Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ESTRADIOL TOP .1MG/24HR

Facility

$37.80

Hospital Charge Code	6002273
Hospital Revenue Code	252
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.90
Rate for Payer: Aetna Commercial	$14.36
Rate for Payer: Aetna Medicare Advantage	$11.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.64
Rate for Payer: Cigna Commercial	$18.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.34
Rate for Payer: Oxford Commercial	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$5.67
Rate for Payer: UnitedHealthcare Commercial	$7.56
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

ESTRADIOL TOP .1MG/24HR

Facility

$37.80

Hospital Charge Code	6002273
Hospital Revenue Code	252
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$5.67
Rate for Payer: Qualcare PPO/HMO/WC	$5.67

ESTRIDIOL

Facility

$205.65

Service Code	HCPCS 82670
Hospital Charge Code	39900418
Hospital Revenue Code	301
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

ESTRIDIOL

Facility

$205.65

Service Code	HCPCS 82670
Hospital Charge Code	39900418
Hospital Revenue Code	301
Min. Negotiated Rate	$5.45
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.86
Rate for Payer: Cigna Commercial	$102.83
Rate for Payer: Cigna Medicare Advantage	$27.94
Rate for Payer: Clover Medicare Advantage	$26.54
Rate for Payer: EmblemHealth Commercial	$83.82
Rate for Payer: Humana Medicare Advantage	$28.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$22.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.94
Rate for Payer: Wellcare Medicare Advantage	$27.94
Rate for Payer: Wellpoint Medicaid Managed Care	$5.45

ESTRIOL

Facility

$520.00

Service Code	HCPCS 82677
Hospital Charge Code	38472263
Hospital Revenue Code	301
Min. Negotiated Rate	$13.78
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$65.77
Rate for Payer: Aetna Medicare Advantage	$78.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.28
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: Cigna Medicare Advantage	$24.18
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$19.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.18
Rate for Payer: Wellcare Medicare Advantage	$24.18
Rate for Payer: Wellpoint Medicaid Managed Care	$13.78

ESTRIOL

Facility

$520.00

Service Code	HCPCS 82677
Hospital Charge Code	38472263
Hospital Revenue Code	301
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

ESTRIOL SERUM

Facility

$231.25

Service Code	HCPCS 82677
Hospital Charge Code	3001162
Hospital Revenue Code	301
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

ESTRIOL SERUM

Facility

$231.25

Service Code	HCPCS 82677
Hospital Charge Code	3001162
Hospital Revenue Code	301
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$65.77
Rate for Payer: Aetna Medicare Advantage	$78.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.28
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: Cigna Medicare Advantage	$24.18
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$19.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.18
Rate for Payer: Wellcare Medicare Advantage	$24.18
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

ESTRIOL,SERUM

Facility

$166.25

Service Code	HCPCS 82677
Hospital Charge Code	39900076
Hospital Revenue Code	301
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$24.94
Rate for Payer: Qualcare PPO/HMO/WC	$24.94

ESTRIOL,SERUM

Facility

$166.25

Service Code	HCPCS 82677
Hospital Charge Code	39900076
Hospital Revenue Code	301
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$65.77
Rate for Payer: Aetna Medicare Advantage	$78.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.28
Rate for Payer: Cigna Commercial	$83.12
Rate for Payer: Cigna Medicare Advantage	$24.18
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.94
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$19.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.18
Rate for Payer: Wellcare Medicare Advantage	$24.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

ESTRIOL URINE

Facility

$231.25

Service Code	HCPCS 82677
Hospital Charge Code	3001161
Hospital Revenue Code	301
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

ESTRIOL URINE

Facility

$231.25

Service Code	HCPCS 82677
Hospital Charge Code	3001161
Hospital Revenue Code	301
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$65.77
Rate for Payer: Aetna Medicare Advantage	$78.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.28
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: Cigna Medicare Advantage	$24.18
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$19.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.18
Rate for Payer: Wellcare Medicare Advantage	$24.18
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

ESTROGEN RECEPTOR ASSAY

Facility

$961.00

Service Code	HCPCS 84233
Hospital Charge Code	38474004
Hospital Revenue Code	301
Min. Negotiated Rate	$144.15
Max. Negotiated Rate	$144.15
Rate for Payer: Qualcare PPO/HMO/WC	$144.15

ESTROGEN RECEPTOR ASSAY

Facility

$961.00

Service Code	HCPCS 84233
Hospital Charge Code	38474004
Hospital Revenue Code	301
Min. Negotiated Rate	$25.47
Max. Negotiated Rate	$480.50
Rate for Payer: Aetna Commercial	$239.03
Rate for Payer: Aetna Medicare Advantage	$284.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$87.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.22
Rate for Payer: Cigna Commercial	$480.50
Rate for Payer: Cigna Medicare Advantage	$87.88
Rate for Payer: Clover Medicare Advantage	$83.49
Rate for Payer: EmblemHealth Commercial	$263.64
Rate for Payer: Humana Medicare Advantage	$90.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$87.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.15
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$70.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$87.88
Rate for Payer: Wellcare Medicare Advantage	$87.88
Rate for Payer: Wellpoint Medicaid Managed Care	$25.47

ESTROGEN RECEPTOR ASSAY (ERA)

Facility

$1,637.65

Service Code	HCPCS 84233
Hospital Charge Code	3004959
Hospital Revenue Code	301
Min. Negotiated Rate	$245.65
Max. Negotiated Rate	$245.65
Rate for Payer: Qualcare PPO/HMO/WC	$245.65

ESTROGEN RECEPTOR ASSAY (ERA)

