St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CHOLESTEROL,TOTAL

Facility

$10.88

Service Code	HCPCS 82465
Hospital Charge Code	40602480
Hospital Revenue Code	301
Rate for Payer: Cash Price	$4.35

CHOLESTEROL,TOTAL

Facility

$10.88

Service Code	HCPCS 82465
Hospital Charge Code	40602480
Hospital Revenue Code	301
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$8.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.35
Rate for Payer: Aetna Government	$4.35
Rate for Payer: Affinity Essential Plan 1&2	$3.04
Rate for Payer: Affinity Essential Plan 3&4	$3.04
Rate for Payer: Affinity Medicaid/CHP/HARP	$3.04
Rate for Payer: Brighton Health Commercial	$8.16
Rate for Payer: Cash Price	$4.35
Rate for Payer: Cash Price	$4.35
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$4.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.85
Rate for Payer: Elderplan Medicare Advantage	$4.35
Rate for Payer: EmblemHealth Commercial	$4.35
Rate for Payer: Fidelis Essential Plan Aliesa	$3.70
Rate for Payer: Fidelis Essential Plan QHP	$3.87
Rate for Payer: Fidelis Medicare Advantage	$4.35
Rate for Payer: Fidelis Qualified Health Plan	$3.87
Rate for Payer: Group Health Inc Commercial	$4.35
Rate for Payer: Group Health Inc Medicare	$4.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.44
Rate for Payer: Hamaspik Choice Inc Medicare	$4.35
Rate for Payer: Healthfirst Medicare Advantage	$4.35
Rate for Payer: Healthfirst QHP	$4.35
Rate for Payer: Humana Medicare	$4.44
Rate for Payer: Senior Whole Health Medicare Advantage	$4.35
Rate for Payer: United Healthcare Commercial	$5.52
Rate for Payer: United Healthcare Medicare Advantage	$4.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.35
Rate for Payer: Wellcare CHP/FHP/Medicaid	$3.48
Rate for Payer: Wellcare Medicare	$3.92

CHOLESTYRAMINE 4 GM/DOSE PO POWD [9589]

Facility

$0.35

Service Code	NDC 49884046566
Hospital Charge Code	49884046566
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.17
Rate for Payer: Aetna Government	$0.17
Rate for Payer: Brighton Health Commercial	$0.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.24
Rate for Payer: Group Health Inc Commercial	$0.17
Rate for Payer: Group Health Inc Medicare	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.17
Rate for Payer: Hamaspik Choice Inc Medicare	$0.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.23

CHOLESTYRAMINE 4 GM/DOSE PO POWD [9589]

Facility

$0.35

Service Code	NDC 68382052842
Hospital Charge Code	68382052842
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.17
Rate for Payer: Aetna Government	$0.17
Rate for Payer: Brighton Health Commercial	$0.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.24
Rate for Payer: Group Health Inc Commercial	$0.17
Rate for Payer: Group Health Inc Medicare	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.17
Rate for Payer: Hamaspik Choice Inc Medicare	$0.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.23

CHOLESTYRAMINE 4 G PO PACK [9588]

Facility

$3.37

Service Code	NDC 68382052860
Hospital Charge Code	68382052860
Hospital Revenue Code	250
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$2.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.68
Rate for Payer: Aetna Government	$1.68
Rate for Payer: Brighton Health Commercial	$2.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.29
Rate for Payer: Group Health Inc Commercial	$1.68
Rate for Payer: Group Health Inc Medicare	$1.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.68
Rate for Payer: Hamaspik Choice Inc Medicare	$1.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.19

CHOLESTYRAMINE LIGHT 4 G PO PACK [37482]

Facility

$3.35

Service Code	NDC 51224000920
Hospital Charge Code	51224000920
Hospital Revenue Code	250
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$2.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.68
Rate for Payer: Aetna Government	$1.68
Rate for Payer: Brighton Health Commercial	$2.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.28
Rate for Payer: Group Health Inc Commercial	$1.68
Rate for Payer: Group Health Inc Medicare	$1.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.68
Rate for Payer: Hamaspik Choice Inc Medicare	$1.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.18

CHOLESTYRAMINE SACHET POWDER 4 GRAMS

Facility

$1.26

Hospital Charge Code	41643786
Hospital Revenue Code	250
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$1.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.63
Rate for Payer: Aetna Government	$0.63
Rate for Payer: Brighton Health Commercial	$0.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.86
Rate for Payer: Group Health Inc Commercial	$0.63
Rate for Payer: Group Health Inc Medicare	$0.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.63
Rate for Payer: Hamaspik Choice Inc Medicare	$0.63
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.82

