St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

Other endocrine disorders

Facility

$52,863.10

Service Code	APR-DRG 4243
Min. Negotiated Rate	$12,192.00
Max. Negotiated Rate	$52,863.10
Rate for Payer: Affinity Essential Plan 1&2	$52,863.10
Rate for Payer: Affinity Essential Plan 3&4	$52,863.10
Rate for Payer: Affinity Medicaid/CHP/HARP	$23,494.71
Rate for Payer: Amida Care Medicaid	$23,494.71
Rate for Payer: EmblemHealth Essential Plan 1&2	$52,863.10
Rate for Payer: EmblemHealth Essential Plan 3&4	$23,494.71
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,494.71
Rate for Payer: Fidelis Qualified Health Plan	$28,193.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,494.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,494.71
Rate for Payer: Healthfirst Commercial	$22,664.00
Rate for Payer: Healthfirst Essential Plan	$52,863.10
Rate for Payer: Healthfirst QHP	$12,192.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,494.71
Rate for Payer: SOMOS Essential	$52,863.10
Rate for Payer: United Healthcare Essential Plan 1&2	$52,863.10
Rate for Payer: United Healthcare Essential Plan 3&4	$52,863.10
Rate for Payer: United Healthcare Medicaid	$23,494.71
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,494.71

Other endocrine disorders

Facility

$40,791.06

Service Code	APR-DRG 4241
Min. Negotiated Rate	$5,801.00
Max. Negotiated Rate	$40,791.06
Rate for Payer: Affinity Essential Plan 1&2	$40,791.06
Rate for Payer: Affinity Essential Plan 3&4	$40,791.06
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,129.36
Rate for Payer: Amida Care Medicaid	$18,129.36
Rate for Payer: EmblemHealth Essential Plan 1&2	$40,791.06
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,129.36
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,129.36
Rate for Payer: Fidelis Qualified Health Plan	$21,755.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,129.36
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,129.36
Rate for Payer: Healthfirst Commercial	$10,109.00
Rate for Payer: Healthfirst Essential Plan	$40,791.06
Rate for Payer: Healthfirst QHP	$5,801.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,129.36
Rate for Payer: SOMOS Essential	$40,791.06
Rate for Payer: United Healthcare Essential Plan 1&2	$40,791.06
Rate for Payer: United Healthcare Essential Plan 3&4	$40,791.06
Rate for Payer: United Healthcare Medicaid	$18,129.36
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,129.36

OTHER ENDOCRINE SYSTEM DIAGNOSES

Facility

$219.45

Service Code	EAPG 00692
Min. Negotiated Rate	$159.69
Max. Negotiated Rate	$219.45
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$159.69
Rate for Payer: Healthfirst Commercial	$219.45

Other esophageal disorders

Facility

$72,444.96

Service Code	APR-DRG 2434
Min. Negotiated Rate	$23,798.00
Max. Negotiated Rate	$72,444.96
Rate for Payer: Affinity Essential Plan 1&2	$72,444.96
Rate for Payer: Affinity Essential Plan 3&4	$72,444.96
Rate for Payer: Affinity Medicaid/CHP/HARP	$32,197.76
Rate for Payer: Amida Care Medicaid	$32,197.76
Rate for Payer: EmblemHealth Essential Plan 1&2	$72,444.96
Rate for Payer: EmblemHealth Essential Plan 3&4	$32,197.76
Rate for Payer: Fidelis CHP/HARP/Medicaid	$32,197.76
Rate for Payer: Fidelis Qualified Health Plan	$38,637.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$32,197.76
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32,197.76
Rate for Payer: Healthfirst Commercial	$47,879.00
Rate for Payer: Healthfirst Essential Plan	$72,444.96
Rate for Payer: Healthfirst QHP	$23,798.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32,197.76
Rate for Payer: SOMOS Essential	$72,444.96
Rate for Payer: United Healthcare Essential Plan 1&2	$72,444.96
Rate for Payer: United Healthcare Essential Plan 3&4	$72,444.96
Rate for Payer: United Healthcare Medicaid	$32,197.76
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32,197.76

