St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ENDOCRINE DISORDERS WITHOUT CC/MCC

Facility

$24,584.37

Service Code	MSDRG 645
Min. Negotiated Rate	$6,524.72
Max. Negotiated Rate	$24,584.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11,219.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17,879.54
Rate for Payer: Aetna Government	$17,879.54
Rate for Payer: Brighton Health Commercial	$11,033.05
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$18,237.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13,139.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$10,843.68
Rate for Payer: Elderplan Medicare Advantage	$16,985.56
Rate for Payer: EmblemHealth Commercial	$6,524.72
Rate for Payer: Fidelis Medicare Advantage	$17,879.54
Rate for Payer: Group Health Inc Commercial	$17,879.54
Rate for Payer: Group Health Inc Medicare	$17,879.54
Rate for Payer: Hamaspik Choice Inc Medicare	$17,879.54
Rate for Payer: Healthfirst Medicare Advantage	$8,313.99
Rate for Payer: Humana Medicare	$24,584.37
Rate for Payer: Senior Whole Health Medicare Advantage	$17,879.54
Rate for Payer: United Healthcare Commercial	$15,132.02
Rate for Payer: United Healthcare Medicare Advantage	$17,879.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$17,879.54
Rate for Payer: Wellcare Medicare	$16,985.56

ENDOCUTTER 35 MM BLUE

Facility

$1,621.38

Hospital Charge Code	40200428
Hospital Revenue Code	270
Min. Negotiated Rate	$567.48
Max. Negotiated Rate	$1,297.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$891.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$810.69
Rate for Payer: Aetna Government	$810.69
Rate for Payer: Brighton Health Commercial	$1,216.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,297.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,102.54
Rate for Payer: Group Health Inc Commercial	$810.69
Rate for Payer: Group Health Inc Medicare	$567.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$810.69
Rate for Payer: Hamaspik Choice Inc Medicare	$810.69

ENDOCUTTER 45 MM BLUE

Facility

$1,621.00

Hospital Charge Code	40200429
Hospital Revenue Code	270
Min. Negotiated Rate	$567.35
Max. Negotiated Rate	$1,296.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$891.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$810.50
Rate for Payer: Aetna Government	$810.50
Rate for Payer: Brighton Health Commercial	$1,215.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,296.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,102.28
Rate for Payer: Group Health Inc Commercial	$810.50
Rate for Payer: Group Health Inc Medicare	$567.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$810.50
Rate for Payer: Hamaspik Choice Inc Medicare	$810.50

ENDOCUTTER RELOAD 35MM BLUE

Facility

$2,385.26

Hospital Charge Code	40200435
Hospital Revenue Code	270
Min. Negotiated Rate	$834.84
Max. Negotiated Rate	$1,908.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,311.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,192.63
Rate for Payer: Aetna Government	$1,192.63
Rate for Payer: Brighton Health Commercial	$1,788.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,908.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,621.98
Rate for Payer: Group Health Inc Commercial	$1,192.63
Rate for Payer: Group Health Inc Medicare	$834.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,192.63
Rate for Payer: Hamaspik Choice Inc Medicare	$1,192.63

ENDOCUTTER RELOAD 35MM WHITE

Facility

$2,385.26

Hospital Charge Code	40200436
Hospital Revenue Code	270
Min. Negotiated Rate	$834.84
Max. Negotiated Rate	$1,908.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,311.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,192.63
Rate for Payer: Aetna Government	$1,192.63
Rate for Payer: Brighton Health Commercial	$1,788.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,908.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,621.98
Rate for Payer: Group Health Inc Commercial	$1,192.63
Rate for Payer: Group Health Inc Medicare	$834.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,192.63
Rate for Payer: Hamaspik Choice Inc Medicare	$1,192.63

ENDOCUTTER RELOAD 45MM BLUE

Facility

$2,230.30

Hospital Charge Code	40200437
Hospital Revenue Code	270
Min. Negotiated Rate	$780.60
Max. Negotiated Rate	$1,784.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,226.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,115.15
Rate for Payer: Aetna Government	$1,115.15
Rate for Payer: Brighton Health Commercial	$1,672.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,784.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,516.60
Rate for Payer: Group Health Inc Commercial	$1,115.15
Rate for Payer: Group Health Inc Medicare	$780.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,115.15
Rate for Payer: Hamaspik Choice Inc Medicare	$1,115.15

ENDOCUTTER RELOAD 45MM GREEN

Facility

$2,230.30

Hospital Charge Code	40200438
Hospital Revenue Code	270
Min. Negotiated Rate	$780.60
Max. Negotiated Rate	$1,784.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,226.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,115.15
Rate for Payer: Aetna Government	$1,115.15
Rate for Payer: Brighton Health Commercial	$1,672.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,784.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,516.60
Rate for Payer: Group Health Inc Commercial	$1,115.15
Rate for Payer: Group Health Inc Medicare	$780.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,115.15
Rate for Payer: Hamaspik Choice Inc Medicare	$1,115.15

