St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

Malfunction, reaction & complication of GI device or procedure

Facility

$42,732.70

Service Code	APR-DRG 2521
Min. Negotiated Rate	$6,540.00
Max. Negotiated Rate	$42,732.70
Rate for Payer: Affinity Essential Plan 1&2	$42,732.70
Rate for Payer: Affinity Essential Plan 3&4	$42,732.70
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,992.31
Rate for Payer: Amida Care Medicaid	$18,992.31
Rate for Payer: EmblemHealth Essential Plan 1&2	$42,732.70
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,992.31
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,992.31
Rate for Payer: Fidelis Qualified Health Plan	$22,790.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,992.31
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,992.31
Rate for Payer: Healthfirst Commercial	$11,218.00
Rate for Payer: Healthfirst Essential Plan	$42,732.70
Rate for Payer: Healthfirst QHP	$6,540.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,992.31
Rate for Payer: SOMOS Essential	$42,732.70
Rate for Payer: United Healthcare Essential Plan 1&2	$42,732.70
Rate for Payer: United Healthcare Essential Plan 3&4	$42,732.70
Rate for Payer: United Healthcare Medicaid	$18,992.31
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,992.31

MALFUNCTION, REACTION, COMPLICATION OF NEUROLOGICAL DEVICE OR PROC

Facility

$162.00

Service Code	EAPG 00537
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$162.00

Malfunction, reaction, complic of genitourinary device or proc

Facility

$52,479.68

Service Code	APR-DRG 4663
Min. Negotiated Rate	$11,432.00
Max. Negotiated Rate	$52,479.68
Rate for Payer: Affinity Essential Plan 1&2	$52,479.68
Rate for Payer: Affinity Essential Plan 3&4	$52,479.68
Rate for Payer: Affinity Medicaid/CHP/HARP	$23,324.30
Rate for Payer: Amida Care Medicaid	$23,324.30
Rate for Payer: EmblemHealth Essential Plan 1&2	$52,479.68
Rate for Payer: EmblemHealth Essential Plan 3&4	$23,324.30
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,324.30
Rate for Payer: Fidelis Qualified Health Plan	$27,989.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,324.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,324.30
Rate for Payer: Healthfirst Commercial	$21,419.00
Rate for Payer: Healthfirst Essential Plan	$52,479.68
Rate for Payer: Healthfirst QHP	$11,432.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,324.30
Rate for Payer: SOMOS Essential	$52,479.68
Rate for Payer: United Healthcare Essential Plan 1&2	$52,479.68
Rate for Payer: United Healthcare Essential Plan 3&4	$52,479.68
Rate for Payer: United Healthcare Medicaid	$23,324.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,324.30

Malfunction, reaction, complic of genitourinary device or proc

Facility

$40,850.84

Service Code	APR-DRG 4661
Min. Negotiated Rate	$5,384.00
Max. Negotiated Rate	$40,850.84
Rate for Payer: Affinity Essential Plan 1&2	$40,850.84
Rate for Payer: Affinity Essential Plan 3&4	$40,850.84
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,155.93
Rate for Payer: Amida Care Medicaid	$18,155.93
Rate for Payer: EmblemHealth Essential Plan 1&2	$40,850.84
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,155.93
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,155.93
Rate for Payer: Fidelis Qualified Health Plan	$21,787.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,155.93
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,155.93
Rate for Payer: Healthfirst Commercial	$8,956.00
Rate for Payer: Healthfirst Essential Plan	$40,850.84
Rate for Payer: Healthfirst QHP	$5,384.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,155.93
Rate for Payer: SOMOS Essential	$40,850.84
Rate for Payer: United Healthcare Essential Plan 1&2	$40,850.84
Rate for Payer: United Healthcare Essential Plan 3&4	$40,850.84
Rate for Payer: United Healthcare Medicaid	$18,155.93
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,155.93

