St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CEPHALEXIN 500 MG PO CAPS

Facility

$1.33

Service Code	NDC 6586201901
Hospital Charge Code	6586201901
Hospital Revenue Code	250
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.67
Rate for Payer: Aetna Government	$0.67
Rate for Payer: Brighton Health Commercial	$1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.90
Rate for Payer: EmblemHealth Commercial	$0.67
Rate for Payer: Group Health Inc Commercial	$0.67
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.67
Rate for Payer: Hamaspik Choice Inc Medicare	$0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.86

CEPHALEXIN 500 MG PO CAPS

Facility

$1.22

Service Code	NDC 5026815211
Hospital Charge Code	5026815211
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.61
Rate for Payer: Aetna Government	$0.61
Rate for Payer: Brighton Health Commercial	$0.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.83
Rate for Payer: EmblemHealth Commercial	$0.61
Rate for Payer: Group Health Inc Commercial	$0.61
Rate for Payer: Group Health Inc Medicare	$0.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61
Rate for Payer: Hamaspik Choice Inc Medicare	$0.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.79

CEPHALEXIN 500 MG PO CAPS

Facility

$1.97

Service Code	NDC 6787721901
Hospital Charge Code	6787721901
Hospital Revenue Code	250
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.99

CEPHALEXIN 500 MG PO CAPS

Facility

$1.97

Service Code	NDC 6787721901
Hospital Charge Code	6787721901
Hospital Revenue Code	250
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$1.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.99
Rate for Payer: Aetna Government	$0.99
Rate for Payer: Brighton Health Commercial	$1.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.34
Rate for Payer: EmblemHealth Commercial	$0.99
Rate for Payer: Group Health Inc Commercial	$0.99
Rate for Payer: Group Health Inc Medicare	$0.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.99
Rate for Payer: Hamaspik Choice Inc Medicare	$0.99
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.28

CEPHALEXIN 500 MG PO CAPS

Facility

$1.38

Service Code	NDC 6818012201
Hospital Charge Code	6818012201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$0.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.69

CEPHALEXIN 500 MG PO CAPS

Facility

$1.22

Service Code	NDC 5026815215
Hospital Charge Code	5026815215
Hospital Revenue Code	250
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$0.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61

CEPHALEXIN 500 MG PO CAPS

Facility

$1.22

Service Code	NDC 5026815211
Hospital Charge Code	5026815211
Hospital Revenue Code	250
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$0.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61

CEPHALEXIN 500 MG PO CAPS

Facility

$0.45

Service Code	NDC 0904733761
Hospital Charge Code	0904733761
Hospital Revenue Code	250
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.23

CEPHALEXIN 500 MG PO CAPS

Facility

$1.33

Service Code	NDC 6586201901
Hospital Charge Code	6586201901
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.67

CEPHALEXIN 500 MG PO CAPS

Facility

$1.35

Service Code	NDC 6068716301
Hospital Charge Code	6068716301
Hospital Revenue Code	250
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.68

CEPHALEXIN 500 MG PO CAPS

Facility

$0.37

Service Code	NDC 0904733706
Hospital Charge Code	0904733706
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.18
Rate for Payer: Aetna Government	$0.18
Rate for Payer: Brighton Health Commercial	$0.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.25
Rate for Payer: EmblemHealth Commercial	$0.18
Rate for Payer: Group Health Inc Commercial	$0.18
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.18
Rate for Payer: Hamaspik Choice Inc Medicare	$0.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.24

CEPHALEXIN 500 MG PO CAPS

Facility

$1.22

Service Code	NDC 5026815215
Hospital Charge Code	5026815215
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.61
Rate for Payer: Aetna Government	$0.61
Rate for Payer: Brighton Health Commercial	$0.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.83
Rate for Payer: EmblemHealth Commercial	$0.61
Rate for Payer: Group Health Inc Commercial	$0.61
Rate for Payer: Group Health Inc Medicare	$0.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61
Rate for Payer: Hamaspik Choice Inc Medicare	$0.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.79

CEPHALEXIN 500 MG PO CAPS

Facility

$0.37

Service Code	NDC 0904733706
Hospital Charge Code	0904733706
Hospital Revenue Code	250
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.18

