|
CULTR BACTERIA EXCEPT BLOOD
|
Facility
|
IP
|
$23.68
|
|
|
Service Code
|
HCPCS 87075
|
| Hospital Charge Code |
40614313
|
|
Hospital Revenue Code
|
300
|
| Rate for Payer: Cash Price |
$9.47
|
|
|
CULTURE AEROBIC IDENTIFY
|
Facility
|
IP
|
$20.20
|
|
|
Service Code
|
HCPCS 87077
|
| Hospital Charge Code |
40614315
|
|
Hospital Revenue Code
|
300
|
| Rate for Payer: Cash Price |
$8.08
|
|
|
CULTURE AEROBIC IDENTIFY
|
Facility
|
OP
|
$20.20
|
|
|
Service Code
|
HCPCS 87077
|
| Hospital Charge Code |
40614315
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.66 |
| Max. Negotiated Rate |
$15.15 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.08
|
| Rate for Payer: Aetna Government |
$8.08
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$5.66
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$5.66
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$5.66
|
| Rate for Payer: Brighton Health Commercial |
$15.15
|
| Rate for Payer: Cash Price |
$8.08
|
| Rate for Payer: Cash Price |
$8.08
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.08
|
| Rate for Payer: EmblemHealth Commercial |
$8.08
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$6.87
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.08
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.19
|
| Rate for Payer: Group Health Inc Commercial |
$8.08
|
| Rate for Payer: Group Health Inc Medicare |
$8.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.08
|
| Rate for Payer: Healthfirst QHP |
$8.08
|
| Rate for Payer: Humana Medicare |
$8.24
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.08
|
| Rate for Payer: United Healthcare Commercial |
$10.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.08
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.46
|
| Rate for Payer: Wellcare Medicare |
$7.27
|
|
|
CULTURE ANAEROBE IDENT EACH
|
Facility
|
IP
|
$20.20
|
|
|
Service Code
|
HCPCS 87076
|
| Hospital Charge Code |
40614314
|
|
Hospital Revenue Code
|
300
|
| Rate for Payer: Cash Price |
$8.08
|
|
|
CULTURE ANAEROBE IDENT EACH
|
Facility
|
OP
|
$20.20
|
|
|
Service Code
|
HCPCS 87076
|
| Hospital Charge Code |
40614314
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.66 |
| Max. Negotiated Rate |
$15.15 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.08
|
| Rate for Payer: Aetna Government |
$8.08
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$5.66
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$5.66
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$5.66
|
| Rate for Payer: Brighton Health Commercial |
$15.15
|
| Rate for Payer: Cash Price |
$8.08
|
| Rate for Payer: Cash Price |
$8.08
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.08
|
| Rate for Payer: EmblemHealth Commercial |
$8.08
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$6.87
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.08
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.19
|
| Rate for Payer: Group Health Inc Commercial |
$8.08
|
| Rate for Payer: Group Health Inc Medicare |
$8.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.08
|
| Rate for Payer: Healthfirst QHP |
$8.08
|
| Rate for Payer: Humana Medicare |
$8.24
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.08
|
| Rate for Payer: United Healthcare Commercial |
$10.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.08
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.46
|
| Rate for Payer: Wellcare Medicare |
$7.27
|
|
|
CULTURE, BETA STREP B
|
Facility
|
OP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614201
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.62
|
| Rate for Payer: Aetna Government |
$8.62
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6.03
|
| Rate for Payer: Brighton Health Commercial |
$16.16
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.62
|
| Rate for Payer: EmblemHealth Commercial |
$8.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.67
|
| Rate for Payer: Group Health Inc Commercial |
$8.62
|
| Rate for Payer: Group Health Inc Medicare |
$8.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.62
|
| Rate for Payer: Healthfirst QHP |
$8.62
|
| Rate for Payer: Humana Medicare |
$8.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$10.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.62
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.90
|
| Rate for Payer: Wellcare Medicare |
$7.76
|
|
|
CULTURE, BETA STREP B
|
Facility
|
IP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614201
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$8.62
|
|
|
CULTURE, BODY FLUID ANAEROBIC
|
Facility
|
IP
|
$23.68
|
|
|
Service Code
|
HCPCS 87075
|
| Hospital Charge Code |
40614230
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$9.47
|
|
|
CULTURE, BODY FLUID ANAEROBIC
