|
HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN
|
Facility
|
IP
|
$61,893.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
4809365601
|
|
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 ESOPHAGEAL RECORDING ATRIA+PACING
|
Facility
|
OP
|
$2,991.00
|
|
|
Service Code
|
CPT 93616
|
| Hospital Charge Code |
4809361601
|
|
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 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 ESOPHAGEAL RECORDING ATRIA+PACING
|
Facility
|
IP
|
$2,991.00
|
|
|
Service Code
|
CPT 93616
|
| Hospital Charge Code |
4809361601
|
|
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 ESOPHAGEAL RECORDING ATRIA W/O PACING
|
Facility
|
IP
|
$2,991.00
|
|
|
Service Code
|
CPT 93615
|
| Hospital Charge Code |
4809361501
|
|
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 ESOPHAGEAL RECORDING ATRIA W/O PACING
|
Facility
|
OP
|
$2,991.00
|
|
|
Service Code
|
CPT 93615
|
| Hospital Charge Code |
4809361501
|
|
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 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 EVAL CARDIOVERT LEADS,INITIAL
|
Facility
|
OP
|
$1,930.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
4809364001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$1,544.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,061.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$449.19
|
| Rate for Payer: Aetna Government |
$449.19
|
| Rate for Payer: Brighton Health Commercial |
$1,447.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,544.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,312.40
|
| Rate for Payer: EmblemHealth Commercial |
$965.00
|
| Rate for Payer: Group Health Inc Commercial |
$965.00
|
| Rate for Payer: Group Health Inc Medicare |
$675.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$965.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$965.00
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
|
|
HC EP EVAL CARDIOVERT LEADS,INITIAL
|
Facility
|
IP
|
$1,930.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
4809364001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$965.00 |
| Max. Negotiated Rate |
$965.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$965.00
|
|
|
HC EP EVAL CARDIOVERT LEADS/PULS GEN
|
Facility
|
OP
|
$947.00
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
4809364101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$757.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$520.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$574.27
|
| Rate for Payer: Aetna Government |
$574.27
|
| Rate for Payer: Brighton Health Commercial |
$710.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$757.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$643.96
|
| Rate for Payer: EmblemHealth Commercial |
$473.50
|
| Rate for Payer: Group Health Inc Commercial |
$473.50
|
| Rate for Payer: Group Health Inc Medicare |
$331.45
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$473.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$473.50
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
|
|
HC EP EVAL CARDIOVERT LEADS/PULS GEN
|
Facility
|
IP
|
$947.00
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
4809364101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$473.50 |
| Max. Negotiated Rate |
$473.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$473.50
|
|
|
HC EP ICAR CATHETER ABLATION ARRHYTHMIA ADD ON
|
Facility
|
IP
|
$1,174.00
|
|
|
Service Code
|
CPT 93655
|
| Hospital Charge Code |
4809365501
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$587.00 |
| Max. Negotiated Rate |
$587.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$587.00
|
|
|
HC EP ICAR CATHETER ABLATION ARRHYTHMIA ADD ON
|
Facility
|
OP
|
$1,174.00
|
|
|
Service Code
|
CPT 93655
|
| Hospital Charge Code |
4809365501
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$939.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$645.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$395.79
|
| Rate for Payer: Aetna Government |
$395.79
|
| Rate for Payer: Brighton Health Commercial |
$880.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$939.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$798.32
|
| Rate for Payer: EmblemHealth Commercial |
$587.00
|
| Rate for Payer: Group Health Inc Commercial |
$587.00
|
| Rate for Payer: Group Health Inc Medicare |
$410.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$587.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$587.00
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$353.30
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
|
|
HC EPICORD, PER SQ CM
|
Facility
|
OP
|
$535.00
|
|
|
Service Code
|
CPT Q4187
|
| Hospital Charge Code |
636Q418701
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$187.25 |
| Max. Negotiated Rate |
$347.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$294.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$223.17
|
| Rate for Payer: Aetna Government |
$223.17
|
| Rate for Payer: Brighton Health Commercial |
$321.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$267.50
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$307.62
|
| Rate for Payer: EmblemHealth Commercial |
$267.50
|
| Rate for Payer: Group Health Inc Commercial |
$267.50
|
| Rate for Payer: Group Health Inc Medicare |
$187.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$267.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$267.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$245.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$347.75
|
|
|
HC EPICORD, PER SQ CM
|
Facility
|
IP