Malfunction, reaction, complic of genitourinary device or proc

Facility

$44,290.96

Service Code	APR-DRG 4662
Min. Negotiated Rate	$7,476.00
Max. Negotiated Rate	$44,290.96
Rate for Payer: Affinity Essential Plan 1&2	$44,290.96
Rate for Payer: Affinity Essential Plan 3&4	$44,290.96
Rate for Payer: Affinity Medicaid/CHP/HARP	$19,684.87
Rate for Payer: Amida Care Medicaid	$19,684.87
Rate for Payer: EmblemHealth Essential Plan 1&2	$44,290.96
Rate for Payer: EmblemHealth Essential Plan 3&4	$19,684.87
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,684.87
Rate for Payer: Fidelis Qualified Health Plan	$23,621.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,684.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,684.87
Rate for Payer: Healthfirst Commercial	$13,308.00
Rate for Payer: Healthfirst Essential Plan	$44,290.96
Rate for Payer: Healthfirst QHP	$7,476.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,684.87
Rate for Payer: SOMOS Essential	$44,290.96
Rate for Payer: United Healthcare Essential Plan 1&2	$44,290.96
Rate for Payer: United Healthcare Essential Plan 3&4	$44,290.96
Rate for Payer: United Healthcare Medicaid	$19,684.87
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,684.87

Malfunction, reaction, complic of genitourinary device or proc

Facility

$72,955.01

Service Code	APR-DRG 4664
Min. Negotiated Rate	$22,654.00
Max. Negotiated Rate	$72,955.01
Rate for Payer: Affinity Essential Plan 1&2	$72,955.01
Rate for Payer: Affinity Essential Plan 3&4	$72,955.01
Rate for Payer: Affinity Medicaid/CHP/HARP	$32,424.45
Rate for Payer: Amida Care Medicaid	$32,424.45
Rate for Payer: EmblemHealth Essential Plan 1&2	$72,955.01
Rate for Payer: EmblemHealth Essential Plan 3&4	$32,424.45
Rate for Payer: Fidelis CHP/HARP/Medicaid	$32,424.45
Rate for Payer: Fidelis Qualified Health Plan	$38,909.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$32,424.45
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32,424.45
Rate for Payer: Healthfirst Commercial	$43,237.00
Rate for Payer: Healthfirst Essential Plan	$72,955.01
Rate for Payer: Healthfirst QHP	$22,654.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32,424.45
Rate for Payer: SOMOS Essential	$72,955.01
Rate for Payer: United Healthcare Essential Plan 1&2	$72,955.01
Rate for Payer: United Healthcare Essential Plan 3&4	$72,955.01
Rate for Payer: United Healthcare Medicaid	$32,424.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32,424.45

MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$366.21

Service Code	EAPG 00725
Min. Negotiated Rate	$266.14
Max. Negotiated Rate	$366.21
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$266.14
Rate for Payer: Healthfirst Commercial	$366.21

Malfunction, reaction, complic of orthopedic device or procedure

Facility

$41,582.50

Service Code	APR-DRG 3491
Min. Negotiated Rate	$6,160.00
Max. Negotiated Rate	$41,582.50
Rate for Payer: Affinity Essential Plan 1&2	$41,582.50
Rate for Payer: Affinity Essential Plan 3&4	$41,582.50
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,481.11
Rate for Payer: Amida Care Medicaid	$18,481.11
Rate for Payer: EmblemHealth Essential Plan 1&2	$41,582.50
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,481.11
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,481.11
Rate for Payer: Fidelis Qualified Health Plan	$22,177.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,481.11
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,481.11
Rate for Payer: Healthfirst Commercial	$10,453.00
Rate for Payer: Healthfirst Essential Plan	$41,582.50
Rate for Payer: Healthfirst QHP	$6,160.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,481.11
Rate for Payer: SOMOS Essential	$41,582.50
Rate for Payer: United Healthcare Essential Plan 1&2	$41,582.50
Rate for Payer: United Healthcare Essential Plan 3&4	$41,582.50
Rate for Payer: United Healthcare Medicaid	$18,481.11
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,481.11

