Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CERAMENT 10cc

Facility

$19,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270664901
Hospital Revenue Code	278
Min. Negotiated Rate	$477.18
Max. Negotiated Rate	$9,900.00
Rate for Payer: Aetna Commercial	$7,524.00
Rate for Payer: Aetna Medicare Advantage	$5,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,049.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,049.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,960.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,049.00
Rate for Payer: Cigna Commercial	$9,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,791.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,356.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,970.00
Rate for Payer: UnitedHealthcare Community & State	$477.18
Rate for Payer: Wellpoint Medicaid Managed Care	$524.70

CERAMENT 10cc

Facility

$19,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270664901
Hospital Revenue Code	278
Min. Negotiated Rate	$2,970.00
Max. Negotiated Rate	$4,791.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,791.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,356.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,970.00

CERAMENT BONE VOID 18ml

Facility

$23,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690954
Hospital Revenue Code	278
Min. Negotiated Rate	$3,506.25
Max. Negotiated Rate	$5,656.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,656.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,506.25

CERAMENT BONE VOID 18ml

Facility

$23,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690954
Hospital Revenue Code	278
Min. Negotiated Rate	$563.34
Max. Negotiated Rate	$11,687.50
Rate for Payer: Aetna Commercial	$8,882.50
Rate for Payer: Aetna Medicare Advantage	$7,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,960.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,960.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,960.62
Rate for Payer: Cigna Commercial	$11,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,656.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,506.25
Rate for Payer: UnitedHealthcare Community & State	$563.34
Rate for Payer: Wellpoint Medicaid Managed Care	$619.44

CERCLAGE 1.0MM W/EYE 280MM

Facility

$336.00

Hospital Charge Code	270672158
Hospital Revenue Code	272
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

CERCLAGE 1.0MM W/EYE 280MM

Facility

$336.00

Hospital Charge Code	270672158
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$168.00
Rate for Payer: Aetna Commercial	$127.68
Rate for Payer: Aetna Medicare Advantage	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.68
Rate for Payer: Cigna Commercial	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.80
Rate for Payer: Oxford Commercial	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$67.20
Rate for Payer: UnitedHealthcare Community & State	$8.10
Rate for Payer: Wellpoint Medicaid Managed Care	$8.90

CERCLAGE CERVIX PREGNANT VAG

Facility

$16,333.80

Service Code	HCPCS 59320
Hospital Charge Code	73190165
Hospital Revenue Code	720
Min. Negotiated Rate	$2,450.07
Max. Negotiated Rate	$2,450.07
Rate for Payer: Qualcare PPO/HMO/WC	$2,450.07

CERCLAGE CERVIX PREGNANT VAG

Facility

$16,333.80

Service Code	HCPCS 59320
Hospital Charge Code	73190165
Hospital Revenue Code	720
Min. Negotiated Rate	$164.56
Max. Negotiated Rate	$13,882.15
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,882.15
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,900.14
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,450.07
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$393.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$432.85

CERCLAGE CERVIX PREGNANT,VAG

Facility

$16,333.80

Service Code	HCPCS 59320
Hospital Charge Code	1600000486
Hospital Revenue Code	360
Min. Negotiated Rate	$2,450.07
Max. Negotiated Rate	$2,450.07
Rate for Payer: Qualcare PPO/HMO/WC	$2,450.07

CERCLAGE CERVIX PREGNANT,VAG

Facility

$16,333.80

Service Code	HCPCS 59320
Hospital Charge Code	1600000486
Hospital Revenue Code	360
Min. Negotiated Rate	$393.64
Max. Negotiated Rate	$13,882.15
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,882.15
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,900.14
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,450.07
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$393.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$432.85

CERCLAGE OF UTENE CERVIX NONOB

Facility

$29,961.70

Service Code	HCPCS 57700
Hospital Charge Code	1600000728
Hospital Revenue Code	360
Min. Negotiated Rate	$722.08
Max. Negotiated Rate	$13,882.15
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,882.15
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,988.51
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,494.26
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$722.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,062.33
Rate for Payer: Wellpoint Medicaid Managed Care	$8,884.64

CERCLAGE OF UTENE CERVIX NONOB

Facility

$29,961.70

Service Code	HCPCS 57700
Hospital Charge Code	1600000728
Hospital Revenue Code	360
Min. Negotiated Rate	$4,494.26
Max. Negotiated Rate	$4,494.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,494.26

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	83653020
Hospital Revenue Code	361
Min. Negotiated Rate	$206.83
Max. Negotiated Rate	$13,882.15
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,742.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,882.15
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.71
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$206.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$227.43

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	83653020
Hospital Revenue Code	361
Min. Negotiated Rate	$1,287.35
Max. Negotiated Rate	$1,287.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	74308080
Hospital Revenue Code	361
Min. Negotiated Rate	$1,287.35
Max. Negotiated Rate	$1,287.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35

