Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CT MAXILLOFACIAL WO & W

Facility

$9,500.00

Service Code	HCPCS 70488
Hospital Charge Code	2200329
Hospital Revenue Code	351
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CT MAXILLOFACIAL W/+W/O CNTRST

Facility

$1,810.20

Service Code	HCPCS 70488
Hospital Charge Code	2205407
Hospital Revenue Code	351
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$3,354.00
Rate for Payer: Aetna Commercial	$566.79
Rate for Payer: Aetna Medicare Advantage	$675.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$752.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$752.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$208.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$338.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$752.19
Rate for Payer: Cigna Commercial	$417.70
Rate for Payer: Cigna Medicare Advantage	$145.87
Rate for Payer: Clover Medicare Advantage	$197.96
Rate for Payer: EmblemHealth Commercial	$625.14
Rate for Payer: Humana Medicare Advantage	$214.63
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$208.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$543.06
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$271.53
Rate for Payer: UnitedHealthcare Commercial	$3,354.00
Rate for Payer: UnitedHealthcare Community & State	$43.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$208.38
Rate for Payer: Wellcare Medicare Advantage	$208.38
Rate for Payer: Wellpoint Medicaid Managed Care	$47.97

CT MAXILLOFACIAL W/+W/O CNTRST

Facility

$1,810.20

Service Code	HCPCS 70488
Hospital Charge Code	2205407
Hospital Revenue Code	351
Min. Negotiated Rate	$271.53
Max. Negotiated Rate	$271.53
Rate for Payer: Qualcare PPO/HMO/WC	$271.53

CTM EXTRACELLULAR MATRIX 3X3CM

Facility

$15,015.00

Service Code	HCPCS C1762
Hospital Charge Code	270697515
Hospital Revenue Code	278
Min. Negotiated Rate	$2,252.25
Max. Negotiated Rate	$3,633.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,003.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,633.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,303.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,252.25

CTM EXTRACELLULAR MATRIX 3X3CM

Facility

$15,015.00

Service Code	HCPCS C1762
Hospital Charge Code	270697515
Hospital Revenue Code	278
Min. Negotiated Rate	$361.86
Max. Negotiated Rate	$7,507.50
Rate for Payer: Aetna Commercial	$5,705.70
Rate for Payer: Aetna Medicare Advantage	$4,504.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,828.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,828.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,003.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,828.82
Rate for Payer: Cigna Commercial	$7,507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,633.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,303.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,252.25
Rate for Payer: UnitedHealthcare Community & State	$361.86
Rate for Payer: Wellpoint Medicaid Managed Care	$397.90

CTM EXTRACELLULAR MATRIX 4X7CM

Facility

$20,615.00

Service Code	HCPCS C1762
Hospital Charge Code	270696863
Hospital Revenue Code	278
Min. Negotiated Rate	$496.82
Max. Negotiated Rate	$10,307.50
Rate for Payer: Aetna Commercial	$7,833.70
Rate for Payer: Aetna Medicare Advantage	$6,184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,256.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,256.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,256.82
Rate for Payer: Cigna Commercial	$10,307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,988.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,535.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,092.25
Rate for Payer: UnitedHealthcare Community & State	$496.82
Rate for Payer: Wellpoint Medicaid Managed Care	$546.30

CTM EXTRACELLULAR MATRIX 4X7CM

Facility

$20,615.00

Service Code	HCPCS C1762
Hospital Charge Code	270696863
Hospital Revenue Code	278
Min. Negotiated Rate	$3,092.25
Max. Negotiated Rate	$4,988.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,988.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,535.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,092.25

CTM FLOW CONN TISSUE 4.0ML

Facility

$26,465.00

Service Code	HCPCS C1762
Hospital Charge Code	270697467
Hospital Revenue Code	278
Min. Negotiated Rate	$3,969.75
Max. Negotiated Rate	$6,404.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,293.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,404.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,822.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,969.75

