St. Barnabas Hospital

All Charges

Charge

Type

Price

FOMORAL HEAD/COMPONENT < 1999

Facility IP

$1,928.64

Service Code	HCPCS C1776
Hospital Charge Code	40203092
Hospital Revenue Code	278
Min. Negotiated Rate	$964.32
Max. Negotiated Rate	$964.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$964.32
Rate for Payer: Hamaspik Choice Inc Medicare	$964.32

FOMORAL HEAD/COMPONENT < 1999

Facility OP

$1,928.64

Service Code	HCPCS C1776
Hospital Charge Code	40203092
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,025.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,060.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$964.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,108.97
Rate for Payer: Fidelis Medicare Advantage	$2,025.07
Rate for Payer: Group Health Inc Commercial	$964.32
Rate for Payer: Group Health Inc Medicare	$675.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$964.32
Rate for Payer: Hamaspik Choice Inc Medicare	$964.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,253.62

FONDAPARINUX 10 MG/0.8 ML INJ

Facility OP

$4.24

Service Code	HCPCS J1652
Hospital Charge Code	41653981
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$2.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.44
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$2.12
Rate for Payer: Group Health Inc Medicare	$1.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.76

FONDAPARINUX 10 MG/0.8 ML INJ

Facility IP

$4.24

Service Code	HCPCS J1652
Hospital Charge Code	41653981
Hospital Revenue Code	636
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2.12

FONDAPARINUX 10 MG/0.8 ML INJ

Facility IP

$4.24

Service Code	HCPCS J1652
Hospital Charge Code	41643981
Hospital Revenue Code	636
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2.12

FONDAPARINUX 10 MG/0.8 ML INJ

Facility OP

$4.24

Service Code	HCPCS J1652
Hospital Charge Code	41643981
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$2.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.44
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$2.12
Rate for Payer: Group Health Inc Medicare	$1.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.76

FONDAPARINUX 2.5 MG/0.5 ML INJ

Facility IP

$5.82

Service Code	HCPCS J1652
Hospital Charge Code	41654160
Hospital Revenue Code	636
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.91
Rate for Payer: Hamaspik Choice Inc Medicare	$2.91

FONDAPARINUX 2.5 MG/0.5 ML INJ

Facility OP

$5.82

Service Code	HCPCS J1652
Hospital Charge Code	41644160
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$3.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.35
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$2.91
Rate for Payer: Group Health Inc Medicare	$2.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.91
Rate for Payer: Hamaspik Choice Inc Medicare	$2.91
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.78

FONDAPARINUX 2.5 MG/0.5 ML INJ

Facility OP

$5.82

Service Code	HCPCS J1652
Hospital Charge Code	41654160
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$3.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.35
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$2.91
Rate for Payer: Group Health Inc Medicare	$2.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.91
Rate for Payer: Hamaspik Choice Inc Medicare	$2.91
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.78

FONDAPARINUX 2.5 MG/0.5 ML INJ

Facility IP

$5.82

Service Code	HCPCS J1652
Hospital Charge Code	41644160
Hospital Revenue Code	636
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.91
Rate for Payer: Hamaspik Choice Inc Medicare	$2.91

FONDAPARINUX 5 MG/0.4 ML INJ

Facility OP

$8.49

Service Code	HCPCS J1652
Hospital Charge Code	41643979
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$5.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.88
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$4.24
Rate for Payer: Group Health Inc Medicare	$2.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.24
Rate for Payer: Hamaspik Choice Inc Medicare	$4.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.52

FONDAPARINUX 5 MG/0.4 ML INJ

Facility IP

$8.49

Service Code	HCPCS J1652
Hospital Charge Code	41643979
Hospital Revenue Code	636
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.24
Rate for Payer: Hamaspik Choice Inc Medicare	$4.24