ENDOCUTTER RELOAD 45MM WHITE

Facility

$2,590.00

Hospital Charge Code	40200439
Hospital Revenue Code	270
Min. Negotiated Rate	$906.50
Max. Negotiated Rate	$2,072.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,424.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,295.00
Rate for Payer: Aetna Government	$1,295.00
Rate for Payer: Brighton Health Commercial	$1,942.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,072.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,761.20
Rate for Payer: Group Health Inc Commercial	$1,295.00
Rate for Payer: Group Health Inc Medicare	$906.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,295.00

ENDOCUTTER VASCULAR 35MM

Facility

$1,780.00

Hospital Charge Code	40200440
Hospital Revenue Code	270
Min. Negotiated Rate	$623.00
Max. Negotiated Rate	$1,424.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$979.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$890.00
Rate for Payer: Aetna Government	$890.00
Rate for Payer: Brighton Health Commercial	$1,335.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,424.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,210.40
Rate for Payer: Group Health Inc Commercial	$890.00
Rate for Payer: Group Health Inc Medicare	$623.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$890.00
Rate for Payer: Hamaspik Choice Inc Medicare	$890.00

ENDOCUTTER VASCULAR 45 MM

Facility

$1,236.00

Hospital Charge Code	40200430
Hospital Revenue Code	270
Min. Negotiated Rate	$432.60
Max. Negotiated Rate	$988.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$679.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$618.00
Rate for Payer: Aetna Government	$618.00
Rate for Payer: Brighton Health Commercial	$927.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$988.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$840.48
Rate for Payer: Group Health Inc Commercial	$618.00
Rate for Payer: Group Health Inc Medicare	$432.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$618.00
Rate for Payer: Hamaspik Choice Inc Medicare	$618.00

ENDODONTIC ENDOSSEOUS IMPLANT

Facility

$1,984.50

Service Code	HCPCS D3460
Hospital Charge Code	42300800
Hospital Revenue Code	361
Min. Negotiated Rate	$712.73
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,091.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,018.19
Rate for Payer: Aetna Government	$1,018.19
Rate for Payer: Affinity Essential Plan 1&2	$712.73
Rate for Payer: Affinity Essential Plan 3&4	$712.73
Rate for Payer: Affinity Medicaid/CHP/HARP	$712.73
Rate for Payer: Brighton Health Commercial	$1,488.38
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,018.19
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	$1,018.19
Rate for Payer: EmblemHealth Commercial	$1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa	$865.46
Rate for Payer: Fidelis Essential Plan QHP	$906.19
Rate for Payer: Fidelis Medicare Advantage	$1,018.19
Rate for Payer: Fidelis Qualified Health Plan	$906.19
Rate for Payer: Group Health Inc Commercial	$1,018.19
Rate for Payer: Group Health Inc Medicare	$1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$992.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,018.19
Rate for Payer: Healthfirst Medicare Advantage	$865.46
Rate for Payer: Healthfirst QHP	$1,018.19
Rate for Payer: Humana Medicare	$1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage	$1,018.19
Rate for Payer: United Healthcare Medicare Advantage	$1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$814.55
Rate for Payer: Wellcare Medicare	$967.28

ENDODONTIC ENDOSSEOUS IMPLANT

Facility

$1,984.50

Service Code	HCPCS D3460
Hospital Charge Code	42300800
Hospital Revenue Code	361
Rate for Payer: Cash Price	$1,018.19

END OF LIFE COUNSELING

Facility

$10.00

Service Code	HCPCS S0257
Hospital Charge Code	30305816
Hospital Revenue Code	510
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$250.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.09
Rate for Payer: Aetna Government	$2.09
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$204.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$173.89
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	$5.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5.00
Rate for Payer: United Healthcare Commercial	$222.00

ENDOFORM

Facility

$87.80

Hospital Charge Code	64905626
Hospital Revenue Code	270
Min. Negotiated Rate	$30.73
Max. Negotiated Rate	$70.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.90
Rate for Payer: Aetna Government	$43.90
Rate for Payer: Brighton Health Commercial	$65.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$59.70
Rate for Payer: Group Health Inc Commercial	$43.90
Rate for Payer: Group Health Inc Medicare	$30.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.90
Rate for Payer: Hamaspik Choice Inc Medicare	$43.90

ENDO GIA ROTICUL UNIV 45-2.5

Facility

$346.26

Hospital Charge Code	40205110
Hospital Revenue Code	270
Min. Negotiated Rate	$121.19
Max. Negotiated Rate	$277.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$190.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$173.13
Rate for Payer: Aetna Government	$173.13
Rate for Payer: Brighton Health Commercial	$259.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$277.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$235.46
Rate for Payer: Group Health Inc Commercial	$173.13
Rate for Payer: Group Health Inc Medicare	$121.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.13
Rate for Payer: Hamaspik Choice Inc Medicare	$173.13

ENDO-GI MED THICK STAPLE

Facility

$11,278.40

Hospital Charge Code	40008320
Hospital Revenue Code	279
Min. Negotiated Rate	$3,947.44
Max. Negotiated Rate	$9,022.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,203.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,639.20
Rate for Payer: Aetna Government	$5,639.20
Rate for Payer: Brighton Health Commercial	$8,458.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9,022.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,669.31
Rate for Payer: Group Health Inc Commercial	$5,639.20
Rate for Payer: Group Health Inc Medicare	$3,947.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,639.20
Rate for Payer: Hamaspik Choice Inc Medicare	$5,639.20

