St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HC REPLACE CV CATH, COMPLETE, TUNNELED, W SUBQ PORT OR PUMP

Facility

$8,393.00

Service Code	CPT 36583
Hospital Charge Code	3613658301
Hospital Revenue Code	361
Min. Negotiated Rate	$392.71
Max. Negotiated Rate	$6,736.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,604.79
Rate for Payer: Aetna Government	$6,604.79
Rate for Payer: Affinity Essential Plan 1&2	$4,623.35
Rate for Payer: Affinity Essential Plan 3&4	$4,623.35
Rate for Payer: Affinity Medicaid/CHP/HARP	$4,623.35
Rate for Payer: Brighton Health Commercial	$6,294.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6,604.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: Elderplan Medicare Advantage	$6,604.79
Rate for Payer: EmblemHealth Commercial	$6,604.79
Rate for Payer: Fidelis CHP/HARP/Medicaid	$5,944.31
Rate for Payer: Fidelis Essential Plan Aliesa	$5,614.07
Rate for Payer: Fidelis Essential Plan QHP	$5,878.26
Rate for Payer: Fidelis Medicare Advantage	$6,604.79
Rate for Payer: Fidelis Qualified Health Plan	$5,878.26
Rate for Payer: Group Health Inc Commercial	$6,604.79
Rate for Payer: Group Health Inc Medicare	$6,604.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,604.79
Rate for Payer: Hamaspik Choice Inc Medicare	$5,282.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$392.71
Rate for Payer: Healthfirst Medicare Advantage	$5,614.07
Rate for Payer: Healthfirst QHP	$6,604.79
Rate for Payer: Humana Medicare	$6,736.89
Rate for Payer: Senior Whole Health Medicare Advantage	$6,604.79
Rate for Payer: United Healthcare Commercial	$2,546.00
Rate for Payer: United Healthcare Medicare Advantage	$6,604.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,604.79
Rate for Payer: Wellcare CHP/FHP/Medicaid	$6,274.55
Rate for Payer: Wellcare Medicare	$6,274.55

HC REPLACE CV CATH, COMPLETE, TUNNELED, W SUBQ PORT OR PUMP

Facility

$8,393.00

Service Code	CPT 36583
Hospital Charge Code	3613658301
Hospital Revenue Code	361
Min. Negotiated Rate	$4,196.50
Max. Negotiated Rate	$4,196.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.50

HC REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS

Facility

$2,316.00

Service Code	CPT 49451 TC
Hospital Charge Code	3614945101
Hospital Revenue Code	361
Min. Negotiated Rate	$503.39
Max. Negotiated Rate	$3,092.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$836.31
Rate for Payer: Aetna Government	$836.31
Rate for Payer: Brighton Health Commercial	$1,737.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$1,158.00
Rate for Payer: Group Health Inc Commercial	$1,158.00
Rate for Payer: Group Health Inc Medicare	$810.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,158.00
Rate for Payer: Hamaspik Choice Inc Medicare	$503.39
Rate for Payer: United Healthcare Commercial	$1,409.00

HC REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS

Facility

$2,316.00

Service Code	CPT 49451 TC
Hospital Charge Code	3614945101
Hospital Revenue Code	361
Min. Negotiated Rate	$1,158.00
Max. Negotiated Rate	$1,158.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,158.00

HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS

Facility

$2,380.00

Service Code	CPT 49450 TC
Hospital Charge Code	3614945001
Hospital Revenue Code	361
Min. Negotiated Rate	$503.39
Max. Negotiated Rate	$3,092.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$767.17
Rate for Payer: Aetna Government	$767.17
Rate for Payer: Brighton Health Commercial	$1,785.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$1,190.00
Rate for Payer: Group Health Inc Commercial	$1,190.00
Rate for Payer: Group Health Inc Medicare	$833.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$503.39
Rate for Payer: United Healthcare Commercial	$1,409.00

HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS

Facility

$2,380.00

Service Code	CPT 49450 TC
Hospital Charge Code	3614945001
Hospital Revenue Code	361
Min. Negotiated Rate	$1,190.00
Max. Negotiated Rate	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,190.00