FONDAPARINUX 5 MG/0.4 ML INJ

Facility OP

$8.49

Service Code	HCPCS J1652
Hospital Charge Code	41653979
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$5.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.88
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$4.24
Rate for Payer: Group Health Inc Medicare	$2.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.24
Rate for Payer: Hamaspik Choice Inc Medicare	$4.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.52

FONDAPARINUX 5 MG/0.4 ML INJ

Facility IP

$8.49

Service Code	HCPCS J1652
Hospital Charge Code	41653979
Hospital Revenue Code	636
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.24
Rate for Payer: Hamaspik Choice Inc Medicare	$4.24

FONDAPARINUX 7.5 MG/0.6 ML INJ

Facility IP

$5.67

Service Code	HCPCS J1652
Hospital Charge Code	41643980
Hospital Revenue Code	636
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$2.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2.84

FONDAPARINUX 7.5 MG/0.6 ML INJ

Facility IP

$5.67

Service Code	HCPCS J1652
Hospital Charge Code	41653980
Hospital Revenue Code	636
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$2.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2.84

FONDAPARINUX 7.5 MG/0.6 ML INJ

Facility OP

$5.67

Service Code	HCPCS J1652
Hospital Charge Code	41653980
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$3.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.26
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$2.84
Rate for Payer: Group Health Inc Medicare	$1.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.69

FONDAPARINUX 7.5 MG/0.6 ML INJ

Facility OP

$5.67

Service Code	HCPCS J1652
Hospital Charge Code	41643980
Hospital Revenue Code	636
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$3.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.43
Rate for Payer: Aetna Government	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.26
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.96
Rate for Payer: Group Health Inc Commercial	$2.84
Rate for Payer: Group Health Inc Medicare	$1.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1.09
Rate for Payer: SOMOS Essential	$1.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.69

FOOD ALLERGY PROFILE

Facility OP

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40728348
Hospital Revenue Code	302
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$8.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.22
Rate for Payer: Aetna Government	$5.22
Rate for Payer: Cash Price	$5.22
Rate for Payer: Cash Price	$5.22
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.01
Rate for Payer: Elderplan Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$5.22
Rate for Payer: Fidelis CHP/HARP/Medicaid	$4.70
Rate for Payer: Fidelis Essential Plan Aliesa	$4.44
Rate for Payer: Fidelis Essential Plan QHP	$4.65
Rate for Payer: Fidelis Medicare Advantage	$5.22
Rate for Payer: Fidelis Qualified Health Plan	$4.65
Rate for Payer: Group Health Inc Commercial	$5.22
Rate for Payer: Group Health Inc Medicare	$5.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.52
Rate for Payer: Hamaspik Choice Inc Medicare	$5.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$5.22
Rate for Payer: Healthfirst Medicare Advantage	$5.22
Rate for Payer: Healthfirst QHP	$5.22
Rate for Payer: Senior Whole Health Medicare Advantage	$5.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.22
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.18
Rate for Payer: Wellcare Medicare	$4.70

FOOT ARCH 180MM

Facility OP

$3,198.52

Service Code	HCPCS C1889
Hospital Charge Code	64907445
Hospital Revenue Code	278
Min. Negotiated Rate	$1,119.48
Max. Negotiated Rate	$3,358.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,759.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,599.26
Rate for Payer: Aetna Government	$1,599.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,599.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,839.15
Rate for Payer: Fidelis Medicare Advantage	$3,358.45
Rate for Payer: Group Health Inc Commercial	$1,599.26
Rate for Payer: Group Health Inc Medicare	$1,119.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,599.26
Rate for Payer: Hamaspik Choice Inc Medicare	$1,599.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,079.04

FOOT ARCH 180MM

Facility IP

$3,198.52

Service Code	HCPCS C1889
Hospital Charge Code	64907445
Hospital Revenue Code	278
Min. Negotiated Rate	$1,599.26
Max. Negotiated Rate	$1,599.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,599.26
Rate for Payer: Hamaspik Choice Inc Medicare	$1,599.26

