St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CUFF BP ADULT DISP ANES CRITIKON

Facility

$9.48

Hospital Charge Code	64902709
Hospital Revenue Code	270
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$7.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.74
Rate for Payer: Aetna Government	$4.74
Rate for Payer: Brighton Health Commercial	$7.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.45
Rate for Payer: Group Health Inc Commercial	$4.74
Rate for Payer: Group Health Inc Medicare	$3.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.74
Rate for Payer: Hamaspik Choice Inc Medicare	$4.74

CUFF B/P DURACUF INFANT 8-13CM

Facility

$152.83

Hospital Charge Code	64903189
Hospital Revenue Code	270
Min. Negotiated Rate	$53.49
Max. Negotiated Rate	$122.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$76.42
Rate for Payer: Aetna Government	$76.42
Rate for Payer: Brighton Health Commercial	$114.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.92
Rate for Payer: Group Health Inc Commercial	$76.42
Rate for Payer: Group Health Inc Medicare	$53.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.42
Rate for Payer: Hamaspik Choice Inc Medicare	$76.42

CUFF B/P INFANT & BLADDER L/F

Facility

$28.86

Hospital Charge Code	64901842
Hospital Revenue Code	270
Min. Negotiated Rate	$10.10
Max. Negotiated Rate	$23.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.43
Rate for Payer: Aetna Government	$14.43
Rate for Payer: Brighton Health Commercial	$21.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.62
Rate for Payer: Group Health Inc Commercial	$14.43
Rate for Payer: Group Health Inc Medicare	$10.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.43
Rate for Payer: Hamaspik Choice Inc Medicare	$14.43

CUFF B/P NEONATAL SIZE 0 DISP

Facility

$110.00

Hospital Charge Code	64903017
Hospital Revenue Code	270
Min. Negotiated Rate	$38.50
Max. Negotiated Rate	$88.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.00
Rate for Payer: Aetna Government	$55.00
Rate for Payer: Brighton Health Commercial	$82.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$88.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$74.80
Rate for Payer: Group Health Inc Commercial	$55.00
Rate for Payer: Group Health Inc Medicare	$38.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.00
Rate for Payer: Hamaspik Choice Inc Medicare	$55.00

CUFF B/P NEONATAL SIZE 3

Facility

$4.20

Hospital Charge Code	64902464
Hospital Revenue Code	270
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$3.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.10
Rate for Payer: Aetna Government	$2.10
Rate for Payer: Brighton Health Commercial	$3.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.86
Rate for Payer: Group Health Inc Commercial	$2.10
Rate for Payer: Group Health Inc Medicare	$1.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2.10

CUFF B/P NEONATAL SIZE 4

Facility

$3.83

Hospital Charge Code	64902466
Hospital Revenue Code	270
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$3.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.92
Rate for Payer: Aetna Government	$1.92
Rate for Payer: Brighton Health Commercial	$2.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.60
Rate for Payer: Group Health Inc Commercial	$1.92
Rate for Payer: Group Health Inc Medicare	$1.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.92
Rate for Payer: Hamaspik Choice Inc Medicare	$1.92

CUFF B/P NEONATAL SIZE 5

Facility

$4.38

Hospital Charge Code	64902468
Hospital Revenue Code	270
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$3.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.19
Rate for Payer: Aetna Government	$2.19
Rate for Payer: Brighton Health Commercial	$3.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.98
Rate for Payer: Group Health Inc Commercial	$2.19
Rate for Payer: Group Health Inc Medicare	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.19
Rate for Payer: Hamaspik Choice Inc Medicare	$2.19

CUFF BP OBESE

Facility

$51.63

Hospital Charge Code	64901848
Hospital Revenue Code	270
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$41.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.82
Rate for Payer: Aetna Government	$25.82
Rate for Payer: Brighton Health Commercial	$38.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.11
Rate for Payer: Group Health Inc Commercial	$25.82
Rate for Payer: Group Health Inc Medicare	$18.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.82
Rate for Payer: Hamaspik Choice Inc Medicare	$25.82

CUFF B/P PEDS & BLADDER L/F

Facility

$33.14

Hospital Charge Code	64901750
Hospital Revenue Code	270
Min. Negotiated Rate	$11.60
Max. Negotiated Rate	$26.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.57
Rate for Payer: Aetna Government	$16.57
Rate for Payer: Brighton Health Commercial	$24.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.51
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.54
Rate for Payer: Group Health Inc Commercial	$16.57
Rate for Payer: Group Health Inc Medicare	$11.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.57
Rate for Payer: Hamaspik Choice Inc Medicare	$16.57

CUFF BP THIGH

Facility

$84.07

Hospital Charge Code	64901844
Hospital Revenue Code	270
Min. Negotiated Rate	$29.42
Max. Negotiated Rate	$67.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$46.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$42.04
Rate for Payer: Aetna Government	$42.04
Rate for Payer: Brighton Health Commercial	$63.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.17
Rate for Payer: Group Health Inc Commercial	$42.04
Rate for Payer: Group Health Inc Medicare	$29.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.04
Rate for Payer: Hamaspik Choice Inc Medicare	$42.04