CEPHALEXIN 500 MG PO CAPS

Facility

$1.35

Service Code	NDC 6068716301
Hospital Charge Code	6068716301
Hospital Revenue Code	250
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.68
Rate for Payer: Aetna Government	$0.68
Rate for Payer: Brighton Health Commercial	$1.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.92
Rate for Payer: EmblemHealth Commercial	$0.68
Rate for Payer: Group Health Inc Commercial	$0.68
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.68
Rate for Payer: Hamaspik Choice Inc Medicare	$0.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.88

CEPHALEXIN 500 MG PO CAPS

Facility

$1.38

Service Code	NDC 6818012201
Hospital Charge Code	6818012201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$1.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.69
Rate for Payer: Aetna Government	$0.69
Rate for Payer: Brighton Health Commercial	$1.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.94
Rate for Payer: EmblemHealth Commercial	$0.69
Rate for Payer: Group Health Inc Commercial	$0.69
Rate for Payer: Group Health Inc Medicare	$0.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.69
Rate for Payer: Hamaspik Choice Inc Medicare	$0.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.89

CEREBRAL PALSY

Facility

$262.14

Service Code	EAPG 00536
Min. Negotiated Rate	$189.77
Max. Negotiated Rate	$262.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$189.77
Rate for Payer: Healthfirst Commercial	$262.14

Cervical spinal fusion & other back/neck proc exc disc excis/decomp

Facility

$60,714.14

Service Code	APR-DRG 3211
Min. Negotiated Rate	$19,121.00
Max. Negotiated Rate	$60,714.14
Rate for Payer: Affinity Essential Plan 1&2	$60,714.14
Rate for Payer: Affinity Essential Plan 3&4	$60,714.14
Rate for Payer: Affinity Medicaid/CHP/HARP	$26,984.06
Rate for Payer: Amida Care Medicaid	$26,984.06
Rate for Payer: EmblemHealth Essential Plan 1&2	$60,714.14
Rate for Payer: EmblemHealth Essential Plan 3&4	$26,984.06
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,984.06
Rate for Payer: Fidelis Qualified Health Plan	$32,380.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,984.06
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,984.06
Rate for Payer: Healthfirst Commercial	$31,053.00
Rate for Payer: Healthfirst Essential Plan	$60,714.14
Rate for Payer: Healthfirst QHP	$19,121.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,984.06
Rate for Payer: SOMOS Essential	$60,714.14
Rate for Payer: United Healthcare Essential Plan 1&2	$60,714.14
Rate for Payer: United Healthcare Essential Plan 3&4	$60,714.14
Rate for Payer: United Healthcare Medicaid	$26,984.06
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,984.06

Cervical spinal fusion & other back/neck proc exc disc excis/decomp

Facility

$156,258.02

Service Code	APR-DRG 3214
Min. Negotiated Rate	$69,448.01
Max. Negotiated Rate	$156,258.02
Rate for Payer: Affinity Essential Plan 1&2	$156,258.02
Rate for Payer: Affinity Essential Plan 3&4	$156,258.02
Rate for Payer: Affinity Medicaid/CHP/HARP	$69,448.01
Rate for Payer: Amida Care Medicaid	$69,448.01
Rate for Payer: EmblemHealth Essential Plan 1&2	$156,258.02
Rate for Payer: EmblemHealth Essential Plan 3&4	$69,448.01
Rate for Payer: Fidelis CHP/HARP/Medicaid	$69,448.01
Rate for Payer: Fidelis Qualified Health Plan	$83,337.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$69,448.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$69,448.01
Rate for Payer: Healthfirst Commercial	$140,740.00
Rate for Payer: Healthfirst Essential Plan	$156,258.02
Rate for Payer: Healthfirst QHP	$85,302.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$69,448.01
Rate for Payer: SOMOS Essential	$156,258.02
Rate for Payer: United Healthcare Essential Plan 1&2	$156,258.02
Rate for Payer: United Healthcare Essential Plan 3&4	$156,258.02
Rate for Payer: United Healthcare Medicaid	$69,448.01
Rate for Payer: Wellcare CHP/FHP/Medicaid	$69,448.01