HC REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS

Facility

$2,380.00

Service Code	CPT 49452 TC
Hospital Charge Code	3614945201
Hospital Revenue Code	361
Min. Negotiated Rate	$503.39
Max. Negotiated Rate	$3,092.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,032.01
Rate for Payer: Aetna Government	$1,032.01
Rate for Payer: Brighton Health Commercial	$1,785.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$1,190.00
Rate for Payer: Group Health Inc Commercial	$1,190.00
Rate for Payer: Group Health Inc Medicare	$833.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$503.39
Rate for Payer: United Healthcare Commercial	$1,409.00

HC REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS

Facility

$2,380.00

Service Code	CPT 49452 TC
Hospital Charge Code	3614945201
Hospital Revenue Code	361
Min. Negotiated Rate	$1,190.00
Max. Negotiated Rate	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,190.00

HC REPLACEMENT OF CONTACT LENS

Facility

$168.00

Service Code	CPT 92326
Hospital Charge Code	5109232601
Hospital Revenue Code	510
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.00

HC REPLACEMENT OF CONTACT LENS

Facility

$168.00

Service Code	CPT 92326
Hospital Charge Code	5109232601
Hospital Revenue Code	510
Min. Negotiated Rate	$44.87
Max. Negotiated Rate	$250.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$72.58
Rate for Payer: Aetna Government	$72.58
Rate for Payer: Affinity Essential Plan 1&2	$50.81
Rate for Payer: Affinity Essential Plan 3&4	$50.81
Rate for Payer: Affinity Medicaid/CHP/HARP	$50.81
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$72.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$217.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.48
Rate for Payer: Elderplan Medicare Advantage	$72.58
Rate for Payer: EmblemHealth Commercial	$250.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$65.32
Rate for Payer: Fidelis Essential Plan Aliesa	$61.69
Rate for Payer: Fidelis Essential Plan QHP	$64.60
Rate for Payer: Fidelis Medicare Advantage	$72.58
Rate for Payer: Fidelis Qualified Health Plan	$64.60
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.58
Rate for Payer: Hamaspik Choice Inc Medicare	$72.58
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$44.87
Rate for Payer: Healthfirst Medicare Advantage	$61.69
Rate for Payer: Healthfirst QHP	$72.58
Rate for Payer: Humana Medicare	$74.03
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$76.21
Rate for Payer: Senior Whole Health Medicare Advantage	$72.58
Rate for Payer: United Healthcare Commercial	$222.00
Rate for Payer: United Healthcare Medicare Advantage	$72.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$72.58
Rate for Payer: Wellcare CHP/FHP/Medicaid	$68.95
Rate for Payer: Wellcare Medicare	$68.95

HC REPLACE PICC W/O PORT OR PUMP

Facility

$4,940.00

Service Code	CPT 36584 TC
Hospital Charge Code	3613658401
Hospital Revenue Code	361
Min. Negotiated Rate	$71.05
Max. Negotiated Rate	$3,705.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$71.05
Rate for Payer: Aetna Government	$71.05
Rate for Payer: Brighton Health Commercial	$3,705.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$2,470.00
Rate for Payer: Group Health Inc Commercial	$2,470.00
Rate for Payer: Group Health Inc Medicare	$1,729.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,470.00
Rate for Payer: Hamaspik Choice Inc Medicare	$632.40
Rate for Payer: United Healthcare Commercial	$1,188.00

HC REPLACE PICC W/O PORT OR PUMP

Facility

$4,940.00

Service Code	CPT 36584 TC
Hospital Charge Code	3613658401
Hospital Revenue Code	361
Min. Negotiated Rate	$2,470.00
Max. Negotiated Rate	$2,470.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,470.00

HC REPLACE PICC W PORT OR PUMP

Facility

$8,393.00

Service Code	CPT 36585 TC
Hospital Charge Code	3613658501
Hospital Revenue Code	361
Min. Negotiated Rate	$4,196.50
Max. Negotiated Rate	$4,196.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.50

HC REPLACE PICC W PORT OR PUMP

Facility

$8,393.00

Service Code	CPT 36585 TC
Hospital Charge Code	3613658501
Hospital Revenue Code	361
Min. Negotiated Rate	$1,246.03
Max. Negotiated Rate	$6,294.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,246.03
Rate for Payer: Aetna Government	$1,246.03
Rate for Payer: Brighton Health Commercial	$6,294.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$4,196.50
Rate for Payer: Group Health Inc Commercial	$4,196.50
Rate for Payer: Group Health Inc Medicare	$2,937.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,588.69
Rate for Payer: United Healthcare Commercial	$1,835.00