CHOLESTYRAMINE SACHET POWDER 4 GRAMS

Facility

$1.26

Hospital Charge Code	41653786
Hospital Revenue Code	250
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$1.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.63
Rate for Payer: Aetna Government	$0.63
Rate for Payer: Brighton Health Commercial	$0.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.86
Rate for Payer: Group Health Inc Commercial	$0.63
Rate for Payer: Group Health Inc Medicare	$0.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.63
Rate for Payer: Hamaspik Choice Inc Medicare	$0.63
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.82

CHROMIC CHLORIDE

Facility

$44.11

Service Code	HCPCS J3490
Hospital Charge Code	41640206
Hospital Revenue Code	636
Min. Negotiated Rate	$22.06
Max. Negotiated Rate	$22.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.06
Rate for Payer: Hamaspik Choice Inc Medicare	$22.06

CHROMIC CHLORIDE

Facility

$44.11

Service Code	HCPCS J3490
Hospital Charge Code	41650206
Hospital Revenue Code	636
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$28.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.06
Rate for Payer: Aetna Government	$22.06
Rate for Payer: Brighton Health Commercial	$26.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.36
Rate for Payer: Group Health Inc Commercial	$22.06
Rate for Payer: Group Health Inc Medicare	$15.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.06
Rate for Payer: Hamaspik Choice Inc Medicare	$22.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28.67

CHROMIC CHLORIDE

Facility

$44.11

Service Code	HCPCS J3490
Hospital Charge Code	41650206
Hospital Revenue Code	636
Min. Negotiated Rate	$22.06
Max. Negotiated Rate	$22.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.06
Rate for Payer: Hamaspik Choice Inc Medicare	$22.06

CHROMIC CHLORIDE

Facility

$44.11

Service Code	HCPCS J3490
Hospital Charge Code	41640206
Hospital Revenue Code	636
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$28.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.06
Rate for Payer: Aetna Government	$22.06
Rate for Payer: Brighton Health Commercial	$26.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.36
Rate for Payer: Group Health Inc Commercial	$22.06
Rate for Payer: Group Health Inc Medicare	$15.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.06
Rate for Payer: Hamaspik Choice Inc Medicare	$22.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28.67

CHROMIC CHLORIDE 40 MCG/10ML IV SOLN [127662]

Facility

$2.38

Service Code	NDC 00409409301
Hospital Charge Code	00409409301
Hospital Revenue Code	278
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$2.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.19
Rate for Payer: Aetna Government	$1.19
Rate for Payer: Brighton Health Commercial	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.37
Rate for Payer: EmblemHealth Commercial	$1.19
Rate for Payer: Fidelis Medicare Advantage	$2.50
Rate for Payer: Group Health Inc Commercial	$1.19
Rate for Payer: Group Health Inc Medicare	$0.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.19
Rate for Payer: Hamaspik Choice Inc Medicare	$1.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.55

CHROMIC CHLORIDE 40 MCG/10ML IV SOLN [127662]

Facility

$2.38

Service Code	NDC 00409409301
Hospital Charge Code	00409409301
Hospital Revenue Code	278
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.19
Rate for Payer: Hamaspik Choice Inc Medicare	$1.19

CHROMIC GUT UNDYED

Facility

$113.40

Hospital Charge Code	64907065
Hospital Revenue Code	270
Min. Negotiated Rate	$39.69
Max. Negotiated Rate	$90.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$56.70
Rate for Payer: Aetna Government	$56.70
Rate for Payer: Brighton Health Commercial	$85.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$77.11
Rate for Payer: Group Health Inc Commercial	$56.70
Rate for Payer: Group Health Inc Medicare	$39.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.70
Rate for Payer: Hamaspik Choice Inc Medicare	$56.70

CHROMIUM PLASMA

Facility

$50.70

Service Code	HCPCS 82495
Hospital Charge Code	40609726
Hospital Revenue Code	301
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$38.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.28
Rate for Payer: Aetna Government	$20.28
Rate for Payer: Affinity Essential Plan 1&2	$14.20
Rate for Payer: Affinity Essential Plan 3&4	$14.20
Rate for Payer: Affinity Medicaid/CHP/HARP	$14.20
Rate for Payer: Brighton Health Commercial	$38.02
Rate for Payer: Cash Price	$20.28
Rate for Payer: Cash Price	$20.28
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$20.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.28
Rate for Payer: Elderplan Medicare Advantage	$20.28
Rate for Payer: EmblemHealth Commercial	$20.28
Rate for Payer: Fidelis Essential Plan Aliesa	$17.24
Rate for Payer: Fidelis Essential Plan QHP	$18.05
Rate for Payer: Fidelis Medicare Advantage	$20.28
Rate for Payer: Fidelis Qualified Health Plan	$18.05
Rate for Payer: Group Health Inc Commercial	$20.28
Rate for Payer: Group Health Inc Medicare	$20.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.35
Rate for Payer: Hamaspik Choice Inc Medicare	$20.28
Rate for Payer: Healthfirst Medicare Advantage	$20.28
Rate for Payer: Healthfirst QHP	$20.28
Rate for Payer: Humana Medicare	$20.69
Rate for Payer: Senior Whole Health Medicare Advantage	$20.28
Rate for Payer: United Healthcare Commercial	$25.69
Rate for Payer: United Healthcare Medicare Advantage	$20.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.28
Rate for Payer: Wellcare CHP/FHP/Medicaid	$16.22
Rate for Payer: Wellcare Medicare	$18.25