Facility

$1,637.65

Service Code	HCPCS 84233
Hospital Charge Code	3004959
Hospital Revenue Code	301
Min. Negotiated Rate	$34.07
Max. Negotiated Rate	$818.83
Rate for Payer: Aetna Commercial	$239.03
Rate for Payer: Aetna Medicare Advantage	$284.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$87.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.22
Rate for Payer: Cigna Commercial	$818.83
Rate for Payer: Cigna Medicare Advantage	$87.88
Rate for Payer: Clover Medicare Advantage	$83.49
Rate for Payer: EmblemHealth Commercial	$263.64
Rate for Payer: Humana Medicare Advantage	$90.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$87.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$245.65
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$70.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$87.88
Rate for Payer: Wellcare Medicare Advantage	$87.88
Rate for Payer: Wellpoint Medicaid Managed Care	$43.40

ESTROGENS CONJ 30GM VAG CR

Facility

$1,182.97

Hospital Charge Code	606350907
Hospital Revenue Code	250
Min. Negotiated Rate	$28.51
Max. Negotiated Rate	$591.49
Rate for Payer: Aetna Commercial	$449.53
Rate for Payer: Aetna Medicare Advantage	$354.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$301.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$301.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$301.66
Rate for Payer: Cigna Commercial	$591.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.89
Rate for Payer: Oxford Commercial	$236.59
Rate for Payer: Qualcare PPO/HMO/WC	$177.45
Rate for Payer: UnitedHealthcare Commercial	$236.59
Rate for Payer: UnitedHealthcare Community & State	$28.51
Rate for Payer: Wellpoint Medicaid Managed Care	$31.35

ESTROGENS CONJ 30GM VAG CR

Facility

$1,182.97

Hospital Charge Code	606350907
Hospital Revenue Code	250
Min. Negotiated Rate	$177.45
Max. Negotiated Rate	$177.45
Rate for Payer: Qualcare PPO/HMO/WC	$177.45

ESTROGENS, FRACTIONATED

Facility

$323.25

Service Code	HCPCS 82672
Hospital Charge Code	3001179
Hospital Revenue Code	301
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$48.49
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

ESTROGENS, FRACTIONATED

Facility

$323.25

Service Code	HCPCS 82672
Hospital Charge Code	3001179
Hospital Revenue Code	301
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$161.62
Rate for Payer: Aetna Commercial	$59.02
Rate for Payer: Aetna Medicare Advantage	$70.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.33
Rate for Payer: Cigna Commercial	$161.62
Rate for Payer: Cigna Medicare Advantage	$21.70
Rate for Payer: Clover Medicare Advantage	$20.61
Rate for Payer: EmblemHealth Commercial	$65.10
Rate for Payer: Humana Medicare Advantage	$22.35
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.70
Rate for Payer: Wellcare Medicare Advantage	$21.70
Rate for Payer: Wellpoint Medicaid Managed Care	$8.57

ESTROGENS, FRACTIONATED, SERUM

Facility

$533.00

Service Code	HCPCS 82671
Hospital Charge Code	38472266
Hospital Revenue Code	301
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$79.95
Rate for Payer: Qualcare PPO/HMO/WC	$79.95

ESTROGENS, FRACTIONATED, SERUM

Facility

$533.00

Service Code	HCPCS 82671
Hospital Charge Code	38472266
Hospital Revenue Code	301
Min. Negotiated Rate	$14.12
Max. Negotiated Rate	$266.50
Rate for Payer: Aetna Commercial	$87.86
Rate for Payer: Aetna Medicare Advantage	$104.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.59
Rate for Payer: Cigna Commercial	$266.50
Rate for Payer: Cigna Medicare Advantage	$32.30
Rate for Payer: Clover Medicare Advantage	$30.68
Rate for Payer: EmblemHealth Commercial	$96.90
Rate for Payer: Humana Medicare Advantage	$33.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$25.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.30
Rate for Payer: Wellcare Medicare Advantage	$32.30
Rate for Payer: Wellpoint Medicaid Managed Care	$14.12

ESTROGENS,TOTAL,SERUM

Facility

$390.00

Service Code	HCPCS 82672
Hospital Charge Code	39900075
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ESTROGENS,TOTAL,SERUM

Facility

$390.00

Service Code	HCPCS 82672
Hospital Charge Code	39900075
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$59.02
Rate for Payer: Aetna Medicare Advantage	$70.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.33
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$21.70
Rate for Payer: Clover Medicare Advantage	$20.61
Rate for Payer: EmblemHealth Commercial	$65.10
Rate for Payer: Humana Medicare Advantage	$22.35
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.70
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	$17.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.70
Rate for Payer: Wellcare Medicare Advantage	$21.70
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

ESTROGEN TOTAL

Facility

$633.00

Service Code	HCPCS 82672
Hospital Charge Code	38472272
Hospital Revenue Code	301
Min. Negotiated Rate	$16.77
Max. Negotiated Rate	$316.50
Rate for Payer: Aetna Commercial	$59.02
Rate for Payer: Aetna Medicare Advantage	$70.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.33
Rate for Payer: Cigna Commercial	$316.50
Rate for Payer: Cigna Medicare Advantage	$21.70
Rate for Payer: Clover Medicare Advantage	$20.61
Rate for Payer: EmblemHealth Commercial	$65.10
Rate for Payer: Humana Medicare Advantage	$22.35
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.70
Rate for Payer: Wellcare Medicare Advantage	$21.70
Rate for Payer: Wellpoint Medicaid Managed Care	$16.77

Know your out-of-pocket cost for care.

All Charges