St. Barnabas Hospital

All Charges

Charge

Type

Price

EP INC DRAIN HEM/SER/FLUID

Facility OP

$4,157.25

Service Code	HCPCS 10140
Hospital Charge Code	66574500
Hospital Revenue Code	361
Min. Negotiated Rate	$128.91
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,874.89
Rate for Payer: Aetna Government	$1,874.89
Rate for Payer: Cash Price	$1,874.89
Rate for Payer: Cash Price	$1,874.89
Rate for Payer: Cash Price	$1,874.89
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,874.89
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: Elderplan Medicare Advantage	$1,874.89
Rate for Payer: EmblemHealth Commercial	$1,874.89
Rate for Payer: Fidelis CHP/HARP/Medicaid	$128.91
Rate for Payer: Fidelis Essential Plan Aliesa	$1,593.66
Rate for Payer: Fidelis Essential Plan QHP	$1,668.65
Rate for Payer: Fidelis Medicare Advantage	$1,874.89
Rate for Payer: Fidelis Qualified Health Plan	$1,668.65
Rate for Payer: Group Health Inc Commercial	$1,874.89
Rate for Payer: Group Health Inc Medicare	$1,874.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,078.62
Rate for Payer: Hamaspik Choice Inc Medicare	$1,874.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$143.23
Rate for Payer: Healthfirst Medicare Advantage	$1,593.66
Rate for Payer: Healthfirst QHP	$1,874.89
Rate for Payer: Senior Whole Health Medicare Advantage	$1,874.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,874.89
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1,499.91
Rate for Payer: Wellcare Medicare	$1,781.15

EPINEPHRINE 0.1 MG/ML INJ SYRINGE 10 ML

Facility OP

$9.00

Service Code	HCPCS J0153
Hospital Charge Code	41643818
Hospital Revenue Code	636
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$5.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.53
Rate for Payer: Aetna Government	$0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.18
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.49
Rate for Payer: Group Health Inc Commercial	$4.50
Rate for Payer: Group Health Inc Medicare	$3.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.59
Rate for Payer: SOMOS Essential	$0.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.85

EPINEPHRINE 0.1 MG/ML INJ SYRINGE 10 ML

Facility IP

$9.00

Service Code	HCPCS J0153
Hospital Charge Code	41643818
Hospital Revenue Code	636
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4.50

EPINEPHRINE 0.1 MG/ML INJ SYRINGE 10 ML

Facility IP

$9.00

Service Code	HCPCS J0153
Hospital Charge Code	41653818
Hospital Revenue Code	636
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4.50

EPINEPHRINE 0.1 MG/ML INJ SYRINGE 10 ML

Facility OP

$9.00

Service Code	HCPCS J0153
Hospital Charge Code	41653818
Hospital Revenue Code	636
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$5.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.53
Rate for Payer: Aetna Government	$0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.18
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.49
Rate for Payer: Group Health Inc Commercial	$4.50
Rate for Payer: Group Health Inc Medicare	$3.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.59
Rate for Payer: SOMOS Essential	$0.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.85

EPINEPHRINE 1 MG/ML INJ 1 ML

Facility IP

$2.54

Service Code	HCPCS J0171
Hospital Charge Code	41654230
Hospital Revenue Code	636
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1.27

EPINEPHRINE 1 MG/ML INJ 1 ML

Facility IP

$2.54

Service Code	HCPCS J0171
Hospital Charge Code	41644230
Hospital Revenue Code	636
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1.27

EPINEPHRINE 1 MG/ML INJ 1 ML

Facility OP

$2.54

Service Code	HCPCS J0171
Hospital Charge Code	41654230
Hospital Revenue Code	636
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$1.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.74
Rate for Payer: Aetna Government	$0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.46
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.66
Rate for Payer: Group Health Inc Commercial	$1.27
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.86
Rate for Payer: SOMOS Essential	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.65

EPINEPHRINE 1 MG/ML INJ 1 ML

Facility OP

$2.54

Service Code	HCPCS J0171
Hospital Charge Code	41644230
Hospital Revenue Code	636
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$1.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.74
Rate for Payer: Aetna Government	$0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.46
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.66
Rate for Payer: Group Health Inc Commercial	$1.27
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.86
Rate for Payer: SOMOS Essential	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.65

