Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

EXCHANGE BILIARY DRG CATH

Facility

$12,827.31

Service Code	HCPCS 47536
Hospital Charge Code	7411565
Hospital Revenue Code	361
Min. Negotiated Rate	$309.14
Max. Negotiated Rate	$15,354.26
Rate for Payer: Aetna Commercial	$11,569.82
Rate for Payer: Aetna Medicare Advantage	$13,781.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,354.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,354.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,253.61
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	$15,354.26
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: Cigna Medicare Advantage	$4,253.61
Rate for Payer: Clover Medicare Advantage	$4,040.93
Rate for Payer: EmblemHealth Commercial	$12,760.83
Rate for Payer: Humana Medicare Advantage	$4,381.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,253.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,848.19
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$309.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,253.61
Rate for Payer: Wellcare Medicare Advantage	$4,253.61
Rate for Payer: Wellpoint Medicaid Managed Care	$339.92

EXCHANGE BILIARY DRG CATH

Facility

$12,827.31

Service Code	HCPCS 47536
Hospital Charge Code	2011567
Hospital Revenue Code	361
Min. Negotiated Rate	$309.14
Max. Negotiated Rate	$15,354.26
Rate for Payer: Aetna Commercial	$11,569.82
Rate for Payer: Aetna Medicare Advantage	$13,781.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,354.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,354.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,253.61
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	$15,354.26
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: Cigna Medicare Advantage	$4,253.61
Rate for Payer: Clover Medicare Advantage	$4,040.93
Rate for Payer: EmblemHealth Commercial	$12,760.83
Rate for Payer: Humana Medicare Advantage	$4,381.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,253.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,848.19
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$309.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,253.61
Rate for Payer: Wellcare Medicare Advantage	$4,253.61
Rate for Payer: Wellpoint Medicaid Managed Care	$339.92

EXCHANGE BILIARY DRG CATH

Facility

$12,827.31

Service Code	HCPCS 47536
Hospital Charge Code	7411565
Hospital Revenue Code	361
Min. Negotiated Rate	$1,924.10
Max. Negotiated Rate	$1,924.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10

EXCHANGE BILIARY DRG CATH

Facility

$17,067.55

Service Code	HCPCS 47536
Hospital Charge Code	411047536
Hospital Revenue Code	361
Min. Negotiated Rate	$2,560.13
Max. Negotiated Rate	$2,560.13
Rate for Payer: Qualcare PPO/HMO/WC	$2,560.13

EXCHANGE BILIARY DR TUBE S&I

Facility

$1,287.05

Service Code	HCPCS 75984
Hospital Charge Code	5100509
Hospital Revenue Code	320
Min. Negotiated Rate	$31.02
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$489.08
Rate for Payer: Aetna Medicare Advantage	$386.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$328.20
Rate for Payer: Cigna Commercial	$643.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.12
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$193.06
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$31.02
Rate for Payer: Wellpoint Medicaid Managed Care	$34.11

EXCHANGE BILIARY DR TUBE S&I

Facility

$1,287.05

Service Code	HCPCS 75984
Hospital Charge Code	5100509
Hospital Revenue Code	320
Min. Negotiated Rate	$193.06
Max. Negotiated Rate	$193.06
Rate for Payer: Qualcare PPO/HMO/WC	$193.06

EXCHANGE NEPHROSTOMY CATH

Facility

$3,090.18

Service Code	HCPCS 50435
Hospital Charge Code	2709010
Hospital Revenue Code	361
Min. Negotiated Rate	$463.53
Max. Negotiated Rate	$463.53
Rate for Payer: Qualcare PPO/HMO/WC	$463.53

EXCHANGE NEPHROSTOMY CATH

Facility

$8,875.68

Service Code	HCPCS 50435
Hospital Charge Code	366850435
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

EXCHANGE NEPHROSTOMY CATH

Facility

$8,875.68

Service Code	HCPCS 50435
Hospital Charge Code	411050435
Hospital Revenue Code	361
Min. Negotiated Rate	$213.90
Max. Negotiated Rate	$8,964.44
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$8,964.44
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,662.70
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$213.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$235.21

EXCHANGE NEPHROSTOMY CATH

Facility

$8,875.68

Service Code	HCPCS 50435
Hospital Charge Code	411050435
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

EXCHANGE NEPHROSTOMY CATH

Facility

$3,090.18

Service Code	HCPCS 50435
Hospital Charge Code	2101192
Hospital Revenue Code	361
Min. Negotiated Rate	$74.47
Max. Negotiated Rate	$8,964.44
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$8,964.44
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.05
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$463.53
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$74.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$81.89

EXCHANGE NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50435
Hospital Charge Code	2600227
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

EXCHANGE NEPHROSTOMY CATH

Facility

$3,090.18

Service Code	HCPCS 50435
Hospital Charge Code	2101192
Hospital Revenue Code	361
Min. Negotiated Rate	$463.53
Max. Negotiated Rate	$463.53
Rate for Payer: Qualcare PPO/HMO/WC	$463.53

