St. Barnabas Hospital

All Charges

Charge

Type

Price

CRADLE HEAD

Facility OP

$5.85

Hospital Charge Code	64901202
Hospital Revenue Code	270
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$4.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.92
Rate for Payer: Aetna Government	$2.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.98
Rate for Payer: Group Health Inc Commercial	$2.92
Rate for Payer: Group Health Inc Medicare	$2.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2.92

CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC

Facility IP

$28,875.37

Service Code	MS-DRG 073
Min. Negotiated Rate	$12,974.00
Max. Negotiated Rate	$28,875.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22,309.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28,309.19
Rate for Payer: Aetna Government	$28,309.19
Rate for Payer: Brighton Health Commercial	$21,938.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$28,875.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26,128.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$21,561.94
Rate for Payer: Elderplan Medicare Advantage	$26,893.73
Rate for Payer: EmblemHealth Commercial	$12,974.00
Rate for Payer: Fidelis Medicare Advantage	$28,309.19
Rate for Payer: Group Health Inc Commercial	$28,309.19
Rate for Payer: Group Health Inc Medicare	$28,309.19
Rate for Payer: Hamaspik Choice Inc Medicare	$28,309.19
Rate for Payer: Healthfirst Medicare Advantage	$13,163.77
Rate for Payer: Senior Whole Health Medicare Advantage	$28,309.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28,309.19
Rate for Payer: Wellcare Medicare	$26,893.73

CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC

Facility IP

$21,989.72

Service Code	MS-DRG 074
Min. Negotiated Rate	$8,799.67
Max. Negotiated Rate	$21,989.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15,131.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21,558.55
Rate for Payer: Aetna Government	$21,558.55
Rate for Payer: Brighton Health Commercial	$14,879.90
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$21,989.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17,721.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$14,624.50
Rate for Payer: Elderplan Medicare Advantage	$20,480.62
Rate for Payer: EmblemHealth Commercial	$8,799.67
Rate for Payer: Fidelis Medicare Advantage	$21,558.55
Rate for Payer: Group Health Inc Commercial	$21,558.55
Rate for Payer: Group Health Inc Medicare	$21,558.55
Rate for Payer: Hamaspik Choice Inc Medicare	$21,558.55
Rate for Payer: Healthfirst Medicare Advantage	$10,024.73
Rate for Payer: Senior Whole Health Medicare Advantage	$21,558.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21,558.55
Rate for Payer: Wellcare Medicare	$20,480.62

CRANIAL IMPLANT PSI

Facility OP

$27,867.50

Hospital Charge Code	64907105
Hospital Revenue Code	279
Min. Negotiated Rate	$9,753.62
Max. Negotiated Rate	$22,294.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15,327.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13,933.75
Rate for Payer: Aetna Government	$13,933.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22,294.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$18,949.90
Rate for Payer: Group Health Inc Commercial	$13,933.75
Rate for Payer: Group Health Inc Medicare	$9,753.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$13,933.75
Rate for Payer: Hamaspik Choice Inc Medicare	$13,933.75

CRANIAL MALLEABLE MESH 100X100

Facility OP

$3,978.00

Service Code	HCPCS C1781
Hospital Charge Code	40205329
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$4,176.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,187.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,989.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,287.35
Rate for Payer: Fidelis Medicare Advantage	$4,176.90
Rate for Payer: Group Health Inc Commercial	$1,989.00
Rate for Payer: Group Health Inc Medicare	$1,392.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,989.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,989.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,585.70

CRANIAL MALLEABLE MESH 100X100

Facility IP

$3,978.00

Service Code	HCPCS C1781
Hospital Charge Code	40205329
Hospital Revenue Code	278
Min. Negotiated Rate	$1,989.00
Max. Negotiated Rate	$1,989.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,989.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,989.00

CRANIAL OPTICAL TUMOR RESECT

Facility OP

$14,500.00

Hospital Charge Code	64905361
Hospital Revenue Code	272
Min. Negotiated Rate	$5,075.00
Max. Negotiated Rate	$11,600.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,975.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7,250.00
Rate for Payer: Aetna Government	$7,250.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11,600.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$9,860.00
Rate for Payer: Group Health Inc Commercial	$7,250.00
Rate for Payer: Group Health Inc Medicare	$5,075.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$7,250.00

CRANIAL PROSTHESIS

Facility OP

$1,924.00

Service Code	HCPCS D5924
Hospital Charge Code	42301260
Hospital Revenue Code	361
Min. Negotiated Rate	$662.70
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,058.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$662.70
Rate for Payer: Aetna Government	$662.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$962.00
Rate for Payer: Group Health Inc Medicare	$673.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$962.00
Rate for Payer: Hamaspik Choice Inc Medicare	$962.00

