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Service Code HCPCS 52352
Hospital Charge Code 40124281
Hospital Revenue Code 360
Rate for Payer: Cash Price $4,031.47
Service Code HCPCS 52352
Hospital Charge Code 40124281
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $6,856.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,031.47
Rate for Payer: Aetna Government $4,031.47
Rate for Payer: Affinity Essential Plan 1&2 $2,822.03
Rate for Payer: Affinity Essential Plan 3&4 $2,822.03
Rate for Payer: Affinity Medicaid/CHP/HARP $2,822.03
Rate for Payer: Brighton Health Commercial $6,856.80
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,031.47
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 $4,031.47
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,426.75
Rate for Payer: Fidelis Essential Plan QHP $3,588.01
Rate for Payer: Fidelis Medicare Advantage $4,031.47
Rate for Payer: Fidelis Qualified Health Plan $3,588.01
Rate for Payer: Group Health Inc Commercial $4,031.47
Rate for Payer: Group Health Inc Medicare $4,031.47
Rate for Payer: Hamaspik Choice Inc Medicaid $4,571.20
Rate for Payer: Hamaspik Choice Inc Medicare $4,031.47
Rate for Payer: Healthfirst Medicare Advantage $3,426.75
Rate for Payer: Healthfirst QHP $4,031.47
Rate for Payer: Humana Medicare $4,112.10
Rate for Payer: Senior Whole Health Medicare Advantage $4,031.47
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,031.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,031.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,225.18
Rate for Payer: Wellcare Medicare $3,829.90
Service Code CPT 52000
Hospital Revenue Code 360
Min. Negotiated Rate $552.97
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $789.96
Rate for Payer: Aetna Government $789.96
Rate for Payer: Affinity Essential Plan 1&2 $552.97
Rate for Payer: Affinity Essential Plan 3&4 $552.97
Rate for Payer: Affinity Medicaid/CHP/HARP $552.97
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $789.96
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 $789.96
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $671.47
Rate for Payer: Fidelis Essential Plan QHP $703.06
Rate for Payer: Fidelis Medicare Advantage $789.96
Rate for Payer: Fidelis Qualified Health Plan $703.06
Rate for Payer: Group Health Inc Commercial $789.96
Rate for Payer: Group Health Inc Medicare $789.96
Rate for Payer: Hamaspik Choice Inc Medicare $789.96
Rate for Payer: Healthfirst Medicare Advantage $671.47
Rate for Payer: Healthfirst QHP $789.96
Rate for Payer: Humana Medicare $805.76
Rate for Payer: Senior Whole Health Medicare Advantage $789.96
Rate for Payer: United Healthcare Commercial $1,188.00
Rate for Payer: United Healthcare Medicare Advantage $789.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $789.96
Rate for Payer: Wellcare CHP/FHP/Medicaid $631.97
Rate for Payer: Wellcare Medicare $750.46
Service Code HCPCS 52332
Hospital Charge Code 40124279
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $6,856.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,031.47
Rate for Payer: Aetna Government $4,031.47
Rate for Payer: Affinity Essential Plan 1&2 $2,822.03
Rate for Payer: Affinity Essential Plan 3&4 $2,822.03
Rate for Payer: Affinity Medicaid/CHP/HARP $2,822.03
Rate for Payer: Brighton Health Commercial $6,856.80
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,031.47
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 $4,031.47
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,426.75
Rate for Payer: Fidelis Essential Plan QHP $3,588.01
Rate for Payer: Fidelis Medicare Advantage $4,031.47
Rate for Payer: Fidelis Qualified Health Plan $3,588.01
Rate for Payer: Group Health Inc Commercial $4,031.47
Rate for Payer: Group Health Inc Medicare $4,031.47
Rate for Payer: Hamaspik Choice Inc Medicaid $4,571.20
