St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HC CATH INTRAVASC US,HEART,1ST VESSEL

Facility

$874.00

Service Code	CPT 92978
Hospital Charge Code	4819297801
Hospital Revenue Code	481
Min. Negotiated Rate	$256.73
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$256.73
Rate for Payer: Aetna Government	$256.73
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$437.00
Rate for Payer: Group Health Inc Commercial	$437.00
Rate for Payer: Group Health Inc Medicare	$305.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.00
Rate for Payer: Hamaspik Choice Inc Medicare	$437.00
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH INTRAVASC US,HEART,1ST VESSEL

Facility

$874.00

Service Code	CPT 92978
Hospital Charge Code	4819297801
Hospital Revenue Code	481
Min. Negotiated Rate	$437.00
Max. Negotiated Rate	$437.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.00

HC CATH JEJUNOSTOMY FOR ENTERNAL ALIGNMENT (ADDON)

Facility

$494.00

Service Code	CPT 44015 TC
Hospital Charge Code	3614401501
Hospital Revenue Code	361
Min. Negotiated Rate	$247.00
Max. Negotiated Rate	$247.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$247.00

HC CATH JEJUNOSTOMY FOR ENTERNAL ALIGNMENT (ADDON)

Facility

$494.00

Service Code	CPT 44015 TC
Hospital Charge Code	3614401501
Hospital Revenue Code	361
Min. Negotiated Rate	$169.87
Max. Negotiated Rate	$3,092.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$271.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.87
Rate for Payer: Aetna Government	$169.87
Rate for Payer: Brighton Health Commercial	$370.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$247.00
Rate for Payer: Group Health Inc Commercial	$247.00
Rate for Payer: Group Health Inc Medicare	$172.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$247.00
Rate for Payer: Hamaspik Choice Inc Medicare	$247.00
Rate for Payer: United Healthcare Commercial	$1,496.00

HC CATH LEFT HEART CATH BY TRANSEPTAL PUNCTURE

Facility

$4,463.00

Service Code	CPT 93462
Hospital Charge Code	4819346201
Hospital Revenue Code	481
Min. Negotiated Rate	$195.09
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,387.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.09
Rate for Payer: Aetna Government	$195.09
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$2,231.50
Rate for Payer: Group Health Inc Commercial	$2,231.50
Rate for Payer: Group Health Inc Medicare	$1,562.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,231.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,231.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$238.02
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH LEFT HEART CATH BY TRANSEPTAL PUNCTURE

Facility

$4,463.00

Service Code	CPT 93462
Hospital Charge Code	4819346201
Hospital Revenue Code	481
Min. Negotiated Rate	$2,231.50
Max. Negotiated Rate	$2,231.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,231.50

HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP

Facility

$8,631.00

Service Code	CPT 93452
Hospital Charge Code	4819345201
Hospital Revenue Code	481
Min. Negotiated Rate	$996.37
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,387.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,929.87
Rate for Payer: Aetna Government	$3,929.87
Rate for Payer: Affinity Essential Plan 1&2	$2,750.91
Rate for Payer: Affinity Essential Plan 3&4	$2,750.91
Rate for Payer: Affinity Medicaid/CHP/HARP	$2,750.91
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,929.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: Elderplan Medicare Advantage	$3,929.87
Rate for Payer: EmblemHealth Commercial	$3,929.87
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,536.88
Rate for Payer: Fidelis Essential Plan Aliesa	$3,340.39
Rate for Payer: Fidelis Essential Plan QHP	$3,497.58
Rate for Payer: Fidelis Medicare Advantage	$3,929.87
Rate for Payer: Fidelis Qualified Health Plan	$3,497.58
Rate for Payer: Group Health Inc Commercial	$3,929.87
Rate for Payer: Group Health Inc Medicare	$3,929.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,929.87
Rate for Payer: Hamaspik Choice Inc Medicare	$1,655.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$996.37
Rate for Payer: Healthfirst Medicare Advantage	$3,340.39
Rate for Payer: Healthfirst QHP	$3,929.87
Rate for Payer: Humana Medicare	$4,008.47
Rate for Payer: Senior Whole Health Medicare Advantage	$3,929.87
Rate for Payer: United Healthcare Commercial	$3,955.00
Rate for Payer: United Healthcare Medicare Advantage	$3,929.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,929.87
Rate for Payer: Wellcare CHP/FHP/Medicaid	$3,733.38
Rate for Payer: Wellcare Medicare	$3,733.38

HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP

Facility

$8,631.00

Service Code	CPT 93452
Hospital Charge Code	4819345201
Hospital Revenue Code	481
Min. Negotiated Rate	$4,315.50
Max. Negotiated Rate	$4,315.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,315.50

HC CATH MEDICATION ADMIN & HEMODYNAMIC MEASURMENT

Facility

$308.00

Service Code	CPT 93463
Hospital Charge Code	4819346301
Hospital Revenue Code	481
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$154.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00

HC CATH MEDICATION ADMIN & HEMODYNAMIC MEASURMENT

Facility

$308.00

Service Code	CPT 93463
Hospital Charge Code	4819346301
Hospital Revenue Code	481
Min. Negotiated Rate	$85.10
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$169.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$85.10
Rate for Payer: Aetna Government	$85.10
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$154.00
Rate for Payer: Group Health Inc Commercial	$154.00
Rate for Payer: Group Health Inc Medicare	$107.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00
Rate for Payer: Hamaspik Choice Inc Medicare	$154.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$106.35
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART

Facility

$8,393.00

Service Code	CPT 36221 TC
Hospital Charge Code	3613622101
Hospital Revenue Code	361
Min. Negotiated Rate	$4,196.50
Max. Negotiated Rate	$4,196.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.50

HC CATH NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART

Facility

$8,393.00

Service Code	CPT 36221 TC
Hospital Charge Code	3613622101
Hospital Revenue Code	361
Min. Negotiated Rate	$240.31
Max. Negotiated Rate	$6,294.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,065.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$240.31
Rate for Payer: Aetna Government	$240.31
Rate for Payer: Brighton Health Commercial	$6,294.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$4,196.50
Rate for Payer: Group Health Inc Commercial	$4,196.50
Rate for Payer: Group Health Inc Medicare	$2,937.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4,196.50
Rate for Payer: United Healthcare Commercial	$1,835.00

HC CATH PERCUT AORTIC VALVULOPLASTY

Facility

$44,573.00

Service Code	CPT 92986
Hospital Charge Code	4819298601
Hospital Revenue Code	481
Min. Negotiated Rate	$22,286.50
Max. Negotiated Rate	$22,286.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,286.50

HC CATH PERCUT AORTIC VALVULOPLASTY

Facility

$44,573.00

Service Code	CPT 92986
Hospital Charge Code	4819298601
Hospital Revenue Code	481
Min. Negotiated Rate	$1,535.91
Max. Negotiated Rate	$24,515.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24,515.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,966.23
Rate for Payer: Aetna Government	$6,966.23
Rate for Payer: Affinity Essential Plan 1&2	$4,876.36
Rate for Payer: Affinity Essential Plan 3&4	$4,876.36
Rate for Payer: Affinity Medicaid/CHP/HARP	$4,876.36
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6,966.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: Elderplan Medicare Advantage	$6,966.23
Rate for Payer: EmblemHealth Commercial	$6,966.23
Rate for Payer: Fidelis CHP/HARP/Medicaid	$6,269.61
Rate for Payer: Fidelis Essential Plan Aliesa	$5,921.30
Rate for Payer: Fidelis Essential Plan QHP	$6,199.94
Rate for Payer: Fidelis Medicare Advantage	$6,966.23
Rate for Payer: Fidelis Qualified Health Plan	$6,199.94
Rate for Payer: Group Health Inc Commercial	$6,966.23
Rate for Payer: Group Health Inc Medicare	$6,966.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,966.23
Rate for Payer: Hamaspik Choice Inc Medicare	$6,966.23
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,535.91
Rate for Payer: Healthfirst Medicare Advantage	$5,921.30
Rate for Payer: Healthfirst QHP	$6,966.23
Rate for Payer: Humana Medicare	$7,105.55
Rate for Payer: Senior Whole Health Medicare Advantage	$6,966.23
Rate for Payer: United Healthcare Commercial	$2,546.00
Rate for Payer: United Healthcare Medicare Advantage	$6,966.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,966.23
Rate for Payer: Wellcare CHP/FHP/Medicaid	$6,617.92
Rate for Payer: Wellcare Medicare	$6,617.92