CHROMIUM PLASMA

Facility

$50.70

Service Code	HCPCS 82495
Hospital Charge Code	40609726
Hospital Revenue Code	301
Rate for Payer: Cash Price	$20.28

CHROMOGRANIN A

Facility

$52.03

Service Code	HCPCS 86316
Hospital Charge Code	40609144
Hospital Revenue Code	300
Rate for Payer: Cash Price	$20.81

CHROMOGRANIN A

Facility

$52.03

Service Code	HCPCS 86316
Hospital Charge Code	40609144
Hospital Revenue Code	300
Min. Negotiated Rate	$14.57
Max. Negotiated Rate	$39.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.81
Rate for Payer: Aetna Government	$20.81
Rate for Payer: Affinity Essential Plan 1&2	$14.57
Rate for Payer: Affinity Essential Plan 3&4	$14.57
Rate for Payer: Affinity Medicaid/CHP/HARP	$14.57
Rate for Payer: Brighton Health Commercial	$39.02
Rate for Payer: Cash Price	$20.81
Rate for Payer: Cash Price	$20.81
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$20.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.00
Rate for Payer: Elderplan Medicare Advantage	$20.81
Rate for Payer: EmblemHealth Commercial	$20.81
Rate for Payer: Fidelis Essential Plan Aliesa	$17.69
Rate for Payer: Fidelis Essential Plan QHP	$18.52
Rate for Payer: Fidelis Medicare Advantage	$20.81
Rate for Payer: Fidelis Qualified Health Plan	$18.52
Rate for Payer: Group Health Inc Commercial	$20.81
Rate for Payer: Group Health Inc Medicare	$20.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.02
Rate for Payer: Hamaspik Choice Inc Medicare	$20.81
Rate for Payer: Healthfirst Medicare Advantage	$20.81
Rate for Payer: Healthfirst QHP	$20.81
Rate for Payer: Humana Medicare	$21.23
Rate for Payer: Senior Whole Health Medicare Advantage	$20.81
Rate for Payer: United Healthcare Commercial	$26.36
Rate for Payer: United Healthcare Medicare Advantage	$20.81
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.81
Rate for Payer: Wellcare CHP/FHP/Medicaid	$16.65
Rate for Payer: Wellcare Medicare	$18.73

CHROMOSOME, AFP, AMNIOTIC FL

Facility

$42.50

Service Code	HCPCS 82106
Hospital Charge Code	40609040
Hospital Revenue Code	300
Min. Negotiated Rate	$11.90
Max. Negotiated Rate	$31.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.00
Rate for Payer: Aetna Government	$17.00
Rate for Payer: Affinity Essential Plan 1&2	$11.90
Rate for Payer: Affinity Essential Plan 3&4	$11.90
Rate for Payer: Affinity Medicaid/CHP/HARP	$11.90
Rate for Payer: Brighton Health Commercial	$31.88
Rate for Payer: Cash Price	$17.00
Rate for Payer: Cash Price	$17.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$17.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.57
Rate for Payer: Elderplan Medicare Advantage	$17.00
Rate for Payer: EmblemHealth Commercial	$17.00
Rate for Payer: Fidelis Essential Plan Aliesa	$14.45
Rate for Payer: Fidelis Essential Plan QHP	$15.13
Rate for Payer: Fidelis Medicare Advantage	$17.00
Rate for Payer: Fidelis Qualified Health Plan	$15.13
Rate for Payer: Group Health Inc Commercial	$17.00
Rate for Payer: Group Health Inc Medicare	$17.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.25
Rate for Payer: Hamaspik Choice Inc Medicare	$17.00
Rate for Payer: Healthfirst Medicare Advantage	$17.00
Rate for Payer: Healthfirst QHP	$17.00
Rate for Payer: Humana Medicare	$17.34
Rate for Payer: Senior Whole Health Medicare Advantage	$17.00
Rate for Payer: United Healthcare Commercial	$21.25
Rate for Payer: United Healthcare Medicare Advantage	$17.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$17.00
Rate for Payer: Wellcare CHP/FHP/Medicaid	$13.60
Rate for Payer: Wellcare Medicare	$15.30

