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Service Code HCPCS A9581
Hospital Charge Code 50419032005
Hospital Revenue Code 278
Min. Negotiated Rate $5.96
Max. Negotiated Rate $17.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $14.73
Rate for Payer: Aetna Government $14.73
Rate for Payer: Brighton Health Commercial $10.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $8.52
Rate for Payer: Cigna LocalPlus Benefit Plan $9.80
Rate for Payer: EmblemHealth Commercial $8.52
Rate for Payer: Fidelis Medicare Advantage $17.89
Rate for Payer: Group Health Inc Commercial $8.52
Rate for Payer: Group Health Inc Medicare $5.96
Rate for Payer: Hamaspik Choice Inc Medicaid $8.52
Rate for Payer: Hamaspik Choice Inc Medicare $8.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $11.07
Service Code HCPCS A9581
Hospital Charge Code 41649592
Hospital Revenue Code 254
Min. Negotiated Rate $11.90
Max. Negotiated Rate $27.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $18.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $14.73
Rate for Payer: Aetna Government $14.73
Rate for Payer: Brighton Health Commercial $25.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $27.20
Rate for Payer: Cigna LocalPlus Benefit Plan $23.12
Rate for Payer: Group Health Inc Commercial $17.00
Rate for Payer: Group Health Inc Medicare $11.90
Rate for Payer: Hamaspik Choice Inc Medicaid $17.00
Rate for Payer: Hamaspik Choice Inc Medicare $17.00
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $14.76
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $15.65
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $15.65
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $15.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $22.10
Service Code HCPCS A9581
Hospital Charge Code 41659592
Hospital Revenue Code 254
Min. Negotiated Rate $11.90
Max. Negotiated Rate $27.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $18.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $14.73
Rate for Payer: Aetna Government $14.73
Rate for Payer: Brighton Health Commercial $25.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $27.20
Rate for Payer: Cigna LocalPlus Benefit Plan $23.12
Rate for Payer: Group Health Inc Commercial $17.00
Rate for Payer: Group Health Inc Medicare $11.90
Rate for Payer: Hamaspik Choice Inc Medicaid $17.00
Rate for Payer: Hamaspik Choice Inc Medicare $17.00
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $14.76
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $15.65
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $15.65
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $15.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $22.10
Hospital Charge Code 64904740
Hospital Revenue Code 270
Min. Negotiated Rate $88.81
Max. Negotiated Rate $203.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $139.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $126.88
Rate for Payer: Aetna Government $126.88
Rate for Payer: Brighton Health Commercial $190.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $203.00
Rate for Payer: Cigna LocalPlus Benefit Plan $172.55
Rate for Payer: Group Health Inc Commercial $126.88
Rate for Payer: Group Health Inc Medicare $88.81
Rate for Payer: Hamaspik Choice Inc Medicaid $126.88
Rate for Payer: Hamaspik Choice Inc Medicare $126.88
Service Code HCPCS C1721
Hospital Charge Code 66571449
Hospital Revenue Code 278
Min. Negotiated Rate $19,375.00
Max. Negotiated Rate $19,375.00
Rate for Payer: Hamaspik Choice Inc Medicaid $19,375.00
Rate for Payer: Hamaspik Choice Inc Medicare $19,375.00
Service Code HCPCS C1721
Hospital Charge Code 66571449
Hospital Revenue Code 278
Min. Negotiated Rate $5,000.00
Max. Negotiated Rate $40,687.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $21,312.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $5,000.00
Rate for Payer: Aetna Government $5,000.00
Rate for Payer: Brighton Health Commercial $23,250.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $19,375.00
Rate for Payer: Cigna LocalPlus Benefit Plan $22,281.25
Rate for Payer: EmblemHealth Commercial $19,375.00
Rate for Payer: Fidelis Medicare Advantage $40,687.50
Rate for Payer: Group Health Inc Commercial $19,375.00
Rate for Payer: Group Health Inc Medicare $13,562.50
Rate for Payer: Hamaspik Choice Inc Medicaid $19,375.00
Rate for Payer: Hamaspik Choice Inc Medicare $19,375.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $25,187.50
Service Code HCPCS A9556
Hospital Charge Code 41656584
Hospital Revenue Code 343
Min. Negotiated Rate $6.28
Max. Negotiated Rate $99.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $99.50
Rate for Payer: Aetna Government $99.50
Rate for Payer: Brighton Health Commercial $13.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $14.36
Rate for Payer: Cigna LocalPlus Benefit Plan $12.21
Rate for Payer: Group Health Inc Commercial $8.98