Rate for Payer: Hamaspik Choice Inc Medicare $4,031.47
Rate for Payer: Healthfirst Medicare Advantage $3,426.75
Rate for Payer: Healthfirst QHP $4,031.47
Rate for Payer: Humana Medicare $4,112.10
Rate for Payer: Senior Whole Health Medicare Advantage $4,031.47
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,031.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,031.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,225.18
Rate for Payer: Wellcare Medicare $3,829.90
Service Code HCPCS 52332
Hospital Charge Code 40124279
Hospital Revenue Code 360
Rate for Payer: Cash Price $4,031.47
Service Code CPT 52204
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2,355.42
Rate for Payer: Aetna Government $2,355.42
Rate for Payer: Affinity Essential Plan 1&2 $1,648.79
Rate for Payer: Affinity Essential Plan 3&4 $1,648.79
Rate for Payer: Affinity Medicaid/CHP/HARP $1,648.79
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $2,355.42
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 $2,355.42
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $2,002.11
Rate for Payer: Fidelis Essential Plan QHP $2,096.32
Rate for Payer: Fidelis Medicare Advantage $2,355.42
Rate for Payer: Fidelis Qualified Health Plan $2,096.32
Rate for Payer: Group Health Inc Commercial $2,355.42
Rate for Payer: Group Health Inc Medicare $2,355.42
Rate for Payer: Hamaspik Choice Inc Medicare $2,355.42
Rate for Payer: Healthfirst Medicare Advantage $2,002.11
Rate for Payer: Healthfirst QHP $2,355.42
Rate for Payer: Humana Medicare $2,402.53
Rate for Payer: Senior Whole Health Medicare Advantage $2,355.42
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $2,355.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,355.42
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,884.34
Rate for Payer: Wellcare Medicare $2,237.65
Service Code CPT 52276
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2,355.42
Rate for Payer: Aetna Government $2,355.42
Rate for Payer: Affinity Essential Plan 1&2 $1,648.79
Rate for Payer: Affinity Essential Plan 3&4 $1,648.79
Rate for Payer: Affinity Medicaid/CHP/HARP $1,648.79
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $2,355.42
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 $2,355.42
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $2,002.11
Rate for Payer: Fidelis Essential Plan QHP $2,096.32
Rate for Payer: Fidelis Medicare Advantage $2,355.42
Rate for Payer: Fidelis Qualified Health Plan $2,096.32
Rate for Payer: Group Health Inc Commercial $2,355.42
Rate for Payer: Group Health Inc Medicare $2,355.42
Rate for Payer: Hamaspik Choice Inc Medicare $2,355.42
Rate for Payer: Healthfirst Medicare Advantage $2,002.11
Rate for Payer: Healthfirst QHP $2,355.42
Rate for Payer: Humana Medicare $2,402.53
Rate for Payer: Senior Whole Health Medicare Advantage $2,355.42
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $2,355.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,355.42
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,884.34
Rate for Payer: Wellcare Medicare $2,237.65
Service Code CPT 52240
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $6,103.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $5,983.74
Rate for Payer: Aetna Government $5,983.74
Rate for Payer: Affinity Essential Plan 1&2 $4,188.62
Rate for Payer: Affinity Essential Plan 3&4 $4,188.62
Rate for Payer: Affinity Medicaid/CHP/HARP $4,188.62
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $5,983.74
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 $5,983.74
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $5,086.18
Rate for Payer: Fidelis Essential Plan QHP $5,325.53
Rate for Payer: Fidelis Medicare Advantage $5,983.74
Rate for Payer: Fidelis Qualified Health Plan $5,325.53
Rate for Payer: Group Health Inc Commercial $5,983.74
