|
HC EP ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN
|
Facility
|
IP
|
$35,213.00
|
|
|
Service Code
|
CPT 93657
|
| Hospital Charge Code |
4809365701
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$17,606.50 |
| Max. Negotiated Rate |
$17,606.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17,606.50
|
|
|
HC EP ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN
|
Facility
|
OP
|
$35,213.00
|
|
|
Service Code
|
CPT 93657
|
| Hospital Charge Code |
4809365701
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$28,170.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,367.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$395.95
|
| Rate for Payer: Aetna Government |
$395.95
|
| Rate for Payer: Brighton Health Commercial |
$26,409.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,170.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,944.84
|
| Rate for Payer: EmblemHealth Commercial |
$17,606.50
|
| Rate for Payer: Group Health Inc Commercial |
$17,606.50
|
| Rate for Payer: Group Health Inc Medicare |
$12,324.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17,606.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17,606.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$353.68
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
|
|
HC EP ANALYZE PACER SYS
|
Facility
|
IP
|
$820.00
|
|
|
Service Code
|
CPT 93724
|
| Hospital Charge Code |
4809372401
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$410.00 |
| Max. Negotiated Rate |
$410.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$410.00
|
|
|
HC EP ANALYZE PACER SYS
|
Facility
|
OP
|
$820.00
|
|
|
Service Code
|
CPT 93724
|
| Hospital Charge Code |
4809372401
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$256.51 |
| Max. Negotiated Rate |
$656.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$451.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$366.44
|
| Rate for Payer: Aetna Government |
$366.44
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$256.51
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$256.51
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$256.51
|
| Rate for Payer: Brighton Health Commercial |
$615.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$366.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$656.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$557.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$366.44
|
| Rate for Payer: EmblemHealth Commercial |
$366.44
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$329.80
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$311.47
|
| Rate for Payer: Fidelis Essential Plan QHP |
$326.13
|
| Rate for Payer: Fidelis Medicare Advantage |
$366.44
|
| Rate for Payer: Fidelis Qualified Health Plan |
$326.13
|
| Rate for Payer: Group Health Inc Commercial |
$366.44
|
| Rate for Payer: Group Health Inc Medicare |
$366.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$366.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$366.44
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$305.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$311.47
|
| Rate for Payer: Healthfirst QHP |
$366.44
|
| Rate for Payer: Humana Medicare |
$373.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$366.44
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$366.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$366.44
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$348.12
|
| Rate for Payer: Wellcare Medicare |
$348.12
|
|
|
HC EP BUNDLE OF HIS RECORDING
|
Facility
|
OP
|
$28,270.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
4809360001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$22,616.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,548.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9,271.29
|
| Rate for Payer: Aetna Government |
$9,271.29
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6,489.90
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6,489.90
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6,489.90
|
| Rate for Payer: Brighton Health Commercial |
$21,202.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$9,271.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,616.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,223.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$9,271.29
|
| Rate for Payer: EmblemHealth Commercial |
$9,271.29
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$8,344.16
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7,880.60
|
| Rate for Payer: Fidelis Essential Plan QHP |
$8,251.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$9,271.29
|
| Rate for Payer: Fidelis Qualified Health Plan |
$8,251.45
|
| Rate for Payer: Group Health Inc Commercial |
$9,271.29
|
| Rate for Payer: Group Health Inc Medicare |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$9,271.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,880.60
|
| Rate for Payer: Healthfirst QHP |
$9,271.29
|
| Rate for Payer: Humana Medicare |
$9,456.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$9,271.29
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,271.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$9,271.29
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$8,807.73
|
| Rate for Payer: Wellcare Medicare |
$8,807.73
|
|
|
HC EP BUNDLE OF HIS RECORDING
|
Facility
|
IP
|
$28,270.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
4809360001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$14,135.00 |
| Max. Negotiated Rate |
$14,135.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14,135.00
|
|
|
HC EP COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION
|
Facility
|
IP
|
$17,826.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
4809362001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$8,913.00 |
| Max. Negotiated Rate |
$8,913.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$8,913.00
|
|
|
HC EP COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION
|
Facility
|
OP
|
$17,826.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
4809362001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$14,260.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$4,065.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9,271.29
|
| Rate for Payer: Aetna Government |
$9,271.29
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6,489.90
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6,489.90