Other esophageal disorders

Facility

$39,660.19

Service Code	APR-DRG 2431
Min. Negotiated Rate	$5,324.00
Max. Negotiated Rate	$39,660.19
Rate for Payer: Affinity Essential Plan 1&2	$39,660.19
Rate for Payer: Affinity Essential Plan 3&4	$39,660.19
Rate for Payer: Affinity Medicaid/CHP/HARP	$17,626.75
Rate for Payer: Amida Care Medicaid	$17,626.75
Rate for Payer: EmblemHealth Essential Plan 1&2	$39,660.19
Rate for Payer: EmblemHealth Essential Plan 3&4	$17,626.75
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,626.75
Rate for Payer: Fidelis Qualified Health Plan	$21,152.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,626.75
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,626.75
Rate for Payer: Healthfirst Commercial	$9,030.00
Rate for Payer: Healthfirst Essential Plan	$39,660.19
Rate for Payer: Healthfirst QHP	$5,324.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,626.75
Rate for Payer: SOMOS Essential	$39,660.19
Rate for Payer: United Healthcare Essential Plan 1&2	$39,660.19
Rate for Payer: United Healthcare Essential Plan 3&4	$39,660.19
Rate for Payer: United Healthcare Medicaid	$17,626.75
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,626.75

Other esophageal disorders

Facility

$43,079.18

Service Code	APR-DRG 2432
Min. Negotiated Rate	$6,990.00
Max. Negotiated Rate	$43,079.18
Rate for Payer: Affinity Essential Plan 1&2	$43,079.18
Rate for Payer: Affinity Essential Plan 3&4	$43,079.18
Rate for Payer: Affinity Medicaid/CHP/HARP	$19,146.30
Rate for Payer: Amida Care Medicaid	$19,146.30
Rate for Payer: EmblemHealth Essential Plan 1&2	$43,079.18
Rate for Payer: EmblemHealth Essential Plan 3&4	$19,146.30
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,146.30
Rate for Payer: Fidelis Qualified Health Plan	$22,975.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,146.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,146.30
Rate for Payer: Healthfirst Commercial	$11,709.00
Rate for Payer: Healthfirst Essential Plan	$43,079.18
Rate for Payer: Healthfirst QHP	$6,990.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,146.30
Rate for Payer: SOMOS Essential	$43,079.18
Rate for Payer: United Healthcare Essential Plan 1&2	$43,079.18
Rate for Payer: United Healthcare Essential Plan 3&4	$43,079.18
Rate for Payer: United Healthcare Medicaid	$19,146.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,146.30

Other esophageal disorders

Facility

$50,573.21

Service Code	APR-DRG 2433
Min. Negotiated Rate	$10,746.00
Max. Negotiated Rate	$50,573.21
Rate for Payer: Affinity Essential Plan 1&2	$50,573.21
Rate for Payer: Affinity Essential Plan 3&4	$50,573.21
Rate for Payer: Affinity Medicaid/CHP/HARP	$22,476.98
Rate for Payer: Amida Care Medicaid	$22,476.98
Rate for Payer: EmblemHealth Essential Plan 1&2	$50,573.21
Rate for Payer: EmblemHealth Essential Plan 3&4	$22,476.98
Rate for Payer: Fidelis CHP/HARP/Medicaid	$22,476.98
Rate for Payer: Fidelis Qualified Health Plan	$26,972.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,476.98
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$22,476.98
Rate for Payer: Healthfirst Commercial	$19,314.00
Rate for Payer: Healthfirst Essential Plan	$50,573.21
Rate for Payer: Healthfirst QHP	$10,746.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22,476.98
Rate for Payer: SOMOS Essential	$50,573.21
Rate for Payer: United Healthcare Essential Plan 1&2	$50,573.21
Rate for Payer: United Healthcare Essential Plan 3&4	$50,573.21
Rate for Payer: United Healthcare Medicaid	$22,476.98
Rate for Payer: Wellcare CHP/FHP/Medicaid	$22,476.98

OTHER EYE INFECTION DIAGNOSES

Facility

$173.57

Service Code	EAPG 00557
Min. Negotiated Rate	$173.57
Max. Negotiated Rate	$173.57
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$173.57

OTHER FEMALE REPRODUCTIVE SYSTEM AND MENSTRUAL DIAGNOSES

Facility

$206.57

Service Code	EAPG 00752
Min. Negotiated Rate	$150.43
Max. Negotiated Rate	$206.57
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$150.43
Rate for Payer: Healthfirst Commercial	$206.57

