Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CH CARNITINE

Facility

$105.00

Service Code	HCPCS 82131
Hospital Charge Code	397073598
Hospital Revenue Code	301
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

CH CAROTENE

Facility

$152.00

Service Code	HCPCS 82380
Hospital Charge Code	397071216
Hospital Revenue Code	301
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.08
Rate for Payer: Aetna Medicare Advantage	$29.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.28
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: Cigna Medicare Advantage	$9.22
Rate for Payer: Clover Medicare Advantage	$8.76
Rate for Payer: EmblemHealth Commercial	$27.66
Rate for Payer: Humana Medicare Advantage	$9.50
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.22
Rate for Payer: Wellcare Medicare Advantage	$9.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

CH CAROTENE

Facility

$152.00

Service Code	HCPCS 82380
Hospital Charge Code	397071216
Hospital Revenue Code	301
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

CH CATECHOLAMINES

Facility

$417.00

Service Code	HCPCS 82384
Hospital Charge Code	397073004
Hospital Revenue Code	301
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$208.50
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$208.50
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.55
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$11.05

CH CATECHOLAMINES

Facility

$417.00

Service Code	HCPCS 82384
Hospital Charge Code	397073004
Hospital Revenue Code	301
Min. Negotiated Rate	$62.55
Max. Negotiated Rate	$62.55
Rate for Payer: Qualcare PPO/HMO/WC	$62.55

CH CATECHOLAMINES FRAC P

Facility

$489.00

Service Code	HCPCS 82384
Hospital Charge Code	397071212
Hospital Revenue Code	301
Min. Negotiated Rate	$12.96
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

CH CATECHOLAMINES FRAC P

Facility

$489.00

Service Code	HCPCS 82384
Hospital Charge Code	397071212
Hospital Revenue Code	301
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$73.35
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

CH CATECHOLAMINES FRACTION U

Facility

$299.00

Service Code	HCPCS 82384
Hospital Charge Code	397072042
Hospital Revenue Code	301
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$44.85
Rate for Payer: Qualcare PPO/HMO/WC	$44.85

CH CATECHOLAMINES FRACTION U

Facility

$299.00

Service Code	HCPCS 82384
Hospital Charge Code	397072042
Hospital Revenue Code	301
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$149.50
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$149.50
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$7.92

CH CATECHOLAMINES FREE

Facility

$158.00

Service Code	HCPCS 82384
Hospital Charge Code	397072043
Hospital Revenue Code	301
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$79.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

CH CATECHOLAMINES FREE

Facility

$158.00

Service Code	HCPCS 82384
Hospital Charge Code	397072043
Hospital Revenue Code	301
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$23.70

CH CATECHOLAMINES TOTAL U

Facility

$129.00

Service Code	HCPCS 82382
Hospital Charge Code	397071214
Hospital Revenue Code	301
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

CH CATECHOLAMINES TOTAL U

Facility

$129.00

Service Code	HCPCS 82382
Hospital Charge Code	397071214
Hospital Revenue Code	301
Min. Negotiated Rate	$3.42
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.26
Rate for Payer: Aetna Medicare Advantage	$88.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.54
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: Cigna Medicare Advantage	$27.30
Rate for Payer: Clover Medicare Advantage	$25.93
Rate for Payer: EmblemHealth Commercial	$81.90
Rate for Payer: Humana Medicare Advantage	$28.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$21.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.30
Rate for Payer: Wellcare Medicare Advantage	$27.30
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

CH CATHEPSIN D PARAFFI BLOCK 1

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061010
Hospital Revenue Code	310
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$730.60
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.60
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$86.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$28.68

CH CATHEPSIN D PARAFFI BLOCK 1

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061010
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

CH CBC

Facility

$531.04

Service Code	HCPCS 85025
Hospital Charge Code	397021020
Hospital Revenue Code	305
Min. Negotiated Rate	$79.66
Max. Negotiated Rate	$79.66
Rate for Payer: Qualcare PPO/HMO/WC	$79.66

