Price reports for 92586 Auditor evoke potent limit

PriceCheck journalist

Price charged

$48.41

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████████████
Provider: St███████████████████████████
Address: Newark, ████████████████, NJ
Community member

Price charged

$239.00

Insurance paid

$0.00

You paid

$239.00

Despite being told the screening was mandatory by the state, insurance denied this with Aetna code 776: Your plan does not cover charges for, or relates to, services or supplies that we consider to be experimental or investigational.
Insurer: Aetna
Provider: Peediatrix Medical Group
Address: Norman, 900, North Porter Avenue, OK
Community member

Price charged

$250.00

Insurance paid

$92.11

You paid

$0.00

I had a baby at Touro in September 2015. He had a routine hearing screening before leaving the hospital, as required by the state. Highmark Blue Cross Blue Shield denied the claim and said I was responsible for paying the entire $250. A rep told me the vendor, Natus, used a diagnostic code and not a screening code and it wasn’t covered. She said I should get Natus to resubmit it. Natus resubmitted it and BCBS denied it again. After that, Natus said it would discount it the cost for me from $250 to $125 out of professional courtesy. I kept fighting. I officially appealed the claim to BCBS, which denied the claim. At the same time, I tracked down phone numbers for Natus and the doctor on the bill, who did not perform the screening. After many phone calls, Natus resubmitted the bill with a new code. BCBS finally sent an EOB saying it would pay the full allowable amount of $92.11 on May 16, 2016.
Insurer: Highmark Blue Cross Blue Shield of Delaware
Provider: Toouro Infirmary Hospital
Address: New Orleans, 1401, Foucher Street, LA
PriceCheck journalist

Price charged

$257.00

Insurance paid

$0.00

You paid

$0.00

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Provider: Bo█████████████████████████████
Address: Port Jervis, ███████████████, NY
PriceCheck journalist

Price charged

$257.00

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████
Provider: Go██████████████████████
Address: Suffern, ██████████████████, NY
PriceCheck journalist

Price charged

$257.00

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████
Provider: St█████████████████████████████
Address: Warwick, █████████████, NY
PriceCheck journalist

Price charged

$303.54

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Gr█████████████████
Address: Greenwich, ████████████████, CT
PriceCheck journalist

Price charged

$303.54

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████
Provider: Ya██████████████████████
Address: New Haven, ███████████, CT
PriceCheck journalist

Price charged

$303.54

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Br██████████████████
Address: Bridgeport, █████████████, CT
PriceCheck journalist

Price charged

$315.00

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Un████████████████████████████████████
Address: Brooklyn, █████████████████, NY
Community member

Price charged

$714.00

Insurance paid

$714.00

You paid

$0.00

Insurer: UnitedHealthcare
Provider: Soouth Dade Neonatology
Address: Miami, 3663, South Miami Avenue, FL

What Medicare pays here?

Auditor evoke potent limit
Region Price
Alabama $83.43
Alaska $104.77
Arizona $91.24
Arkansas $81.81
Anaheim/Santa Ana, CA $114.18
Los Angeles, CA $108.18
Marin/Napa/Solano, CA $116.82
Oakland/Berkeley, CA $117.42
Rest of California $101.67
San Francisco, CA $127.32
San Mateo, CA $126.76
Santa Clara, CA $125.17
Ventura, CA $111.79
Colorado $95.77
Connecticut $104.70
DC + MD/VA Suburbs $113.39
Delaware $95.92
Fort Lauderdale, FL $95.76
Miami, FL $97.90
Rest of Florida $89.84
Atlanta, GA $93.85
Rest of Georgia $84.69
Hawaii/Guam $108.22
Idaho $84.56
Chicago, IL $97.90
East St. Louis, IL $88.65
Rest of Illinois $86.65
Suburban Chicago, IL $99.42
Indiana $86.05
Iowa $84.97
Kansas $85.48
Kentucky $82.73
New Orleans, LA $91.09
Rest of Louisiana $83.66
Rest of Maine $86.54
Southern Maine $94.48
Baltimore/Surr. Cntys, MD $103.14
Rest of Maryland $97.20
Metropolitan Boston $107.82
Rest of Massachusetts $100.36
Detroit, MI $93.53
Rest of Michigan $86.51
Minnesota $94.63
Mississippi $81.47
Metropolitan Kansas City, MO $90.66
Metropolitan St Louis, MO $90.27
Rest of Missouri $81.27
Montana $94.52
Nebraska $85.17
Nevada $95.58
New Hampshire $98.30
Northern NJ $110.82
Rest of New Jersey $105.50
New Mexico $86.87
Manhattan, NY $111.31
NYC Suburbs/Long I., NY $114.03
Poughkpsie/N NYC Suburbs, NY $100.82
Queens, NY $113.54
Rest of New York $89.10
North Carolina $87.40
North Dakota $93.73
Ohio $86.32
Oklahoma $83.85
Portland, OR $98.95
Rest of Oregon $90.83
Metropolitan Philadelphia, PA $101.24
Rest of Pennsylvania $88.11
Puerto Rico $94.71
Rhode Island $98.73
South Carolina $85.53
South Dakota $93.62
Tennessee $84.48
Austin, TX $95.84
Beaumont, TX $86.85
Brazoria, TX $93.67
Dallas, TX $95.20
Fort Worth, TX $92.57
Galveston, TX $94.97
Houston, TX $95.14
Rest of Texas $88.13
Utah $87.37
Vermont $95.17
Virgin Islands $94.71
Virginia $92.69
Rest of Washington $95.02
Seattle (King Cnty), WA $107.64
West Virginia $80.93
Wisconsin $89.58
Wyoming $93.98
Bakersfield, CA $100.69
Chico, CA $100.65
El Centro, CA $100.66
Fresno, CA $100.65
Hanford-Corcoran, CA $100.65
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $110.36
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $110.36
Madera, CA $100.65
Merced, CA $100.65
Modesto, CA $100.65
Napa, CA $117.57
Oxnard-Thousand Oaks-Ventura, CA $110.25
Redding, CA $100.65
Riverside-San Bernardino-Ontario, CA $100.79
Sacramento--Roseville--Arden-Arcade, CA $102.33
Salinas, CA $103.17
San Diego-Carlsbad, CA $104.58
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $123.98
San Francisco-Oakland-Hayward (Marin Cnty), CA $120.83
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $123.98
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $123.98
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $113.72
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $126.66
San Luis Obispo-Paso Robles-Arroyo Grande, CA $101.59
Santa Cruz-Watsonville, CA $108.77
Santa Maria-Santa Barbara, CA $105.51
Santa Rosa, CA $105.88
Stockton-Lodi, CA $100.65
Vallejo-Fairfield, CA $117.57
Visalia-Porterville, CA $100.65
Yuba City, CA $100.65
Rest Of California, CA $100.65
Hawaii, GUam $107.41
Metropolitan Boston, MA $110.81