St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HEAVY CLARICLE STRAP

Facility

$19.49

Hospital Charge Code	40202411
Hospital Revenue Code	270
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$15.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.74
Rate for Payer: Aetna Government	$9.74
Rate for Payer: Brighton Health Commercial	$14.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.25
Rate for Payer: Group Health Inc Commercial	$9.74
Rate for Payer: Group Health Inc Medicare	$6.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.74
Rate for Payer: Hamaspik Choice Inc Medicare	$9.74

HEAVY METALS PROFILE II, URINE

Facility

$12.95

Service Code	HCPCS 82570
Hospital Charge Code	40609838
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.18

HEAVY METALS PROFILE II, URINE

Facility

$12.95

Service Code	HCPCS 82570
Hospital Charge Code	40609838
Hospital Revenue Code	301
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$9.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.18
Rate for Payer: Aetna Government	$5.18
Rate for Payer: Affinity Essential Plan 1&2	$3.63
Rate for Payer: Affinity Essential Plan 3&4	$3.63
Rate for Payer: Affinity Medicaid/CHP/HARP	$3.63
Rate for Payer: Brighton Health Commercial	$9.71
Rate for Payer: Cash Price	$5.18
Rate for Payer: Cash Price	$5.18
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.96
Rate for Payer: Elderplan Medicare Advantage	$5.18
Rate for Payer: EmblemHealth Commercial	$5.18
Rate for Payer: Fidelis Essential Plan Aliesa	$4.40
Rate for Payer: Fidelis Essential Plan QHP	$4.61
Rate for Payer: Fidelis Medicare Advantage	$5.18
Rate for Payer: Fidelis Qualified Health Plan	$4.61
Rate for Payer: Group Health Inc Commercial	$5.18
Rate for Payer: Group Health Inc Medicare	$5.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.48
Rate for Payer: Hamaspik Choice Inc Medicare	$5.18
Rate for Payer: Healthfirst Medicare Advantage	$5.18
Rate for Payer: Healthfirst QHP	$5.18
Rate for Payer: Humana Medicare	$5.28
Rate for Payer: Senior Whole Health Medicare Advantage	$5.18
Rate for Payer: United Healthcare Commercial	$6.55
Rate for Payer: United Healthcare Medicare Advantage	$5.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.18
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.14
Rate for Payer: Wellcare Medicare	$4.66

HEEL AND SOLE NEOPRENE PER INCH

Facility

$21.72

Hospital Charge Code	40209321
Hospital Revenue Code	270
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$17.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.86
Rate for Payer: Aetna Government	$10.86
Rate for Payer: Brighton Health Commercial	$16.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.77
Rate for Payer: Group Health Inc Commercial	$10.86
Rate for Payer: Group Health Inc Medicare	$7.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.86
Rate for Payer: Hamaspik Choice Inc Medicare	$10.86

HEEL CUP

Facility

$65.56

Service Code	HCPCS 99070
Hospital Charge Code	40202801
Hospital Revenue Code	270
Min. Negotiated Rate	$10.26
Max. Negotiated Rate	$52.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.26
Rate for Payer: Aetna Government	$10.26
Rate for Payer: Brighton Health Commercial	$49.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$52.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.58
Rate for Payer: Group Health Inc Commercial	$32.78
Rate for Payer: Group Health Inc Medicare	$22.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.78
Rate for Payer: Hamaspik Choice Inc Medicare	$32.78

HEEL & ELBOW PROTECTORS

Facility

$67.68

Hospital Charge Code	40202414
Hospital Revenue Code	270
Min. Negotiated Rate	$23.69
Max. Negotiated Rate	$54.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$33.84
Rate for Payer: Aetna Government	$33.84
Rate for Payer: Brighton Health Commercial	$50.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.02
Rate for Payer: Group Health Inc Commercial	$33.84
Rate for Payer: Group Health Inc Medicare	$23.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.84
Rate for Payer: Hamaspik Choice Inc Medicare	$33.84

HEEL LIFT LATEX

Facility

$15.52

Service Code	HCPCS L3350
Hospital Charge Code	40209322
Hospital Revenue Code	274
Min. Negotiated Rate	$5.43
Max. Negotiated Rate	$16.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.73
Rate for Payer: Aetna Government	$11.73
Rate for Payer: Brighton Health Commercial	$9.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.92
Rate for Payer: EmblemHealth Commercial	$7.76
Rate for Payer: Fidelis Medicare Advantage	$16.30
Rate for Payer: Group Health Inc Commercial	$7.76
Rate for Payer: Group Health Inc Medicare	$5.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.76
Rate for Payer: Hamaspik Choice Inc Medicare	$7.76
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.09

HEIGHT VISTA-S 11 X11 MM 6H

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	64904026
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,250.00

HEIGHT VISTA-S 11 X11 MM 6H

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	64904026
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,725.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,475.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,700.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,250.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,587.50
Rate for Payer: EmblemHealth Commercial	$2,250.00
Rate for Payer: Fidelis Medicare Advantage	$4,725.00
Rate for Payer: Group Health Inc Commercial	$2,250.00
Rate for Payer: Group Health Inc Medicare	$1,575.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,250.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,925.00