CRANIAL RIGID MESH 100X100

Facility IP

$3,978.00

Service Code	HCPCS C1781
Hospital Charge Code	40205330
Hospital Revenue Code	278
Min. Negotiated Rate	$1,989.00
Max. Negotiated Rate	$1,989.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,989.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,989.00

CRANIAL RIGID MESH 100X100

Facility OP

$3,978.00

Service Code	HCPCS C1781
Hospital Charge Code	40205330
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$4,176.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,187.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,989.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,287.35
Rate for Payer: Fidelis Medicare Advantage	$4,176.90
Rate for Payer: Group Health Inc Commercial	$1,989.00
Rate for Payer: Group Health Inc Medicare	$1,392.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,989.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,989.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,585.70

CRANIAL TEMPORAL IMPLANT

Facility IP

$2,176.00

Service Code	HCPCS C1713
Hospital Charge Code	40203018
Hospital Revenue Code	278
Min. Negotiated Rate	$1,088.00
Max. Negotiated Rate	$1,088.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,088.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,088.00

CRANIAL TEMPORAL IMPLANT

Facility OP

$2,176.00

Service Code	HCPCS C1713
Hospital Charge Code	40203018
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,284.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,196.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,088.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,251.20
Rate for Payer: Fidelis Medicare Advantage	$2,284.80
Rate for Payer: Group Health Inc Commercial	$1,088.00
Rate for Payer: Group Health Inc Medicare	$761.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,088.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,088.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,414.40

CRANIECTOMY EXC. OF TUMOR OR BONE

Facility OP

$3,756.70

Service Code	HCPCS 61500
Hospital Charge Code	40004296
Hospital Revenue Code	360
Min. Negotiated Rate	$1,314.84
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,066.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,631.65
Rate for Payer: Aetna Government	$1,631.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,548.17
Rate for Payer: Group Health Inc Commercial	$1,878.35
Rate for Payer: Group Health Inc Medicare	$1,314.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,878.35
Rate for Payer: Hamaspik Choice Inc Medicare	$1,878.35
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,720.19

CRANIECTOMY OR CRANIOTOMY DECOMPR

Facility OP

$6,064.75

Service Code	HCPCS 61322
Hospital Charge Code	40004297
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$3,335.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,335.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,018.81
Rate for Payer: Aetna Government	$3,018.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2,953.00
Rate for Payer: Group Health Inc Commercial	$3,032.38
Rate for Payer: Group Health Inc Medicare	$2,122.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,032.38
Rate for Payer: Hamaspik Choice Inc Medicare	$3,032.38
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,281.11

CRANIOPLASTY

Facility OP

$10,331.25

Service Code	HCPCS 62120
Hospital Charge Code	40000540
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$5,682.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,682.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,958.84
Rate for Payer: Aetna Government	$1,958.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2,539.23
Rate for Payer: Group Health Inc Commercial	$5,165.62
Rate for Payer: Group Health Inc Medicare	$3,615.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,165.62
Rate for Payer: Hamaspik Choice Inc Medicare	$5,165.62
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,821.37

CRANIOPLASTY DURA

Facility OP

$4,994.78

Service Code	HCPCS 61618
Hospital Charge Code	40004308
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,747.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,612.84
Rate for Payer: Aetna Government	$1,612.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,552.29
Rate for Payer: Group Health Inc Commercial	$2,497.39
Rate for Payer: Group Health Inc Medicare	$1,748.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,497.39
Rate for Payer: Hamaspik Choice Inc Medicare	$2,497.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,724.77

CRANIOPLASTY, SKULL DEFECT, REPAR

Facility OP

$3,920.45

Service Code	HCPCS 62145
Hospital Charge Code	40004299
Hospital Revenue Code	360
Min. Negotiated Rate	$1,372.16
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,156.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,776.57
Rate for Payer: Aetna Government	$1,776.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,752.01
Rate for Payer: Group Health Inc Commercial	$1,960.22
Rate for Payer: Group Health Inc Medicare	$1,372.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,960.22
Rate for Payer: Hamaspik Choice Inc Medicare	$1,960.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,946.68

CRANIOPLASTY SYSTEM

Facility OP

$397.26

Hospital Charge Code	40207029
Hospital Revenue Code	270
Min. Negotiated Rate	$139.04
Max. Negotiated Rate	$317.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$218.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$198.63
Rate for Payer: Aetna Government	$198.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$317.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.14
Rate for Payer: Group Health Inc Commercial	$198.63
Rate for Payer: Group Health Inc Medicare	$139.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$198.63
Rate for Payer: Hamaspik Choice Inc Medicare	$198.63

CRANIO PLATE #101010

Facility IP

$10,331.25

Service Code	HCPCS C1713
Hospital Charge Code	40201554
Hospital Revenue Code	278
Min. Negotiated Rate	$5,165.62
Max. Negotiated Rate	$5,165.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,165.62
Rate for Payer: Hamaspik Choice Inc Medicare	$5,165.62