HC REPORT ON TRANSMITTED ECG

Facility

$614.00

Service Code	CPT 93268
Hospital Charge Code	7319326801
Hospital Revenue Code	731
Min. Negotiated Rate	$307.00
Max. Negotiated Rate	$307.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.00

HC REPORT ON TRANSMITTED ECG

Facility

$614.00

Service Code	CPT 93268
Hospital Charge Code	7319326801
Hospital Revenue Code	731
Min. Negotiated Rate	$183.03
Max. Negotiated Rate	$491.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$183.03
Rate for Payer: Aetna Government	$183.03
Rate for Payer: Brighton Health Commercial	$460.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$491.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$417.52
Rate for Payer: EmblemHealth Commercial	$307.00
Rate for Payer: Group Health Inc Commercial	$307.00
Rate for Payer: Group Health Inc Medicare	$214.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.00
Rate for Payer: Hamaspik Choice Inc Medicare	$307.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$194.67
Rate for Payer: United Healthcare Commercial	$253.00

HC REPOSITION CENTRAL VEN. CATH

Facility

$4,940.00

Service Code	CPT 36597 TC
Hospital Charge Code	3613659701
Hospital Revenue Code	361
Min. Negotiated Rate	$2,470.00
Max. Negotiated Rate	$2,470.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,470.00

HC REPOSITION CENTRAL VEN. CATH

Facility

$4,940.00

Service Code	CPT 36597 TC
Hospital Charge Code	3613659701
Hospital Revenue Code	361
Min. Negotiated Rate	$135.90
Max. Negotiated Rate	$3,705.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$135.90
Rate for Payer: Aetna Government	$135.90
Rate for Payer: Brighton Health Commercial	$3,705.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$2,470.00
Rate for Payer: Group Health Inc Commercial	$2,470.00
Rate for Payer: Group Health Inc Medicare	$1,729.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,470.00
Rate for Payer: Hamaspik Choice Inc Medicare	$632.40
Rate for Payer: United Healthcare Commercial	$1,188.00

HC REPOSITION GASTROSTOMY TUBE - GASTROSTOMY TUBE, CHANGE / REPOSITION

Facility

$711.00

Service Code	CPT 43761 TC
Hospital Charge Code	3614376101
Hospital Revenue Code	361
Min. Negotiated Rate	$355.50
Max. Negotiated Rate	$355.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$355.50

HC REPOSITION GASTROSTOMY TUBE - GASTROSTOMY TUBE, CHANGE / REPOSITION

Facility

$711.00

Service Code	CPT 43761 TC
Hospital Charge Code	3614376101
Hospital Revenue Code	361
Min. Negotiated Rate	$130.70
Max. Negotiated Rate	$3,092.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$131.87
Rate for Payer: Aetna Government	$131.87
Rate for Payer: Brighton Health Commercial	$533.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$355.50
Rate for Payer: Group Health Inc Commercial	$355.50
Rate for Payer: Group Health Inc Medicare	$248.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$355.50
Rate for Payer: Hamaspik Choice Inc Medicare	$130.70
Rate for Payer: United Healthcare Commercial	$1,113.00

HC REPOSITIONG PERQ LT/RT HRT VAD

Facility

$523.00

Service Code	CPT 33993
Hospital Charge Code	3613399301
Hospital Revenue Code	361
Min. Negotiated Rate	$183.05
Max. Negotiated Rate	$3,092.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$287.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$204.15
Rate for Payer: Aetna Government	$204.15
Rate for Payer: Brighton Health Commercial	$392.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: EmblemHealth Commercial	$261.50
Rate for Payer: Group Health Inc Commercial	$261.50
Rate for Payer: Group Health Inc Medicare	$183.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$261.50
Rate for Payer: Hamaspik Choice Inc Medicare	$261.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$189.60
Rate for Payer: United Healthcare Commercial	$1,496.00

HC REPOSITIONG PERQ LT/RT HRT VAD

Facility

$523.00

Service Code	CPT 33993
Hospital Charge Code	3613399301
Hospital Revenue Code	361
Min. Negotiated Rate	$261.50
Max. Negotiated Rate	$261.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$261.50

