St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CC INS/REPL PG ONLY, SGL CHAMBER

Facility

$23,145.25

Service Code	HCPCS 33212
Hospital Charge Code	66528629
Hospital Revenue Code	360
Rate for Payer: Cash Price	$9,824.59

CC INS TEMP BLADDER CATH

Facility

$330.23

Service Code	HCPCS 51702
Hospital Charge Code	66528669
Hospital Revenue Code	360
Min. Negotiated Rate	$103.40
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$147.72
Rate for Payer: Aetna Government	$147.72
Rate for Payer: Affinity Essential Plan 1&2	$103.40
Rate for Payer: Affinity Essential Plan 3&4	$103.40
Rate for Payer: Affinity Medicaid/CHP/HARP	$103.40
Rate for Payer: Brighton Health Commercial	$247.67
Rate for Payer: Cash Price	$147.72
Rate for Payer: Cash Price	$147.72
Rate for Payer: Cash Price	$147.72
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$147.72
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	$147.72
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$125.56
Rate for Payer: Fidelis Essential Plan QHP	$131.47
Rate for Payer: Fidelis Medicare Advantage	$147.72
Rate for Payer: Fidelis Qualified Health Plan	$131.47
Rate for Payer: Group Health Inc Commercial	$147.72
Rate for Payer: Group Health Inc Medicare	$147.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.12
Rate for Payer: Hamaspik Choice Inc Medicare	$147.72
Rate for Payer: Healthfirst Medicare Advantage	$125.56
Rate for Payer: Healthfirst QHP	$147.72
Rate for Payer: Humana Medicare	$150.67
Rate for Payer: Senior Whole Health Medicare Advantage	$147.72
Rate for Payer: United Healthcare Commercial	$1,113.00
Rate for Payer: United Healthcare Medicare Advantage	$147.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$147.72
Rate for Payer: Wellcare CHP/FHP/Medicaid	$118.18
Rate for Payer: Wellcare Medicare	$140.33

CC INS TEMP BLADDER CATH

Facility

$330.23

Service Code	HCPCS 51702
Hospital Charge Code	66528669
Hospital Revenue Code	360
Rate for Payer: Cash Price	$147.72

CC INS TV SCP ELECTRODE

Facility

$23,145.25

Service Code	HCPCS 33216
Hospital Charge Code	66528635
Hospital Revenue Code	360
Rate for Payer: Cash Price	$9,824.59

CC INS TV SCP ELECTRODE

Facility

$23,145.25

Service Code	HCPCS 33216
Hospital Charge Code	66528635
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$17,358.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,593.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9,824.59
Rate for Payer: Aetna Government	$9,824.59
Rate for Payer: Affinity Essential Plan 1&2	$6,877.21
Rate for Payer: Affinity Essential Plan 3&4	$6,877.21
Rate for Payer: Affinity Medicaid/CHP/HARP	$6,877.21
Rate for Payer: Brighton Health Commercial	$17,358.94
Rate for Payer: Cash Price	$9,824.59
Rate for Payer: Cash Price	$9,824.59
Rate for Payer: Cash Price	$9,824.59
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$9,824.59
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	$9,824.59
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$8,350.90
Rate for Payer: Fidelis Essential Plan QHP	$8,743.89
Rate for Payer: Fidelis Medicare Advantage	$9,824.59
Rate for Payer: Fidelis Qualified Health Plan	$8,743.89
Rate for Payer: Group Health Inc Commercial	$9,824.59
Rate for Payer: Group Health Inc Medicare	$9,824.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$11,572.62
Rate for Payer: Hamaspik Choice Inc Medicare	$9,824.59
Rate for Payer: Healthfirst Medicare Advantage	$8,350.90
Rate for Payer: Healthfirst QHP	$9,824.59
Rate for Payer: Humana Medicare	$10,021.08
Rate for Payer: Senior Whole Health Medicare Advantage	$9,824.59
Rate for Payer: United Healthcare Commercial	$2,546.00
Rate for Payer: United Healthcare Medicare Advantage	$9,824.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9,824.59
Rate for Payer: Wellcare CHP/FHP/Medicaid	$7,859.67
Rate for Payer: Wellcare Medicare	$9,333.36