CTM FLOW CONN TISSUE 4.0ML

Facility

$26,465.00

Service Code	HCPCS C1762
Hospital Charge Code	270697467
Hospital Revenue Code	278
Min. Negotiated Rate	$637.81
Max. Negotiated Rate	$13,232.50
Rate for Payer: Aetna Commercial	$10,056.70
Rate for Payer: Aetna Medicare Advantage	$7,939.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,748.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,748.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,748.57
Rate for Payer: Cigna Commercial	$13,232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,404.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,822.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,969.75
Rate for Payer: UnitedHealthcare Community & State	$637.81
Rate for Payer: Wellpoint Medicaid Managed Care	$701.32

CTM PASTE TISSUE MATRIX LARGE

Facility

$26,465.00

Service Code	HCPCS C1762
Hospital Charge Code	270697599
Hospital Revenue Code	278
Min. Negotiated Rate	$637.81
Max. Negotiated Rate	$13,232.50
Rate for Payer: Aetna Commercial	$10,056.70
Rate for Payer: Aetna Medicare Advantage	$7,939.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,748.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,748.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,748.57
Rate for Payer: Cigna Commercial	$13,232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,404.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,822.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,969.75
Rate for Payer: UnitedHealthcare Community & State	$637.81
Rate for Payer: Wellpoint Medicaid Managed Care	$701.32

CTM PASTE TISSUE MATRIX LARGE

Facility

$26,465.00

Service Code	HCPCS C1762
Hospital Charge Code	270697599
Hospital Revenue Code	278
Min. Negotiated Rate	$3,969.75
Max. Negotiated Rate	$6,404.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,293.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,404.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,822.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,969.75

CT NDL BIOPSY BONE DEEP PERC

Facility

$9,500.00

Service Code	HCPCS 20225
Hospital Charge Code	2205227
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

CT NDL BIOPSY BONE DEEP PERC

Facility

$9,500.00

Service Code	HCPCS 20225
Hospital Charge Code	2205227
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CT NDL BIOPSY BONE SUPERFIC

Facility

$9,500.00

Service Code	HCPCS 20220
Hospital Charge Code	2205235
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CT NDL BIOPSY BONE SUPERFIC

Facility

$9,500.00

Service Code	HCPCS 20220
Hospital Charge Code	2205235
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

CT NECK WO C

Facility

$9,500.00

Service Code	HCPCS 70490
Hospital Charge Code	2200186
Hospital Revenue Code	351
Min. Negotiated Rate	$86.94
Max. Negotiated Rate	$3,354.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,354.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

CT NECK WO C

Facility

$9,500.00

Service Code	HCPCS 70490
Hospital Charge Code	2200186
Hospital Revenue Code	351
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CT NEEDLE BIOPSY ABD/RETROPERI

Facility

$9,500.00

Service Code	HCPCS 49180
Hospital Charge Code	2205219
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

CT NEEDLE BIOPSY ABD/RETROPERI

Facility

$9,500.00

Service Code	HCPCS 49180
Hospital Charge Code	2205219
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CT NEEDLE BIOPSY LIVER PERC

Facility

$9,500.00

Service Code	HCPCS 47000
Hospital Charge Code	2205243
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CT NEEDLE BIOPSY LIVER PERC

Facility

$9,500.00

Service Code	HCPCS 47000
Hospital Charge Code	2205243
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

CT NEEDLE BIOPSY LUNG/MED PERC

Facility

$9,500.00

Service Code	HCPCS 32405
Hospital Charge Code	2205193
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

CT NEEDLE BIOPSY LUNG/MED PERC

Facility

$9,500.00

Service Code	HCPCS 32405
Hospital Charge Code	2205193
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CT NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	2205250
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

CT NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	2205250
Hospital Revenue Code	361
Min. Negotiated Rate	$113.51
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,412.97
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$113.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$124.81

Know your out-of-pocket cost for care.

All Charges