Rate for Payer: Group Health Inc Medicare $6.28
Rate for Payer: Hamaspik Choice Inc Medicaid $8.98
Rate for Payer: Hamaspik Choice Inc Medicare $8.98
Service Code HCPCS C1713
Hospital Charge Code 40205354
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,443.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,327.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,539.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,116.10
Rate for Payer: Cigna LocalPlus Benefit Plan $2,433.52
Rate for Payer: EmblemHealth Commercial $2,116.10
Rate for Payer: Fidelis Medicare Advantage $4,443.81
Rate for Payer: Group Health Inc Commercial $2,116.10
Rate for Payer: Group Health Inc Medicare $1,481.27
Rate for Payer: Hamaspik Choice Inc Medicaid $2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare $2,116.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,750.93
Service Code HCPCS C1713
Hospital Charge Code 40205354
Hospital Revenue Code 278
Min. Negotiated Rate $2,116.10
Max. Negotiated Rate $2,116.10
Rate for Payer: Hamaspik Choice Inc Medicaid $2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare $2,116.10
Service Code HCPCS C1776
Hospital Charge Code 40205200
Hospital Revenue Code 278
Min. Negotiated Rate $1,622.60
Max. Negotiated Rate $1,622.60
Rate for Payer: Hamaspik Choice Inc Medicaid $1,622.60
Rate for Payer: Hamaspik Choice Inc Medicare $1,622.60
Service Code HCPCS C1776
Hospital Charge Code 40205200
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,407.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,784.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $339.17
Rate for Payer: Aetna Government $339.17
Rate for Payer: Brighton Health Commercial $1,947.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,622.60
Rate for Payer: Cigna LocalPlus Benefit Plan $1,865.99
Rate for Payer: EmblemHealth Commercial $1,622.60
Rate for Payer: Fidelis Medicare Advantage $3,407.46
Rate for Payer: Group Health Inc Commercial $1,622.60
Rate for Payer: Group Health Inc Medicare $1,135.82
Rate for Payer: Hamaspik Choice Inc Medicaid $1,622.60
Rate for Payer: Hamaspik Choice Inc Medicare $1,622.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,109.38
Service Code HCPCS C1713
Hospital Charge Code 40200511
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,150.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,650.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $1,800.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,725.00
Rate for Payer: EmblemHealth Commercial $1,500.00
Rate for Payer: Fidelis Medicare Advantage $3,150.00
Rate for Payer: Group Health Inc Commercial $1,500.00
Rate for Payer: Group Health Inc Medicare $1,050.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,950.00
Service Code HCPCS C1713
Hospital Charge Code 40200511
Hospital Revenue Code 278
Min. Negotiated Rate $1,500.00
Max. Negotiated Rate $1,500.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,500.00
Service Code HCPCS C1713
Hospital Charge Code 40205615
Hospital Revenue Code 278
Min. Negotiated Rate $2,116.10
Max. Negotiated Rate $2,116.10
Rate for Payer: Hamaspik Choice Inc Medicaid $2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare $2,116.10
Service Code HCPCS C1713
Hospital Charge Code 40205615
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,443.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,327.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,539.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,116.10
Rate for Payer: Cigna LocalPlus Benefit Plan $2,433.52
Rate for Payer: EmblemHealth Commercial $2,116.10
Rate for Payer: Fidelis Medicare Advantage $4,443.81
Rate for Payer: Group Health Inc Commercial $2,116.10
Rate for Payer: Group Health Inc Medicare $1,481.27
Rate for Payer: Hamaspik Choice Inc Medicaid $2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare $2,116.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,750.93
Service Code HCPCS C1713
Hospital Charge Code 40200512
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,087.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,617.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $1,764.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,470.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,690.50
Rate for Payer: EmblemHealth Commercial $1,470.00
Rate for Payer: Fidelis Medicare Advantage $3,087.00
Rate for Payer: Group Health Inc Commercial $1,470.00
Rate for Payer: Group Health Inc Medicare $1,029.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,470.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,470.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,911.00
Service Code HCPCS C1713
Hospital Charge Code 40200512
Hospital Revenue Code 278
Min. Negotiated Rate $1,470.00
Max. Negotiated Rate $1,470.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,470.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,470.00