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6,489.90
|
| Rate for Payer: Brighton Health Commercial |
$13,369.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$9,271.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,260.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,121.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$9,271.29
|
| Rate for Payer: EmblemHealth Commercial |
$9,271.29
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$8,344.16
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7,880.60
|
| Rate for Payer: Fidelis Essential Plan QHP |
$8,251.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$9,271.29
|
| Rate for Payer: Fidelis Qualified Health Plan |
$8,251.45
|
| Rate for Payer: Group Health Inc Commercial |
$9,271.29
|
| Rate for Payer: Group Health Inc Medicare |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$9,271.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,880.60
|
| Rate for Payer: Healthfirst QHP |
$9,271.29
|
| Rate for Payer: Humana Medicare |
$9,456.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$9,271.29
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,271.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$9,271.29
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$8,807.73
|
| Rate for Payer: Wellcare Medicare |
$8,807.73
|
|
|
HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION
|
Facility
|
IP
|
$17,826.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
4809361901
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$8,913.00 |
| Max. Negotiated Rate |
$8,913.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$8,913.00
|
|
|
HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION
|
Facility
|
OP
|
$17,826.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
4809361901
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$14,260.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,804.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9,271.29
|
| Rate for Payer: Aetna Government |
$9,271.29
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6,489.90
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6,489.90
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6,489.90
|
| Rate for Payer: Brighton Health Commercial |
$13,369.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$9,271.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,260.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,121.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$9,271.29
|
| Rate for Payer: EmblemHealth Commercial |
$9,271.29
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$8,344.16
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7,880.60
|
| Rate for Payer: Fidelis Essential Plan QHP |
$8,251.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$9,271.29
|
| Rate for Payer: Fidelis Qualified Health Plan |
$8,251.45
|
| Rate for Payer: Group Health Inc Commercial |
$9,271.29
|
| Rate for Payer: Group Health Inc Medicare |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$9,271.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,880.60
|
| Rate for Payer: Healthfirst QHP |
$9,271.29
|
| Rate for Payer: Humana Medicare |
$9,456.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$9,271.29
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,271.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$9,271.29
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$8,807.73
|
| Rate for Payer: Wellcare Medicare |
$8,807.73
|
|
|
HC EP COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC
|
Facility
|
IP
|
$5,737.00
|
|
|
Service Code
|
CPT 93621
|
| Hospital Charge Code |
4809362101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$2,868.50 |
| Max. Negotiated Rate |
$2,868.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,868.50
|
|
|
HC EP COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC
|
Facility
|
OP
|
$5,737.00
|
|
|
Service Code
|
CPT 93621
|
| Hospital Charge Code |
4809362101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$144.66 |
| Max. Negotiated Rate |
$4,589.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$3,155.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$144.66
|
| Rate for Payer: Aetna Government |
$144.66
|
| Rate for Payer: Brighton Health Commercial |
$4,302.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$4,589.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$3,901.16
|
| Rate for Payer: EmblemHealth Commercial |
$2,868.50
|
| Rate for Payer: Group Health Inc Commercial |
$2,868.50
|
| Rate for Payer: Group Health Inc Medicare |
$2,007.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,868.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$2,868.50
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
|
|
HC EP COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC
|
Facility
|
IP
|
$2,393.00
|
|
|
Service Code
|
CPT 93622
|
| Hospital Charge Code |
4809362201
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,196.50 |
| Max. Negotiated Rate |
$1,196.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,196.50
|
|
|
HC EP COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC
|
Facility
|
OP
|
$2,393.00
|
|
|
Service Code
|
CPT 93622
|
| Hospital Charge Code |
4809362201
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$211.18 |
| Max. Negotiated Rate |
$1,914.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,316.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$211.18
|
| Rate for Payer: Aetna Government |
$211.18
|
| Rate for Payer: Brighton Health Commercial |
$1,794.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,914.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,627.24
|
| Rate for Payer: EmblemHealth Commercial |
$1,196.50
|
| Rate for Payer: Group Health Inc Commercial |
$1,196.50
|
| Rate for Payer: Group Health Inc Medicare |
$837.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,196.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,196.50
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
|
|
HC EP ECHO TRANSESOPH, FOR MONITORING
|
Facility
|
OP
|
$1,458.00
|
|
|
Service Code
|
CPT 93318
|
| Hospital Charge Code |
4839331802
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$468.94 |
| Max. Negotiated Rate |
$1,166.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$801.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$669.92
|
| Rate for Payer: Aetna Government |
$669.92
