St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

FEMUR PSN RIGHT NARROW SZ 4-5602

Facility

$6,200.00

Hospital Charge Code	64906664
Hospital Revenue Code	279
Min. Negotiated Rate	$2,170.00
Max. Negotiated Rate	$4,960.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,410.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,100.00
Rate for Payer: Aetna Government	$3,100.00
Rate for Payer: Brighton Health Commercial	$4,650.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,960.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,216.00
Rate for Payer: Group Health Inc Commercial	$3,100.00
Rate for Payer: Group Health Inc Medicare	$2,170.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,100.00

FEMUR PSN S27 LFT POR COR

Facility

$8,200.00

Hospital Charge Code	64906779
Hospital Revenue Code	279
Min. Negotiated Rate	$2,870.00
Max. Negotiated Rate	$6,560.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,510.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,100.00
Rate for Payer: Aetna Government	$4,100.00
Rate for Payer: Brighton Health Commercial	$6,150.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,560.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,576.00
Rate for Payer: Group Health Inc Commercial	$4,100.00
Rate for Payer: Group Health Inc Medicare	$2,870.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00

FEMUR PSN STD LEFT SZ 10

Facility

$8,200.00

Hospital Charge Code	64906749
Hospital Revenue Code	279
Min. Negotiated Rate	$2,870.00
Max. Negotiated Rate	$6,560.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,510.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,100.00
Rate for Payer: Aetna Government	$4,100.00
Rate for Payer: Brighton Health Commercial	$6,150.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,560.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,576.00
Rate for Payer: Group Health Inc Commercial	$4,100.00
Rate for Payer: Group Health Inc Medicare	$2,870.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00

FEMUR PSN TRBULR RT SZ 7 06202

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	64906658
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,200.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,200.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,400.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,300.00
Rate for Payer: EmblemHealth Commercial	$2,000.00
Rate for Payer: Fidelis Medicare Advantage	$4,200.00
Rate for Payer: Group Health Inc Commercial	$2,000.00
Rate for Payer: Group Health Inc Medicare	$1,400.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,600.00

FEMUR PSN TRBULR RT SZ 7 06202

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	64906658
Hospital Revenue Code	278
Min. Negotiated Rate	$2,000.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00

FEMUR SYNERGY POR SZ 13

Facility

$9,329.50

Service Code	HCPCS C1713
Hospital Charge Code	64905353
Hospital Revenue Code	278
Min. Negotiated Rate	$4,664.75
Max. Negotiated Rate	$4,664.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,664.75
Rate for Payer: Hamaspik Choice Inc Medicare	$4,664.75

FEMUR SYNERGY POR SZ 13

Facility

$9,329.50

Service Code	HCPCS C1713
Hospital Charge Code	64905353
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$9,795.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,131.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,597.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,664.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,364.46
Rate for Payer: EmblemHealth Commercial	$4,664.75
Rate for Payer: Fidelis Medicare Advantage	$9,795.98
Rate for Payer: Group Health Inc Commercial	$4,664.75
Rate for Payer: Group Health Inc Medicare	$3,265.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,664.75
Rate for Payer: Hamaspik Choice Inc Medicare	$4,664.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,064.18

FEMUR SZ 6 LOFT LEGION RE

Facility

$20,752.50

Service Code	HCPCS C1713
Hospital Charge Code	64903971
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$21,790.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11,413.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$12,451.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10,376.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$11,932.69
Rate for Payer: EmblemHealth Commercial	$10,376.25
Rate for Payer: Fidelis Medicare Advantage	$21,790.12
Rate for Payer: Group Health Inc Commercial	$10,376.25
Rate for Payer: Group Health Inc Medicare	$7,263.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$10,376.25
Rate for Payer: Hamaspik Choice Inc Medicare	$10,376.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13,489.12

FEMUR SZ 6 LOFT LEGION RE

Facility

$20,752.50

Service Code	HCPCS C1713
Hospital Charge Code	64903971
Hospital Revenue Code	278
Min. Negotiated Rate	$10,376.25
Max. Negotiated Rate	$10,376.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$10,376.25
Rate for Payer: Hamaspik Choice Inc Medicare	$10,376.25

FENTANYL 1000CMG NS 100 ML INF

Facility

$0.08

Hospital Charge Code	41657785
Hospital Revenue Code	250
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.04
Rate for Payer: Aetna Government	$0.04
Rate for Payer: Brighton Health Commercial	$0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.05
Rate for Payer: Group Health Inc Commercial	$0.04
Rate for Payer: Group Health Inc Medicare	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.05

FENTANYL 1000MCG D5W 100ML INF

Facility

$0.08

Hospital Charge Code	41647781
Hospital Revenue Code	250
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.04
Rate for Payer: Aetna Government	$0.04
Rate for Payer: Brighton Health Commercial	$0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.05
Rate for Payer: Group Health Inc Commercial	$0.04
Rate for Payer: Group Health Inc Medicare	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.05

FENTANYL 1000/MCG/D5W 200ML INF

Facility

$16.00

Hospital Charge Code	41657174
Hospital Revenue Code	250
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$12.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.00
Rate for Payer: Aetna Government	$8.00
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.88
Rate for Payer: Group Health Inc Commercial	$8.00
Rate for Payer: Group Health Inc Medicare	$5.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.00
Rate for Payer: Hamaspik Choice Inc Medicare	$8.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.40