Other female reproductive system & related procedures

Facility

$69,280.99

Service Code	APR-DRG 5183
Min. Negotiated Rate	$21,472.00
Max. Negotiated Rate	$69,280.99
Rate for Payer: Affinity Essential Plan 1&2	$69,280.99
Rate for Payer: Affinity Essential Plan 3&4	$69,280.99
Rate for Payer: Affinity Medicaid/CHP/HARP	$30,791.55
Rate for Payer: Amida Care Medicaid	$30,791.55
Rate for Payer: EmblemHealth Essential Plan 1&2	$69,280.99
Rate for Payer: EmblemHealth Essential Plan 3&4	$30,791.55
Rate for Payer: Fidelis CHP/HARP/Medicaid	$30,791.55
Rate for Payer: Fidelis Qualified Health Plan	$36,949.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$30,791.55
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$30,791.55
Rate for Payer: Healthfirst Commercial	$38,226.00
Rate for Payer: Healthfirst Essential Plan	$69,280.99
Rate for Payer: Healthfirst QHP	$21,472.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$30,791.55
Rate for Payer: SOMOS Essential	$69,280.99
Rate for Payer: United Healthcare Essential Plan 1&2	$69,280.99
Rate for Payer: United Healthcare Essential Plan 3&4	$69,280.99
Rate for Payer: United Healthcare Medicaid	$30,791.55
Rate for Payer: Wellcare CHP/FHP/Medicaid	$30,791.55

Other female reproductive system & related procedures

Facility

$137,152.76

Service Code	APR-DRG 5184
Min. Negotiated Rate	$47,451.00
Max. Negotiated Rate	$137,152.76
Rate for Payer: Affinity Essential Plan 1&2	$137,152.76
Rate for Payer: Affinity Essential Plan 3&4	$137,152.76
Rate for Payer: Affinity Medicaid/CHP/HARP	$60,956.78
Rate for Payer: Amida Care Medicaid	$60,956.78
Rate for Payer: EmblemHealth Essential Plan 1&2	$137,152.76
Rate for Payer: EmblemHealth Essential Plan 3&4	$60,956.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$60,956.78
Rate for Payer: Fidelis Qualified Health Plan	$73,148.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$60,956.78
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$60,956.78
Rate for Payer: Healthfirst Commercial	$86,043.00
Rate for Payer: Healthfirst Essential Plan	$137,152.76
Rate for Payer: Healthfirst QHP	$47,451.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$60,956.78
Rate for Payer: SOMOS Essential	$137,152.76
Rate for Payer: United Healthcare Essential Plan 1&2	$137,152.76
Rate for Payer: United Healthcare Essential Plan 3&4	$137,152.76
Rate for Payer: United Healthcare Medicaid	$60,956.78
Rate for Payer: Wellcare CHP/FHP/Medicaid	$60,956.78

Other female reproductive system & related procedures

Facility

$51,055.09

Service Code	APR-DRG 5182
Min. Negotiated Rate	$10,414.00
Max. Negotiated Rate	$51,055.09
Rate for Payer: Affinity Essential Plan 1&2	$51,055.09
Rate for Payer: Affinity Essential Plan 3&4	$51,055.09
Rate for Payer: Affinity Medicaid/CHP/HARP	$22,691.15
Rate for Payer: Amida Care Medicaid	$22,691.15
Rate for Payer: EmblemHealth Essential Plan 1&2	$51,055.09
Rate for Payer: EmblemHealth Essential Plan 3&4	$22,691.15
Rate for Payer: Fidelis CHP/HARP/Medicaid	$22,691.15
Rate for Payer: Fidelis Qualified Health Plan	$27,229.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,691.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$22,691.15
Rate for Payer: Healthfirst Commercial	$18,369.00
Rate for Payer: Healthfirst Essential Plan	$51,055.09
Rate for Payer: Healthfirst QHP	$10,414.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22,691.15
Rate for Payer: SOMOS Essential	$51,055.09
Rate for Payer: United Healthcare Essential Plan 1&2	$51,055.09
Rate for Payer: United Healthcare Essential Plan 3&4	$51,055.09
Rate for Payer: United Healthcare Medicaid	$22,691.15
Rate for Payer: Wellcare CHP/FHP/Medicaid	$22,691.15