HC CATH PERCUT MITRAL VALVULOPLASTY

Facility

$44,573.00

Service Code	CPT 92987
Hospital Charge Code	4819298701
Hospital Revenue Code	481
Min. Negotiated Rate	$22,286.50
Max. Negotiated Rate	$22,286.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,286.50

HC CATH PERCUT MITRAL VALVULOPLASTY

Facility

$44,573.00

Service Code	CPT 92987
Hospital Charge Code	4819298701
Hospital Revenue Code	481
Min. Negotiated Rate	$1,582.92
Max. Negotiated Rate	$24,515.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24,515.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13,856.14
Rate for Payer: Aetna Government	$13,856.14
Rate for Payer: Affinity Essential Plan 1&2	$9,699.30
Rate for Payer: Affinity Essential Plan 3&4	$9,699.30
Rate for Payer: Affinity Medicaid/CHP/HARP	$9,699.30
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$13,856.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: Elderplan Medicare Advantage	$13,856.14
Rate for Payer: EmblemHealth Commercial	$13,856.14
Rate for Payer: Fidelis CHP/HARP/Medicaid	$12,470.53
Rate for Payer: Fidelis Essential Plan Aliesa	$11,777.72
Rate for Payer: Fidelis Essential Plan QHP	$12,331.96
Rate for Payer: Fidelis Medicare Advantage	$13,856.14
Rate for Payer: Fidelis Qualified Health Plan	$12,331.96
Rate for Payer: Group Health Inc Commercial	$13,856.14
Rate for Payer: Group Health Inc Medicare	$13,856.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$13,856.14
Rate for Payer: Hamaspik Choice Inc Medicare	$13,856.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,582.92
Rate for Payer: Healthfirst Medicare Advantage	$11,777.72
Rate for Payer: Healthfirst QHP	$13,856.14
Rate for Payer: Humana Medicare	$14,133.26
Rate for Payer: Senior Whole Health Medicare Advantage	$13,856.14
Rate for Payer: United Healthcare Commercial	$2,546.00
Rate for Payer: United Healthcare Medicare Advantage	$13,856.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13,856.14
Rate for Payer: Wellcare CHP/FHP/Medicaid	$13,163.33
Rate for Payer: Wellcare Medicare	$13,163.33

HC CATH PERCUT PULMONARY VALVULOPLASTY

Facility

$44,573.00

Service Code	CPT 92990
Hospital Charge Code	4819299001
Hospital Revenue Code	481
Min. Negotiated Rate	$1,269.10
Max. Negotiated Rate	$24,515.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24,515.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13,856.14
Rate for Payer: Aetna Government	$13,856.14
Rate for Payer: Affinity Essential Plan 1&2	$9,699.30
Rate for Payer: Affinity Essential Plan 3&4	$9,699.30
Rate for Payer: Affinity Medicaid/CHP/HARP	$9,699.30
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$13,856.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: Elderplan Medicare Advantage	$13,856.14
Rate for Payer: EmblemHealth Commercial	$13,856.14
Rate for Payer: Fidelis CHP/HARP/Medicaid	$12,470.53
Rate for Payer: Fidelis Essential Plan Aliesa	$11,777.72
Rate for Payer: Fidelis Essential Plan QHP	$12,331.96
Rate for Payer: Fidelis Medicare Advantage	$13,856.14
Rate for Payer: Fidelis Qualified Health Plan	$12,331.96
Rate for Payer: Group Health Inc Commercial	$13,856.14
Rate for Payer: Group Health Inc Medicare	$13,856.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$13,856.14
Rate for Payer: Hamaspik Choice Inc Medicare	$13,856.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,269.10
Rate for Payer: Healthfirst Medicare Advantage	$11,777.72
Rate for Payer: Healthfirst QHP	$13,856.14
Rate for Payer: Humana Medicare	$14,133.26
Rate for Payer: Senior Whole Health Medicare Advantage	$13,856.14
Rate for Payer: United Healthcare Commercial	$2,546.00
Rate for Payer: United Healthcare Medicare Advantage	$13,856.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13,856.14
Rate for Payer: Wellcare CHP/FHP/Medicaid	$13,163.33
Rate for Payer: Wellcare Medicare	$13,163.33

