Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CORONARY ANGIO ONLY

Facility

$12,026.00

Service Code	HCPCS 93454
Hospital Charge Code	7411221
Hospital Revenue Code	481
Min. Negotiated Rate	$1,803.90
Max. Negotiated Rate	$1,803.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90

CORONARY ANGIO ONLY

Facility

$12,026.00

Service Code	HCPCS 93454
Hospital Charge Code	7411221
Hospital Revenue Code	481
Min. Negotiated Rate	$289.83
Max. Negotiated Rate	$13,902.76
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,902.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,902.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,902.76
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,607.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$289.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$318.69

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	5100663
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	5100663
Hospital Revenue Code	481
Min. Negotiated Rate	$390.18
Max. Negotiated Rate	$13,902.76
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,902.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,902.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,902.76
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,857.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$390.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$429.04

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	74110064
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	74110064
Hospital Revenue Code	481
Min. Negotiated Rate	$390.18
Max. Negotiated Rate	$13,902.76
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,902.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,902.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,902.76
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,857.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$390.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$429.04

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$66,868.95

Service Code	APR-DRG 1653
Min. Negotiated Rate	$65,557.79
Max. Negotiated Rate	$66,868.95
Rate for Payer: UnitedHealthcare Community & State	$65,557.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$66,868.95
Rate for Payer: Wellpoint Medicaid Managed Care	$65,557.79

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$93,169.15

Service Code	APR-DRG 1654
Min. Negotiated Rate	$91,342.30
Max. Negotiated Rate	$93,169.15
Rate for Payer: UnitedHealthcare Community & State	$91,342.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$93,169.15
Rate for Payer: Wellpoint Medicaid Managed Care	$91,342.30

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$47,900.89

Service Code	APR-DRG 1651
Min. Negotiated Rate	$46,961.66
Max. Negotiated Rate	$47,900.89
Rate for Payer: UnitedHealthcare Community & State	$46,961.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,900.89
Rate for Payer: Wellpoint Medicaid Managed Care	$46,961.66

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$55,621.10

Service Code	APR-DRG 1652
Min. Negotiated Rate	$54,530.49
Max. Negotiated Rate	$55,621.10
Rate for Payer: UnitedHealthcare Community & State	$54,530.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,621.10
Rate for Payer: Wellpoint Medicaid Managed Care	$54,530.49

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC

Facility

$249,239.58

Service Code	MSDRG 233
Min. Negotiated Rate	$75,890.26
Max. Negotiated Rate	$249,239.58
Rate for Payer: Aetna Commercial	$171,513.34
Rate for Payer: Aetna Medicare Advantage	$249,239.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181,435.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181,435.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$79,884.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181,435.80
Rate for Payer: Cigna Commercial	$143,072.27
Rate for Payer: Cigna Medicare Advantage	$79,884.48
Rate for Payer: Clover Medicare Advantage	$75,890.26
Rate for Payer: EmblemHealth Commercial	$239,653.44
Rate for Payer: Humana Medicare Advantage	$82,281.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$79,884.48
Rate for Payer: Oxford Commercial	$102,827.94
Rate for Payer: UnitedHealthcare Commercial	$180,312.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$79,884.48
Rate for Payer: Wellcare Medicare Advantage	$79,884.48

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC

Facility

$178,697.63

Service Code	MSDRG 234
Min. Negotiated Rate	$54,411.14
Max. Negotiated Rate	$178,697.63
Rate for Payer: Aetna Commercial	$123,042.96
Rate for Payer: Aetna Medicare Advantage	$178,697.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120,957.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120,957.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$57,274.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120,957.20
Rate for Payer: Cigna Commercial	$102,228.97
Rate for Payer: Cigna Medicare Advantage	$57,274.88
Rate for Payer: Clover Medicare Advantage	$54,411.14
Rate for Payer: EmblemHealth Commercial	$171,824.64
Rate for Payer: Humana Medicare Advantage	$58,993.13
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$57,274.88
Rate for Payer: Oxford Commercial	$73,473.32
Rate for Payer: UnitedHealthcare Commercial	$128,837.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$57,274.88
Rate for Payer: Wellcare Medicare Advantage	$57,274.88

