St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HC CORTISOL, FREE - CORTISOL 24HR URINARY FREE

Facility

$41.00

Service Code	CPT 82530
Hospital Charge Code	3018253001
Hospital Revenue Code	301
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50

HC CORTISOL, FREE - CORTISOL, FREE

Facility

$41.00

Service Code	CPT 82530
Hospital Charge Code	3018253002
Hospital Revenue Code	301
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$37.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.71
Rate for Payer: Aetna Government	$16.71
Rate for Payer: Affinity Essential Plan 1&2	$11.70
Rate for Payer: Affinity Essential Plan 3&4	$11.70
Rate for Payer: Affinity Medicaid/CHP/HARP	$11.70
Rate for Payer: Brighton Health Commercial	$30.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$16.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.91
Rate for Payer: Elderplan Medicare Advantage	$16.71
Rate for Payer: EmblemHealth Commercial	$16.71
Rate for Payer: Fidelis CHP/HARP/Medicaid	$15.04
Rate for Payer: Fidelis Essential Plan Aliesa	$14.20
Rate for Payer: Fidelis Essential Plan QHP	$14.87
Rate for Payer: Fidelis Medicare Advantage	$16.71
Rate for Payer: Fidelis Qualified Health Plan	$14.87
Rate for Payer: Group Health Inc Commercial	$16.71
Rate for Payer: Group Health Inc Medicare	$16.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.71
Rate for Payer: Hamaspik Choice Inc Medicare	$16.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$16.71
Rate for Payer: Healthfirst Essential Plan	$37.60
Rate for Payer: Healthfirst Medicare Advantage	$16.71
Rate for Payer: Healthfirst QHP	$16.71
Rate for Payer: Humana Medicare	$17.04
Rate for Payer: Senior Whole Health Medicare Advantage	$16.71
Rate for Payer: United Healthcare Commercial	$21.17
Rate for Payer: United Healthcare Medicare Advantage	$16.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.71
Rate for Payer: Wellcare CHP/FHP/Medicaid	$16.71
Rate for Payer: Wellcare Medicare	$15.04

HC CORTISOL, FREE - CORTISOL, FREE

Facility

$41.00

Service Code	CPT 82530
Hospital Charge Code	3018253002
Hospital Revenue Code	301
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50

HC CORTISOL, FREE - CORTISOL, URINE, FREE

Facility

$41.00

Service Code	CPT 82530
Hospital Charge Code	3018253003
Hospital Revenue Code	301
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50

HC CORTISOL, FREE - CORTISOL, URINE, FREE

Facility

$41.00

Service Code	CPT 82530
Hospital Charge Code	3018253003
Hospital Revenue Code	301
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$37.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.71
Rate for Payer: Aetna Government	$16.71
Rate for Payer: Affinity Essential Plan 1&2	$11.70
Rate for Payer: Affinity Essential Plan 3&4	$11.70
Rate for Payer: Affinity Medicaid/CHP/HARP	$11.70
Rate for Payer: Brighton Health Commercial	$30.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$16.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.91
Rate for Payer: Elderplan Medicare Advantage	$16.71
Rate for Payer: EmblemHealth Commercial	$16.71
Rate for Payer: Fidelis CHP/HARP/Medicaid	$15.04
Rate for Payer: Fidelis Essential Plan Aliesa	$14.20
Rate for Payer: Fidelis Essential Plan QHP	$14.87
Rate for Payer: Fidelis Medicare Advantage	$16.71
Rate for Payer: Fidelis Qualified Health Plan	$14.87
Rate for Payer: Group Health Inc Commercial	$16.71
Rate for Payer: Group Health Inc Medicare	$16.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.71
Rate for Payer: Hamaspik Choice Inc Medicare	$16.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$16.71
Rate for Payer: Healthfirst Essential Plan	$37.60
Rate for Payer: Healthfirst Medicare Advantage	$16.71
Rate for Payer: Healthfirst QHP	$16.71
Rate for Payer: Humana Medicare	$17.04
Rate for Payer: Senior Whole Health Medicare Advantage	$16.71
Rate for Payer: United Healthcare Commercial	$21.17
Rate for Payer: United Healthcare Medicare Advantage	$16.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.71
Rate for Payer: Wellcare CHP/FHP/Medicaid	$16.71
Rate for Payer: Wellcare Medicare	$15.04