CERCLAGE SUTURE REMOVAL ANESTH

Facility

$8,582.36

Service Code	HCPCS 59871
Hospital Charge Code	74308080
Hospital Revenue Code	361
Min. Negotiated Rate	$206.83
Max. Negotiated Rate	$13,882.15
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,742.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,882.15
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.71
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$206.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$227.43

CERES-C SPACER 12X15X12 0 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692516
Hospital Revenue Code	278
Min. Negotiated Rate	$186.78
Max. Negotiated Rate	$3,875.00
Rate for Payer: Aetna Commercial	$2,945.00
Rate for Payer: Aetna Medicare Advantage	$2,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,976.25
Rate for Payer: Cigna Commercial	$3,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,705.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50
Rate for Payer: UnitedHealthcare Community & State	$186.78
Rate for Payer: Wellpoint Medicaid Managed Care	$205.38

CERES-C SPACER 12X15X12 0 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692516
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$1,875.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,705.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CERES-C SPACER 12X15X6 6 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692515
Hospital Revenue Code	278
Min. Negotiated Rate	$186.78
Max. Negotiated Rate	$3,875.00
Rate for Payer: Aetna Commercial	$2,945.00
Rate for Payer: Aetna Medicare Advantage	$2,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,976.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,976.25
Rate for Payer: Cigna Commercial	$3,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,705.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50
Rate for Payer: UnitedHealthcare Community & State	$186.78
Rate for Payer: Wellpoint Medicaid Managed Care	$205.38

CERES-C SPACER 12X15X6 6 DEG

Facility

$7,750.00

Service Code	HCPCS C1889
Hospital Charge Code	270692515
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.50
Max. Negotiated Rate	$1,875.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,705.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,162.50

CERIANNA FLUORESTRAD F-18 1MCI

Facility

$1,566.46

Service Code	HCPCS A9591
Hospital Charge Code	80000053
Hospital Revenue Code	343
Min. Negotiated Rate	$234.97
Max. Negotiated Rate	$234.97
Rate for Payer: Qualcare PPO/HMO/WC	$234.97

CERIANNA FLUORESTRAD F-18 1MCI

Facility

$1,566.46

Service Code	HCPCS A9591
Hospital Charge Code	80000053
Hospital Revenue Code	343
Min. Negotiated Rate	$37.75
Max. Negotiated Rate	$1,661.98
Rate for Payer: Aetna Commercial	$1,252.34
Rate for Payer: Aetna Medicare Advantage	$1,491.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,661.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,661.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$460.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,661.98
Rate for Payer: Cigna Medicare Advantage	$322.29
Rate for Payer: Clover Medicare Advantage	$437.40
Rate for Payer: EmblemHealth Commercial	$1,381.26
Rate for Payer: Humana Medicare Advantage	$474.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$460.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.94
Rate for Payer: Qualcare PPO/HMO/WC	$234.97
Rate for Payer: UnitedHealthcare Community & State	$37.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$460.42
Rate for Payer: Wellcare Medicare Advantage	$460.42
Rate for Payer: Wellpoint Medicaid Managed Care	$41.51

CERIVCAL LAMINOPLASTY 2/>SEG

Facility

$7,064.40

Service Code	HCPCS 63050
Hospital Charge Code	160000182
Hospital Revenue Code	360
Min. Negotiated Rate	$170.25
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$2,684.47
Rate for Payer: Aetna Medicare Advantage	$2,119.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,801.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,801.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,801.42
Rate for Payer: Cigna Commercial	$3,532.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,119.32
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,059.66
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$170.25
Rate for Payer: Wellpoint Medicaid Managed Care	$187.21

CERIVCAL LAMINOPLASTY 2/>SEG

Facility

$7,064.40

Service Code	HCPCS 63050
Hospital Charge Code	160000182
Hospital Revenue Code	360
Min. Negotiated Rate	$1,059.66
Max. Negotiated Rate	$1,059.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,059.66

CERUBIDINE/20MG/INJECTION

Facility

$647.00

Hospital Charge Code	60634883
Hospital Revenue Code	636
Min. Negotiated Rate	$15.59
Max. Negotiated Rate	$323.50
Rate for Payer: Aetna Commercial	$245.86
Rate for Payer: Aetna Medicare Advantage	$194.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.99
Rate for Payer: Cigna Commercial	$323.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.57
Rate for Payer: Qualcare PPO/HMO/WC	$97.05
Rate for Payer: UnitedHealthcare Community & State	$15.59
Rate for Payer: Wellpoint Medicaid Managed Care	$17.15

Know your out-of-pocket cost for care.

All Charges