Malfunction, reaction, complic of orthopedic device or procedure

Facility

$94,828.52

Service Code	APR-DRG 3494
Min. Negotiated Rate	$25,634.00
Max. Negotiated Rate	$94,828.52
Rate for Payer: Affinity Essential Plan 1&2	$94,828.52
Rate for Payer: Affinity Essential Plan 3&4	$94,828.52
Rate for Payer: Affinity Medicaid/CHP/HARP	$42,146.01
Rate for Payer: Amida Care Medicaid	$42,146.01
Rate for Payer: EmblemHealth Essential Plan 1&2	$94,828.52
Rate for Payer: EmblemHealth Essential Plan 3&4	$42,146.01
Rate for Payer: Fidelis CHP/HARP/Medicaid	$42,146.01
Rate for Payer: Fidelis Qualified Health Plan	$50,575.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$42,146.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$42,146.01
Rate for Payer: Healthfirst Commercial	$52,004.00
Rate for Payer: Healthfirst Essential Plan	$94,828.52
Rate for Payer: Healthfirst QHP	$25,634.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$42,146.01
Rate for Payer: SOMOS Essential	$94,828.52
Rate for Payer: United Healthcare Essential Plan 1&2	$94,828.52
Rate for Payer: United Healthcare Essential Plan 3&4	$94,828.52
Rate for Payer: United Healthcare Medicaid	$42,146.01
Rate for Payer: Wellcare CHP/FHP/Medicaid	$42,146.01

Malfunction, reaction, complic of orthopedic device or procedure

Facility

$59,417.93

Service Code	APR-DRG 3493
Min. Negotiated Rate	$14,937.00
Max. Negotiated Rate	$59,417.93
Rate for Payer: Affinity Essential Plan 1&2	$59,417.93
Rate for Payer: Affinity Essential Plan 3&4	$59,417.93
Rate for Payer: Affinity Medicaid/CHP/HARP	$26,407.97
Rate for Payer: Amida Care Medicaid	$26,407.97
Rate for Payer: EmblemHealth Essential Plan 1&2	$59,417.93
Rate for Payer: EmblemHealth Essential Plan 3&4	$26,407.97
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,407.97
Rate for Payer: Fidelis Qualified Health Plan	$31,689.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,407.97
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,407.97
Rate for Payer: Healthfirst Commercial	$25,840.00
Rate for Payer: Healthfirst Essential Plan	$59,417.93
Rate for Payer: Healthfirst QHP	$14,937.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,407.97
Rate for Payer: SOMOS Essential	$59,417.93
Rate for Payer: United Healthcare Essential Plan 1&2	$59,417.93
Rate for Payer: United Healthcare Essential Plan 3&4	$59,417.93
Rate for Payer: United Healthcare Medicaid	$26,407.97
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,407.97

Malfunction, reaction, complic of orthopedic device or procedure

Facility

$47,479.57

Service Code	APR-DRG 3492
Min. Negotiated Rate	$9,009.00
Max. Negotiated Rate	$47,479.57
Rate for Payer: Affinity Essential Plan 1&2	$47,479.57
Rate for Payer: Affinity Essential Plan 3&4	$47,479.57
Rate for Payer: Affinity Medicaid/CHP/HARP	$21,102.03
Rate for Payer: Amida Care Medicaid	$21,102.03
Rate for Payer: EmblemHealth Essential Plan 1&2	$47,479.57
Rate for Payer: EmblemHealth Essential Plan 3&4	$21,102.03
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,102.03
Rate for Payer: Fidelis Qualified Health Plan	$25,322.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,102.03
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,102.03
Rate for Payer: Healthfirst Commercial	$16,441.00
Rate for Payer: Healthfirst Essential Plan	$47,479.57
Rate for Payer: Healthfirst QHP	$9,009.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,102.03
Rate for Payer: SOMOS Essential	$47,479.57
Rate for Payer: United Healthcare Essential Plan 1&2	$47,479.57
Rate for Payer: United Healthcare Essential Plan 3&4	$47,479.57
Rate for Payer: United Healthcare Medicaid	$21,102.03
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,102.03

MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$276.33

Service Code	EAPG 00659
Min. Negotiated Rate	$201.34
Max. Negotiated Rate	$276.33
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$201.34
Rate for Payer: Healthfirst Commercial	$276.33