Service Code HCPCS C1713
Hospital Charge Code 40200741
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,307.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,732.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $1,890.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,575.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,811.25
Rate for Payer: EmblemHealth Commercial $1,575.00
Rate for Payer: Fidelis Medicare Advantage $3,307.50
Rate for Payer: Group Health Inc Commercial $1,575.00
Rate for Payer: Group Health Inc Medicare $1,102.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1,575.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,575.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,047.50
Service Code HCPCS C1713
Hospital Charge Code 40200741
Hospital Revenue Code 278
Min. Negotiated Rate $1,575.00
Max. Negotiated Rate $1,575.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,575.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,575.00
Service Code HCPCS C1713
Hospital Charge Code 40200513
Hospital Revenue Code 278
Min. Negotiated Rate $167.30
Max. Negotiated Rate $167.30
Rate for Payer: Hamaspik Choice Inc Medicaid $167.30
Rate for Payer: Hamaspik Choice Inc Medicare $167.30
Service Code HCPCS C1713
Hospital Charge Code 40200513
Hospital Revenue Code 278
Min. Negotiated Rate $117.11
Max. Negotiated Rate $351.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial $184.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $200.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $167.30
Rate for Payer: Cigna LocalPlus Benefit Plan $192.40
Rate for Payer: EmblemHealth Commercial $167.30
Rate for Payer: Fidelis Medicare Advantage $351.33
Rate for Payer: Group Health Inc Commercial $167.30
Rate for Payer: Group Health Inc Medicare $117.11
Rate for Payer: Hamaspik Choice Inc Medicaid $167.30
Rate for Payer: Hamaspik Choice Inc Medicare $167.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $217.49
Service Code HCPCS 82977
Hospital Charge Code 40602430
Hospital Revenue Code 301
Rate for Payer: Cash Price $7.20
Service Code HCPCS 82977
Hospital Charge Code 40602430
Hospital Revenue Code 301
Min. Negotiated Rate $5.04
Max. Negotiated Rate $13.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $7.20
Rate for Payer: Aetna Government $7.20
Rate for Payer: Affinity Essential Plan 1&2 $5.04
Rate for Payer: Affinity Essential Plan 3&4 $5.04
Rate for Payer: Affinity Medicaid/CHP/HARP $5.04
Rate for Payer: Brighton Health Commercial $13.50
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $7.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $11.44
Rate for Payer: Cigna LocalPlus Benefit Plan $9.68
Rate for Payer: Elderplan Medicare Advantage $7.20
Rate for Payer: EmblemHealth Commercial $7.20
Rate for Payer: Fidelis Essential Plan Aliesa $6.12
Rate for Payer: Fidelis Essential Plan QHP $6.41
Rate for Payer: Fidelis Medicare Advantage $7.20
Rate for Payer: Fidelis Qualified Health Plan $6.41
Rate for Payer: Group Health Inc Commercial $7.20
Rate for Payer: Group Health Inc Medicare $7.20
Rate for Payer: Hamaspik Choice Inc Medicaid $9.00
Rate for Payer: Hamaspik Choice Inc Medicare $7.20
Rate for Payer: Healthfirst Medicare Advantage $7.20
Rate for Payer: Healthfirst QHP $7.20
Rate for Payer: Humana Medicare $7.34
Rate for Payer: Senior Whole Health Medicare Advantage $7.20
Rate for Payer: United Healthcare Commercial $9.12
Rate for Payer: United Healthcare Medicare Advantage $7.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $7.20
Rate for Payer: Wellcare CHP/FHP/Medicaid $5.76
Rate for Payer: Wellcare Medicare $6.48
Hospital Charge Code 40207026
Hospital Revenue Code 270
Min. Negotiated Rate $295.94
Max. Negotiated Rate $676.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $465.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $422.77
Rate for Payer: Aetna Government $422.77
Rate for Payer: Brighton Health Commercial $634.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $676.43
Rate for Payer: Cigna LocalPlus Benefit Plan $574.97
Rate for Payer: Group Health Inc Commercial $422.77
Rate for Payer: Group Health Inc Medicare $295.94
Rate for Payer: Hamaspik Choice Inc Medicaid $422.77
Rate for Payer: Hamaspik Choice Inc Medicare $422.77
Hospital Charge Code 40207027
Hospital Revenue Code 270
Min. Negotiated Rate $295.94
Max. Negotiated Rate $676.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $465.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $422.77
Rate for Payer: Aetna Government $422.77
Rate for Payer: Brighton Health Commercial $634.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $676.43
Rate for Payer: Cigna LocalPlus Benefit Plan $574.97
Rate for Payer: Group Health Inc Commercial $422.77
Rate for Payer: Group Health Inc Medicare $295.94
Rate for Payer: Hamaspik Choice Inc Medicaid $422.77
Rate for Payer: Hamaspik Choice Inc Medicare $422.77