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$468.94
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$468.94
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$468.94
|
| Rate for Payer: Brighton Health Commercial |
$1,093.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$669.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,166.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$991.44
|
| Rate for Payer: Elderplan Medicare Advantage |
$669.92
|
| Rate for Payer: EmblemHealth Commercial |
$669.92
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$602.93
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$569.43
|
| Rate for Payer: Fidelis Essential Plan QHP |
$596.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$669.92
|
| Rate for Payer: Fidelis Qualified Health Plan |
$596.23
|
| Rate for Payer: Group Health Inc Commercial |
$669.92
|
| Rate for Payer: Group Health Inc Medicare |
$669.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$669.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$669.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$569.43
|
| Rate for Payer: Healthfirst QHP |
$669.92
|
| Rate for Payer: Humana Medicare |
$683.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$669.92
|
| Rate for Payer: United Healthcare Commercial |
$569.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$669.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$669.92
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$636.42
|
| Rate for Payer: Wellcare Medicare |
$636.42
|
|
|
HC EP ECHO TRANSESOPH, FOR MONITORING
|
Facility
|
IP
|
$1,458.00
|
|
|
Service Code
|
CPT 93318
|
| Hospital Charge Code |
4839331802
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$729.00 |
| Max. Negotiated Rate |
$729.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$729.00
|
|
|
HC EP ELECTROPHYSIOLOGIC F/U STUDY
|
Facility
|
OP
|
$28,270.00
|
|
|
Service Code
|
CPT 93624
|
| Hospital Charge Code |
4809362401
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$22,616.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,548.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9,271.29
|
| Rate for Payer: Aetna Government |
$9,271.29
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6,489.90
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6,489.90
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6,489.90
|
| Rate for Payer: Brighton Health Commercial |
$21,202.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$9,271.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,616.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,223.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$9,271.29
|
| Rate for Payer: EmblemHealth Commercial |
$9,271.29
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$8,344.16
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7,880.60
|
| Rate for Payer: Fidelis Essential Plan QHP |
$8,251.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$9,271.29
|
| Rate for Payer: Fidelis Qualified Health Plan |
$8,251.45
|
| Rate for Payer: Group Health Inc Commercial |
$9,271.29
|
| Rate for Payer: Group Health Inc Medicare |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9,271.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$9,271.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,880.60
|
| Rate for Payer: Healthfirst QHP |
$9,271.29
|
| Rate for Payer: Humana Medicare |
$9,456.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$9,271.29
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,271.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$9,271.29
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$8,807.73
|
| Rate for Payer: Wellcare Medicare |
$8,807.73
|
|
|
HC EP ELECTROPHYSIOLOGIC F/U STUDY
|
Facility
|
IP
|
$28,270.00
|
|
|
Service Code
|
CPT 93624
|
| Hospital Charge Code |
4809362401
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$14,135.00 |
| Max. Negotiated Rate |
$14,135.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14,135.00
|
|
|
HC EP EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS
|
Facility
|
OP
|
$2,991.00
|
|
|
Service Code
|
CPT 93642
|
| Hospital Charge Code |
4809364201
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$2,392.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,645.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1,483.28
|
| Rate for Payer: Aetna Government |
$1,483.28
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$1,038.30
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$1,038.30
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$1,038.30
|
| Rate for Payer: Brighton Health Commercial |
$2,243.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,483.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,392.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,033.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$1,483.28
|
| Rate for Payer: EmblemHealth Commercial |
$1,483.28
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,334.95
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,260.79
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,320.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,483.28
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,320.12
|
| Rate for Payer: Group Health Inc Commercial |
$1,483.28
|
| Rate for Payer: Group Health Inc Medicare |
$1,483.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,483.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,483.28
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$380.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,260.79
|
| Rate for Payer: Healthfirst QHP |
$1,483.28
|
| Rate for Payer: Humana Medicare |
$1,512.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,483.28
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,483.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,483.28
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$1,409.12
|
| Rate for Payer: Wellcare Medicare |
$1,409.12
|
|
|
HC EP EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS
|
Facility
|
IP
|
$2,991.00
|
|
|
Service Code
|
CPT 93642
|
| Hospital Charge Code |
4809364201
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,495.50 |
| Max. Negotiated Rate |
$1,495.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,495.50
|
|
|
HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA
|
Facility
|
OP
|
$61,893.00
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