CHROMOSOME, AFP, AMNIOTIC FL

Facility

$42.50

Service Code	HCPCS 82106
Hospital Charge Code	40609040
Hospital Revenue Code	300
Rate for Payer: Cash Price	$17.00

CHROMOSOME ANALYS AMNIOTIC

Facility

$434.15

Service Code	HCPCS 88269
Hospital Charge Code	30305611
Hospital Revenue Code	311
Min. Negotiated Rate	$121.56
Max. Negotiated Rate	$264.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$238.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$173.66
Rate for Payer: Aetna Government	$173.66
Rate for Payer: Affinity Essential Plan 1&2	$121.56
Rate for Payer: Affinity Essential Plan 3&4	$121.56
Rate for Payer: Affinity Medicaid/CHP/HARP	$121.56
Rate for Payer: Brighton Health Commercial	$173.66
Rate for Payer: Cash Price	$173.66
Rate for Payer: Cash Price	$173.66
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$173.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$264.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$223.70
Rate for Payer: Elderplan Medicare Advantage	$173.66
Rate for Payer: EmblemHealth Commercial	$173.66
Rate for Payer: Fidelis Essential Plan Aliesa	$147.61
Rate for Payer: Fidelis Essential Plan QHP	$154.56
Rate for Payer: Fidelis Medicare Advantage	$173.66
Rate for Payer: Fidelis Qualified Health Plan	$154.56
Rate for Payer: Group Health Inc Commercial	$173.66
Rate for Payer: Group Health Inc Medicare	$173.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$217.08
Rate for Payer: Hamaspik Choice Inc Medicare	$173.66
Rate for Payer: Healthfirst Medicare Advantage	$173.66
Rate for Payer: Healthfirst QHP	$173.66
Rate for Payer: Humana Medicare	$177.13
Rate for Payer: Senior Whole Health Medicare Advantage	$173.66
Rate for Payer: United Healthcare Medicare Advantage	$173.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.66
Rate for Payer: Wellcare CHP/FHP/Medicaid	$138.93
Rate for Payer: Wellcare Medicare	$156.29

CHROMOSOME ANALYS AMNIOTIC

Facility

$434.15

Service Code	HCPCS 88269
Hospital Charge Code	30305611
Hospital Revenue Code	311
Rate for Payer: Cash Price	$173.66

CHROMOSOME ANALYSIS COUNT15-20

Facility

$313.73

Service Code	HCPCS 88262
Hospital Charge Code	40607183
Hospital Revenue Code	311
Rate for Payer: Cash Price	$125.49

CHROMOSOME ANALYSIS COUNT15-20

Facility

$313.73

Service Code	HCPCS 88262
Hospital Charge Code	40607183
Hospital Revenue Code	311
Min. Negotiated Rate	$87.84
Max. Negotiated Rate	$198.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$172.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$125.49
Rate for Payer: Aetna Government	$125.49
Rate for Payer: Affinity Essential Plan 1&2	$87.84
Rate for Payer: Affinity Essential Plan 3&4	$87.84
Rate for Payer: Affinity Medicaid/CHP/HARP	$87.84
Rate for Payer: Brighton Health Commercial	$125.49
Rate for Payer: Cash Price	$125.49
Rate for Payer: Cash Price	$125.49
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$125.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$198.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.64
Rate for Payer: Elderplan Medicare Advantage	$125.49
Rate for Payer: EmblemHealth Commercial	$125.49
Rate for Payer: Fidelis Essential Plan Aliesa	$106.67
Rate for Payer: Fidelis Essential Plan QHP	$111.69
Rate for Payer: Fidelis Medicare Advantage	$125.49
Rate for Payer: Fidelis Qualified Health Plan	$111.69
Rate for Payer: Group Health Inc Commercial	$125.49
Rate for Payer: Group Health Inc Medicare	$125.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.86
Rate for Payer: Hamaspik Choice Inc Medicare	$125.49
Rate for Payer: Healthfirst Medicare Advantage	$125.49
Rate for Payer: Healthfirst QHP	$125.49
Rate for Payer: Humana Medicare	$128.00
Rate for Payer: Senior Whole Health Medicare Advantage	$125.49
Rate for Payer: United Healthcare Medicare Advantage	$125.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$125.49
Rate for Payer: Wellcare CHP/FHP/Medicaid	$100.39
Rate for Payer: Wellcare Medicare	$112.94

Know your out-of-pocket cost for care.

All Charges