Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS J1644
Hospital Charge Code 0069013703
Hospital Revenue Code 250
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $0.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.25
Rate for Payer: Cigna LocalPlus Benefit Plan $0.21
Rate for Payer: EmblemHealth Commercial $0.16
Rate for Payer: Group Health Inc Commercial $0.16
Rate for Payer: Group Health Inc Medicare $0.11
Rate for Payer: Hamaspik Choice Inc Medicaid $0.16
Rate for Payer: Hamaspik Choice Inc Medicare $0.16
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.20
Service Code HCPCS J1644
Hospital Charge Code 7128842196
Hospital Revenue Code 250
Min. Negotiated Rate $0.07
Max. Negotiated Rate $0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $0.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.16
Rate for Payer: Cigna LocalPlus Benefit Plan $0.14
Rate for Payer: EmblemHealth Commercial $0.10
Rate for Payer: Group Health Inc Commercial $0.10
Rate for Payer: Group Health Inc Medicare $0.07
Rate for Payer: Hamaspik Choice Inc Medicaid $0.10
Rate for Payer: Hamaspik Choice Inc Medicare $0.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.13
Service Code HCPCS J1644
Hospital Charge Code 7128842196
Hospital Revenue Code 250
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.10
Rate for Payer: Hamaspik Choice Inc Medicaid $0.10
Service Code HCPCS J1644
Hospital Charge Code 2502140001
Hospital Revenue Code 250
Min. Negotiated Rate $1.44
Max. Negotiated Rate $1.44
Rate for Payer: Hamaspik Choice Inc Medicaid $1.44
Service Code HCPCS J1644
Hospital Charge Code 7128840231
Hospital Revenue Code 250
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $0.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.22
Rate for Payer: Cigna LocalPlus Benefit Plan $0.19
Rate for Payer: EmblemHealth Commercial $0.14
Rate for Payer: Group Health Inc Commercial $0.14
Rate for Payer: Group Health Inc Medicare $0.10
Rate for Payer: Hamaspik Choice Inc Medicaid $0.14
Rate for Payer: Hamaspik Choice Inc Medicare $0.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.18
Service Code HCPCS J1644
Hospital Charge Code 6745738399
Hospital Revenue Code 250
Min. Negotiated Rate $0.58
Max. Negotiated Rate $0.58
Rate for Payer: Hamaspik Choice Inc Medicaid $0.58
Service Code HCPCS J1644
Hospital Charge Code 0409272301
Hospital Revenue Code 250
Min. Negotiated Rate $1.21
Max. Negotiated Rate $1.21
Rate for Payer: Hamaspik Choice Inc Medicaid $1.21
Service Code HCPCS J1644
Hospital Charge Code 6332304710
Hospital Revenue Code 250
Min. Negotiated Rate $1.04
Max. Negotiated Rate $1.04
Rate for Payer: Hamaspik Choice Inc Medicaid $1.04
Service Code HCPCS J1644
Hospital Charge Code 7128840302
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $1.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.82
Rate for Payer: Cigna LocalPlus Benefit Plan $1.55
Rate for Payer: EmblemHealth Commercial $1.14
Rate for Payer: Group Health Inc Commercial $1.14
Rate for Payer: Group Health Inc Medicare $0.80
Rate for Payer: Hamaspik Choice Inc Medicaid $1.14
Rate for Payer: Hamaspik Choice Inc Medicare $1.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.48
Service Code HCPCS J1644
Hospital Charge Code 7128842296
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $1.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.30
Rate for Payer: Cigna LocalPlus Benefit Plan $1.10
Rate for Payer: EmblemHealth Commercial $0.81
Rate for Payer: Group Health Inc Commercial $0.81
Rate for Payer: Group Health Inc Medicare $0.57
Rate for Payer: Hamaspik Choice Inc Medicaid $0.81
Rate for Payer: Hamaspik Choice Inc Medicare $0.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.05
Service Code HCPCS J1644
Hospital Charge Code 2502140201
Hospital Revenue Code 250
Min. Negotiated Rate $0.90
Max. Negotiated Rate $0.90
Rate for Payer: Hamaspik Choice Inc Medicaid $0.90
Service Code HCPCS J1644
Hospital Charge Code 2502140201
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $1.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.44
Rate for Payer: Cigna LocalPlus Benefit Plan $1.22
Rate for Payer: EmblemHealth Commercial $0.90
Rate for Payer: Group Health Inc Commercial $0.90
Rate for Payer: Group Health Inc Medicare $0.63
Rate for Payer: Hamaspik Choice Inc Medicaid $0.90
Rate for Payer: Hamaspik Choice Inc Medicare $0.90
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.17
Service Code HCPCS J1644
Hospital Charge Code 6332304710
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $1.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.67
Rate for Payer: Cigna LocalPlus Benefit Plan $1.42
Rate for Payer: EmblemHealth Commercial $1.04
Rate for Payer: Group Health Inc Commercial $1.04