CC INTRACARDIAC ECHOCARDIOGRAPHY

Facility

$435.75

Service Code	HCPCS 93662 TC
Hospital Charge Code	66528378
Hospital Revenue Code	482
Min. Negotiated Rate	$44.04
Max. Negotiated Rate	$697.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$239.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.04
Rate for Payer: Aetna Government	$44.04
Rate for Payer: Brighton Health Commercial	$326.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$348.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$296.31
Rate for Payer: Group Health Inc Commercial	$217.88
Rate for Payer: Group Health Inc Medicare	$152.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$217.88
Rate for Payer: Hamaspik Choice Inc Medicare	$217.88
Rate for Payer: United Healthcare Commercial	$697.00

CC INTRAVASCULAR US 1ST VESSEL

Facility

$874.88

Service Code	HCPCS 92978 TC
Hospital Charge Code	66528393
Hospital Revenue Code	481
Min. Negotiated Rate	$168.22
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$168.22
Rate for Payer: Aetna Government	$168.22
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Group Health Inc Commercial	$437.44
Rate for Payer: Group Health Inc Medicare	$306.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.44
Rate for Payer: Hamaspik Choice Inc Medicare	$437.44
Rate for Payer: United Healthcare Commercial	$1,113.00

CC INTRAVASCULAR US 2ND VESSEL

Facility

$518.60

Service Code	HCPCS 92998
Hospital Charge Code	66528392
Hospital Revenue Code	480
Min. Negotiated Rate	$181.51
Max. Negotiated Rate	$414.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$285.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$301.43
Rate for Payer: Aetna Government	$301.43
Rate for Payer: Brighton Health Commercial	$388.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$414.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$352.65
Rate for Payer: Group Health Inc Commercial	$259.30
Rate for Payer: Group Health Inc Medicare	$181.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$259.30
Rate for Payer: Hamaspik Choice Inc Medicare	$259.30
Rate for Payer: United Healthcare Commercial	$316.00

CC INTRO HLS1007M 5PK

Facility

$117.00

Hospital Charge Code	66526889
Hospital Revenue Code	270
Min. Negotiated Rate	$40.95
Max. Negotiated Rate	$93.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$64.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$58.50
Rate for Payer: Aetna Government	$58.50
Rate for Payer: Brighton Health Commercial	$87.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$79.56
Rate for Payer: Group Health Inc Commercial	$58.50
Rate for Payer: Group Health Inc Medicare	$40.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.50
Rate for Payer: Hamaspik Choice Inc Medicare	$58.50

CC INTRO SHEATH PRELUDE MIN

Facility

$450.00

Service Code	HCPCS C1894
Hospital Charge Code	66528884
Hospital Revenue Code	278
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$472.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.82
Rate for Payer: Aetna Government	$0.82
Rate for Payer: Brighton Health Commercial	$270.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$225.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$258.75
Rate for Payer: EmblemHealth Commercial	$225.00
Rate for Payer: Fidelis Medicare Advantage	$472.50
Rate for Payer: Group Health Inc Commercial	$225.00
Rate for Payer: Group Health Inc Medicare	$157.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.00
Rate for Payer: Hamaspik Choice Inc Medicare	$225.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.50

CC INTRO SHEATH PRELUDE MIN

Facility

$450.00

Service Code	HCPCS C1894
Hospital Charge Code	66528884
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.00
Rate for Payer: Hamaspik Choice Inc Medicare	$225.00

CCIPG ADAPTA DR, IS-1 US

Facility

$10,512.00

Service Code	HCPCS C1785
Hospital Charge Code	66526897
Hospital Revenue Code	275
Min. Negotiated Rate	$275.42
Max. Negotiated Rate	$11,037.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,781.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$275.42
Rate for Payer: Aetna Government	$275.42
Rate for Payer: Brighton Health Commercial	$6,307.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,256.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,044.40
Rate for Payer: EmblemHealth Commercial	$5,256.00
Rate for Payer: Fidelis Medicare Advantage	$11,037.60
Rate for Payer: Group Health Inc Commercial	$5,256.00
Rate for Payer: Group Health Inc Medicare	$3,679.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,256.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,256.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,832.80