EXCHANGE NEPHROSTOMY CATH

Facility

$8,875.68

Service Code	HCPCS 50435
Hospital Charge Code	366850435
Hospital Revenue Code	361
Min. Negotiated Rate	$213.90
Max. Negotiated Rate	$8,964.44
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$8,964.44
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,662.70
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$213.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$235.21

EXCHANGE NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50435
Hospital Charge Code	321050435
Hospital Revenue Code	361
Min. Negotiated Rate	$245.53
Max. Negotiated Rate	$8,964.44
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$8,964.44
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,056.34
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$245.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$269.98

EXCHANGE NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50435
Hospital Charge Code	321050435
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

EXCHANGE NEPHROSTOMY CATH

Facility

$3,090.18

Service Code	HCPCS 50435
Hospital Charge Code	2709010
Hospital Revenue Code	361
Min. Negotiated Rate	$74.47
Max. Negotiated Rate	$8,964.44
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$8,964.44
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.05
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$463.53
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$74.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$81.89

EXCHANGE NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50435
Hospital Charge Code	2600227
Hospital Revenue Code	361
Min. Negotiated Rate	$245.53
Max. Negotiated Rate	$8,964.44
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$8,964.44
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,056.34
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$245.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$269.98

EXCHANGE NEPHROSTOMY CATH BI

Facility

$3,933.60

Service Code	HCPCS 5043550
Hospital Charge Code	7411611
Hospital Revenue Code	361
Min. Negotiated Rate	$94.80
Max. Negotiated Rate	$1,966.80
Rate for Payer: Aetna Commercial	$1,494.77
Rate for Payer: Aetna Medicare Advantage	$1,180.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,003.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,003.07
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	$1,003.07
Rate for Payer: Cigna Commercial	$1,966.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,180.08
Rate for Payer: Qualcare PPO/HMO/WC	$590.04
Rate for Payer: UnitedHealthcare Community & State	$94.80
Rate for Payer: Wellpoint Medicaid Managed Care	$104.24

EXCHANGE NEPHROSTOMY CATH BI

Facility

$3,933.60

Service Code	HCPCS 5043550
Hospital Charge Code	7411611
Hospital Revenue Code	361
Min. Negotiated Rate	$590.04
Max. Negotiated Rate	$590.04
Rate for Payer: Qualcare PPO/HMO/WC	$590.04

EXCHANGE NEPHROSTOMY CATH BIL

Facility

$3,933.60

Service Code	HCPCS 5043550
Hospital Charge Code	2011575
Hospital Revenue Code	361
Min. Negotiated Rate	$94.80
Max. Negotiated Rate	$1,966.80
Rate for Payer: Aetna Commercial	$1,494.77
Rate for Payer: Aetna Medicare Advantage	$1,180.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,003.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,003.07
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	$1,003.07
Rate for Payer: Cigna Commercial	$1,966.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,180.08
Rate for Payer: Qualcare PPO/HMO/WC	$590.04
Rate for Payer: UnitedHealthcare Community & State	$94.80
Rate for Payer: Wellpoint Medicaid Managed Care	$104.24

EXCHANGE NEPHROSTOMY CATH BIL

Facility

$3,933.60

Service Code	HCPCS 5043550
Hospital Charge Code	2101156
Hospital Revenue Code	361
Min. Negotiated Rate	$590.04
Max. Negotiated Rate	$590.04
Rate for Payer: Qualcare PPO/HMO/WC	$590.04

EXCHANGE NEPHROSTOMY CATH BIL

Facility

$3,933.60

Service Code	HCPCS 5043550
Hospital Charge Code	2011575
Hospital Revenue Code	361
Min. Negotiated Rate	$590.04
Max. Negotiated Rate	$590.04
Rate for Payer: Qualcare PPO/HMO/WC	$590.04

EXCHANGE NEPHROSTOMY CATH BIL

Facility

$3,933.60

Service Code	HCPCS 5043550
Hospital Charge Code	2101156
Hospital Revenue Code	361
Min. Negotiated Rate	$94.80
Max. Negotiated Rate	$1,966.80
Rate for Payer: Aetna Commercial	$1,494.77
Rate for Payer: Aetna Medicare Advantage	$1,180.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,003.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,003.07
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	$1,003.07
Rate for Payer: Cigna Commercial	$1,966.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,180.08
Rate for Payer: Qualcare PPO/HMO/WC	$590.04
Rate for Payer: UnitedHealthcare Community & State	$94.80
Rate for Payer: Wellpoint Medicaid Managed Care	$104.24

EXCHANGE NEPHROSTOMY CATH LT

Facility

$3,090.18

Service Code	HCPCS 50435LT
Hospital Charge Code	2011590
Hospital Revenue Code	361
Min. Negotiated Rate	$74.47
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$1,174.27
Rate for Payer: Aetna Medicare Advantage	$927.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$788.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$788.00
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	$788.00
Rate for Payer: Cigna Commercial	$1,545.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.05
Rate for Payer: Qualcare PPO/HMO/WC	$463.53
Rate for Payer: UnitedHealthcare Community & State	$74.47
Rate for Payer: Wellpoint Medicaid Managed Care	$81.89

Know your out-of-pocket cost for care.

All Charges