CRANIO PLATE #101010

Facility OP

$10,331.25

Service Code	HCPCS C1713
Hospital Charge Code	40201554
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$10,847.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,682.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,165.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,940.47
Rate for Payer: Fidelis Medicare Advantage	$10,847.81
Rate for Payer: Group Health Inc Commercial	$5,165.62
Rate for Payer: Group Health Inc Medicare	$3,615.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,165.62
Rate for Payer: Hamaspik Choice Inc Medicare	$5,165.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,715.31

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC

Facility IP

$50,997.08

Service Code	MS-DRG 026
Min. Negotiated Rate	$22,450.02
Max. Negotiated Rate	$50,997.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$43,543.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$48,279.61
Rate for Payer: Aetna Government	$48,279.61
Rate for Payer: Brighton Health Commercial	$42,819.95
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$49,245.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50,997.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$42,084.98
Rate for Payer: Elderplan Medicare Advantage	$45,865.63
Rate for Payer: EmblemHealth Commercial	$25,322.80
Rate for Payer: Fidelis Medicare Advantage	$48,279.61
Rate for Payer: Group Health Inc Commercial	$48,279.61
Rate for Payer: Group Health Inc Medicare	$48,279.61
Rate for Payer: Hamaspik Choice Inc Medicare	$48,279.61
Rate for Payer: Healthfirst Medicare Advantage	$22,450.02
Rate for Payer: Senior Whole Health Medicare Advantage	$48,279.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$48,279.61
Rate for Payer: Wellcare Medicare	$45,865.63

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC

Facility IP

$76,259.90

Service Code	MS-DRG 025
Min. Negotiated Rate	$31,883.29
Max. Negotiated Rate	$76,259.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65,113.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$68,566.22
Rate for Payer: Aetna Government	$68,566.22
Rate for Payer: Brighton Health Commercial	$64,032.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$69,937.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$76,259.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$62,932.95
Rate for Payer: Elderplan Medicare Advantage	$65,137.91
Rate for Payer: EmblemHealth Commercial	$37,867.20
Rate for Payer: Fidelis Medicare Advantage	$68,566.22
Rate for Payer: Group Health Inc Commercial	$68,566.22
Rate for Payer: Group Health Inc Medicare	$68,566.22
Rate for Payer: Hamaspik Choice Inc Medicare	$68,566.22
Rate for Payer: Healthfirst Medicare Advantage	$31,883.29
Rate for Payer: Senior Whole Health Medicare Advantage	$68,566.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$68,566.22
Rate for Payer: Wellcare Medicare	$65,137.91

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC

Facility IP

$42,013.75

Service Code	MS-DRG 027
Min. Negotiated Rate	$19,095.60
Max. Negotiated Rate	$42,013.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35,873.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41,065.80
Rate for Payer: Aetna Government	$41,065.80
Rate for Payer: Brighton Health Commercial	$35,277.05
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$41,887.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42,013.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$34,671.55
Rate for Payer: Elderplan Medicare Advantage	$39,012.51
Rate for Payer: EmblemHealth Commercial	$20,862.10
Rate for Payer: Fidelis Medicare Advantage	$41,065.80
Rate for Payer: Group Health Inc Commercial	$41,065.80
Rate for Payer: Group Health Inc Medicare	$41,065.80
Rate for Payer: Hamaspik Choice Inc Medicare	$41,065.80
Rate for Payer: Healthfirst Medicare Advantage	$19,095.60
Rate for Payer: Senior Whole Health Medicare Advantage	$41,065.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41,065.80
Rate for Payer: Wellcare Medicare	$39,012.51

CRANIOTOMY - BIFRONTAL

Facility OP

$4,848.98

Service Code	HCPCS 61557
Hospital Charge Code	40004295
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,666.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,997.66
Rate for Payer: Aetna Government	$1,997.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2,091.71
Rate for Payer: Group Health Inc Commercial	$2,424.49
Rate for Payer: Group Health Inc Medicare	$1,697.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,424.49
Rate for Payer: Hamaspik Choice Inc Medicare	$2,424.49
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,324.12

CRANIOTOMY DECOMPRESSIVE W LOBECT

Facility OP

$6,357.80

Service Code	HCPCS 61323
Hospital Charge Code	40004298
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$3,496.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,496.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,064.81
Rate for Payer: Aetna Government	$3,064.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2,970.15
Rate for Payer: Group Health Inc Commercial	$3,178.90
Rate for Payer: Group Health Inc Medicare	$2,225.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,178.90
Rate for Payer: Hamaspik Choice Inc Medicare	$3,178.90
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,300.17

Price Transparency.

All Charges