EPINEPHRINE 1 MG/ML INJ 30 ML

Facility OP

$0.01

Service Code	HCPCS J0171
Hospital Charge Code	41650403
Hospital Revenue Code	636
Max. Negotiated Rate	$0.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.74
Rate for Payer: Aetna Government	$0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.66
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.86
Rate for Payer: SOMOS Essential	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

EPINEPHRINE 1 MG/ML INJ 30 ML

Facility OP

$0.01

Service Code	HCPCS J0171
Hospital Charge Code	41640403
Hospital Revenue Code	636
Max. Negotiated Rate	$0.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.74
Rate for Payer: Aetna Government	$0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.66
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.86
Rate for Payer: SOMOS Essential	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

EPINEPHRINE 1 MG/ML INJ 30 ML

Facility IP

$0.01

Service Code	HCPCS J0171
Hospital Charge Code	41640403
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

EPINEPHRINE 1 MG/ML INJ 30 ML

Facility IP

$0.01

Service Code	HCPCS J0171
Hospital Charge Code	41650403
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

EPINEPHRINE 4MG/D5W 250ML INF

Facility OP

$11.00

Hospital Charge Code	41647120
Hospital Revenue Code	250
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$8.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.50
Rate for Payer: Aetna Government	$5.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.48
Rate for Payer: Group Health Inc Commercial	$5.50
Rate for Payer: Group Health Inc Medicare	$3.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.50
Rate for Payer: Hamaspik Choice Inc Medicare	$5.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.15

EPINEPHRINE 4MG/D5W 250ML INF

Facility OP

$11.00

Hospital Charge Code	41657120
Hospital Revenue Code	250
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$8.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.50
Rate for Payer: Aetna Government	$5.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.48
Rate for Payer: Group Health Inc Commercial	$5.50
Rate for Payer: Group Health Inc Medicare	$3.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.50
Rate for Payer: Hamaspik Choice Inc Medicare	$5.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.15

EPINEPHRINE 4MG/NS 250 ML

Facility OP

$0.26

Service Code	HCPCS J0171
Hospital Charge Code	41649533
Hospital Revenue Code	636
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.74
Rate for Payer: Aetna Government	$0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.13
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.15
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.66
Rate for Payer: Group Health Inc Commercial	$0.13
Rate for Payer: Group Health Inc Medicare	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13
Rate for Payer: Hamaspik Choice Inc Medicare	$0.13
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.86
Rate for Payer: SOMOS Essential	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.17

EPINEPHRINE 4MG/NS 250 ML

Facility IP

$0.26

Service Code	HCPCS J0171
Hospital Charge Code	41649533
Hospital Revenue Code	636
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13
Rate for Payer: Hamaspik Choice Inc Medicare	$0.13

EPINEPHRINE 4MG/NS 250ML

Facility IP

$0.26

Service Code	HCPCS J0171
Hospital Charge Code	41659533
Hospital Revenue Code	636
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13
Rate for Payer: Hamaspik Choice Inc Medicare	$0.13

EPINEPHRINE 4MG/NS 250ML

Facility OP

$0.26

Service Code	HCPCS J0171
Hospital Charge Code	41659533
Hospital Revenue Code	636
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.74
Rate for Payer: Aetna Government	$0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.13
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.15
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.66
Rate for Payer: Group Health Inc Commercial	$0.13
Rate for Payer: Group Health Inc Medicare	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13
Rate for Payer: Hamaspik Choice Inc Medicare	$0.13
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.86
Rate for Payer: SOMOS Essential	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.17

EPINEPHRINE RACEMIC 2.25% NEB SOLN

Facility OP

$3.00

Hospital Charge Code	41642788
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$2.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.50
Rate for Payer: Aetna Government	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.04
Rate for Payer: Group Health Inc Commercial	$1.50
Rate for Payer: Group Health Inc Medicare	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.95

EPINEPHRINE RACEMIC 2.25% NEB SOLN

Facility IP

$3.00

Service Code	HCPCS J7699
Hospital Charge Code	41652788
Hospital Revenue Code	636
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50