Rate for Payer: Group Health Inc Medicare $0.73
Rate for Payer: Hamaspik Choice Inc Medicaid $1.04
Rate for Payer: Hamaspik Choice Inc Medicare $1.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.36
Service Code HCPCS J1644
Hospital Charge Code 7128840311
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $1.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.14
Rate for Payer: Cigna LocalPlus Benefit Plan $0.97
Rate for Payer: EmblemHealth Commercial $0.72
Rate for Payer: Group Health Inc Commercial $0.72
Rate for Payer: Group Health Inc Medicare $0.50
Rate for Payer: Hamaspik Choice Inc Medicaid $0.72
Rate for Payer: Hamaspik Choice Inc Medicare $0.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.93
Service Code HCPCS J1644
Hospital Charge Code 7128840311
Hospital Revenue Code 250
Min. Negotiated Rate $0.72
Max. Negotiated Rate $0.72
Rate for Payer: Hamaspik Choice Inc Medicaid $0.72
Service Code HCPCS J1644
Hospital Charge Code 7128840301
Hospital Revenue Code 250
Min. Negotiated Rate $1.14
Max. Negotiated Rate $1.14
Rate for Payer: Hamaspik Choice Inc Medicaid $1.14
Service Code HCPCS J1644
Hospital Charge Code 0641040012
Hospital Revenue Code 250
Min. Negotiated Rate $1.54
Max. Negotiated Rate $1.54
Rate for Payer: Hamaspik Choice Inc Medicaid $1.54
Service Code HCPCS J1644
Hospital Charge Code 0641040012
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $2.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $2.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2.46
Rate for Payer: Cigna LocalPlus Benefit Plan $2.09
Rate for Payer: EmblemHealth Commercial $1.54
Rate for Payer: Group Health Inc Commercial $1.54
Rate for Payer: Group Health Inc Medicare $1.08
Rate for Payer: Hamaspik Choice Inc Medicaid $1.54
Rate for Payer: Hamaspik Choice Inc Medicare $1.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.00
Service Code HCPCS J1644
Hospital Charge Code 7128842296
Hospital Revenue Code 250
Min. Negotiated Rate $0.81
Max. Negotiated Rate $0.81
Rate for Payer: Hamaspik Choice Inc Medicaid $0.81
Service Code HCPCS J1644
Hospital Charge Code 0409272301
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $1.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.94
Rate for Payer: Cigna LocalPlus Benefit Plan $1.65
Rate for Payer: EmblemHealth Commercial $1.21
Rate for Payer: Group Health Inc Commercial $1.21
Rate for Payer: Group Health Inc Medicare $0.85
Rate for Payer: Hamaspik Choice Inc Medicaid $1.21
Rate for Payer: Hamaspik Choice Inc Medicare $1.21
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.58
Service Code HCPCS J1644
Hospital Charge Code 6745738399
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $0.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $0.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.93
Rate for Payer: Cigna LocalPlus Benefit Plan $0.79
Rate for Payer: EmblemHealth Commercial $0.58
Rate for Payer: Group Health Inc Commercial $0.58
Rate for Payer: Group Health Inc Medicare $0.41
Rate for Payer: Hamaspik Choice Inc Medicaid $0.58
Rate for Payer: Hamaspik Choice Inc Medicare $0.58
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.75
Service Code HCPCS J1644
Hospital Charge Code 7128840302
Hospital Revenue Code 250
Min. Negotiated Rate $1.14
Max. Negotiated Rate $1.14
Rate for Payer: Hamaspik Choice Inc Medicaid $1.14
Service Code HCPCS J1644
Hospital Charge Code 7128840301
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $1.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.82
Rate for Payer: Cigna LocalPlus Benefit Plan $1.55
Rate for Payer: EmblemHealth Commercial $1.14
Rate for Payer: Group Health Inc Commercial $1.14
Rate for Payer: Group Health Inc Medicare $0.80
Rate for Payer: Hamaspik Choice Inc Medicaid $1.14
Rate for Payer: Hamaspik Choice Inc Medicare $1.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.48
Service Code HCPCS J1644
Hospital Charge Code 2502140102
Hospital Revenue Code 250
Min. Negotiated Rate $3.12
Max. Negotiated Rate $3.12
Rate for Payer: Hamaspik Choice Inc Medicaid $3.12
Service Code HCPCS J1644
Hospital Charge Code 7128840002
Hospital Revenue Code 250
Min. Negotiated Rate $0.21
Max. Negotiated Rate $4.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.25
Rate for Payer: Aetna Government $0.25
Rate for Payer: Brighton Health Commercial $4.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $4.56
Rate for Payer: Cigna LocalPlus Benefit Plan $3.88
Rate for Payer: EmblemHealth Commercial $2.85
Rate for Payer: Group Health Inc Commercial $2.85
Rate for Payer: Group Health Inc Medicare $2.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2.85
Rate for Payer: Hamaspik Choice Inc Medicare $2.85
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3.71