HC REPOSITN PREV IMP LEFT VENTR ELEC

Facility

$8,393.00

Service Code	CPT 33226
Hospital Charge Code	3613322601
Hospital Revenue Code	361
Min. Negotiated Rate	$4,196.50
Max. Negotiated Rate	$4,196.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.50

HC REPOSITN PREV IMP LEFT VENTR ELEC

Facility

$8,393.00

Service Code	CPT 33226
Hospital Charge Code	3613322601
Hospital Revenue Code	361
Min. Negotiated Rate	$566.58
Max. Negotiated Rate	$6,294.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,845.68
Rate for Payer: Aetna Government	$3,845.68
Rate for Payer: Affinity Essential Plan 1&2	$2,691.98
Rate for Payer: Affinity Essential Plan 3&4	$2,691.98
Rate for Payer: Affinity Medicaid/CHP/HARP	$2,691.98
Rate for Payer: Brighton Health Commercial	$6,294.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,845.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: Elderplan Medicare Advantage	$3,845.68
Rate for Payer: EmblemHealth Commercial	$3,845.68
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,461.11
Rate for Payer: Fidelis Essential Plan Aliesa	$3,268.83
Rate for Payer: Fidelis Essential Plan QHP	$3,422.66
Rate for Payer: Fidelis Medicare Advantage	$3,845.68
Rate for Payer: Fidelis Qualified Health Plan	$3,422.66
Rate for Payer: Group Health Inc Commercial	$3,845.68
Rate for Payer: Group Health Inc Medicare	$3,845.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,845.68
Rate for Payer: Hamaspik Choice Inc Medicare	$2,169.74
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$566.58
Rate for Payer: Healthfirst Medicare Advantage	$3,268.83
Rate for Payer: Healthfirst QHP	$3,845.68
Rate for Payer: Humana Medicare	$3,922.59
Rate for Payer: Senior Whole Health Medicare Advantage	$3,845.68
Rate for Payer: United Healthcare Commercial	$1,835.00
Rate for Payer: United Healthcare Medicare Advantage	$3,845.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,845.68
Rate for Payer: Wellcare CHP/FHP/Medicaid	$3,653.40
Rate for Payer: Wellcare Medicare	$3,653.40

HC REPOSITN PREV IMPLNT ICD ELECTRODE

Facility

$8,393.00

Service Code	CPT 33215
Hospital Charge Code	3613321501
Hospital Revenue Code	361
Min. Negotiated Rate	$361.77
Max. Negotiated Rate	$6,294.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,845.68
Rate for Payer: Aetna Government	$3,845.68
Rate for Payer: Affinity Essential Plan 1&2	$2,691.98
Rate for Payer: Affinity Essential Plan 3&4	$2,691.98
Rate for Payer: Affinity Medicaid/CHP/HARP	$2,691.98
Rate for Payer: Brighton Health Commercial	$6,294.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,845.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,092.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,628.64
Rate for Payer: Elderplan Medicare Advantage	$3,845.68
Rate for Payer: EmblemHealth Commercial	$3,845.68
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,461.11
Rate for Payer: Fidelis Essential Plan Aliesa	$3,268.83
Rate for Payer: Fidelis Essential Plan QHP	$3,422.66
Rate for Payer: Fidelis Medicare Advantage	$3,845.68
Rate for Payer: Fidelis Qualified Health Plan	$3,422.66
Rate for Payer: Group Health Inc Commercial	$3,845.68
Rate for Payer: Group Health Inc Medicare	$3,845.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,845.68
Rate for Payer: Hamaspik Choice Inc Medicare	$1,588.69
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$361.77
Rate for Payer: Healthfirst Medicare Advantage	$3,268.83
Rate for Payer: Healthfirst QHP	$3,845.68
Rate for Payer: Humana Medicare	$3,922.59
Rate for Payer: Senior Whole Health Medicare Advantage	$3,845.68
Rate for Payer: United Healthcare Commercial	$1,835.00
Rate for Payer: United Healthcare Medicare Advantage	$3,845.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,845.68
Rate for Payer: Wellcare CHP/FHP/Medicaid	$3,653.40
Rate for Payer: Wellcare Medicare	$3,653.40

Know your out-of-pocket cost for care.

All Charges