Other female reproductive system & related procedures

Facility

$45,311.04

Service Code	APR-DRG 5181
Min. Negotiated Rate	$7,948.00
Max. Negotiated Rate	$45,311.04
Rate for Payer: Affinity Essential Plan 1&2	$45,311.04
Rate for Payer: Affinity Essential Plan 3&4	$45,311.04
Rate for Payer: Affinity Medicaid/CHP/HARP	$20,138.24
Rate for Payer: Amida Care Medicaid	$20,138.24
Rate for Payer: EmblemHealth Essential Plan 1&2	$45,311.04
Rate for Payer: EmblemHealth Essential Plan 3&4	$20,138.24
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,138.24
Rate for Payer: Fidelis Qualified Health Plan	$24,165.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,138.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,138.24
Rate for Payer: Healthfirst Commercial	$13,294.00
Rate for Payer: Healthfirst Essential Plan	$45,311.04
Rate for Payer: Healthfirst QHP	$7,948.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,138.24
Rate for Payer: SOMOS Essential	$45,311.04
Rate for Payer: United Healthcare Essential Plan 1&2	$45,311.04
Rate for Payer: United Healthcare Essential Plan 3&4	$45,311.04
Rate for Payer: United Healthcare Medicaid	$20,138.24
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,138.24

Other gastroenteritis, nausa & vomiting

Facility

$39,493.10

Service Code	APR-DRG 2491
Min. Negotiated Rate	$4,905.00
Max. Negotiated Rate	$39,493.10
Rate for Payer: Affinity Essential Plan 1&2	$39,493.10
Rate for Payer: Affinity Essential Plan 3&4	$39,493.10
Rate for Payer: Affinity Medicaid/CHP/HARP	$17,552.49
Rate for Payer: Amida Care Medicaid	$17,552.49
Rate for Payer: EmblemHealth Essential Plan 1&2	$39,493.10
Rate for Payer: EmblemHealth Essential Plan 3&4	$17,552.49
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,552.49
Rate for Payer: Fidelis Qualified Health Plan	$21,062.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,552.49
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,552.49
Rate for Payer: Healthfirst Commercial	$8,706.00
Rate for Payer: Healthfirst Essential Plan	$39,493.10
Rate for Payer: Healthfirst QHP	$4,905.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,552.49
Rate for Payer: SOMOS Essential	$39,493.10
Rate for Payer: United Healthcare Essential Plan 1&2	$39,493.10
Rate for Payer: United Healthcare Essential Plan 3&4	$39,493.10
Rate for Payer: United Healthcare Medicaid	$17,552.49
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,552.49

Other gastroenteritis, nausa & vomiting

Facility

$41,413.66

Service Code	APR-DRG 2492
Min. Negotiated Rate	$6,045.00
Max. Negotiated Rate	$41,413.66
Rate for Payer: Affinity Essential Plan 1&2	$41,413.66
Rate for Payer: Affinity Essential Plan 3&4	$41,413.66
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,406.07
Rate for Payer: Amida Care Medicaid	$18,406.07
Rate for Payer: EmblemHealth Essential Plan 1&2	$41,413.66
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,406.07
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,406.07
Rate for Payer: Fidelis Qualified Health Plan	$22,087.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,406.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,406.07
Rate for Payer: Healthfirst Commercial	$10,472.00
Rate for Payer: Healthfirst Essential Plan	$41,413.66
Rate for Payer: Healthfirst QHP	$6,045.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,406.07
Rate for Payer: SOMOS Essential	$41,413.66
Rate for Payer: United Healthcare Essential Plan 1&2	$41,413.66
Rate for Payer: United Healthcare Essential Plan 3&4	$41,413.66
Rate for Payer: United Healthcare Medicaid	$18,406.07
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,406.07

Other gastroenteritis, nausa & vomiting

Facility

$67,590.83

Service Code	APR-DRG 2494
Min. Negotiated Rate	$16,040.00
Max. Negotiated Rate	$67,590.83
Rate for Payer: Affinity Essential Plan 1&2	$67,590.83
Rate for Payer: Affinity Essential Plan 3&4	$67,590.83
Rate for Payer: Affinity Medicaid/CHP/HARP	$30,040.37
Rate for Payer: Amida Care Medicaid	$30,040.37
Rate for Payer: EmblemHealth Essential Plan 1&2	$67,590.83
Rate for Payer: EmblemHealth Essential Plan 3&4	$30,040.37
Rate for Payer: Fidelis CHP/HARP/Medicaid	$30,040.37
Rate for Payer: Fidelis Qualified Health Plan	$36,048.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$30,040.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$30,040.37
Rate for Payer: Healthfirst Commercial	$34,786.00
Rate for Payer: Healthfirst Essential Plan	$67,590.83
Rate for Payer: Healthfirst QHP	$16,040.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$30,040.37
Rate for Payer: SOMOS Essential	$67,590.83
Rate for Payer: United Healthcare Essential Plan 1&2	$67,590.83
Rate for Payer: United Healthcare Essential Plan 3&4	$67,590.83
Rate for Payer: United Healthcare Medicaid	$30,040.37
Rate for Payer: Wellcare CHP/FHP/Medicaid	$30,040.37

