Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DBM PUTTY TREL-XPRESS 300C

Facility

$14,811.25

Service Code	HCPCS C9359
Hospital Charge Code	270657169
Hospital Revenue Code	278
Min. Negotiated Rate	$356.95
Max. Negotiated Rate	$7,405.62
Rate for Payer: Aetna Commercial	$5,628.27
Rate for Payer: Aetna Medicare Advantage	$4,443.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,776.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,776.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,962.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,776.87
Rate for Payer: Cigna Commercial	$7,405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,584.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,258.47
Rate for Payer: Qualcare PPO/HMO/WC	$2,221.69
Rate for Payer: UnitedHealthcare Community & State	$356.95
Rate for Payer: Wellpoint Medicaid Managed Care	$392.50

DBM PUTTY TREL-XPRESS 300C

Facility

$14,811.25

Service Code	HCPCS C9359
Hospital Charge Code	270657169
Hospital Revenue Code	278
Min. Negotiated Rate	$2,221.69
Max. Negotiated Rate	$3,584.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,962.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,584.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,258.47
Rate for Payer: Qualcare PPO/HMO/WC	$2,221.69

DBM SPONGE BLOCK 10 X10 X 10MM

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270690557
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$1,996.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

DBM SPONGE BLOCK 10 X10 X 10MM

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270690557
Hospital Revenue Code	278
Min. Negotiated Rate	$198.82
Max. Negotiated Rate	$4,125.00
Rate for Payer: Aetna Commercial	$3,135.00
Rate for Payer: Aetna Medicare Advantage	$2,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,103.75
Rate for Payer: Cigna Commercial	$4,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50
Rate for Payer: UnitedHealthcare Community & State	$198.82
Rate for Payer: Wellpoint Medicaid Managed Care	$218.62

DBM SPONGE STRIP 35X20X7 MM

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692442
Hospital Revenue Code	278
Min. Negotiated Rate	$271.12
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$271.12
Rate for Payer: Wellpoint Medicaid Managed Care	$298.12

DBM SPONGE STRIP 35X20X7 MM

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692442
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

DBM SPONGE STRIPS 35X20X7MM

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692560
Hospital Revenue Code	278
Min. Negotiated Rate	$271.12
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$271.12
Rate for Payer: Wellpoint Medicaid Managed Care	$298.12

DBM SPONGE STRIPS 35X20X7MM

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692560
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

DBRDMT SKIN ABDOMINAL WALL

Facility

$9,712.00

Service Code	HCPCS 11005
Hospital Charge Code	1600000809
Hospital Revenue Code	360
Min. Negotiated Rate	$1,456.80
Max. Negotiated Rate	$1,456.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.80

DBRDMT SKIN ABDOMINAL WALL

Facility

$9,712.00

Service Code	HCPCS 11005
Hospital Charge Code	1600000809
Hospital Revenue Code	360
Min. Negotiated Rate	$234.06
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$3,690.56
Rate for Payer: Aetna Medicare Advantage	$2,913.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,476.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,476.56
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	$2,476.56
Rate for Payer: Cigna Commercial	$4,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,913.60
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.80
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$234.06
Rate for Payer: Wellpoint Medicaid Managed Care	$257.37

DBRDMT SUBQ TISS EACH ADDL

Facility

$2,452.00

Service Code	HCPCS 11045
Hospital Charge Code	1600000756
Hospital Revenue Code	360
Min. Negotiated Rate	$367.80
Max. Negotiated Rate	$367.80
Rate for Payer: Qualcare PPO/HMO/WC	$367.80

DBRDMT SUBQ TISS EACH ADDL

Facility

$2,452.00

Service Code	HCPCS 11045
Hospital Charge Code	1600000756
Hospital Revenue Code	360
Min. Negotiated Rate	$59.09
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$931.76
Rate for Payer: Aetna Medicare Advantage	$735.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$625.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$625.26
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	$625.26
Rate for Payer: Cigna Commercial	$1,226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$735.60
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$367.80
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$59.09
Rate for Payer: Wellpoint Medicaid Managed Care	$64.98

DBRD SK,SQ TISS,MUSCLE,BONE OP

Facility

$13,927.00

Service Code	HCPCS 11012
Hospital Charge Code	5770050
Hospital Revenue Code	450
Min. Negotiated Rate	$2,089.05
Max. Negotiated Rate	$2,089.05
Rate for Payer: Qualcare PPO/HMO/WC	$2,089.05

DBRD SK,SQ TISS,MUSCLE,BONE OP

Facility

$13,927.00

Service Code	HCPCS 11012
Hospital Charge Code	5770050
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$12,456.64
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,456.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,456.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,456.64
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,178.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,089.05
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,775.06
Rate for Payer: Wellpoint Medicaid Managed Care	$369.07