HEIGHT VISTA-S 11 X11 MM 7 H

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	64904016
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,250.00

HEIGHT VISTA-S 11 X11 MM 7 H

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	64904016
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,725.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,475.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,700.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,250.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,587.50
Rate for Payer: EmblemHealth Commercial	$2,250.00
Rate for Payer: Fidelis Medicare Advantage	$4,725.00
Rate for Payer: Group Health Inc Commercial	$2,250.00
Rate for Payer: Group Health Inc Medicare	$1,575.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,250.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,925.00

HEJPARIN SODC.&9 NS CL1000CC

Facility

$9.22

Hospital Charge Code	40509829
Hospital Revenue Code	260
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$76.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.61
Rate for Payer: Aetna Government	$4.61
Rate for Payer: Brighton Health Commercial	$6.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.27
Rate for Payer: Group Health Inc Commercial	$4.61
Rate for Payer: Group Health Inc Medicare	$3.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.61
Rate for Payer: Hamaspik Choice Inc Medicare	$4.61
Rate for Payer: United Healthcare Commercial	$76.00

HELICOBACTER PYLORI, IGM AB

Facility

$42.13

Service Code	HCPCS 86677
Hospital Charge Code	40729365
Hospital Revenue Code	300
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$31.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.85
Rate for Payer: Aetna Government	$16.85
Rate for Payer: Affinity Essential Plan 1&2	$11.80
Rate for Payer: Affinity Essential Plan 3&4	$11.80
Rate for Payer: Affinity Medicaid/CHP/HARP	$11.80
Rate for Payer: Brighton Health Commercial	$31.60
Rate for Payer: Cash Price	$16.85
Rate for Payer: Cash Price	$16.85
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$16.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.50
Rate for Payer: Elderplan Medicare Advantage	$16.85
Rate for Payer: EmblemHealth Commercial	$16.85
Rate for Payer: Fidelis Essential Plan Aliesa	$14.32
Rate for Payer: Fidelis Essential Plan QHP	$15.00
Rate for Payer: Fidelis Medicare Advantage	$16.85
Rate for Payer: Fidelis Qualified Health Plan	$15.00
Rate for Payer: Group Health Inc Commercial	$16.85
Rate for Payer: Group Health Inc Medicare	$16.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.06
Rate for Payer: Hamaspik Choice Inc Medicare	$16.85
Rate for Payer: Healthfirst Medicare Advantage	$16.85
Rate for Payer: Healthfirst QHP	$16.85
Rate for Payer: Humana Medicare	$17.19
Rate for Payer: Senior Whole Health Medicare Advantage	$16.85
Rate for Payer: United Healthcare Commercial	$18.38
Rate for Payer: United Healthcare Medicare Advantage	$16.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.85
Rate for Payer: Wellcare CHP/FHP/Medicaid	$13.48
Rate for Payer: Wellcare Medicare	$15.16

HELICOBACTER PYLORI, IGM AB

Facility

$42.13

Service Code	HCPCS 86677
Hospital Charge Code	40729365
Hospital Revenue Code	300
Rate for Payer: Cash Price	$16.85

HELIX BLADE

Facility

$1,310.00

Hospital Charge Code	64904360
Hospital Revenue Code	270
Min. Negotiated Rate	$458.50
Max. Negotiated Rate	$1,048.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$720.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$655.00
Rate for Payer: Aetna Government	$655.00
Rate for Payer: Brighton Health Commercial	$982.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$890.80
Rate for Payer: Group Health Inc Commercial	$655.00
Rate for Payer: Group Health Inc Medicare	$458.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$655.00
Rate for Payer: Hamaspik Choice Inc Medicare	$655.00

HEMADUCT 10FR WND DRAIN RND W/TRO

Facility

$37.00

Hospital Charge Code	40202195
Hospital Revenue Code	270
Min. Negotiated Rate	$12.95
Max. Negotiated Rate	$29.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.50
Rate for Payer: Aetna Government	$18.50
Rate for Payer: Brighton Health Commercial	$27.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.16
Rate for Payer: Group Health Inc Commercial	$18.50
Rate for Payer: Group Health Inc Medicare	$12.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.50
Rate for Payer: Hamaspik Choice Inc Medicare	$18.50

HEMADUCT 10FR WOUND DRAIN RND

Facility

$44.30

Hospital Charge Code	64903136
Hospital Revenue Code	270
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$35.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.15
Rate for Payer: Aetna Government	$22.15
Rate for Payer: Brighton Health Commercial	$33.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.12
Rate for Payer: Group Health Inc Commercial	$22.15
Rate for Payer: Group Health Inc Medicare	$15.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.15
Rate for Payer: Hamaspik Choice Inc Medicare	$22.15