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$42,310.16

Service Code	APR-DRG 1661
Min. Negotiated Rate	$41,480.55
Max. Negotiated Rate	$42,310.16
Rate for Payer: UnitedHealthcare Community & State	$41,480.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,310.16
Rate for Payer: Wellpoint Medicaid Managed Care	$41,480.55

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$82,014.55

Service Code	APR-DRG 1664
Min. Negotiated Rate	$80,406.42
Max. Negotiated Rate	$82,014.55
Rate for Payer: UnitedHealthcare Community & State	$80,406.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$82,014.55
Rate for Payer: Wellpoint Medicaid Managed Care	$80,406.42

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$55,770.47

Service Code	APR-DRG 1663
Min. Negotiated Rate	$54,676.93
Max. Negotiated Rate	$55,770.47
Rate for Payer: UnitedHealthcare Community & State	$54,676.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,770.47
Rate for Payer: Wellpoint Medicaid Managed Care	$54,676.93

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$47,187.16

Service Code	APR-DRG 1662
Min. Negotiated Rate	$46,261.92
Max. Negotiated Rate	$47,187.16
Rate for Payer: UnitedHealthcare Community & State	$46,261.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,187.16
Rate for Payer: Wellpoint Medicaid Managed Care	$46,261.92

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

$191,816.91

Service Code	MSDRG 235
Min. Negotiated Rate	$58,405.79
Max. Negotiated Rate	$191,816.91
Rate for Payer: Aetna Commercial	$132,057.42
Rate for Payer: Aetna Medicare Advantage	$191,816.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136,774.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136,774.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61,479.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136,774.68
Rate for Payer: Cigna Commercial	$109,824.98
Rate for Payer: Cigna Medicare Advantage	$61,479.78
Rate for Payer: Clover Medicare Advantage	$58,405.79
Rate for Payer: EmblemHealth Commercial	$184,439.34
Rate for Payer: Humana Medicare Advantage	$63,324.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61,479.78
Rate for Payer: Oxford Commercial	$78,932.67
Rate for Payer: UnitedHealthcare Commercial	$138,410.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$61,479.78
Rate for Payer: Wellcare Medicare Advantage	$61,479.78

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Facility

$137,522.99

Service Code	MSDRG 236
Min. Negotiated Rate	$41,873.99
Max. Negotiated Rate	$137,522.99
Rate for Payer: Aetna Commercial	$94,751.29
Rate for Payer: Aetna Medicare Advantage	$137,522.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93,974.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93,974.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44,077.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93,974.44
Rate for Payer: Cigna Commercial	$78,389.20
Rate for Payer: Cigna Medicare Advantage	$44,077.88
Rate for Payer: Clover Medicare Advantage	$41,873.99
Rate for Payer: EmblemHealth Commercial	$132,233.64
Rate for Payer: Humana Medicare Advantage	$45,400.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44,077.88
Rate for Payer: Oxford Commercial	$56,339.36
Rate for Payer: UnitedHealthcare Commercial	$98,792.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$44,077.88
Rate for Payer: Wellcare Medicare Advantage	$44,077.88

CORONARY BYPASS WITH PTCA WITH MCC

Facility

$274,602.40

Service Code	MSDRG 231
Min. Negotiated Rate	$83,612.91
Max. Negotiated Rate	$274,602.40
Rate for Payer: Aetna Commercial	$188,940.48
Rate for Payer: Aetna Medicare Advantage	$274,602.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188,879.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188,879.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$88,013.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188,879.32
Rate for Payer: Cigna Commercial	$157,757.15
Rate for Payer: Cigna Medicare Advantage	$88,013.59
Rate for Payer: Clover Medicare Advantage	$83,612.91
Rate for Payer: EmblemHealth Commercial	$264,040.77
Rate for Payer: Humana Medicare Advantage	$90,654.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$88,013.59
Rate for Payer: Oxford Commercial	$113,382.15
Rate for Payer: UnitedHealthcare Commercial	$198,819.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$88,013.59
Rate for Payer: Wellcare Medicare Advantage	$88,013.59

