Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DEMI-REGROTON

Facility

$3.00

Hospital Charge Code	60634465
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

DEMO EVAL INH DEVICE

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9500620
Hospital Revenue Code	410
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.06
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.83
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.41
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$4.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4.84

DEMO EVAL INH DEVICE

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9500620
Hospital Revenue Code	410
Min. Negotiated Rate	$27.41
Max. Negotiated Rate	$27.41
Rate for Payer: Qualcare PPO/HMO/WC	$27.41

DEMO/EVAL INH DEVICE

Facility

$58.41

Service Code	HCPCS 94664
Hospital Charge Code	87502735
Hospital Revenue Code	412
Min. Negotiated Rate	$8.76
Max. Negotiated Rate	$8.76
Rate for Payer: Qualcare PPO/HMO/WC	$8.76

DEMO/EVAL INH DEVICE

Facility

$58.41

Service Code	HCPCS 94664
Hospital Charge Code	87502735
Hospital Revenue Code	412
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.06
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.52
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.76
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

DEMONSTRATION OF MDI/SVN/IPPB

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9501290
Hospital Revenue Code	410
Min. Negotiated Rate	$27.41
Max. Negotiated Rate	$27.41
Rate for Payer: Qualcare PPO/HMO/WC	$27.41

DEMONSTRATION OF MDI/SVN/IPPB

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9501290
Hospital Revenue Code	410
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.06
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.83
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.41
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$4.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4.84

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035B
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

DENGUE FEVER

Facility

$634.95

Hospital Charge Code	3035035
Hospital Revenue Code	302
Min. Negotiated Rate	$95.24
Max. Negotiated Rate	$95.24
Rate for Payer: Qualcare PPO/HMO/WC	$95.24

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035A
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

DENGUE FEVER

Facility

$634.95

Hospital Charge Code	3035035
Hospital Revenue Code	302
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$317.48
Rate for Payer: Aetna Commercial	$241.28
Rate for Payer: Aetna Medicare Advantage	$190.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.91
Rate for Payer: Cigna Commercial	$317.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.24
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.30
Rate for Payer: Wellpoint Medicaid Managed Care	$16.83

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035A
Hospital Revenue Code	302
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$459.20
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.49
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$459.20
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.49
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

DENGUE FEVER AB

Facility

$1,127.10

Service Code	HCPCS 86790
Hospital Charge Code	397040062
Hospital Revenue Code	302
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$563.55
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.49
Rate for Payer: Cigna Commercial	$563.55
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.06
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

DENGUE FEVER AB

Facility

$1,127.10

Service Code	HCPCS 86790
Hospital Charge Code	397040062
Hospital Revenue Code	302
Min. Negotiated Rate	$169.06
Max. Negotiated Rate	$169.06
Rate for Payer: Qualcare PPO/HMO/WC	$169.06

DENGUE FEVER AB IGG, IGM, I

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

DENGUE FEVER AB IGG, IGM, I

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050A
Hospital Revenue Code	302
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

DENGUE FEVER AB IGG, IGM, II

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

DENGUE FEVER AB IGG, IGM, II

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050B
Hospital Revenue Code	302
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

DENOSUMAB 120 MG/1.7 ML ML

Facility

$14,728.07

Service Code	HCPCS J0897
Hospital Charge Code	6063943193
Hospital Revenue Code	636
Min. Negotiated Rate	$2,209.21
Max. Negotiated Rate	$3,564.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,564.19
Rate for Payer: Qualcare PPO/HMO/WC	$2,209.21