EPINEPHRINE RACEMIC 2.25% NEB SOLN

Facility OP

$3.00

Service Code	HCPCS J7699
Hospital Charge Code	41652788
Hospital Revenue Code	636
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.50
Rate for Payer: Aetna Government	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.72
Rate for Payer: Group Health Inc Commercial	$1.50
Rate for Payer: Group Health Inc Medicare	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.95

EP INJECT EXTREM VENOGRPY

Facility OP

$1,032.38

Service Code	HCPCS 36005
Hospital Charge Code	66574545
Hospital Revenue Code	361
Min. Negotiated Rate	$52.98
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$52.98
Rate for Payer: Aetna Government	$52.98
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: Fidelis CHP/HARP/Medicaid	$53.28
Rate for Payer: Group Health Inc Commercial	$516.19
Rate for Payer: Group Health Inc Medicare	$361.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$516.19
Rate for Payer: Hamaspik Choice Inc Medicare	$516.19
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$59.20

EP INS ELEC DUAL CHMB/ICD

Facility OP

$23,145.25

Service Code	HCPCS 33217
Hospital Charge Code	66574513
Hospital Revenue Code	361
Min. Negotiated Rate	$418.46
Max. Negotiated Rate	$11,572.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,593.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9,824.59
Rate for Payer: Aetna Government	$9,824.59
Rate for Payer: Cash Price	$9,824.59
Rate for Payer: Cash Price	$9,824.59
Rate for Payer: Cash Price	$9,824.59
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$9,824.59
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: Elderplan Medicare Advantage	$9,824.59
Rate for Payer: EmblemHealth Commercial	$9,824.59
Rate for Payer: Fidelis CHP/HARP/Medicaid	$418.46
Rate for Payer: Fidelis Essential Plan Aliesa	$8,350.90
Rate for Payer: Fidelis Essential Plan QHP	$8,743.89
Rate for Payer: Fidelis Medicare Advantage	$9,824.59
Rate for Payer: Fidelis Qualified Health Plan	$8,743.89
Rate for Payer: Group Health Inc Commercial	$9,824.59
Rate for Payer: Group Health Inc Medicare	$9,824.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$11,572.62
Rate for Payer: Hamaspik Choice Inc Medicare	$9,824.59
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$464.96
Rate for Payer: Healthfirst Medicare Advantage	$8,350.90
Rate for Payer: Healthfirst QHP	$9,824.59
Rate for Payer: Senior Whole Health Medicare Advantage	$9,824.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9,824.59
Rate for Payer: Wellcare CHP/FHP/Medicaid	$7,859.67
Rate for Payer: Wellcare Medicare	$9,333.36

EP INS ELEC LV W/PRE IMPLNT

Facility OP

$31,050.58

Service Code	HCPCS 33224
Hospital Charge Code	66574518
Hospital Revenue Code	361
Min. Negotiated Rate	$582.64
Max. Negotiated Rate	$44,507.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44,507.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12,348.58
Rate for Payer: Aetna Government	$12,348.58
Rate for Payer: Cash Price	$12,348.58
Rate for Payer: Cash Price	$12,348.58
Rate for Payer: Cash Price	$12,348.58
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12,348.58
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: Elderplan Medicare Advantage	$12,348.58
Rate for Payer: EmblemHealth Commercial	$12,348.58
Rate for Payer: Fidelis CHP/HARP/Medicaid	$582.64
Rate for Payer: Fidelis Essential Plan Aliesa	$10,496.29
Rate for Payer: Fidelis Essential Plan QHP	$10,990.24
Rate for Payer: Fidelis Medicare Advantage	$12,348.58
Rate for Payer: Fidelis Qualified Health Plan	$10,990.24
Rate for Payer: Group Health Inc Commercial	$12,348.58
Rate for Payer: Group Health Inc Medicare	$12,348.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$15,525.29
Rate for Payer: Hamaspik Choice Inc Medicare	$12,348.58
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$647.38
Rate for Payer: Healthfirst Medicare Advantage	$10,496.29
Rate for Payer: Healthfirst QHP	$12,348.58
Rate for Payer: Senior Whole Health Medicare Advantage	$12,348.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12,348.58
Rate for Payer: Wellcare CHP/FHP/Medicaid	$9,878.86
Rate for Payer: Wellcare Medicare	$11,731.15

Price Transparency.

All Charges