MALFUNCTION, REACTION, OR COMPLICATION OF CARDIOVASCULAR DEVICE OR PROC

Facility

$189.77

Service Code	EAPG 00589
Min. Negotiated Rate	$189.77
Max. Negotiated Rate	$189.77
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$189.77

MALFUNCTION, REACTION, OR COMPLICATION OF OCULAR DEVICE OR PROCEDURE

Facility

$194.40

Service Code	EAPG 00558
Min. Negotiated Rate	$194.40
Max. Negotiated Rate	$194.40
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$194.40

MALFUNCTION, REACTION, OR COMPLICATION OF OTOLARYNGOLOGIC DEVICE OR PROCEDURE

Facility

$175.89

Service Code	EAPG 00566
Min. Negotiated Rate	$175.89
Max. Negotiated Rate	$175.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$175.89

MALFUNCTION, REACTION, OR COMPLICATION OF PULMONARY DEVICE OR PROCEDURE

Facility

$192.09

Service Code	EAPG 00583
Min. Negotiated Rate	$192.09
Max. Negotiated Rate	$192.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$192.09

Malignancy, male reproductive system

Facility

$39,436.81

Service Code	APR-DRG 5001
Min. Negotiated Rate	$5,507.00
Max. Negotiated Rate	$39,436.81
Rate for Payer: Affinity Essential Plan 1&2	$39,436.81
Rate for Payer: Affinity Essential Plan 3&4	$39,436.81
Rate for Payer: Affinity Medicaid/CHP/HARP	$17,527.47
Rate for Payer: Amida Care Medicaid	$17,527.47
Rate for Payer: EmblemHealth Essential Plan 1&2	$39,436.81
Rate for Payer: EmblemHealth Essential Plan 3&4	$17,527.47
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,527.47
Rate for Payer: Fidelis Qualified Health Plan	$21,032.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,527.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,527.47
Rate for Payer: Healthfirst Commercial	$10,264.00
Rate for Payer: Healthfirst Essential Plan	$39,436.81
Rate for Payer: Healthfirst QHP	$5,507.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,527.47
Rate for Payer: SOMOS Essential	$39,436.81
Rate for Payer: United Healthcare Essential Plan 1&2	$39,436.81
Rate for Payer: United Healthcare Essential Plan 3&4	$39,436.81
Rate for Payer: United Healthcare Medicaid	$17,527.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,527.47

Malignancy, male reproductive system

Facility

$70,609.00

Service Code	APR-DRG 5004
Min. Negotiated Rate	$14,479.00
Max. Negotiated Rate	$70,609.00
Rate for Payer: Affinity Essential Plan 1&2	$64,409.26
Rate for Payer: Affinity Essential Plan 3&4	$64,409.26
Rate for Payer: Affinity Medicaid/CHP/HARP	$28,626.34
Rate for Payer: Amida Care Medicaid	$28,626.34
Rate for Payer: EmblemHealth Essential Plan 1&2	$64,409.26
Rate for Payer: EmblemHealth Essential Plan 3&4	$28,626.34
Rate for Payer: Fidelis CHP/HARP/Medicaid	$28,626.34
Rate for Payer: Fidelis Qualified Health Plan	$34,351.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$28,626.34
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$28,626.34
Rate for Payer: Healthfirst Commercial	$70,609.00
Rate for Payer: Healthfirst Essential Plan	$64,409.26
Rate for Payer: Healthfirst QHP	$14,479.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$28,626.34
Rate for Payer: SOMOS Essential	$64,409.26
Rate for Payer: United Healthcare Essential Plan 1&2	$64,409.26
Rate for Payer: United Healthcare Essential Plan 3&4	$64,409.26
Rate for Payer: United Healthcare Medicaid	$28,626.34
Rate for Payer: Wellcare CHP/FHP/Medicaid	$28,626.34