DENOSUMAB 120 MG/1.7 ML ML

Facility

$14,728.07

Service Code	HCPCS J0897
Hospital Charge Code	6063943193
Hospital Revenue Code	636
Min. Negotiated Rate	$28.03
Max. Negotiated Rate	$3,564.19
Rate for Payer: Aetna Commercial	$80.27
Rate for Payer: Aetna Medicare Advantage	$95.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.52
Rate for Payer: Cigna Medicare Advantage	$29.51
Rate for Payer: Clover Medicare Advantage	$28.03
Rate for Payer: EmblemHealth Commercial	$88.53
Rate for Payer: Humana Medicare Advantage	$30.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,564.19
Rate for Payer: Qualcare PPO/HMO/WC	$2,209.21
Rate for Payer: UnitedHealthcare Community & State	$354.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.51
Rate for Payer: Wellcare Medicare Advantage	$29.51
Rate for Payer: Wellpoint Medicaid Managed Care	$390.29

DENOSUMAB 60MG/ML SOL (PROLIA)

Facility

$6,635.68

Service Code	HCPCS J0897
Hospital Charge Code	60630053
Hospital Revenue Code	636
Min. Negotiated Rate	$995.35
Max. Negotiated Rate	$1,605.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,605.83
Rate for Payer: Qualcare PPO/HMO/WC	$995.35

DENOSUMAB 60MG/ML SOL (PROLIA)

Facility

$6,635.68

Service Code	HCPCS J0897
Hospital Charge Code	60630053
Hospital Revenue Code	636
Min. Negotiated Rate	$28.03
Max. Negotiated Rate	$1,605.83
Rate for Payer: Aetna Commercial	$80.27
Rate for Payer: Aetna Medicare Advantage	$95.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.52
Rate for Payer: Cigna Medicare Advantage	$29.51
Rate for Payer: Clover Medicare Advantage	$28.03
Rate for Payer: EmblemHealth Commercial	$88.53
Rate for Payer: Humana Medicare Advantage	$30.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,605.83
Rate for Payer: Qualcare PPO/HMO/WC	$995.35
Rate for Payer: UnitedHealthcare Community & State	$159.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.51
Rate for Payer: Wellcare Medicare Advantage	$29.51
Rate for Payer: Wellpoint Medicaid Managed Care	$175.85

DENTAL AND ORAL DISEASES WITH CC

Facility

$31,540.30

Service Code	MSDRG 158
Min. Negotiated Rate	$9,603.62
Max. Negotiated Rate	$31,540.30
Rate for Payer: Aetna Commercial	$21,929.12
Rate for Payer: Aetna Medicare Advantage	$31,540.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,865.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,865.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,109.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,865.34
Rate for Payer: Cigna Commercial	$17,026.00
Rate for Payer: Cigna Medicare Advantage	$10,109.07
Rate for Payer: Clover Medicare Advantage	$9,603.62
Rate for Payer: EmblemHealth Commercial	$30,327.21
Rate for Payer: Humana Medicare Advantage	$10,412.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,109.07
Rate for Payer: Oxford Commercial	$12,236.81
Rate for Payer: UnitedHealthcare Commercial	$21,457.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,109.07
Rate for Payer: Wellcare Medicare Advantage	$10,109.07

DENTAL AND ORAL DISEASES WITH MCC

Facility

$57,623.90

Service Code	MSDRG 157
Min. Negotiated Rate	$17,545.74
Max. Negotiated Rate	$57,623.90
Rate for Payer: Aetna Commercial	$39,851.51
Rate for Payer: Aetna Medicare Advantage	$57,623.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,776.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,776.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,469.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,776.31
Rate for Payer: Cigna Commercial	$32,128.20
Rate for Payer: Cigna Medicare Advantage	$18,469.20
Rate for Payer: Clover Medicare Advantage	$17,545.74
Rate for Payer: EmblemHealth Commercial	$55,407.60
Rate for Payer: Humana Medicare Advantage	$19,023.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,469.20
Rate for Payer: Oxford Commercial	$23,090.96
Rate for Payer: UnitedHealthcare Commercial	$40,490.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,469.20
Rate for Payer: Wellcare Medicare Advantage	$18,469.20

Know your out-of-pocket cost for care.

All Charges