|
$535.00
|
|
|
Service Code
|
CPT Q4187
|
| Hospital Charge Code |
636Q418701
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$267.50 |
| Max. Negotiated Rate |
$267.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$267.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$267.50
|
|
|
HC EPIFIX, PER SQ CM
|
Facility
|
IP
|
$476.00
|
|
|
Service Code
|
CPT Q4186
|
| Hospital Charge Code |
636Q418601
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$238.00 |
| Max. Negotiated Rate |
$238.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$238.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$238.00
|
|
|
HC EPIFIX, PER SQ CM
|
Facility
|
OP
|
$476.00
|
|
|
Service Code
|
CPT Q4186
|
| Hospital Charge Code |
636Q418601
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$151.17 |
| Max. Negotiated Rate |
$309.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$261.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$155.49
|
| Rate for Payer: Aetna Government |
$155.49
|
| Rate for Payer: Brighton Health Commercial |
$285.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$238.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$273.70
|
| Rate for Payer: EmblemHealth Commercial |
$238.00
|
| Rate for Payer: Group Health Inc Commercial |
$238.00
|
| Rate for Payer: Group Health Inc Medicare |
$166.60
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$238.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$238.00
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$151.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$309.40
|
|
|
HC EPILATION BY FORCEPS
|
Facility
|
OP
|
$330.00
|
|
|
Service Code
|
CPT 67820
|
| Hospital Charge Code |
5106782001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$24.68 |
| Max. Negotiated Rate |
$342.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$342.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$157.49
|
| Rate for Payer: Aetna Government |
$157.49
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$110.24
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$110.24
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$110.24
|
| Rate for Payer: Brighton Health Commercial |
$233.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$157.49
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$217.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$184.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$157.49
|
| Rate for Payer: EmblemHealth Commercial |
$250.00
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$141.74
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$133.87
|
| Rate for Payer: Fidelis Essential Plan QHP |
$140.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$157.49
|
| Rate for Payer: Fidelis Qualified Health Plan |
$140.17
|
| 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 |
$157.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$157.49
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$24.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$133.87
|
| Rate for Payer: Healthfirst QHP |
$157.49
|
| Rate for Payer: Humana Medicare |
$160.64
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$165.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$157.49
|
| Rate for Payer: United Healthcare Commercial |
$222.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$157.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$157.49
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$149.62
|
| Rate for Payer: Wellcare Medicare |
$149.62
|
|
|
HC EPILATION BY FORCEPS
|
Facility
|
IP
|
$330.00
|
|
|
Service Code
|
CPT 67820
|
| Hospital Charge Code |
5106782001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$165.00 |
| Max. Negotiated Rate |
$165.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$165.00
|
|
|
HC EP INDUC ARRHYTH BY HEART RHYTHM PACING
|
Facility
|
IP
|
$2,991.00
|
|
|
Service Code
|
CPT 93618
|
| Hospital Charge Code |
4809361801
|
|
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 INDUC ARRHYTH BY HEART RHYTHM PACING
|
Facility
|
OP
|
$2,991.00
|
|
|
Service Code
|
CPT 93618
|
| Hospital Charge Code |
4809361801
|
|
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 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 INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS
|
Facility
|
OP
|
$134,686.00
|
|
|
Service Code
|
CPT 33231
|
| Hospital Charge Code |
4803323101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$107,748.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$44,507.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,173.48
|
| Rate for Payer: Aetna Government |
$39,173.48
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$27,421.44
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$27,421.44
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$27,421.44
|
| Rate for Payer: Brighton Health Commercial |
$101,014.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,173.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$107,748.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$91,586.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,173.48
|
| Rate for Payer: EmblemHealth Commercial |
$39,173.48
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$35,256.13
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$33,297.46
|
| Rate for Payer: Fidelis Essential Plan QHP |
$34,864.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,173.48
|
| Rate for Payer: Fidelis Qualified Health Plan |
$34,864.40
|
| Rate for Payer: Group Health Inc Commercial |
$39,173.48
|
| Rate for Payer: Group Health Inc Medicare |