Malignancy, male reproductive system

Facility

$59,799.58

Service Code	APR-DRG 5003
Min. Negotiated Rate	$13,208.00
Max. Negotiated Rate	$59,799.58
Rate for Payer: Affinity Essential Plan 1&2	$59,799.58
Rate for Payer: Affinity Essential Plan 3&4	$59,799.58
Rate for Payer: Affinity Medicaid/CHP/HARP	$26,577.59
Rate for Payer: Amida Care Medicaid	$26,577.59
Rate for Payer: EmblemHealth Essential Plan 1&2	$59,799.58
Rate for Payer: EmblemHealth Essential Plan 3&4	$26,577.59
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,577.59
Rate for Payer: Fidelis Qualified Health Plan	$31,893.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,577.59
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,577.59
Rate for Payer: Healthfirst Commercial	$24,628.00
Rate for Payer: Healthfirst Essential Plan	$59,799.58
Rate for Payer: Healthfirst QHP	$13,208.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,577.59
Rate for Payer: SOMOS Essential	$59,799.58
Rate for Payer: United Healthcare Essential Plan 1&2	$59,799.58
Rate for Payer: United Healthcare Essential Plan 3&4	$59,799.58
Rate for Payer: United Healthcare Medicaid	$26,577.59
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,577.59

Malignancy, male reproductive system

Facility

$48,596.38

Service Code	APR-DRG 5002
Min. Negotiated Rate	$10,273.00
Max. Negotiated Rate	$48,596.38
Rate for Payer: Affinity Essential Plan 1&2	$48,596.38
Rate for Payer: Affinity Essential Plan 3&4	$48,596.38
Rate for Payer: Affinity Medicaid/CHP/HARP	$21,598.39
Rate for Payer: Amida Care Medicaid	$21,598.39
Rate for Payer: EmblemHealth Essential Plan 1&2	$48,596.38
Rate for Payer: EmblemHealth Essential Plan 3&4	$21,598.39
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,598.39
Rate for Payer: Fidelis Qualified Health Plan	$25,918.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,598.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,598.39
Rate for Payer: Healthfirst Commercial	$16,493.00
Rate for Payer: Healthfirst Essential Plan	$48,596.38
Rate for Payer: Healthfirst QHP	$10,273.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,598.39
Rate for Payer: SOMOS Essential	$48,596.38
Rate for Payer: United Healthcare Essential Plan 1&2	$48,596.38
Rate for Payer: United Healthcare Essential Plan 3&4	$48,596.38
Rate for Payer: United Healthcare Medicaid	$21,598.39
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,598.39

Malignancy of hepatobiliary system & pancreas

Facility

$74,551.95

Service Code	APR-DRG 2814
Min. Negotiated Rate	$25,818.00
Max. Negotiated Rate	$74,551.95
Rate for Payer: Affinity Essential Plan 1&2	$74,551.95
Rate for Payer: Affinity Essential Plan 3&4	$74,551.95
Rate for Payer: Affinity Medicaid/CHP/HARP	$33,134.20
Rate for Payer: Amida Care Medicaid	$33,134.20
Rate for Payer: EmblemHealth Essential Plan 1&2	$74,551.95
Rate for Payer: EmblemHealth Essential Plan 3&4	$33,134.20
Rate for Payer: Fidelis CHP/HARP/Medicaid	$33,134.20
Rate for Payer: Fidelis Qualified Health Plan	$39,761.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$33,134.20
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$33,134.20
Rate for Payer: Healthfirst Commercial	$41,439.00
Rate for Payer: Healthfirst Essential Plan	$74,551.95
Rate for Payer: Healthfirst QHP	$25,818.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$33,134.20
Rate for Payer: SOMOS Essential	$74,551.95
Rate for Payer: United Healthcare Essential Plan 1&2	$74,551.95
Rate for Payer: United Healthcare Essential Plan 3&4	$74,551.95
Rate for Payer: United Healthcare Medicaid	$33,134.20
Rate for Payer: Wellcare CHP/FHP/Medicaid	$33,134.20