CUFF,BP,VNYL,NEO 3,DISP 2 TB,M

Facility

$3.58

Hospital Charge Code	64901673
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$2.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.79
Rate for Payer: Aetna Government	$1.79
Rate for Payer: Brighton Health Commercial	$2.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.43
Rate for Payer: Group Health Inc Commercial	$1.79
Rate for Payer: Group Health Inc Medicare	$1.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.79
Rate for Payer: Hamaspik Choice Inc Medicare	$1.79

CUFF,BP,VNYL,NEO4,DISP 2 TB,M

Facility

$3.58

Hospital Charge Code	64901676
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$2.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.79
Rate for Payer: Aetna Government	$1.79
Rate for Payer: Brighton Health Commercial	$2.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.43
Rate for Payer: Group Health Inc Commercial	$1.79
Rate for Payer: Group Health Inc Medicare	$1.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.79
Rate for Payer: Hamaspik Choice Inc Medicare	$1.79

CUFF, IZ, AMS 800 4.5CM

Facility

$13,862.50

Service Code	HCPCS C1815
Hospital Charge Code	64905123
Hospital Revenue Code	278
Min. Negotiated Rate	$2,453.47
Max. Negotiated Rate	$14,555.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,624.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,453.47
Rate for Payer: Aetna Government	$2,453.47
Rate for Payer: Brighton Health Commercial	$8,317.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,931.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,970.94
Rate for Payer: EmblemHealth Commercial	$6,931.25
Rate for Payer: Fidelis Medicare Advantage	$14,555.62
Rate for Payer: Group Health Inc Commercial	$6,931.25
Rate for Payer: Group Health Inc Medicare	$4,851.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,931.25
Rate for Payer: Hamaspik Choice Inc Medicare	$6,931.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9,010.62

CUFF, IZ, AMS 800 4.5CM

Facility

$13,862.50

Service Code	HCPCS C1815
Hospital Charge Code	64905123
Hospital Revenue Code	278
Min. Negotiated Rate	$6,931.25
Max. Negotiated Rate	$6,931.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,931.25
Rate for Payer: Hamaspik Choice Inc Medicare	$6,931.25

CUFF NIBP SM ADLT WEL-ALYN 2-TB

Facility

$21.88

Hospital Charge Code	64902830
Hospital Revenue Code	270
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$17.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.94
Rate for Payer: Aetna Government	$10.94
Rate for Payer: Brighton Health Commercial	$16.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.88
Rate for Payer: Group Health Inc Commercial	$10.94
Rate for Payer: Group Health Inc Medicare	$7.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.94
Rate for Payer: Hamaspik Choice Inc Medicare	$10.94

CUFF PORT OVAL ACCESS

Facility

$4.68

Hospital Charge Code	64902470
Hospital Revenue Code	270
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$3.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.34
Rate for Payer: Aetna Government	$2.34
Rate for Payer: Brighton Health Commercial	$3.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.18
Rate for Payer: Group Health Inc Commercial	$2.34
Rate for Payer: Group Health Inc Medicare	$1.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.34
Rate for Payer: Hamaspik Choice Inc Medicare	$2.34

CUFF TOURNIQ, STER DISP 18

Facility

$223.10

Hospital Charge Code	64906301
Hospital Revenue Code	270
Min. Negotiated Rate	$78.08
Max. Negotiated Rate	$178.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$122.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$111.55
Rate for Payer: Aetna Government	$111.55
Rate for Payer: Brighton Health Commercial	$167.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$178.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$151.71
Rate for Payer: Group Health Inc Commercial	$111.55
Rate for Payer: Group Health Inc Medicare	$78.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.55
Rate for Payer: Hamaspik Choice Inc Medicare	$111.55

CUFF TOURNIQUET 18

Facility

$447.50

Hospital Charge Code	64902878
Hospital Revenue Code	270
Min. Negotiated Rate	$156.62
Max. Negotiated Rate	$358.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$223.75
Rate for Payer: Aetna Government	$223.75
Rate for Payer: Brighton Health Commercial	$335.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$358.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$304.30
Rate for Payer: Group Health Inc Commercial	$223.75
Rate for Payer: Group Health Inc Medicare	$156.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$223.75
Rate for Payer: Hamaspik Choice Inc Medicare	$223.75

CUFF TOURNIQUET 3.5X12IN

Facility

$395.00

Hospital Charge Code	64905087
Hospital Revenue Code	270
Min. Negotiated Rate	$138.25
Max. Negotiated Rate	$316.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$217.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$197.50
Rate for Payer: Aetna Government	$197.50
Rate for Payer: Brighton Health Commercial	$296.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$316.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$268.60
Rate for Payer: Group Health Inc Commercial	$197.50
Rate for Payer: Group Health Inc Medicare	$138.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$197.50
Rate for Payer: Hamaspik Choice Inc Medicare	$197.50

CUFF TOURNIQUET SING BLAD 8

Facility

$462.50

Service Code	HCPCS C1815
Hospital Charge Code	64901474
Hospital Revenue Code	278
Min. Negotiated Rate	$231.25
Max. Negotiated Rate	$231.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25