Rate for Payer: Group Health Inc Medicare $5,983.74
Rate for Payer: Hamaspik Choice Inc Medicare $5,983.74
Rate for Payer: Healthfirst Medicare Advantage $5,086.18
Rate for Payer: Healthfirst QHP $5,983.74
Rate for Payer: Humana Medicare $6,103.41
Rate for Payer: Senior Whole Health Medicare Advantage $5,983.74
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $5,983.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $5,983.74
Rate for Payer: Wellcare CHP/FHP/Medicaid $4,786.99
Rate for Payer: Wellcare Medicare $5,684.55
Service Code CPT 52235
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $4,112.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,031.47
Rate for Payer: Aetna Government $4,031.47
Rate for Payer: Affinity Essential Plan 1&2 $2,822.03
Rate for Payer: Affinity Essential Plan 3&4 $2,822.03
Rate for Payer: Affinity Medicaid/CHP/HARP $2,822.03
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,031.47
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 $4,031.47
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,426.75
Rate for Payer: Fidelis Essential Plan QHP $3,588.01
Rate for Payer: Fidelis Medicare Advantage $4,031.47
Rate for Payer: Fidelis Qualified Health Plan $3,588.01
Rate for Payer: Group Health Inc Commercial $4,031.47
Rate for Payer: Group Health Inc Medicare $4,031.47
Rate for Payer: Hamaspik Choice Inc Medicare $4,031.47
Rate for Payer: Healthfirst Medicare Advantage $3,426.75
Rate for Payer: Healthfirst QHP $4,031.47
Rate for Payer: Humana Medicare $4,112.10
Rate for Payer: Senior Whole Health Medicare Advantage $4,031.47
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,031.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,031.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,225.18
Rate for Payer: Wellcare Medicare $3,829.90
Service Code CPT 52332
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $4,112.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,031.47
Rate for Payer: Aetna Government $4,031.47
Rate for Payer: Affinity Essential Plan 1&2 $2,822.03
Rate for Payer: Affinity Essential Plan 3&4 $2,822.03
Rate for Payer: Affinity Medicaid/CHP/HARP $2,822.03
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,031.47
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 $4,031.47
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,426.75
Rate for Payer: Fidelis Essential Plan QHP $3,588.01
Rate for Payer: Fidelis Medicare Advantage $4,031.47
Rate for Payer: Fidelis Qualified Health Plan $3,588.01
Rate for Payer: Group Health Inc Commercial $4,031.47
Rate for Payer: Group Health Inc Medicare $4,031.47
Rate for Payer: Hamaspik Choice Inc Medicare $4,031.47
Rate for Payer: Healthfirst Medicare Advantage $3,426.75
Rate for Payer: Healthfirst QHP $4,031.47
Rate for Payer: Humana Medicare $4,112.10
Rate for Payer: Senior Whole Health Medicare Advantage $4,031.47
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,031.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,031.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,225.18
Rate for Payer: Wellcare Medicare $3,829.90
Service Code CPT 52310
Hospital Revenue Code 360
Min. Negotiated Rate $1,409.00
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2,355.42
Rate for Payer: Aetna Government $2,355.42
Rate for Payer: Affinity Essential Plan 1&2 $1,648.79
Rate for Payer: Affinity Essential Plan 3&4 $1,648.79
Rate for Payer: Affinity Medicaid/CHP/HARP $1,648.79
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $2,355.42
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 $2,355.42
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $2,002.11
Rate for Payer: Fidelis Essential Plan QHP $2,096.32
Rate for Payer: Fidelis Medicare Advantage $2,355.42
Rate for Payer: Fidelis Qualified Health Plan $2,096.32
Rate for Payer: Group Health Inc Commercial $2,355.42