Other gastroenteritis, nausa & vomiting

Facility

$46,709.24

Service Code	APR-DRG 2493
Min. Negotiated Rate	$8,284.00
Max. Negotiated Rate	$46,709.24
Rate for Payer: Affinity Essential Plan 1&2	$46,709.24
Rate for Payer: Affinity Essential Plan 3&4	$46,709.24
Rate for Payer: Affinity Medicaid/CHP/HARP	$20,759.66
Rate for Payer: Amida Care Medicaid	$20,759.66
Rate for Payer: EmblemHealth Essential Plan 1&2	$46,709.24
Rate for Payer: EmblemHealth Essential Plan 3&4	$20,759.66
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,759.66
Rate for Payer: Fidelis Qualified Health Plan	$24,911.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,759.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,759.66
Rate for Payer: Healthfirst Commercial	$15,435.00
Rate for Payer: Healthfirst Essential Plan	$46,709.24
Rate for Payer: Healthfirst QHP	$8,284.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,759.66
Rate for Payer: SOMOS Essential	$46,709.24
Rate for Payer: United Healthcare Essential Plan 1&2	$46,709.24
Rate for Payer: United Healthcare Essential Plan 3&4	$46,709.24
Rate for Payer: United Healthcare Medicaid	$20,759.66
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,759.66

OTHER GASTROINTESTINAL SYSTEM DIAGNOSES

Facility

$234.12

Service Code	EAPG 00624
Min. Negotiated Rate	$168.94
Max. Negotiated Rate	$234.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$168.94
Rate for Payer: Healthfirst Commercial	$234.12

OTHER GYNECOLOGICAL PROCEDURES

Facility

$712.80

Service Code	EAPG 00209
Min. Negotiated Rate	$712.80
Max. Negotiated Rate	$712.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$712.80

OTHER HEMATOLOGICAL DIAGNOSES

Facility

$253.12

Service Code	EAPG 00780
Min. Negotiated Rate	$182.83
Max. Negotiated Rate	$253.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$182.83
Rate for Payer: Healthfirst Commercial	$253.12

Other hepatobiliary, pancreas & abdominal procedures

Facility

$58,610.68

Service Code	APR-DRG 2642
Min. Negotiated Rate	$19,086.00
Max. Negotiated Rate	$58,610.68
Rate for Payer: Affinity Essential Plan 1&2	$58,610.68
Rate for Payer: Affinity Essential Plan 3&4	$58,610.68
Rate for Payer: Affinity Medicaid/CHP/HARP	$26,049.19
Rate for Payer: Amida Care Medicaid	$26,049.19
Rate for Payer: EmblemHealth Essential Plan 1&2	$58,610.68
Rate for Payer: EmblemHealth Essential Plan 3&4	$26,049.19
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,049.19
Rate for Payer: Fidelis Qualified Health Plan	$31,259.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,049.19
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,049.19
Rate for Payer: Healthfirst Commercial	$30,993.00
Rate for Payer: Healthfirst Essential Plan	$58,610.68
Rate for Payer: Healthfirst QHP	$19,086.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,049.19
Rate for Payer: SOMOS Essential	$58,610.68
Rate for Payer: United Healthcare Essential Plan 1&2	$58,610.68
Rate for Payer: United Healthcare Essential Plan 3&4	$58,610.68
Rate for Payer: United Healthcare Medicaid	$26,049.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,049.19