$39,173.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,173.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,809.46
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$465.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,297.46
|
| Rate for Payer: Healthfirst QHP |
$39,173.48
|
| Rate for Payer: Humana Medicare |
$39,956.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,173.48
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,173.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,173.48
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$37,214.81
|
| Rate for Payer: Wellcare Medicare |
$37,214.81
|
|
|
HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS
|
Facility
|
IP
|
$134,686.00
|
|
|
Service Code
|
CPT 33231
|
| Hospital Charge Code |
4803323101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$67,343.00 |
| Max. Negotiated Rate |
$67,343.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$67,343.00
|
|
|
HC EP INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE
|
Facility
|
OP
|
$34,275.00
|
|
|
Service Code
|
CPT 33271
|
| Hospital Charge Code |
4803327101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$27,420.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,751.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$10,111.76
|
| Rate for Payer: Aetna Government |
$10,111.76
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$7,078.23
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$7,078.23
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$7,078.23
|
| Rate for Payer: Brighton Health Commercial |
$25,706.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$10,111.76
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,420.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,307.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$10,111.76
|
| Rate for Payer: EmblemHealth Commercial |
$10,111.76
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$9,100.58
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$8,595.00
|
| Rate for Payer: Fidelis Essential Plan QHP |
$8,999.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$10,111.76
|
| Rate for Payer: Fidelis Qualified Health Plan |
$8,999.47
|
| Rate for Payer: Group Health Inc Commercial |
$10,111.76
|
| Rate for Payer: Group Health Inc Medicare |
$10,111.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10,111.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$7,501.46
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$530.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,595.00
|
| Rate for Payer: Healthfirst QHP |
$10,111.76
|
| Rate for Payer: Humana Medicare |
$10,314.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$10,111.76
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,111.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$10,111.76
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$9,606.17
|
| Rate for Payer: Wellcare Medicare |
$9,606.17
|
|
|
HC EP INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE
|
Facility
|
IP
|
$34,275.00
|
|
|
Service Code
|
CPT 33271
|
| Hospital Charge Code |
4803327101
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$17,137.50 |
| Max. Negotiated Rate |
$17,137.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17,137.50
|
|
|
HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR
|
Facility
|
OP
|
$112,267.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
4803324901
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.00 |
| Max. Negotiated Rate |
$89,813.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$44,507.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,173.48
|
| Rate for Payer: Aetna Government |
$39,173.48
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$27,421.44
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$27,421.44
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$27,421.44
|
| Rate for Payer: Brighton Health Commercial |
$84,200.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,173.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$89,813.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$76,341.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,173.48
|
| Rate for Payer: EmblemHealth Commercial |
$39,173.48
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$35,256.13
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$33,297.46
|
| Rate for Payer: Fidelis Essential Plan QHP |
$34,864.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,173.48
|
| Rate for Payer: Fidelis Qualified Health Plan |
$34,864.40
|
| Rate for Payer: Group Health Inc Commercial |
$39,173.48
|
| Rate for Payer: Group Health Inc Medicare |
$39,173.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,173.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,924.41
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,057.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,297.46
|
| Rate for Payer: Healthfirst QHP |
$39,173.48
|
| Rate for Payer: Humana Medicare |
$39,956.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,173.48
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,173.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,173.48
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$37,214.81
|
| Rate for Payer: Wellcare Medicare |
$37,214.81
|
|
|
HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR
|
Facility
|
IP
|
$112,267.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
4803324901
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$56,133.50 |
| Max. Negotiated Rate |
$56,133.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,133.50
|
|