CH CBC

Facility

$531.04

Service Code	HCPCS 85025
Hospital Charge Code	397021020
Hospital Revenue Code	305
Min. Negotiated Rate	$6.22
Max. Negotiated Rate	$265.52
Rate for Payer: Aetna Commercial	$21.13
Rate for Payer: Aetna Medicare Advantage	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$265.52
Rate for Payer: Cigna Medicare Advantage	$7.77
Rate for Payer: Clover Medicare Advantage	$7.38
Rate for Payer: EmblemHealth Commercial	$23.31
Rate for Payer: Humana Medicare Advantage	$8.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.66
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.77
Rate for Payer: Wellcare Medicare Advantage	$7.77
Rate for Payer: Wellpoint Medicaid Managed Care	$14.07

CH CBC/MANUAL DIFFERENTIAL

Facility

$531.04

Service Code	HCPCS 85025
Hospital Charge Code	397021287
Hospital Revenue Code	305
Min. Negotiated Rate	$79.66
Max. Negotiated Rate	$79.66
Rate for Payer: Qualcare PPO/HMO/WC	$79.66

CH CBC/MANUAL DIFFERENTIAL

Facility

$531.04

Service Code	HCPCS 85025
Hospital Charge Code	397021287
Hospital Revenue Code	305
Min. Negotiated Rate	$6.22
Max. Negotiated Rate	$265.52
Rate for Payer: Aetna Commercial	$21.13
Rate for Payer: Aetna Medicare Advantage	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$265.52
Rate for Payer: Cigna Medicare Advantage	$7.77
Rate for Payer: Clover Medicare Advantage	$7.38
Rate for Payer: EmblemHealth Commercial	$23.31
Rate for Payer: Humana Medicare Advantage	$8.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.66
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.77
Rate for Payer: Wellcare Medicare Advantage	$7.77
Rate for Payer: Wellpoint Medicaid Managed Care	$14.07

CH C DIFFICILE TOXIN ASSAY

Facility

$667.59

Service Code	HCPCS 87230
Hospital Charge Code	397041304
Hospital Revenue Code	309
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CH C DIFFICILE TOXIN ASSAY

Facility

$667.59

Service Code	HCPCS 87230
Hospital Charge Code	397041304
Hospital Revenue Code	309
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$53.69
Rate for Payer: Aetna Medicare Advantage	$63.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.26
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$19.74
Rate for Payer: Clover Medicare Advantage	$18.75
Rate for Payer: EmblemHealth Commercial	$59.22
Rate for Payer: Humana Medicare Advantage	$20.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.74
Rate for Payer: Wellcare Medicare Advantage	$19.74
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

CH C DIFF TOXIN B,QI,RT PCR

Facility

$208.00

Service Code	HCPCS 87493
Hospital Charge Code	397071437
Hospital Revenue Code	306
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$31.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

CH C DIFF TOXIN B,QI,RT PCR

Facility

$208.00

Service Code	HCPCS 87493
Hospital Charge Code	397071437
Hospital Revenue Code	306
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$134.53
Rate for Payer: Aetna Commercial	$101.37
Rate for Payer: Aetna Medicare Advantage	$120.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.53
Rate for Payer: Cigna Commercial	$104.00
Rate for Payer: Cigna Medicare Advantage	$37.27
Rate for Payer: Clover Medicare Advantage	$35.41
Rate for Payer: EmblemHealth Commercial	$111.81
Rate for Payer: Humana Medicare Advantage	$38.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$29.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.27
Rate for Payer: Wellcare Medicare Advantage	$37.27
Rate for Payer: Wellpoint Medicaid Managed Care	$5.51

CH CEA

Facility

$158.00

Service Code	HCPCS 82378
Hospital Charge Code	397071151
Hospital Revenue Code	301
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$23.70

CH CEA

Facility

$158.00

Service Code	HCPCS 82378
Hospital Charge Code	397071151
Hospital Revenue Code	301
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$51.57
Rate for Payer: Aetna Medicare Advantage	$61.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.44
Rate for Payer: Cigna Commercial	$79.00
Rate for Payer: Cigna Medicare Advantage	$18.96
Rate for Payer: Clover Medicare Advantage	$18.01
Rate for Payer: EmblemHealth Commercial	$56.88
Rate for Payer: Humana Medicare Advantage	$19.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.96
Rate for Payer: Wellcare Medicare Advantage	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

Know your out-of-pocket cost for care.

All Charges