4809365301
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$49,514.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,041.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,974.05
|
| Rate for Payer: Aetna Government |
$29,974.05
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$20,981.83
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$20,981.83
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$20,981.83
|
| Rate for Payer: Brighton Health Commercial |
$46,419.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,974.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,514.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$42,087.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,974.05
|
| Rate for Payer: EmblemHealth Commercial |
$29,974.05
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$26,976.65
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$25,477.94
|
| Rate for Payer: Fidelis Essential Plan QHP |
$26,676.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,974.05
|
| Rate for Payer: Fidelis Qualified Health Plan |
$26,676.90
|
| Rate for Payer: Group Health Inc Commercial |
$29,974.05
|
| Rate for Payer: Group Health Inc Medicare |
$29,974.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,974.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,974.05
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$961.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,477.94
|
| Rate for Payer: Healthfirst QHP |
$29,974.05
|
| Rate for Payer: Humana Medicare |
$30,573.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,974.05
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,974.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,974.05
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$28,475.35
|
| Rate for Payer: Wellcare Medicare |
$28,475.35
|
|
|
HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA
|
Facility
|
IP
|
$61,893.00
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
4809365301
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$30,946.50 |
| Max. Negotiated Rate |
$30,946.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,946.50
|
|
|
HC EP EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA
|
Facility
|
OP
|
$61,893.00
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
4809365401
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$49,514.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,041.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,974.05
|
| Rate for Payer: Aetna Government |
$29,974.05
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$20,981.83
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$20,981.83
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$20,981.83
|
| Rate for Payer: Brighton Health Commercial |
$46,419.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,974.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,514.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$42,087.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,974.05
|
| Rate for Payer: EmblemHealth Commercial |
$29,974.05
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$26,976.65
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$25,477.94
|
| Rate for Payer: Fidelis Essential Plan QHP |
$26,676.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,974.05
|
| Rate for Payer: Fidelis Qualified Health Plan |
$26,676.90
|
| Rate for Payer: Group Health Inc Commercial |
$29,974.05
|
| Rate for Payer: Group Health Inc Medicare |
$29,974.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,974.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,974.05
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,159.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,477.94
|
| Rate for Payer: Healthfirst QHP |
$29,974.05
|
| Rate for Payer: Humana Medicare |
$30,573.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,974.05
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,974.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,974.05
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$28,475.35
|
| Rate for Payer: Wellcare Medicare |
$28,475.35
|
|
|
HC EP EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA
|
Facility
|
IP
|
$61,893.00
|
|
|
Service Code
|
CPT 93654
|
| Hospital Charge Code |
4809365401
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$30,946.50 |
| Max. Negotiated Rate |
$30,946.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,946.50
|
|
|
HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN
|
Facility
|
OP
|
$61,893.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
4809365601
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$49,514.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,041.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,974.05
|
| Rate for Payer: Aetna Government |
$29,974.05
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$20,981.83
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$20,981.83
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$20,981.83
|
| Rate for Payer: Brighton Health Commercial |
$46,419.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,974.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,514.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$42,087.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,974.05
|
| Rate for Payer: EmblemHealth Commercial |
$29,974.05
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$26,976.65
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$25,477.94
|
| Rate for Payer: Fidelis Essential Plan QHP |
$26,676.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,974.05
|
| Rate for Payer: Fidelis Qualified Health Plan |
$26,676.90
|
| Rate for Payer: Group Health Inc Commercial |
$29,974.05
|
| Rate for Payer: Group Health Inc Medicare |
$29,974.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,974.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,974.05
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,089.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,477.94
|
| Rate for Payer: Healthfirst QHP |
$29,974.05
|
| Rate for Payer: Humana Medicare |
$30,573.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,974.05
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,974.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,974.05
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$28,475.35
|
| Rate for Payer: Wellcare Medicare |
$28,475.35
|
|