Cervical spinal fusion & other back/neck proc exc disc excis/decomp

Facility

$97,136.01

Service Code	APR-DRG 3213
Min. Negotiated Rate	$43,171.56
Max. Negotiated Rate	$97,136.01
Rate for Payer: Affinity Essential Plan 1&2	$97,136.01
Rate for Payer: Affinity Essential Plan 3&4	$97,136.01
Rate for Payer: Affinity Medicaid/CHP/HARP	$43,171.56
Rate for Payer: Amida Care Medicaid	$43,171.56
Rate for Payer: EmblemHealth Essential Plan 1&2	$97,136.01
Rate for Payer: EmblemHealth Essential Plan 3&4	$43,171.56
Rate for Payer: Fidelis CHP/HARP/Medicaid	$43,171.56
Rate for Payer: Fidelis Qualified Health Plan	$51,805.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$43,171.56
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$43,171.56
Rate for Payer: Healthfirst Commercial	$71,586.00
Rate for Payer: Healthfirst Essential Plan	$97,136.01
Rate for Payer: Healthfirst QHP	$45,114.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$43,171.56
Rate for Payer: SOMOS Essential	$97,136.01
Rate for Payer: United Healthcare Essential Plan 1&2	$97,136.01
Rate for Payer: United Healthcare Essential Plan 3&4	$97,136.01
Rate for Payer: United Healthcare Medicaid	$43,171.56
Rate for Payer: Wellcare CHP/FHP/Medicaid	$43,171.56

Cervical spinal fusion & other back/neck proc exc disc excis/decomp

Facility

$69,778.71

Service Code	APR-DRG 3212
Min. Negotiated Rate	$24,410.00
Max. Negotiated Rate	$69,778.71
Rate for Payer: Affinity Essential Plan 1&2	$69,778.71
Rate for Payer: Affinity Essential Plan 3&4	$69,778.71
Rate for Payer: Affinity Medicaid/CHP/HARP	$31,012.76
Rate for Payer: Amida Care Medicaid	$31,012.76
Rate for Payer: EmblemHealth Essential Plan 1&2	$69,778.71
Rate for Payer: EmblemHealth Essential Plan 3&4	$31,012.76
Rate for Payer: Fidelis CHP/HARP/Medicaid	$31,012.76
Rate for Payer: Fidelis Qualified Health Plan	$37,215.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$31,012.76
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$31,012.76
Rate for Payer: Healthfirst Commercial	$41,505.00
Rate for Payer: Healthfirst Essential Plan	$69,778.71
Rate for Payer: Healthfirst QHP	$24,410.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$31,012.76
Rate for Payer: SOMOS Essential	$69,778.71
Rate for Payer: United Healthcare Essential Plan 1&2	$69,778.71
Rate for Payer: United Healthcare Essential Plan 3&4	$69,778.71
Rate for Payer: United Healthcare Medicaid	$31,012.76
Rate for Payer: Wellcare CHP/FHP/Medicaid	$31,012.76

Cesarean delivery

Facility

$52,706.57

Service Code	APR-DRG 5403
Min. Negotiated Rate	$11,575.00
Max. Negotiated Rate	$52,706.57
Rate for Payer: Affinity Essential Plan 1&2	$52,706.57
Rate for Payer: Affinity Essential Plan 3&4	$52,706.57
Rate for Payer: Affinity Medicaid/CHP/HARP	$23,425.14
Rate for Payer: Amida Care Medicaid	$23,425.14
Rate for Payer: EmblemHealth Essential Plan 1&2	$52,706.57
Rate for Payer: EmblemHealth Essential Plan 3&4	$23,425.14
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,425.14
Rate for Payer: Fidelis Qualified Health Plan	$28,110.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,425.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,425.14
Rate for Payer: Healthfirst Commercial	$19,401.00
Rate for Payer: Healthfirst Essential Plan	$52,706.57
Rate for Payer: Healthfirst QHP	$11,575.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,425.14
Rate for Payer: SOMOS Essential	$52,706.57
Rate for Payer: United Healthcare Essential Plan 1&2	$52,706.57
Rate for Payer: United Healthcare Essential Plan 3&4	$52,706.57
Rate for Payer: United Healthcare Medicaid	$23,425.14
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,425.14

