.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$4.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$4.03
|
| Rate for Payer: Brighton Health Commercial |
$10.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.75
|
| Rate for Payer: EmblemHealth Commercial |
$5.75
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$5.17
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.89
|
| Rate for Payer: Fidelis Essential Plan QHP |
$5.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.75
|
| Rate for Payer: Fidelis Qualified Health Plan |
$5.12
|
| Rate for Payer: Group Health Inc Commercial |
$5.75
|
| Rate for Payer: Group Health Inc Medicare |
$5.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.75
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.75
|
| Rate for Payer: Healthfirst QHP |
$5.75
|
| Rate for Payer: Humana Medicare |
$5.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.75
|
| Rate for Payer: United Healthcare Commercial |
$6.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.75
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$5.17
|
|
|
HC ASSAY OF URINE CHLORIDE - CHLORIDE URINE RANDOM
|
Facility
|
IP
|
$14.00
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
3018243601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.00
|
|
|
HC ASSAY OF URINE CHLORIDE - CHLORIDE URINE TIMED
|
Facility
|
OP
|
$14.00
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
3018243602
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.03 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.75
|
| Rate for Payer: Aetna Government |
$5.75
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$4.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$4.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$4.03
|
| Rate for Payer: Brighton Health Commercial |
$10.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.75
|
| Rate for Payer: EmblemHealth Commercial |
$5.75
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$5.17
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.89
|
| Rate for Payer: Fidelis Essential Plan QHP |
$5.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.75
|
| Rate for Payer: Fidelis Qualified Health Plan |
$5.12
|
| Rate for Payer: Group Health Inc Commercial |
$5.75
|
| Rate for Payer: Group Health Inc Medicare |
$5.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.75
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.75
|
| Rate for Payer: Healthfirst QHP |
$5.75
|
| Rate for Payer: Humana Medicare |
$5.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.75
|
| Rate for Payer: United Healthcare Commercial |
$6.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.75
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$5.17
|
|
|
HC ASSAY OF URINE CHLORIDE - CHLORIDE URINE TIMED
|
Facility
|
IP
|
$14.00
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
3018243602
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.00
|
|
|
HC ASSAY OF URINE CREATININE - CREATININE BODY FLUID
|
Facility
|
IP
|
$12.00
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
3018257002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$6.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.00
|
|
|
HC ASSAY OF URINE CREATININE - CREATININE BODY FLUID
|
Facility
|
OP
|
$12.00
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
3018257002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.18
|
| Rate for Payer: Aetna Government |
$5.18
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.63
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.63
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.63
|
| Rate for Payer: Brighton Health Commercial |
$9.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.18
|
| Rate for Payer: EmblemHealth Commercial |
$5.18
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.66
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.40
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.18
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.61
|
| Rate for Payer: Group Health Inc Commercial |
$5.18
|
| Rate for Payer: Group Health Inc Medicare |
$5.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.18
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.18
|
| Rate for Payer: Healthfirst QHP |
$5.18
|
| Rate for Payer: Humana Medicare |
$5.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.18
|
| Rate for Payer: United Healthcare Commercial |
$6.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.18
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$4.66
|
|
|
HC ASSAY OF URINE CREATININE - CREATININE RANDOM URINE
|
Facility
|
IP
|
$12.00
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
3018257001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$6.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.00
|
|
|
HC ASSAY OF URINE CREATININE - CREATININE RANDOM URINE
|
Facility
|
OP
|
$12.00
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
3018257001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.18
|
| Rate for Payer: Aetna Government |
$5.18
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.63
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.63
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.63
|
| Rate for Payer: Brighton Health Commercial |
$9.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.18
|
| Rate for Payer: EmblemHealth Commercial |
$5.18
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.66
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.40
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.18
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.61
|
| Rate for Payer: Group Health Inc Commercial |
$5.18
|
| Rate for Payer: Group Health Inc Medicare |
$5.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.18
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.18
|
| Rate for Payer: Healthfirst QHP |
$5.18
|
| Rate for Payer: Humana Medicare |
$5.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.18
|
| Rate for Payer: United Healthcare Commercial |
$6.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.18
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$4.66
|
|
|
HC ASSAY OF URINE CREATININE - CREATININE, URINE, 24 HOUR
|
Facility
|
IP
|
$12.00
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
3018257004
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$6.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.00
|
|
|
HC ASSAY OF URINE CREATININE - CREATININE, URINE, 24 HOUR
|
Facility
|
OP
|
$12.00
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
3018257004
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.18
|
| Rate for Payer: Aetna Government |
$5.18
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.63
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.63
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.63
|
| Rate for Payer: Brighton Health Commercial |
$9.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.18
|
| Rate for Payer: EmblemHealth Commercial |
$5.18
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.66
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.40
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.18
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.61
|
| Rate for Payer: Group Health Inc Commercial |
$5.18
|
| Rate for Payer: Group Health Inc Medicare |
$5.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.18
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.18
|
| Rate for Payer: Healthfirst QHP |
$5.18
|
| Rate for Payer: Humana Medicare |
$5.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.18
|
| Rate for Payer: United Healthcare Commercial |
$6.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.18
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$4.66
|
|