CUFF TOURNIQUET SING BLAD 8

Facility

$462.50

Service Code	HCPCS C1815
Hospital Charge Code	64901474
Hospital Revenue Code	278
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$2,453.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,453.47
Rate for Payer: Aetna Government	$2,453.47
Rate for Payer: Brighton Health Commercial	$277.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$231.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$265.94
Rate for Payer: EmblemHealth Commercial	$231.25
Rate for Payer: Fidelis Medicare Advantage	$485.62
Rate for Payer: Group Health Inc Commercial	$231.25
Rate for Payer: Group Health Inc Medicare	$161.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$300.62

CUFF TOURN SGL BLD 2HS 12

Facility

$517.50

Hospital Charge Code	64904442
Hospital Revenue Code	270
Min. Negotiated Rate	$181.12
Max. Negotiated Rate	$414.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$284.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$258.75
Rate for Payer: Aetna Government	$258.75
Rate for Payer: Brighton Health Commercial	$388.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$414.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$351.90
Rate for Payer: Group Health Inc Commercial	$258.75
Rate for Payer: Group Health Inc Medicare	$181.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$258.75
Rate for Payer: Hamaspik Choice Inc Medicare	$258.75

CULDOCENTESIS

Facility

$12,937.43

Service Code	HCPCS 57020
Hospital Charge Code	40052260
Hospital Revenue Code	360
Rate for Payer: Cash Price	$5,751.94

CULDOCENTESIS

Facility

$12,937.43

Service Code	HCPCS 57020
Hospital Charge Code	40052260
Hospital Revenue Code	360
Min. Negotiated Rate	$1,468.00
Max. Negotiated Rate	$9,703.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,751.94
Rate for Payer: Aetna Government	$5,751.94
Rate for Payer: Affinity Essential Plan 1&2	$4,026.36
Rate for Payer: Affinity Essential Plan 3&4	$4,026.36
Rate for Payer: Affinity Medicaid/CHP/HARP	$4,026.36
Rate for Payer: Brighton Health Commercial	$9,703.07
Rate for Payer: Cash Price	$5,751.94
Rate for Payer: Cash Price	$5,751.94
Rate for Payer: Cash Price	$5,751.94
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5,751.94
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	$5,751.94
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$4,889.15
Rate for Payer: Fidelis Essential Plan QHP	$5,119.23
Rate for Payer: Fidelis Medicare Advantage	$5,751.94
Rate for Payer: Fidelis Qualified Health Plan	$5,119.23
Rate for Payer: Group Health Inc Commercial	$5,751.94
Rate for Payer: Group Health Inc Medicare	$5,751.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,468.72
Rate for Payer: Hamaspik Choice Inc Medicare	$5,751.94
Rate for Payer: Healthfirst Medicare Advantage	$4,889.15
Rate for Payer: Healthfirst QHP	$5,751.94
Rate for Payer: Humana Medicare	$5,866.98
Rate for Payer: Senior Whole Health Medicare Advantage	$5,751.94
Rate for Payer: United Healthcare Commercial	$1,468.00
Rate for Payer: United Healthcare Medicare Advantage	$5,751.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,751.94
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4,601.55
Rate for Payer: Wellcare Medicare	$5,464.34

CULTR BACTERIA EXCEPT BLOOD

Facility

$23.68

Service Code	HCPCS 87075
Hospital Charge Code	40614313
Hospital Revenue Code	300
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$17.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.47
Rate for Payer: Aetna Government	$9.47
Rate for Payer: Affinity Essential Plan 1&2	$6.63
Rate for Payer: Affinity Essential Plan 3&4	$6.63
Rate for Payer: Affinity Medicaid/CHP/HARP	$6.63
Rate for Payer: Brighton Health Commercial	$17.76
Rate for Payer: Cash Price	$9.47
Rate for Payer: Cash Price	$9.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$9.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.72
Rate for Payer: Elderplan Medicare Advantage	$9.47
Rate for Payer: EmblemHealth Commercial	$9.47
Rate for Payer: Fidelis Essential Plan Aliesa	$8.05
Rate for Payer: Fidelis Essential Plan QHP	$8.43
Rate for Payer: Fidelis Medicare Advantage	$9.47
Rate for Payer: Fidelis Qualified Health Plan	$8.43
Rate for Payer: Group Health Inc Commercial	$9.47
Rate for Payer: Group Health Inc Medicare	$9.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.84
Rate for Payer: Hamaspik Choice Inc Medicare	$9.47
Rate for Payer: Healthfirst Medicare Advantage	$9.47
Rate for Payer: Healthfirst QHP	$9.47
Rate for Payer: Humana Medicare	$9.66
Rate for Payer: Senior Whole Health Medicare Advantage	$9.47
Rate for Payer: United Healthcare Commercial	$11.98
Rate for Payer: United Healthcare Medicare Advantage	$9.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$7.58
Rate for Payer: Wellcare Medicare	$8.52

Know your out-of-pocket cost for care.

All Charges