Cesarean delivery

Facility

$48,174.28

Service Code	APR-DRG 5402
Min. Negotiated Rate	$8,879.00
Max. Negotiated Rate	$48,174.28
Rate for Payer: Affinity Essential Plan 1&2	$48,174.28
Rate for Payer: Affinity Essential Plan 3&4	$48,174.28
Rate for Payer: Affinity Medicaid/CHP/HARP	$21,410.79
Rate for Payer: Amida Care Medicaid	$21,410.79
Rate for Payer: EmblemHealth Essential Plan 1&2	$48,174.28
Rate for Payer: EmblemHealth Essential Plan 3&4	$21,410.79
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,410.79
Rate for Payer: Fidelis Qualified Health Plan	$25,692.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,410.79
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,410.79
Rate for Payer: Healthfirst Commercial	$15,355.00
Rate for Payer: Healthfirst Essential Plan	$48,174.28
Rate for Payer: Healthfirst QHP	$8,879.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,410.79
Rate for Payer: SOMOS Essential	$48,174.28
Rate for Payer: United Healthcare Essential Plan 1&2	$48,174.28
Rate for Payer: United Healthcare Essential Plan 3&4	$48,174.28
Rate for Payer: United Healthcare Medicaid	$21,410.79
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,410.79

Cesarean delivery

Facility

$46,105.99

Service Code	APR-DRG 5401
Min. Negotiated Rate	$7,871.00
Max. Negotiated Rate	$46,105.99
Rate for Payer: Affinity Essential Plan 1&2	$46,105.99
Rate for Payer: Affinity Essential Plan 3&4	$46,105.99
Rate for Payer: Affinity Medicaid/CHP/HARP	$20,491.55
Rate for Payer: Amida Care Medicaid	$20,491.55
Rate for Payer: EmblemHealth Essential Plan 1&2	$46,105.99
Rate for Payer: EmblemHealth Essential Plan 3&4	$20,491.55
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,491.55
Rate for Payer: Fidelis Qualified Health Plan	$24,589.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,491.55
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,491.55
Rate for Payer: Healthfirst Commercial	$13,706.00
Rate for Payer: Healthfirst Essential Plan	$46,105.99
Rate for Payer: Healthfirst QHP	$7,871.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,491.55
Rate for Payer: SOMOS Essential	$46,105.99
Rate for Payer: United Healthcare Essential Plan 1&2	$46,105.99
Rate for Payer: United Healthcare Essential Plan 3&4	$46,105.99
Rate for Payer: United Healthcare Medicaid	$20,491.55
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,491.55

Cesarean delivery

Facility

$79,601.31

Service Code	APR-DRG 5404
Min. Negotiated Rate	$22,467.00
Max. Negotiated Rate	$79,601.31
Rate for Payer: Affinity Essential Plan 1&2	$79,601.31
Rate for Payer: Affinity Essential Plan 3&4	$79,601.31
Rate for Payer: Affinity Medicaid/CHP/HARP	$35,378.36
Rate for Payer: Amida Care Medicaid	$35,378.36
Rate for Payer: EmblemHealth Essential Plan 1&2	$79,601.31
Rate for Payer: EmblemHealth Essential Plan 3&4	$35,378.36
Rate for Payer: Fidelis CHP/HARP/Medicaid	$35,378.36
Rate for Payer: Fidelis Qualified Health Plan	$42,454.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$35,378.36
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$35,378.36
Rate for Payer: Healthfirst Commercial	$40,804.00
Rate for Payer: Healthfirst Essential Plan	$79,601.31
Rate for Payer: Healthfirst QHP	$22,467.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$35,378.36
Rate for Payer: SOMOS Essential	$79,601.31
Rate for Payer: United Healthcare Essential Plan 1&2	$79,601.31
Rate for Payer: United Healthcare Essential Plan 3&4	$79,601.31
Rate for Payer: United Healthcare Medicaid	$35,378.36
Rate for Payer: Wellcare CHP/FHP/Medicaid	$35,378.36

CETIRIZINE HCL 10 MG PO TABS

Facility

$2.49

Service Code	NDC 5107959720
Hospital Charge Code	5107959720
Hospital Revenue Code	250
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$2.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.25
Rate for Payer: Aetna Government	$1.25
Rate for Payer: Brighton Health Commercial	$1.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.70
Rate for Payer: EmblemHealth Commercial	$1.25
Rate for Payer: Group Health Inc Commercial	$1.25
Rate for Payer: Group Health Inc Medicare	$0.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.62

Know your out-of-pocket cost for care.

All Charges