DBRID SKIN @ ADDNL 20 SQ CM

Facility

$623.14

Service Code	HCPCS 97597
Hospital Charge Code	75190160
Hospital Revenue Code	761
Min. Negotiated Rate	$15.02
Max. Negotiated Rate	$860.41
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$629.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.41
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.94
Rate for Payer: Oxford Commercial	$124.63
Rate for Payer: Qualcare PPO/HMO/WC	$93.47
Rate for Payer: UnitedHealthcare Commercial	$124.63
Rate for Payer: UnitedHealthcare Community & State	$15.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$16.51

DBRID SKIN @ ADDNL 20 SQ CM

Facility

$623.14

Service Code	HCPCS 97597
Hospital Charge Code	75190160
Hospital Revenue Code	761
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$93.47
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

DBX CONNECTIVE TISSUE,H 0.5 CC

Facility

$263.00

Hospital Charge Code	27038005
Hospital Revenue Code	278
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$131.50
Rate for Payer: Aetna Commercial	$99.94
Rate for Payer: Aetna Medicare Advantage	$78.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.06
Rate for Payer: Cigna Commercial	$131.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.86
Rate for Payer: Qualcare PPO/HMO/WC	$39.45
Rate for Payer: UnitedHealthcare Community & State	$6.34
Rate for Payer: Wellpoint Medicaid Managed Care	$6.97

DBX CONNECTIVE TISSUE,H 0.5 CC

Facility

$263.00

Hospital Charge Code	27038005
Hospital Revenue Code	278
Min. Negotiated Rate	$39.45
Max. Negotiated Rate	$63.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.86
Rate for Payer: Qualcare PPO/HMO/WC	$39.45

DBX MIX 5CC

Facility

$5,231.10

Hospital Charge Code	270673044
Hospital Revenue Code	278
Min. Negotiated Rate	$784.66
Max. Negotiated Rate	$1,265.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,046.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,265.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,150.84
Rate for Payer: Qualcare PPO/HMO/WC	$784.66

DBX MIX 5CC

Facility

$5,231.10

Hospital Charge Code	270673044
Hospital Revenue Code	278
Min. Negotiated Rate	$126.07
Max. Negotiated Rate	$2,615.55
Rate for Payer: Aetna Commercial	$1,987.82
Rate for Payer: Aetna Medicare Advantage	$1,569.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,333.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,333.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,046.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,333.93
Rate for Payer: Cigna Commercial	$2,615.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,265.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,150.84
Rate for Payer: Qualcare PPO/HMO/WC	$784.66
Rate for Payer: UnitedHealthcare Community & State	$126.07
Rate for Payer: Wellpoint Medicaid Managed Care	$138.62

DBX PUTTY CONNECT TISS 1 CC

Facility

$468.00

Hospital Charge Code	27038010
Hospital Revenue Code	278
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$113.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.20

DBX PUTTY CONNECT TISS 1 CC

Facility

$468.00

Hospital Charge Code	27038010
Hospital Revenue Code	278
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$234.00
Rate for Payer: Aetna Commercial	$177.84
Rate for Payer: Aetna Medicare Advantage	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.34
Rate for Payer: Cigna Commercial	$234.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.20
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$12.40

D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC

Facility

$68,364.35

Service Code	MSDRG 744
Min. Negotiated Rate	$20,816.07
Max. Negotiated Rate	$68,364.35
Rate for Payer: Aetna Commercial	$47,231.43
Rate for Payer: Aetna Medicare Advantage	$68,364.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,730.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,730.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,911.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,730.68
Rate for Payer: Cigna Commercial	$38,346.86
Rate for Payer: Cigna Medicare Advantage	$21,911.65
Rate for Payer: Clover Medicare Advantage	$20,816.07
Rate for Payer: EmblemHealth Commercial	$65,734.95
Rate for Payer: Humana Medicare Advantage	$22,569.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,911.65
Rate for Payer: Oxford Commercial	$27,560.40
Rate for Payer: UnitedHealthcare Commercial	$48,328.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,911.65
Rate for Payer: Wellcare Medicare Advantage	$21,911.65

D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC

Facility

$38,899.94

Service Code	MSDRG 745
Min. Negotiated Rate	$11,844.53
Max. Negotiated Rate	$38,899.94
Rate for Payer: Aetna Commercial	$26,986.02
Rate for Payer: Aetna Medicare Advantage	$38,899.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,467.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,191.44
Rate for Payer: Cigna Commercial	$21,287.17
Rate for Payer: Cigna Medicare Advantage	$12,467.93
Rate for Payer: Clover Medicare Advantage	$11,844.53
Rate for Payer: EmblemHealth Commercial	$37,403.79
Rate for Payer: Humana Medicare Advantage	$12,841.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,467.93
Rate for Payer: Oxford Commercial	$15,299.38
Rate for Payer: UnitedHealthcare Commercial	$26,827.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,467.93
Rate for Payer: Wellcare Medicare Advantage	$12,467.93

D&C DIAG OR THERAP NOT OB

Facility

$16,333.80

Service Code	HCPCS 58120
Hospital Charge Code	16000760
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	$1,016.00
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

Know your out-of-pocket cost for care.

All Charges