FENTANYL 1000MCG/D5W 200ML INF

Facility

$16.00

Hospital Charge Code	41647174
Hospital Revenue Code	250
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$12.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.00
Rate for Payer: Aetna Government	$8.00
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.88
Rate for Payer: Group Health Inc Commercial	$8.00
Rate for Payer: Group Health Inc Medicare	$5.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.00
Rate for Payer: Hamaspik Choice Inc Medicare	$8.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.40

FENTANYL 1000MCG NS 100 ML INF

Facility

$0.08

Hospital Charge Code	41647785
Hospital Revenue Code	250
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.04
Rate for Payer: Aetna Government	$0.04
Rate for Payer: Brighton Health Commercial	$0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.05
Rate for Payer: Group Health Inc Commercial	$0.04
Rate for Payer: Group Health Inc Medicare	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.05

FENTANYL 1000MCG/NS 200ML INF

Facility

$16.00

Hospital Charge Code	41647179
Hospital Revenue Code	250
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$12.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.00
Rate for Payer: Aetna Government	$8.00
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.88
Rate for Payer: Group Health Inc Commercial	$8.00
Rate for Payer: Group Health Inc Medicare	$5.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.00
Rate for Payer: Hamaspik Choice Inc Medicare	$8.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.40

FENTANYL 1000MCG/NS 200ML INF

Facility

$16.00

Hospital Charge Code	41657179
Hospital Revenue Code	250
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$12.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.00
Rate for Payer: Aetna Government	$8.00
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.88
Rate for Payer: Group Health Inc Commercial	$8.00
Rate for Payer: Group Health Inc Medicare	$5.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.00
Rate for Payer: Hamaspik Choice Inc Medicare	$8.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.40

FENTANYL 100 MCG/HR TD PT72 [27908]

Facility

$53.36

Service Code	NDC 00378912498
Hospital Charge Code	00378912498
Hospital Revenue Code	250
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$42.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.68
Rate for Payer: Aetna Government	$26.68
Rate for Payer: Brighton Health Commercial	$40.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.28
Rate for Payer: Group Health Inc Commercial	$26.68
Rate for Payer: Group Health Inc Medicare	$18.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.68
Rate for Payer: Hamaspik Choice Inc Medicare	$26.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$34.68

FENTANYL 100 MCG/HR TD PT72 [27908]

Facility

$53.36

Service Code	NDC 00406910076
Hospital Charge Code	00406910076
Hospital Revenue Code	250
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$42.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.68
Rate for Payer: Aetna Government	$26.68
Rate for Payer: Brighton Health Commercial	$40.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.28
Rate for Payer: Group Health Inc Commercial	$26.68
Rate for Payer: Group Health Inc Medicare	$18.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.68
Rate for Payer: Hamaspik Choice Inc Medicare	$26.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$34.68

FENTANYL 100 MCG/HR TD PT72 [27908]

Facility

$78.71

Service Code	NDC 60505708402
Hospital Charge Code	60505708402
Hospital Revenue Code	250
Min. Negotiated Rate	$27.55
Max. Negotiated Rate	$62.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$43.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$39.36
Rate for Payer: Aetna Government	$39.36
Rate for Payer: Brighton Health Commercial	$59.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.52
Rate for Payer: Group Health Inc Commercial	$39.36
Rate for Payer: Group Health Inc Medicare	$27.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.36
Rate for Payer: Hamaspik Choice Inc Medicare	$39.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$51.16

FENTANYL 10 MCG/ML INJ PEDIATRIC

Facility

$1.00

Hospital Charge Code	41644637
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

FENTANYL 10 MCG/ML INJ PEDIATRIC

Facility

$1.00

Hospital Charge Code	41654637
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

FENTANYL 12 MCG/HR TD PT72 [41382]

Facility

$20.30

Service Code	NDC 00406911276
Hospital Charge Code	00406911276
Hospital Revenue Code	250
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$16.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.15
Rate for Payer: Aetna Government	$10.15
Rate for Payer: Brighton Health Commercial	$15.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.81
Rate for Payer: Group Health Inc Commercial	$10.15
Rate for Payer: Group Health Inc Medicare	$7.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.15
Rate for Payer: Hamaspik Choice Inc Medicare	$10.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.20

FENTANYL 12 MCG/HR TD PT72 [41382]

Facility

$20.30

Service Code	NDC 00378911998
Hospital Charge Code	00378911998
Hospital Revenue Code	250
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$16.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.15
Rate for Payer: Aetna Government	$10.15
Rate for Payer: Brighton Health Commercial	$15.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.81
Rate for Payer: Group Health Inc Commercial	$10.15
Rate for Payer: Group Health Inc Medicare	$7.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.15
Rate for Payer: Hamaspik Choice Inc Medicare	$10.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.20

FENTANYL 12 MCG/HR TD PT72 [41382]

Facility

$20.30

Service Code	NDC 47781042347
Hospital Charge Code	47781042347
Hospital Revenue Code	250
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$16.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.15
Rate for Payer: Aetna Government	$10.15
Rate for Payer: Brighton Health Commercial	$15.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.81
Rate for Payer: Group Health Inc Commercial	$10.15
Rate for Payer: Group Health Inc Medicare	$7.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.15
Rate for Payer: Hamaspik Choice Inc Medicare	$10.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.20

FENTANYL 2500MCG/50ML - .1MG VIAL

Facility

$0.01

Service Code	HCPCS J3010
Hospital Charge Code	41658413
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

Know your out-of-pocket cost for care.

All Charges