Malignancy of hepatobiliary system & pancreas

Facility

$43,749.27

Service Code	APR-DRG 2811
Min. Negotiated Rate	$7,201.00
Max. Negotiated Rate	$43,749.27
Rate for Payer: Affinity Essential Plan 1&2	$43,749.27
Rate for Payer: Affinity Essential Plan 3&4	$43,749.27
Rate for Payer: Affinity Medicaid/CHP/HARP	$19,444.12
Rate for Payer: Amida Care Medicaid	$19,444.12
Rate for Payer: EmblemHealth Essential Plan 1&2	$43,749.27
Rate for Payer: EmblemHealth Essential Plan 3&4	$19,444.12
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,444.12
Rate for Payer: Fidelis Qualified Health Plan	$23,332.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,444.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,444.12
Rate for Payer: Healthfirst Commercial	$14,598.00
Rate for Payer: Healthfirst Essential Plan	$43,749.27
Rate for Payer: Healthfirst QHP	$7,201.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,444.12
Rate for Payer: SOMOS Essential	$43,749.27
Rate for Payer: United Healthcare Essential Plan 1&2	$43,749.27
Rate for Payer: United Healthcare Essential Plan 3&4	$43,749.27
Rate for Payer: United Healthcare Medicaid	$19,444.12
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,444.12

Malignancy of hepatobiliary system & pancreas

Facility

$48,552.39

Service Code	APR-DRG 2812
Min. Negotiated Rate	$9,888.00
Max. Negotiated Rate	$48,552.39
Rate for Payer: Affinity Essential Plan 1&2	$48,552.39
Rate for Payer: Affinity Essential Plan 3&4	$48,552.39
Rate for Payer: Affinity Medicaid/CHP/HARP	$21,578.84
Rate for Payer: Amida Care Medicaid	$21,578.84
Rate for Payer: EmblemHealth Essential Plan 1&2	$48,552.39
Rate for Payer: EmblemHealth Essential Plan 3&4	$21,578.84
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,578.84
Rate for Payer: Fidelis Qualified Health Plan	$25,894.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,578.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,578.84
Rate for Payer: Healthfirst Commercial	$16,140.00
Rate for Payer: Healthfirst Essential Plan	$48,552.39
Rate for Payer: Healthfirst QHP	$9,888.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,578.84
Rate for Payer: SOMOS Essential	$48,552.39
Rate for Payer: United Healthcare Essential Plan 1&2	$48,552.39
Rate for Payer: United Healthcare Essential Plan 3&4	$48,552.39
Rate for Payer: United Healthcare Medicaid	$21,578.84
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,578.84

Malignancy of hepatobiliary system & pancreas

Facility

$56,253.96

Service Code	APR-DRG 2813
Min. Negotiated Rate	$14,629.00
Max. Negotiated Rate	$56,253.96
Rate for Payer: Affinity Essential Plan 1&2	$56,253.96
Rate for Payer: Affinity Essential Plan 3&4	$56,253.96
Rate for Payer: Affinity Medicaid/CHP/HARP	$25,001.76
Rate for Payer: Amida Care Medicaid	$25,001.76
Rate for Payer: EmblemHealth Essential Plan 1&2	$56,253.96
Rate for Payer: EmblemHealth Essential Plan 3&4	$25,001.76
Rate for Payer: Fidelis CHP/HARP/Medicaid	$25,001.76
Rate for Payer: Fidelis Qualified Health Plan	$30,002.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$25,001.76
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$25,001.76
Rate for Payer: Healthfirst Commercial	$23,547.00
Rate for Payer: Healthfirst Essential Plan	$56,253.96
Rate for Payer: Healthfirst QHP	$14,629.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$25,001.76
Rate for Payer: SOMOS Essential	$56,253.96
Rate for Payer: United Healthcare Essential Plan 1&2	$56,253.96
Rate for Payer: United Healthcare Essential Plan 3&4	$56,253.96
Rate for Payer: United Healthcare Medicaid	$25,001.76
Rate for Payer: Wellcare CHP/FHP/Medicaid	$25,001.76

MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$237.56

Service Code	EAPG 00634
Min. Negotiated Rate	$173.57
Max. Negotiated Rate	$237.56
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$173.57
Rate for Payer: Healthfirst Commercial	$237.56

Know your out-of-pocket cost for care.

All Charges