Rate for Payer: Group Health Inc Medicare $2,355.42
Rate for Payer: Hamaspik Choice Inc Medicare $2,355.42
Rate for Payer: Healthfirst Medicare Advantage $2,002.11
Rate for Payer: Healthfirst QHP $2,355.42
Rate for Payer: Humana Medicare $2,402.53
Rate for Payer: Senior Whole Health Medicare Advantage $2,355.42
Rate for Payer: United Healthcare Commercial $1,409.00
Rate for Payer: United Healthcare Medicare Advantage $2,355.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,355.42
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,884.34
Rate for Payer: Wellcare Medicare $2,237.65
Service Code CPT 52341
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $4,112.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,031.47
Rate for Payer: Aetna Government $4,031.47
Rate for Payer: Affinity Essential Plan 1&2 $2,822.03
Rate for Payer: Affinity Essential Plan 3&4 $2,822.03
Rate for Payer: Affinity Medicaid/CHP/HARP $2,822.03
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,031.47
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 $4,031.47
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,426.75
Rate for Payer: Fidelis Essential Plan QHP $3,588.01
Rate for Payer: Fidelis Medicare Advantage $4,031.47
Rate for Payer: Fidelis Qualified Health Plan $3,588.01
Rate for Payer: Group Health Inc Commercial $4,031.47
Rate for Payer: Group Health Inc Medicare $4,031.47
Rate for Payer: Hamaspik Choice Inc Medicare $4,031.47
Rate for Payer: Healthfirst Medicare Advantage $3,426.75
Rate for Payer: Healthfirst QHP $4,031.47
Rate for Payer: Humana Medicare $4,112.10
Rate for Payer: Senior Whole Health Medicare Advantage $4,031.47
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,031.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,031.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,225.18
Rate for Payer: Wellcare Medicare $3,829.90
Service Code CPT 52356
Hospital Revenue Code 360
Min. Negotiated Rate $1,505.00
Max. Negotiated Rate $6,103.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3,387.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $5,983.74
Rate for Payer: Aetna Government $5,983.74
Rate for Payer: Affinity Essential Plan 1&2 $4,188.62
Rate for Payer: Affinity Essential Plan 3&4 $4,188.62
Rate for Payer: Affinity Medicaid/CHP/HARP $4,188.62
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $5,983.74
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 $5,983.74
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $5,086.18
Rate for Payer: Fidelis Essential Plan QHP $5,325.53
Rate for Payer: Fidelis Medicare Advantage $5,983.74
Rate for Payer: Fidelis Qualified Health Plan $5,325.53
Rate for Payer: Group Health Inc Commercial $5,983.74
Rate for Payer: Group Health Inc Medicare $5,983.74
Rate for Payer: Hamaspik Choice Inc Medicare $5,983.74
Rate for Payer: Healthfirst Medicare Advantage $5,086.18
Rate for Payer: Healthfirst QHP $5,983.74
Rate for Payer: Humana Medicare $6,103.41
Rate for Payer: Senior Whole Health Medicare Advantage $5,983.74
Rate for Payer: United Healthcare Commercial $2,683.00
Rate for Payer: United Healthcare Medicare Advantage $5,983.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $5,983.74
Rate for Payer: Wellcare CHP/FHP/Medicaid $4,786.99
Rate for Payer: Wellcare Medicare $5,684.55
Service Code HCPCS 52341
Hospital Charge Code 40124280
Hospital Revenue Code 360
Rate for Payer: Cash Price $4,031.47
Service Code HCPCS 52341
Hospital Charge Code 40124280
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $6,856.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,031.47
Rate for Payer: Aetna Government $4,031.47
Rate for Payer: Affinity Essential Plan 1&2 $2,822.03
Rate for Payer: Affinity Essential Plan 3&4 $2,822.03
Rate for Payer: Affinity Medicaid/CHP/HARP $2,822.03