Other hepatobiliary, pancreas & abdominal procedures

Facility

$55,476.58

Service Code	APR-DRG 2641
Min. Negotiated Rate	$14,940.00
Max. Negotiated Rate	$55,476.58
Rate for Payer: Affinity Essential Plan 1&2	$55,476.58
Rate for Payer: Affinity Essential Plan 3&4	$55,476.58
Rate for Payer: Affinity Medicaid/CHP/HARP	$24,656.26
Rate for Payer: Amida Care Medicaid	$24,656.26
Rate for Payer: EmblemHealth Essential Plan 1&2	$55,476.58
Rate for Payer: EmblemHealth Essential Plan 3&4	$24,656.26
Rate for Payer: Fidelis CHP/HARP/Medicaid	$24,656.26
Rate for Payer: Fidelis Qualified Health Plan	$29,587.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$24,656.26
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$24,656.26
Rate for Payer: Healthfirst Commercial	$23,753.00
Rate for Payer: Healthfirst Essential Plan	$55,476.58
Rate for Payer: Healthfirst QHP	$14,940.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24,656.26
Rate for Payer: SOMOS Essential	$55,476.58
Rate for Payer: United Healthcare Essential Plan 1&2	$55,476.58
Rate for Payer: United Healthcare Essential Plan 3&4	$55,476.58
Rate for Payer: United Healthcare Medicaid	$24,656.26
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24,656.26

Other hepatobiliary, pancreas & abdominal procedures

Facility

$82,255.25

Service Code	APR-DRG 2643
Min. Negotiated Rate	$31,196.00
Max. Negotiated Rate	$82,255.25
Rate for Payer: Affinity Essential Plan 1&2	$82,255.25
Rate for Payer: Affinity Essential Plan 3&4	$82,255.25
Rate for Payer: Affinity Medicaid/CHP/HARP	$36,557.89
Rate for Payer: Amida Care Medicaid	$36,557.89
Rate for Payer: EmblemHealth Essential Plan 1&2	$82,255.25
Rate for Payer: EmblemHealth Essential Plan 3&4	$36,557.89
Rate for Payer: Fidelis CHP/HARP/Medicaid	$36,557.89
Rate for Payer: Fidelis Qualified Health Plan	$43,869.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$36,557.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$36,557.89
Rate for Payer: Healthfirst Commercial	$48,959.00
Rate for Payer: Healthfirst Essential Plan	$82,255.25
Rate for Payer: Healthfirst QHP	$31,196.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$36,557.89
Rate for Payer: SOMOS Essential	$82,255.25
Rate for Payer: United Healthcare Essential Plan 1&2	$82,255.25
Rate for Payer: United Healthcare Essential Plan 3&4	$82,255.25
Rate for Payer: United Healthcare Medicaid	$36,557.89
Rate for Payer: Wellcare CHP/FHP/Medicaid	$36,557.89

Other hepatobiliary, pancreas & abdominal procedures

Facility

$140,260.45

Service Code	APR-DRG 2644
Min. Negotiated Rate	$62,337.98
Max. Negotiated Rate	$140,260.45
Rate for Payer: Affinity Essential Plan 1&2	$140,260.45
Rate for Payer: Affinity Essential Plan 3&4	$140,260.45
Rate for Payer: Affinity Medicaid/CHP/HARP	$62,337.98
Rate for Payer: Amida Care Medicaid	$62,337.98
Rate for Payer: EmblemHealth Essential Plan 1&2	$140,260.45
Rate for Payer: EmblemHealth Essential Plan 3&4	$62,337.98
Rate for Payer: Fidelis CHP/HARP/Medicaid	$62,337.98
Rate for Payer: Fidelis Qualified Health Plan	$74,805.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$62,337.98
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$62,337.98
Rate for Payer: Healthfirst Commercial	$126,575.00
Rate for Payer: Healthfirst Essential Plan	$140,260.45
Rate for Payer: Healthfirst QHP	$75,006.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$62,337.98
Rate for Payer: SOMOS Essential	$140,260.45
Rate for Payer: United Healthcare Essential Plan 1&2	$140,260.45
Rate for Payer: United Healthcare Essential Plan 3&4	$140,260.45
Rate for Payer: United Healthcare Medicaid	$62,337.98
Rate for Payer: Wellcare CHP/FHP/Medicaid	$62,337.98

OTHER HEPATOBILIARY SYSTEM DIAGNOSES

Facility

$230.01

Service Code	EAPG 00639
Min. Negotiated Rate	$166.63
Max. Negotiated Rate	$230.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$166.63
Rate for Payer: Healthfirst Commercial	$230.01

Know your out-of-pocket cost for care.

All Charges