HC COV-2/FLLU/RSV XPRT XPRS-CEPHEID

Facility

$130.00

Service Code	CPT 87637 QW
Hospital Charge Code	3068763701
Hospital Revenue Code	306
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$192.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$71.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$142.63
Rate for Payer: Aetna Government	$142.63
Rate for Payer: Affinity Essential Plan 1&2	$99.84
Rate for Payer: Affinity Essential Plan 3&4	$99.84
Rate for Payer: Affinity Medicaid/CHP/HARP	$99.84
Rate for Payer: Brighton Health Commercial	$97.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$142.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$104.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.40
Rate for Payer: Elderplan Medicare Advantage	$142.63
Rate for Payer: EmblemHealth Commercial	$142.63
Rate for Payer: Fidelis CHP/HARP/Medicaid	$128.37
Rate for Payer: Fidelis Essential Plan Aliesa	$121.24
Rate for Payer: Fidelis Essential Plan QHP	$126.94
Rate for Payer: Fidelis Medicare Advantage	$142.63
Rate for Payer: Fidelis Qualified Health Plan	$126.94
Rate for Payer: Group Health Inc Commercial	$142.63
Rate for Payer: Group Health Inc Medicare	$142.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$142.63
Rate for Payer: Hamaspik Choice Inc Medicare	$142.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$85.59
Rate for Payer: Healthfirst Essential Plan	$192.58
Rate for Payer: Healthfirst Medicare Advantage	$142.63
Rate for Payer: Healthfirst QHP	$142.63
Rate for Payer: Humana Medicare	$145.48
Rate for Payer: Senior Whole Health Medicare Advantage	$142.63
Rate for Payer: United Healthcare Commercial	$128.34
Rate for Payer: United Healthcare Medicare Advantage	$142.63
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$142.63
Rate for Payer: Wellcare CHP/FHP/Medicaid	$85.59
Rate for Payer: Wellcare Medicare	$128.37

HC COV-2/FLLU/RSV XPRT XPRS-CEPHEID

Facility

$130.00

Service Code	CPT 87637 QW
Hospital Charge Code	3068763701
Hospital Revenue Code	306
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$65.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.00

HC COVID19 NYR

Facility

$97.00

Service Code	CPT U0003
Hospital Charge Code	306U000304
Hospital Revenue Code	306
Min. Negotiated Rate	$33.95
Max. Negotiated Rate	$90.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.00
Rate for Payer: Aetna Government	$75.00
Rate for Payer: Brighton Health Commercial	$72.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.96
Rate for Payer: EmblemHealth Commercial	$48.50
Rate for Payer: Group Health Inc Commercial	$48.50
Rate for Payer: Group Health Inc Medicare	$33.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.50
Rate for Payer: Hamaspik Choice Inc Medicare	$48.50
Rate for Payer: United Healthcare Commercial	$90.00

HC COVID19 NYR

Facility

$97.00

Service Code	CPT U0003
Hospital Charge Code	306U000304
Hospital Revenue Code	306
Min. Negotiated Rate	$48.50
Max. Negotiated Rate	$48.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.50

HC COVID COUNSEL TO UNVACCINATED

Facility

$62.00

Service Code	CPT 99429
Hospital Charge Code	5109942902
Hospital Revenue Code	510
Min. Negotiated Rate	$31.00
Max. Negotiated Rate	$250.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.00
Rate for Payer: Aetna Government	$31.00
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$217.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.48
Rate for Payer: EmblemHealth Commercial	$250.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.00
Rate for Payer: Hamaspik Choice Inc Medicare	$31.00
Rate for Payer: United Healthcare Commercial	$222.00

HC COVID COUNSEL TO UNVACCINATED

Facility

$62.00

Service Code	CPT 99429
Hospital Charge Code	5109942902
Hospital Revenue Code	510
Min. Negotiated Rate	$31.00
Max. Negotiated Rate	$31.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.00

HC COVID COUNSEL TO UNVACC-TELE

Facility

$62.00

Service Code	CPT 99429 GQ
Hospital Charge Code	5109942903
Hospital Revenue Code	510
Min. Negotiated Rate	$31.00
Max. Negotiated Rate	$31.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.00

HC COVID COUNSEL TO UNVACC-TELE

Facility

$62.00

Service Code	CPT 99429 GQ
Hospital Charge Code	5109942903
Hospital Revenue Code	510
Min. Negotiated Rate	$31.00
Max. Negotiated Rate	$250.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.00
Rate for Payer: Aetna Government	$31.00
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$217.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.48
Rate for Payer: EmblemHealth Commercial	$250.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.00
Rate for Payer: Hamaspik Choice Inc Medicare	$31.00
Rate for Payer: United Healthcare Commercial	$222.00

HC CP MYOCARDIAL STRAIN IMAGIN

Facility

$35.00

Service Code	CPT 93356
Hospital Charge Code	4839335601
Hospital Revenue Code	483
Min. Negotiated Rate	$10.55
Max. Negotiated Rate	$569.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.55
Rate for Payer: Aetna Government	$10.55
Rate for Payer: Brighton Health Commercial	$26.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.80
Rate for Payer: EmblemHealth Commercial	$17.50
Rate for Payer: Group Health Inc Commercial	$17.50
Rate for Payer: Group Health Inc Medicare	$12.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.00
Rate for Payer: United Healthcare Commercial	$569.00

HC CP MYOCARDIAL STRAIN IMAGIN

Facility

$35.00

Service Code	CPT 93356
Hospital Charge Code	4839335601
Hospital Revenue Code	483
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50

HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OD - RIGHT EYE

Facility

$172.00

Service Code	CPT 92134 TC
Hospital Charge Code	9209213401
Hospital Revenue Code	920
Min. Negotiated Rate	$86.00
Max. Negotiated Rate	$86.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00

HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OD - RIGHT EYE

Facility

$172.00

Service Code	CPT 92134 TC
Hospital Charge Code	9209213401
Hospital Revenue Code	920
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$137.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.78
Rate for Payer: Aetna Government	$14.78
Rate for Payer: Brighton Health Commercial	$129.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$116.96
Rate for Payer: EmblemHealth Commercial	$86.00
Rate for Payer: Group Health Inc Commercial	$86.00
Rate for Payer: Group Health Inc Medicare	$60.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00
Rate for Payer: Hamaspik Choice Inc Medicare	$86.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17.31
Rate for Payer: United Healthcare Commercial	$94.00

HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OS - LEFT EYE

Facility

$172.00

Service Code	CPT 92134 TC
Hospital Charge Code	9209213402
Hospital Revenue Code	920
Min. Negotiated Rate	$86.00
Max. Negotiated Rate	$86.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00

HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OS - LEFT EYE

Facility

$172.00

Service Code	CPT 92134 TC
Hospital Charge Code	9209213402
Hospital Revenue Code	920
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$137.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.78
Rate for Payer: Aetna Government	$14.78
Rate for Payer: Brighton Health Commercial	$129.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$116.96
Rate for Payer: EmblemHealth Commercial	$86.00
Rate for Payer: Group Health Inc Commercial	$86.00
Rate for Payer: Group Health Inc Medicare	$60.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00
Rate for Payer: Hamaspik Choice Inc Medicare	$86.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17.31
Rate for Payer: United Healthcare Commercial	$94.00

HC CPTR OPHTH DX IMG POST SEGMT - OCT,RETINA - OU

Facility

$172.00

Service Code	CPT 92134 TC
Hospital Charge Code	9209213403
Hospital Revenue Code	920
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$137.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.78
Rate for Payer: Aetna Government	$14.78
Rate for Payer: Brighton Health Commercial	$129.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$116.96
Rate for Payer: EmblemHealth Commercial	$86.00
Rate for Payer: Group Health Inc Commercial	$86.00
Rate for Payer: Group Health Inc Medicare	$60.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00
Rate for Payer: Hamaspik Choice Inc Medicare	$86.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17.31
Rate for Payer: United Healthcare Commercial	$94.00

HC CPTR OPHTH DX IMG POST SEGMT - OCT,RETINA - OU

Facility

$172.00

Service Code	CPT 92134 TC
Hospital Charge Code	9209213403
Hospital Revenue Code	920
Min. Negotiated Rate	$86.00
Max. Negotiated Rate	$86.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00

HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN

Facility

$12.00

Service Code	CPT 86140
Hospital Charge Code	3028614001
Hospital Revenue Code	302
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.00

HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN

Facility

$12.00

Service Code	CPT 86140
Hospital Charge Code	3028614001
Hospital Revenue Code	302
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$9.31
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	$4.14
Rate for Payer: Healthfirst Essential Plan	$9.31
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	$4.14
Rate for Payer: Wellcare Medicare	$4.66

HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP

Facility

$32.00

Service Code	CPT 86141
Hospital Charge Code	3028614101
Hospital Revenue Code	302
Min. Negotiated Rate	$9.06
Max. Negotiated Rate	$24.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.95
Rate for Payer: Aetna Government	$12.95
Rate for Payer: Affinity Essential Plan 1&2	$9.06
Rate for Payer: Affinity Essential Plan 3&4	$9.06
Rate for Payer: Affinity Medicaid/CHP/HARP	$9.06
Rate for Payer: Brighton Health Commercial	$24.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.52
Rate for Payer: Elderplan Medicare Advantage	$12.95
Rate for Payer: EmblemHealth Commercial	$12.95
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.65
Rate for Payer: Fidelis Essential Plan Aliesa	$11.01
Rate for Payer: Fidelis Essential Plan QHP	$11.53
Rate for Payer: Fidelis Medicare Advantage	$12.95
Rate for Payer: Fidelis Qualified Health Plan	$11.53
Rate for Payer: Group Health Inc Commercial	$12.95
Rate for Payer: Group Health Inc Medicare	$12.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.95
Rate for Payer: Hamaspik Choice Inc Medicare	$12.95
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$10.35
Rate for Payer: Healthfirst Essential Plan	$23.29
Rate for Payer: Healthfirst Medicare Advantage	$12.95
Rate for Payer: Healthfirst QHP	$12.95
Rate for Payer: Humana Medicare	$13.21
Rate for Payer: Senior Whole Health Medicare Advantage	$12.95
Rate for Payer: United Healthcare Commercial	$16.40
Rate for Payer: United Healthcare Medicare Advantage	$12.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12.95
Rate for Payer: Wellcare CHP/FHP/Medicaid	$10.35
Rate for Payer: Wellcare Medicare	$11.65

HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP

Facility

$32.00

Service Code	CPT 86141
Hospital Charge Code	3028614101
Hospital Revenue Code	302
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$16.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.00

Know your out-of-pocket cost for care.

All Charges