Rate for Payer: Brighton Health Commercial $6,856.80
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Cash Price $4,031.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,031.47
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 $4,031.47
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,426.75
Rate for Payer: Fidelis Essential Plan QHP $3,588.01
Rate for Payer: Fidelis Medicare Advantage $4,031.47
Rate for Payer: Fidelis Qualified Health Plan $3,588.01
Rate for Payer: Group Health Inc Commercial $4,031.47
Rate for Payer: Group Health Inc Medicare $4,031.47
Rate for Payer: Hamaspik Choice Inc Medicaid $4,571.20
Rate for Payer: Hamaspik Choice Inc Medicare $4,031.47
Rate for Payer: Healthfirst Medicare Advantage $3,426.75
Rate for Payer: Healthfirst QHP $4,031.47
Rate for Payer: Humana Medicare $4,112.10
Rate for Payer: Senior Whole Health Medicare Advantage $4,031.47
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,031.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,031.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,225.18
Rate for Payer: Wellcare Medicare $3,829.90
Hospital Charge Code 64905755
Hospital Revenue Code 270
Min. Negotiated Rate $437.50
Max. Negotiated Rate $1,000.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $687.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $625.00
Rate for Payer: Aetna Government $625.00
Rate for Payer: Brighton Health Commercial $937.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan $850.00
Rate for Payer: Group Health Inc Commercial $625.00
Rate for Payer: Group Health Inc Medicare $437.50
Rate for Payer: Hamaspik Choice Inc Medicaid $625.00
Rate for Payer: Hamaspik Choice Inc Medicare $625.00
Service Code HCPCS J9100
Hospital Charge Code 41643284
Hospital Revenue Code 636
Min. Negotiated Rate $8.50
Max. Negotiated Rate $8.50
Rate for Payer: Hamaspik Choice Inc Medicaid $8.50
Rate for Payer: Hamaspik Choice Inc Medicare $8.50
Service Code HCPCS J9100
Hospital Charge Code 41653284
Hospital Revenue Code 636
Min. Negotiated Rate $8.50
Max. Negotiated Rate $8.50
Rate for Payer: Hamaspik Choice Inc Medicaid $8.50
Rate for Payer: Hamaspik Choice Inc Medicare $8.50
Service Code HCPCS J9100
Hospital Charge Code 41643284
Hospital Revenue Code 636
Min. Negotiated Rate $0.68
Max. Negotiated Rate $11.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.68
Rate for Payer: Aetna Government $0.68
Rate for Payer: Brighton Health Commercial $10.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $8.50
Rate for Payer: Cigna LocalPlus Benefit Plan $9.78
Rate for Payer: Group Health Inc Commercial $8.50
Rate for Payer: Group Health Inc Medicare $5.95
Rate for Payer: Hamaspik Choice Inc Medicaid $8.50
Rate for Payer: Hamaspik Choice Inc Medicare $8.50
Rate for Payer: SOMOS CHP/HARP/Medicaid $0.97
Rate for Payer: SOMOS Essential $0.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $11.05
Service Code HCPCS J9100
Hospital Charge Code 41653284
Hospital Revenue Code 636
Min. Negotiated Rate $0.68
Max. Negotiated Rate $11.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.68
Rate for Payer: Aetna Government $0.68
Rate for Payer: Brighton Health Commercial $10.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $8.50
Rate for Payer: Cigna LocalPlus Benefit Plan $9.78
Rate for Payer: Group Health Inc Commercial $8.50
Rate for Payer: Group Health Inc Medicare $5.95
Rate for Payer: Hamaspik Choice Inc Medicaid $8.50
Rate for Payer: Hamaspik Choice Inc Medicare $8.50
Rate for Payer: SOMOS CHP/HARP/Medicaid $0.97
Rate for Payer: SOMOS Essential $0.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $11.05
Service Code HCPCS 88274
Hospital Charge Code 30305617
Hospital Revenue Code 311
Min. Negotiated Rate $29.67
Max. Negotiated Rate $58.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial $58.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $42.38