CC IPG VEDR01 VERSA IS-1 DR USA

Facility

$11,236.00

Service Code	HCPCS C1785
Hospital Charge Code	66526885
Hospital Revenue Code	275
Min. Negotiated Rate	$275.42
Max. Negotiated Rate	$11,797.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,179.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$275.42
Rate for Payer: Aetna Government	$275.42
Rate for Payer: Brighton Health Commercial	$6,741.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,618.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,460.70
Rate for Payer: EmblemHealth Commercial	$5,618.00
Rate for Payer: Fidelis Medicare Advantage	$11,797.80
Rate for Payer: Group Health Inc Commercial	$5,618.00
Rate for Payer: Group Health Inc Medicare	$3,932.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,618.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,618.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7,303.40

CC IV DOPPLER, EA ADDTL VESSEL

Facility

$477.63

Service Code	HCPCS 93572 TC
Hospital Charge Code	66520306
Hospital Revenue Code	481
Min. Negotiated Rate	$81.88
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$81.88
Rate for Payer: Aetna Government	$81.88
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Group Health Inc Commercial	$238.82
Rate for Payer: Group Health Inc Medicare	$167.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$238.82
Rate for Payer: Hamaspik Choice Inc Medicare	$238.82
Rate for Payer: United Healthcare Commercial	$1,113.00

CC IV DOPPLER, INITIAL VESSEL

Facility

$891.63

Service Code	HCPCS 93571 TC
Hospital Charge Code	66520305
Hospital Revenue Code	481
Min. Negotiated Rate	$167.58
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$167.58
Rate for Payer: Aetna Government	$167.58
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Group Health Inc Commercial	$445.82
Rate for Payer: Group Health Inc Medicare	$312.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.82
Rate for Payer: Hamaspik Choice Inc Medicare	$445.82
Rate for Payer: United Healthcare Commercial	$1,113.00

CC IV DRUG INFUSION

Facility

$556.50

Service Code	HCPCS 96360
Hospital Charge Code	66528391
Hospital Revenue Code	260
Rate for Payer: Cash Price	$247.87

CC IV DRUG INFUSION

Facility

$556.50

Service Code	HCPCS 96360
Hospital Charge Code	66528391
Hospital Revenue Code	260
Min. Negotiated Rate	$76.00
Max. Negotiated Rate	$445.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$306.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$247.87
Rate for Payer: Aetna Government	$247.87
Rate for Payer: Affinity Essential Plan 1&2	$173.51
Rate for Payer: Affinity Essential Plan 3&4	$173.51
Rate for Payer: Affinity Medicaid/CHP/HARP	$173.51
Rate for Payer: Brighton Health Commercial	$417.38
Rate for Payer: Cash Price	$247.87
Rate for Payer: Cash Price	$247.87
Rate for Payer: Cash Price	$247.87
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$247.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$445.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$378.42
Rate for Payer: Elderplan Medicare Advantage	$247.87
Rate for Payer: EmblemHealth Commercial	$247.87
Rate for Payer: Fidelis Essential Plan Aliesa	$210.69
Rate for Payer: Fidelis Essential Plan QHP	$220.60
Rate for Payer: Fidelis Medicare Advantage	$247.87
Rate for Payer: Fidelis Qualified Health Plan	$220.60
Rate for Payer: Group Health Inc Commercial	$247.87
Rate for Payer: Group Health Inc Medicare	$247.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$278.25
Rate for Payer: Hamaspik Choice Inc Medicare	$247.87
Rate for Payer: Healthfirst Medicare Advantage	$210.69
Rate for Payer: Healthfirst QHP	$247.87
Rate for Payer: Humana Medicare	$252.83
Rate for Payer: Senior Whole Health Medicare Advantage	$247.87
Rate for Payer: United Healthcare Commercial	$76.00
Rate for Payer: United Healthcare Medicare Advantage	$247.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$247.87
Rate for Payer: Wellcare CHP/FHP/Medicaid	$198.30
Rate for Payer: Wellcare Medicare	$235.48