FOOT CORRXIT AFO W/AMB ATTACH AVG

Facility OP

$155.25

Hospital Charge Code	64902867
Hospital Revenue Code	270
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$124.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$77.62
Rate for Payer: Aetna Government	$77.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$124.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$105.57
Rate for Payer: Group Health Inc Commercial	$77.62
Rate for Payer: Group Health Inc Medicare	$54.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.62
Rate for Payer: Hamaspik Choice Inc Medicare	$77.62

FOOT OR TOE SURGERY

Facility OP

$634.45

Service Code	HCPCS 28899
Hospital Charge Code	30301512
Hospital Revenue Code	361
Min. Negotiated Rate	$218.17
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$272.71
Rate for Payer: Aetna Government	$272.71
Rate for Payer: Cash Price	$272.71
Rate for Payer: Cash Price	$272.71
Rate for Payer: Cash Price	$272.71
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$272.71
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	$272.71
Rate for Payer: EmblemHealth Commercial	$272.71
Rate for Payer: Fidelis Essential Plan Aliesa	$231.80
Rate for Payer: Fidelis Essential Plan QHP	$242.71
Rate for Payer: Fidelis Medicare Advantage	$272.71
Rate for Payer: Fidelis Qualified Health Plan	$242.71
Rate for Payer: Group Health Inc Commercial	$272.71
Rate for Payer: Group Health Inc Medicare	$272.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$317.22
Rate for Payer: Hamaspik Choice Inc Medicare	$272.71
Rate for Payer: Healthfirst Medicare Advantage	$231.80
Rate for Payer: Healthfirst QHP	$272.71
Rate for Payer: Senior Whole Health Medicare Advantage	$272.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$272.71
Rate for Payer: Wellcare CHP/FHP/Medicaid	$218.17
Rate for Payer: Wellcare Medicare	$259.07

FOOT PROCEDURES WITH CC

Facility IP

$31,903.77

Service Code	MS-DRG 504
Min. Negotiated Rate	$14,544.37
Max. Negotiated Rate	$31,903.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25,466.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31,278.21
Rate for Payer: Aetna Government	$31,278.21
Rate for Payer: Brighton Health Commercial	$25,042.95
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$31,903.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29,825.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$24,613.11
Rate for Payer: Elderplan Medicare Advantage	$29,714.30
Rate for Payer: EmblemHealth Commercial	$14,809.90
Rate for Payer: Fidelis Medicare Advantage	$31,278.21
Rate for Payer: Group Health Inc Commercial	$31,278.21
Rate for Payer: Group Health Inc Medicare	$31,278.21
Rate for Payer: Hamaspik Choice Inc Medicare	$31,278.21
Rate for Payer: Healthfirst Medicare Advantage	$14,544.37
Rate for Payer: Senior Whole Health Medicare Advantage	$31,278.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$31,278.21
Rate for Payer: Wellcare Medicare	$29,714.30

FOOT PROCEDURES WITH MCC

Facility IP

$46,313.73

Service Code	MS-DRG 503
Min. Negotiated Rate	$20,701.23
Max. Negotiated Rate	$46,313.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$39,544.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44,518.78
Rate for Payer: Aetna Government	$44,518.78
Rate for Payer: Brighton Health Commercial	$38,887.55
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$45,409.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46,313.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$38,220.08
Rate for Payer: Elderplan Medicare Advantage	$42,292.84
Rate for Payer: EmblemHealth Commercial	$22,997.30
Rate for Payer: Fidelis Medicare Advantage	$44,518.78
Rate for Payer: Group Health Inc Commercial	$44,518.78
Rate for Payer: Group Health Inc Medicare	$44,518.78
Rate for Payer: Hamaspik Choice Inc Medicare	$44,518.78
Rate for Payer: Healthfirst Medicare Advantage	$20,701.23
Rate for Payer: Senior Whole Health Medicare Advantage	$44,518.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44,518.78
Rate for Payer: Wellcare Medicare	$42,292.84

Price Transparency.

All Charges