CORONARY BYPASS WITH PTCA WITHOUT MCC

Facility

$198,087.36

Service Code	MSDRG 232
Min. Negotiated Rate	$60,315.06
Max. Negotiated Rate	$198,087.36
Rate for Payer: Aetna Commercial	$136,365.92
Rate for Payer: Aetna Medicare Advantage	$198,087.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138,402.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138,402.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$63,489.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138,402.95
Rate for Payer: Cigna Commercial	$113,455.50
Rate for Payer: Cigna Medicare Advantage	$63,489.54
Rate for Payer: Clover Medicare Advantage	$60,315.06
Rate for Payer: EmblemHealth Commercial	$190,468.62
Rate for Payer: Humana Medicare Advantage	$65,394.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$63,489.54
Rate for Payer: Oxford Commercial	$81,541.97
Rate for Payer: UnitedHealthcare Commercial	$142,986.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$63,489.54
Rate for Payer: Wellcare Medicare Advantage	$63,489.54

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC

Facility

$142,002.78

Service Code	MSDRG 323
Min. Negotiated Rate	$43,238.02
Max. Negotiated Rate	$142,002.78
Rate for Payer: Aetna Commercial	$97,829.42
Rate for Payer: Aetna Medicare Advantage	$142,002.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$45,513.71
Rate for Payer: Cigna Commercial	$80,982.96
Rate for Payer: Cigna Medicare Advantage	$45,513.71
Rate for Payer: Clover Medicare Advantage	$43,238.02
Rate for Payer: EmblemHealth Commercial	$136,541.13
Rate for Payer: Humana Medicare Advantage	$46,879.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$45,513.71
Rate for Payer: Oxford Commercial	$58,203.53
Rate for Payer: UnitedHealthcare Commercial	$102,061.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$45,513.71
Rate for Payer: Wellcare Medicare Advantage	$45,513.71

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$103,979.62

Service Code	MSDRG 324
Min. Negotiated Rate	$31,660.46
Max. Negotiated Rate	$103,979.62
Rate for Payer: Aetna Commercial	$71,703.17
Rate for Payer: Aetna Medicare Advantage	$103,979.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,326.80
Rate for Payer: Cigna Commercial	$58,967.81
Rate for Payer: Cigna Medicare Advantage	$33,326.80
Rate for Payer: Clover Medicare Advantage	$31,660.46
Rate for Payer: EmblemHealth Commercial	$99,980.40
Rate for Payer: Humana Medicare Advantage	$34,326.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33,326.80
Rate for Payer: Oxford Commercial	$42,380.95
Rate for Payer: UnitedHealthcare Commercial	$74,316.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,326.80
Rate for Payer: Wellcare Medicare Advantage	$33,326.80

CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE

Facility

$105,899.51

Service Code	MSDRG 325
Min. Negotiated Rate	$32,245.04
Max. Negotiated Rate	$105,899.51
Rate for Payer: Aetna Commercial	$73,022.37
Rate for Payer: Aetna Medicare Advantage	$105,899.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,942.15
Rate for Payer: Cigna Commercial	$60,079.43
Rate for Payer: Cigna Medicare Advantage	$33,942.15
Rate for Payer: Clover Medicare Advantage	$32,245.04
Rate for Payer: EmblemHealth Commercial	$101,826.45
Rate for Payer: Humana Medicare Advantage	$34,960.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33,942.15
Rate for Payer: Oxford Commercial	$43,179.88
Rate for Payer: UnitedHealthcare Commercial	$75,717.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,942.15
Rate for Payer: Wellcare Medicare Advantage	$33,942.15

CORONARY RISK COMPRE ASSESSM**

Facility

$58.00

Service Code	HCPCS 80061
Hospital Charge Code	3001484
Hospital Revenue Code	301
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

CORONARY RISK COMPRE ASSESSM**

Facility

$58.00

Service Code	HCPCS 80061
Hospital Charge Code	3001484
Hospital Revenue Code	301
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$36.42
Rate for Payer: Aetna Medicare Advantage	$43.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.33
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: Cigna Medicare Advantage	$13.39
Rate for Payer: Clover Medicare Advantage	$12.72
Rate for Payer: EmblemHealth Commercial	$40.17
Rate for Payer: Humana Medicare Advantage	$13.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.39
Rate for Payer: Wellcare Medicare Advantage	$13.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

Know your out-of-pocket cost for care.

All Charges