Rate for Payer: Aetna Government $42.38
Rate for Payer: Affinity Essential Plan 1&2 $29.67
Rate for Payer: Affinity Essential Plan 3&4 $29.67
Rate for Payer: Affinity Medicaid/CHP/HARP $29.67
Rate for Payer: Brighton Health Commercial $42.38
Rate for Payer: Cash Price $42.38
Rate for Payer: Cash Price $42.38
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $42.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $55.33
Rate for Payer: Cigna LocalPlus Benefit Plan $46.82
Rate for Payer: Elderplan Medicare Advantage $42.38
Rate for Payer: EmblemHealth Commercial $42.38
Rate for Payer: Fidelis Essential Plan Aliesa $36.02
Rate for Payer: Fidelis Essential Plan QHP $37.72
Rate for Payer: Fidelis Medicare Advantage $42.38
Rate for Payer: Fidelis Qualified Health Plan $37.72
Rate for Payer: Group Health Inc Commercial $42.38
Rate for Payer: Group Health Inc Medicare $42.38
Rate for Payer: Hamaspik Choice Inc Medicaid $52.98
Rate for Payer: Hamaspik Choice Inc Medicare $42.38
Rate for Payer: Healthfirst Medicare Advantage $42.38
Rate for Payer: Healthfirst QHP $42.38
Rate for Payer: Humana Medicare $43.23
Rate for Payer: Senior Whole Health Medicare Advantage $42.38
Rate for Payer: United Healthcare Medicare Advantage $42.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $42.38
Rate for Payer: Wellcare CHP/FHP/Medicaid $33.90
Rate for Payer: Wellcare Medicare $38.14
Service Code HCPCS 88274
Hospital Charge Code 30305617
Hospital Revenue Code 311
Rate for Payer: Cash Price $42.38
Service Code HCPCS 88104 TC
Hospital Charge Code 40635413
Hospital Revenue Code 311
Rate for Payer: Cash Price $46.38
Service Code HCPCS 88104 TC
Hospital Charge Code 40635413
Hospital Revenue Code 311
Min. Negotiated Rate $32.47
Max. Negotiated Rate $55.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial $55.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $46.38
Rate for Payer: Aetna Government $46.38
Rate for Payer: Affinity Essential Plan 1&2 $32.47
Rate for Payer: Affinity Essential Plan 3&4 $32.47
Rate for Payer: Affinity Medicaid/CHP/HARP $32.47
Rate for Payer: Brighton Health Commercial $46.38
Rate for Payer: Cash Price $46.38
Rate for Payer: Cash Price $46.38
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $46.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $42.59
Rate for Payer: Cigna LocalPlus Benefit Plan $36.04
Rate for Payer: Elderplan Medicare Advantage $46.38
Rate for Payer: EmblemHealth Commercial $46.38
Rate for Payer: Fidelis Essential Plan Aliesa $39.42
Rate for Payer: Fidelis Essential Plan QHP $41.28
Rate for Payer: Fidelis Medicare Advantage $46.38
Rate for Payer: Fidelis Qualified Health Plan $41.28
Rate for Payer: Group Health Inc Commercial $46.38
Rate for Payer: Group Health Inc Medicare $46.38
Rate for Payer: Hamaspik Choice Inc Medicaid $50.62
Rate for Payer: Hamaspik Choice Inc Medicare $46.38
Rate for Payer: Healthfirst Medicare Advantage $46.38
Rate for Payer: Healthfirst QHP $46.38
Rate for Payer: Humana Medicare $47.31
Rate for Payer: Senior Whole Health Medicare Advantage $46.38
Rate for Payer: United Healthcare Medicare Advantage $46.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $46.38
Rate for Payer: Wellcare CHP/FHP/Medicaid $37.10
Rate for Payer: Wellcare Medicare $41.74
Service Code HCPCS D7287
Hospital Charge Code 42303447
Hospital Revenue Code 361
Min. Negotiated Rate $44.15
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $82.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.15
Rate for Payer: Aetna Government $44.15
Rate for Payer: Brighton Health Commercial $112.50
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 $75.00
Rate for Payer: Group Health Inc Medicare $52.50
Rate for Payer: Hamaspik Choice Inc Medicaid $75.00
Rate for Payer: Hamaspik Choice Inc Medicare $75.00