HEMADUCT 15FR WND DRAIN RND W/TRO

Facility

$36.00

Hospital Charge Code	40202196
Hospital Revenue Code	270
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$28.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.00
Rate for Payer: Aetna Government	$18.00
Rate for Payer: Brighton Health Commercial	$27.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.48
Rate for Payer: Group Health Inc Commercial	$18.00
Rate for Payer: Group Health Inc Medicare	$12.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.00
Rate for Payer: Hamaspik Choice Inc Medicare	$18.00

HEMADUCT 15FR WOUNDDRAIN W/TROCAR

Facility

$51.75

Hospital Charge Code	64903100
Hospital Revenue Code	270
Min. Negotiated Rate	$18.11
Max. Negotiated Rate	$41.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.88
Rate for Payer: Aetna Government	$25.88
Rate for Payer: Brighton Health Commercial	$38.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.19
Rate for Payer: Group Health Inc Commercial	$25.88
Rate for Payer: Group Health Inc Medicare	$18.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.88
Rate for Payer: Hamaspik Choice Inc Medicare	$25.88

HEMADUCT 19FRW/15FR TRO WND DRAIN

Facility

$367.02

Hospital Charge Code	40202197
Hospital Revenue Code	270
Min. Negotiated Rate	$128.46
Max. Negotiated Rate	$293.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$201.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$183.51
Rate for Payer: Aetna Government	$183.51
Rate for Payer: Brighton Health Commercial	$275.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$293.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$249.57
Rate for Payer: Group Health Inc Commercial	$183.51
Rate for Payer: Group Health Inc Medicare	$128.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$183.51
Rate for Payer: Hamaspik Choice Inc Medicare	$183.51

HEMATOCRIT

Facility

$5.93

Service Code	HCPCS 85014
Hospital Charge Code	30305717
Hospital Revenue Code	305
Rate for Payer: Cash Price	$2.37

HEMATOCRIT

Facility

$5.93

Service Code	HCPCS 85014
Hospital Charge Code	30305717
Hospital Revenue Code	305
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$4.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.37
Rate for Payer: Aetna Government	$2.37
Rate for Payer: Affinity Essential Plan 1&2	$1.66
Rate for Payer: Affinity Essential Plan 3&4	$1.66
Rate for Payer: Affinity Medicaid/CHP/HARP	$1.66
Rate for Payer: Brighton Health Commercial	$4.45
Rate for Payer: Cash Price	$2.37
Rate for Payer: Cash Price	$2.37
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$2.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.18
Rate for Payer: Elderplan Medicare Advantage	$2.37
Rate for Payer: EmblemHealth Commercial	$2.37
Rate for Payer: Fidelis Essential Plan Aliesa	$2.01
Rate for Payer: Fidelis Essential Plan QHP	$2.11
Rate for Payer: Fidelis Medicare Advantage	$2.37
Rate for Payer: Fidelis Qualified Health Plan	$2.11
Rate for Payer: Group Health Inc Commercial	$2.37
Rate for Payer: Group Health Inc Medicare	$2.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.96
Rate for Payer: Hamaspik Choice Inc Medicare	$2.37
Rate for Payer: Healthfirst Medicare Advantage	$2.37
Rate for Payer: Healthfirst QHP	$2.37
Rate for Payer: Humana Medicare	$2.42
Rate for Payer: Senior Whole Health Medicare Advantage	$2.37
Rate for Payer: United Healthcare Commercial	$3.00
Rate for Payer: United Healthcare Medicare Advantage	$2.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.37
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1.90
Rate for Payer: Wellcare Medicare	$2.13

HEMIARTHROPLASTY HIP

Facility

$4,437.86

Service Code	HCPCS 27125
Hospital Charge Code	40014304
Hospital Revenue Code	360
Min. Negotiated Rate	$1,171.35
Max. Negotiated Rate	$3,328.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,440.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,171.35
Rate for Payer: Aetna Government	$1,171.35
Rate for Payer: Brighton Health Commercial	$3,328.40
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: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$2,218.93
Rate for Payer: Group Health Inc Medicare	$1,553.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,218.93
Rate for Payer: Hamaspik Choice Inc Medicare	$2,218.93
Rate for Payer: United Healthcare Commercial	$2,546.00

HEMICOLECTOMY

Facility

$3,992.25

Service Code	HCPCS 44140
Hospital Charge Code	40010945
Hospital Revenue Code	360
Min. Negotiated Rate	$1,397.29
Max. Negotiated Rate	$2,994.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,195.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,591.50
Rate for Payer: Aetna Government	$1,591.50
Rate for Payer: Brighton Health Commercial	$2,994.19
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: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$1,996.12
Rate for Payer: Group Health Inc Medicare	$1,397.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,996.12
Rate for Payer: Hamaspik Choice Inc Medicare	$1,996.12
Rate for Payer: United Healthcare Commercial	$1,496.00

HEMI GREAT TOE IMPLANT MD

Facility

$2,030.00

Service Code	HCPCS C1762
Hospital Charge Code	40200164
Hospital Revenue Code	278
Min. Negotiated Rate	$1,015.00
Max. Negotiated Rate	$1,015.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,015.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,015.00

Know your out-of-pocket cost for care.

All Charges