CC IVUS/FFR VOLCANO REV CATH

Facility

$1,300.00

Service Code	HCPCS C1725
Hospital Charge Code	66521093
Hospital Revenue Code	278
Min. Negotiated Rate	$650.00
Max. Negotiated Rate	$650.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$650.00
Rate for Payer: Hamaspik Choice Inc Medicare	$650.00

CC IVUS/FFR VOLCANO REV CATH

Facility

$1,300.00

Service Code	HCPCS C1725
Hospital Charge Code	66521093
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,365.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$715.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$780.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$650.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$747.50
Rate for Payer: EmblemHealth Commercial	$650.00
Rate for Payer: Fidelis Medicare Advantage	$1,365.00
Rate for Payer: Group Health Inc Commercial	$650.00
Rate for Payer: Group Health Inc Medicare	$455.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$650.00
Rate for Payer: Hamaspik Choice Inc Medicare	$650.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$845.00

CC IVUS VOLACNO EAGLE EYE P/CATH

Facility

$1,450.00

Service Code	HCPCS C1725
Hospital Charge Code	66521091
Hospital Revenue Code	278
Min. Negotiated Rate	$725.00
Max. Negotiated Rate	$725.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$725.00
Rate for Payer: Hamaspik Choice Inc Medicare	$725.00

CC IVUS VOLACNO EAGLE EYE P/CATH

Facility

$1,450.00

Service Code	HCPCS C1725
Hospital Charge Code	66521091
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,522.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$797.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$870.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$725.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$833.75
Rate for Payer: EmblemHealth Commercial	$725.00
Rate for Payer: Fidelis Medicare Advantage	$1,522.50
Rate for Payer: Group Health Inc Commercial	$725.00
Rate for Payer: Group Health Inc Medicare	$507.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$725.00
Rate for Payer: Hamaspik Choice Inc Medicare	$725.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$942.50

CC LEAD 5076-52 CAP NOVUS US EN

Facility

$1,634.00

Service Code	HCPCS C1898
Hospital Charge Code	66526886
Hospital Revenue Code	278
Min. Negotiated Rate	$98.92
Max. Negotiated Rate	$1,715.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$898.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$98.92
Rate for Payer: Aetna Government	$98.92
Rate for Payer: Brighton Health Commercial	$980.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$817.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$939.55
Rate for Payer: EmblemHealth Commercial	$817.00
Rate for Payer: Fidelis Medicare Advantage	$1,715.70
Rate for Payer: Group Health Inc Commercial	$817.00
Rate for Payer: Group Health Inc Medicare	$571.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$817.00
Rate for Payer: Hamaspik Choice Inc Medicare	$817.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,062.10

CC LEAD 5076-52 CAP NOVUS US EN

Facility

$1,634.00

Service Code	HCPCS C1898
Hospital Charge Code	66526886
Hospital Revenue Code	278
Min. Negotiated Rate	$817.00
Max. Negotiated Rate	$817.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$817.00
Rate for Payer: Hamaspik Choice Inc Medicare	$817.00

CC LEAD 5076-58 CAP NOVUS US EN

Facility

$1,634.00

Service Code	HCPCS C1898
Hospital Charge Code	66526887
Hospital Revenue Code	278
Min. Negotiated Rate	$817.00
Max. Negotiated Rate	$817.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$817.00
Rate for Payer: Hamaspik Choice Inc Medicare	$817.00

CC LEAD 5076-58 CAP NOVUS US EN

Facility

$1,634.00

Service Code	HCPCS C1898
Hospital Charge Code	66526887
Hospital Revenue Code	278
Min. Negotiated Rate	$98.92
Max. Negotiated Rate	$1,715.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$898.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$98.92
Rate for Payer: Aetna Government	$98.92
Rate for Payer: Brighton Health Commercial	$980.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$817.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$939.55
Rate for Payer: EmblemHealth Commercial	$817.00
Rate for Payer: Fidelis Medicare Advantage	$1,715.70
Rate for Payer: Group Health Inc Commercial	$817.00
Rate for Payer: Group Health Inc Medicare	$571.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$817.00
Rate for Payer: Hamaspik Choice Inc Medicare	$817.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,062.10

Know your out-of-pocket cost for care.

All Charges