|
Facility
|
OP
|
$23.68
|
|
|
Service Code
|
HCPCS 87075
|
| Hospital Charge Code |
40614230
|
|
Hospital Revenue Code
|
306
|
| 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
|
|
|
CULTURE, CSF
|
Facility
|
OP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614195
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.62
|
| Rate for Payer: Aetna Government |
$8.62
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6.03
|
| Rate for Payer: Brighton Health Commercial |
$16.16
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.62
|
| Rate for Payer: EmblemHealth Commercial |
$8.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.67
|
| Rate for Payer: Group Health Inc Commercial |
$8.62
|
| Rate for Payer: Group Health Inc Medicare |
$8.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.62
|
| Rate for Payer: Healthfirst QHP |
$8.62
|
| Rate for Payer: Humana Medicare |
$8.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$10.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.62
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.90
|
| Rate for Payer: Wellcare Medicare |
$7.76
|
|
|
CULTURE, CSF
|
Facility
|
IP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614195
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$8.62
|
|
|
CULTURE, GC
|
Facility
|
IP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614215
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$8.62
|
|
|
CULTURE, GC
|
Facility
|
OP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614215
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.62
|
| Rate for Payer: Aetna Government |
$8.62
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6.03
|
| Rate for Payer: Brighton Health Commercial |
$16.16
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.62
|
| Rate for Payer: EmblemHealth Commercial |
$8.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.67
|
| Rate for Payer: Group Health Inc Commercial |
$8.62
|
| Rate for Payer: Group Health Inc Medicare |
$8.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.62
|
| Rate for Payer: Healthfirst QHP |
$8.62
|
| Rate for Payer: Humana Medicare |
$8.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$10.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.62
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.90
|
| Rate for Payer: Wellcare Medicare |
$7.76
|
|
|
CULTURE, NASAL
|
Facility
|
OP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614210
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.62
|
| Rate for Payer: Aetna Government |
$8.62
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6.03
|
| Rate for Payer: Brighton Health Commercial |
$16.16
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.62
|
| Rate for Payer: EmblemHealth Commercial |
$8.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.67
|
| Rate for Payer: Group Health Inc Commercial |
$8.62
|
| Rate for Payer: Group Health Inc Medicare |
$8.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.62
|
| Rate for Payer: Healthfirst QHP |
$8.62
|
| Rate for Payer: Humana Medicare |
$8.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$10.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.62
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.90
|
| Rate for Payer: Wellcare Medicare |
$7.76
|
|
|
CULTURE, NASAL
|
Facility
|
IP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614210
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$8.62
|
|
|
CULTURE OTHR SPECIMN AEROBIC
|
Facility
|
OP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614312
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.62
|
| Rate for Payer: Aetna Government |
$8.62
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6.03
|
| Rate for Payer: Brighton Health Commercial |
$16.16
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.62
|
| Rate for Payer: EmblemHealth Commercial |
$8.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.67
|
| Rate for Payer: Group Health Inc Commercial |
$8.62
|
| Rate for Payer: Group Health Inc Medicare |
$8.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.62
|
| Rate for Payer: Healthfirst QHP |
$8.62
|
| Rate for Payer: Humana Medicare |
$8.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$10.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.62
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.90
|
| Rate for Payer: Wellcare Medicare |
$7.76
|
|
|
CULTURE OTHR SPECIMN AEROBIC
|
Facility
|
IP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614312
|
|
Hospital Revenue Code
|
300
|
| Rate for Payer: Cash Price |
$8.62
|
|
|
CULTURE, RESPIRATORY
|
Facility
|
IP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614180
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$8.62
|
|
|
CULTURE, RESPIRATORY