ENDO GRASPERS 5MM

Facility

$883.92

Hospital Charge Code	40200434
Hospital Revenue Code	270
Min. Negotiated Rate	$309.37
Max. Negotiated Rate	$707.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$486.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$441.96
Rate for Payer: Aetna Government	$441.96
Rate for Payer: Brighton Health Commercial	$662.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$707.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$601.07
Rate for Payer: Group Health Inc Commercial	$441.96
Rate for Payer: Group Health Inc Medicare	$309.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$441.96
Rate for Payer: Hamaspik Choice Inc Medicare	$441.96

ENDOLOGIX AFX/A28-28/C75

Facility

$6,990.00

Service Code	HCPCS C1768
Hospital Charge Code	40205779
Hospital Revenue Code	278
Min. Negotiated Rate	$3,495.00
Max. Negotiated Rate	$3,495.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,495.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,495.00

ENDOLOGIX AFX/A28-28/C75

Facility

$6,990.00

Service Code	HCPCS C1768
Hospital Charge Code	40205779
Hospital Revenue Code	278
Min. Negotiated Rate	$322.77
Max. Negotiated Rate	$7,339.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,844.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$322.77
Rate for Payer: Aetna Government	$322.77
Rate for Payer: Brighton Health Commercial	$4,194.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,495.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,019.25
Rate for Payer: EmblemHealth Commercial	$3,495.00
Rate for Payer: Fidelis Medicare Advantage	$7,339.50
Rate for Payer: Group Health Inc Commercial	$3,495.00
Rate for Payer: Group Health Inc Medicare	$2,446.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,495.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,495.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,543.50

ENDOLOGIX AORTIC GRAFT 25-25-95RL

Facility

$5,590.00

Service Code	HCPCS C1768
Hospital Charge Code	40206031
Hospital Revenue Code	278
Min. Negotiated Rate	$2,795.00
Max. Negotiated Rate	$2,795.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,795.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,795.00

ENDOLOGIX AORTIC GRAFT 25-25-95RL

Facility

$5,590.00

Service Code	HCPCS C1768
Hospital Charge Code	40206031
Hospital Revenue Code	278
Min. Negotiated Rate	$322.77
Max. Negotiated Rate	$5,869.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,074.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$322.77
Rate for Payer: Aetna Government	$322.77
Rate for Payer: Brighton Health Commercial	$3,354.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,795.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,214.25
Rate for Payer: EmblemHealth Commercial	$2,795.00
Rate for Payer: Fidelis Medicare Advantage	$5,869.50
Rate for Payer: Group Health Inc Commercial	$2,795.00
Rate for Payer: Group Health Inc Medicare	$1,956.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,795.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,795.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,633.50

ENDOLOGIX AORTIC GRAFT 28-28-95RL

Facility

$5,590.00

Service Code	HCPCS C1768
Hospital Charge Code	40202218
Hospital Revenue Code	278
Min. Negotiated Rate	$322.77
Max. Negotiated Rate	$5,869.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,074.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$322.77
Rate for Payer: Aetna Government	$322.77
Rate for Payer: Brighton Health Commercial	$3,354.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,795.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,214.25
Rate for Payer: EmblemHealth Commercial	$2,795.00
Rate for Payer: Fidelis Medicare Advantage	$5,869.50
Rate for Payer: Group Health Inc Commercial	$2,795.00
Rate for Payer: Group Health Inc Medicare	$1,956.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,795.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,795.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,633.50

ENDOLOGIX AORTIC GRAFT 28-28-95RL

Facility

$5,590.00

Service Code	HCPCS C1768
Hospital Charge Code	40202218
Hospital Revenue Code	278
Min. Negotiated Rate	$2,795.00
Max. Negotiated Rate	$2,795.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,795.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,795.00

ENDOLOGIX AORTIC GRFT 25-16-140BL

Facility

$20,990.00

Service Code	HCPCS C1768
Hospital Charge Code	40206029
Hospital Revenue Code	278
Min. Negotiated Rate	$10,495.00
Max. Negotiated Rate	$10,495.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10,495.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10,495.00

ENDOLOGIX AORTIC GRFT 25-16-140BL

Facility

$20,990.00

Service Code	HCPCS C1768
Hospital Charge Code	40206029
Hospital Revenue Code	278
Min. Negotiated Rate	$322.77
Max. Negotiated Rate	$22,039.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11,544.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$322.77
Rate for Payer: Aetna Government	$322.77
Rate for Payer: Brighton Health Commercial	$12,594.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10,495.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$12,069.25
Rate for Payer: EmblemHealth Commercial	$10,495.00
Rate for Payer: Fidelis Medicare Advantage	$22,039.50
Rate for Payer: Group Health Inc Commercial	$10,495.00
Rate for Payer: Group Health Inc Medicare	$7,346.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$10,495.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10,495.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13,643.50

Know your out-of-pocket cost for care.

All Charges