HC CATH PERCUT PULMONARY VALVULOPLASTY

Facility

$44,573.00

Service Code	CPT 92990
Hospital Charge Code	4819299001
Hospital Revenue Code	481
Min. Negotiated Rate	$22,286.50
Max. Negotiated Rate	$22,286.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,286.50

HC CATH PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASURE

Facility

$772.00

Service Code	CPT 93464
Hospital Charge Code	4819346401
Hospital Revenue Code	481
Min. Negotiated Rate	$242.41
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$424.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$242.41
Rate for Payer: Aetna Government	$242.41
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$386.00
Rate for Payer: Group Health Inc Commercial	$386.00
Rate for Payer: Group Health Inc Medicare	$270.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$386.00
Rate for Payer: Hamaspik Choice Inc Medicare	$386.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$245.18
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASURE

Facility

$772.00

Service Code	CPT 93464
Hospital Charge Code	4819346401
Hospital Revenue Code	481
Min. Negotiated Rate	$386.00
Max. Negotiated Rate	$386.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$386.00

HC CATH PLACE CATH IN RT HRT,MAIN PULM ART

Facility

$2,450.00

Service Code	CPT 36013 TC
Hospital Charge Code	3613601301
Hospital Revenue Code	361
Min. Negotiated Rate	$1,225.00
Max. Negotiated Rate	$1,225.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,225.00

HC CATH PLACE CATH IN RT HRT,MAIN PULM ART

Facility

$2,450.00

Service Code	CPT 36013 TC
Hospital Charge Code	3613601301
Hospital Revenue Code	361
Min. Negotiated Rate	$780.00
Max. Negotiated Rate	$3,092.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$848.19
Rate for Payer: Aetna Government	$848.19
Rate for Payer: Brighton Health Commercial	$1,837.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$1,225.00
Rate for Payer: Group Health Inc Commercial	$1,225.00
Rate for Payer: Group Health Inc Medicare	$857.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,225.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,225.00
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP, BYPASS ANGIO,W L HRT VENTRIC

Facility

$8,631.00

Service Code	CPT 93459
Hospital Charge Code	4819345901
Hospital Revenue Code	481
Min. Negotiated Rate	$1,244.61
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,387.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,929.87
Rate for Payer: Aetna Government	$3,929.87
Rate for Payer: Affinity Essential Plan 1&2	$2,750.91
Rate for Payer: Affinity Essential Plan 3&4	$2,750.91
Rate for Payer: Affinity Medicaid/CHP/HARP	$2,750.91
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,929.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: Elderplan Medicare Advantage	$3,929.87
Rate for Payer: EmblemHealth Commercial	$3,929.87
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,536.88
Rate for Payer: Fidelis Essential Plan Aliesa	$3,340.39
Rate for Payer: Fidelis Essential Plan QHP	$3,497.58
Rate for Payer: Fidelis Medicare Advantage	$3,929.87
Rate for Payer: Fidelis Qualified Health Plan	$3,497.58
Rate for Payer: Group Health Inc Commercial	$3,929.87
Rate for Payer: Group Health Inc Medicare	$3,929.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,929.87
Rate for Payer: Hamaspik Choice Inc Medicare	$1,655.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,244.61
Rate for Payer: Healthfirst Medicare Advantage	$3,340.39
Rate for Payer: Healthfirst QHP	$3,929.87
Rate for Payer: Humana Medicare	$4,008.47
Rate for Payer: Senior Whole Health Medicare Advantage	$3,929.87
Rate for Payer: United Healthcare Commercial	$3,955.00
Rate for Payer: United Healthcare Medicare Advantage	$3,929.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,929.87
Rate for Payer: Wellcare CHP/FHP/Medicaid	$3,733.38
Rate for Payer: Wellcare Medicare	$3,733.38

HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP, BYPASS ANGIO,W L HRT VENTRIC

Facility

$8,631.00

Service Code	CPT 93459
Hospital Charge Code	4819345901
Hospital Revenue Code	481
Min. Negotiated Rate	$4,315.50
Max. Negotiated Rate	$4,315.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,315.50

HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY

Facility

$8,631.00

Service Code	CPT 93458
Hospital Charge Code	4819345801
Hospital Revenue Code	481
Min. Negotiated Rate	$4,315.50
Max. Negotiated Rate	$4,315.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,315.50

Know your out-of-pocket cost for care.

All Charges