|
Facility
|
OP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614180
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.62
|
| Rate for Payer: Aetna Government |
$8.62
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6.03
|
| Rate for Payer: Brighton Health Commercial |
$16.16
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.62
|
| Rate for Payer: EmblemHealth Commercial |
$8.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.67
|
| Rate for Payer: Group Health Inc Commercial |
$8.62
|
| Rate for Payer: Group Health Inc Medicare |
$8.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.62
|
| Rate for Payer: Healthfirst QHP |
$8.62
|
| Rate for Payer: Humana Medicare |
$8.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$10.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.62
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.90
|
| Rate for Payer: Wellcare Medicare |
$7.76
|
|
|
CULTURE, ROUTINE AEROBIC
|
Facility
|
OP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614190
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.62
|
| Rate for Payer: Aetna Government |
$8.62
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$6.03
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$6.03
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$6.03
|
| Rate for Payer: Brighton Health Commercial |
$16.16
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Cash Price |
$8.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$8.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$8.62
|
| Rate for Payer: EmblemHealth Commercial |
$8.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$7.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$7.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$8.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$7.67
|
| Rate for Payer: Group Health Inc Commercial |
$8.62
|
| Rate for Payer: Group Health Inc Medicare |
$8.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8.62
|
| Rate for Payer: Healthfirst QHP |
$8.62
|
| Rate for Payer: Humana Medicare |
$8.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$10.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.62
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.90
|
| Rate for Payer: Wellcare Medicare |
$7.76
|
|
|
CULTURE, ROUTINE AEROBIC
|
Facility
|
IP
|
$21.55
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
40614190
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$8.62
|
|
|
CULTURE, ROUTINE ANAEROBIC
|
Facility
|
OP
|
$23.68
|
|
|
Service Code
|
HCPCS 87075
|
| Hospital Charge Code |
40614205
|
|
Hospital Revenue Code
|
306
|
| 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
|
|
|
CULTURE, ROUTINE ANAEROBIC
|
Facility
|
IP
|
$23.68
|
|
|
Service Code
|
HCPCS 87075
|
| Hospital Charge Code |
40614205
|
|
Hospital Revenue Code
|
306
|
| Rate for Payer: Cash Price |
$9.47
|
|
|
CULTURE SCREEN ONLY
|
Facility
|
OP
|
$16.58
|
|
|
Service Code
|
HCPCS 87081
|
| Hospital Charge Code |
40614316
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.64 |
| Max. Negotiated Rate |
$12.44 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.63
|
| Rate for Payer: Aetna Government |
$6.63
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$4.64
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$4.64
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$4.64
|
| Rate for Payer: Brighton Health Commercial |
$12.44
|
| Rate for Payer: Cash Price |
$6.63
|
| Rate for Payer: Cash Price |
$6.63
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$6.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.91
|
| Rate for Payer: Elderplan Medicare Advantage |
$6.63
|
| Rate for Payer: EmblemHealth Commercial |
$6.63
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$5.64
|
| Rate for Payer: Fidelis Essential Plan QHP |
$5.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$6.63
|
| Rate for Payer: Fidelis Qualified Health Plan |
$5.90
|
| Rate for Payer: Group Health Inc Commercial |
$6.63
|
| Rate for Payer: Group Health Inc Medicare |
$6.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$8.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$6.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$6.63
|
| Rate for Payer: Healthfirst QHP |
$6.63
|
| Rate for Payer: Humana Medicare |
$6.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$6.63
|
| Rate for Payer: United Healthcare Commercial |
$8.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$6.63
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.30
|
| Rate for Payer: Wellcare Medicare |
$5.97
|
|
|
CULTURE SCREEN ONLY
|
Facility
|
IP
|
$16.58
|
|
|
Service Code
|
HCPCS 87081
|
| Hospital Charge Code |
40614316
|
|
Hospital Revenue Code
|
300
|
| Rate for Payer: Cash Price |
$6.63
|
|
