Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

EXCHANGE WIRE 260J

Facility

$52.50

Hospital Charge Code	2709002251
Hospital Revenue Code	272
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

EXCHANGE WIRE 260J

Facility

$10.50

Service Code	HCPCS C1769
Hospital Charge Code	270654358N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.99
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

EXCHANGE WIRE 260J

Facility

$48.95

Service Code	HCPCS C1769
Hospital Charge Code	270654358
Hospital Revenue Code	278
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.77
Rate for Payer: Qualcare PPO/HMO/WC	$7.34

EXCHANGE WIRE 260J

Facility

$48.95

Service Code	HCPCS C1769
Hospital Charge Code	270654358
Hospital Revenue Code	278
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$24.48
Rate for Payer: Aetna Commercial	$18.60
Rate for Payer: Aetna Medicare Advantage	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.48
Rate for Payer: Cigna Commercial	$24.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.77
Rate for Payer: Qualcare PPO/HMO/WC	$7.34
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

EXCHGE PREV CATH DURING THROMB

Facility

$2,994.27

Service Code	HCPCS 37209
Hospital Charge Code	5100550
Hospital Revenue Code	361
Min. Negotiated Rate	$449.14
Max. Negotiated Rate	$449.14
Rate for Payer: Qualcare PPO/HMO/WC	$449.14

EXCHGE PREV CATH DURING THROMB

Facility

$2,994.27

Service Code	HCPCS 37209
Hospital Charge Code	5100550
Hospital Revenue Code	361
Min. Negotiated Rate	$72.16
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$1,137.82
Rate for Payer: Aetna Medicare Advantage	$898.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.54
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	$763.54
Rate for Payer: Cigna Commercial	$1,497.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$898.28
Rate for Payer: Qualcare PPO/HMO/WC	$449.14
Rate for Payer: UnitedHealthcare Community & State	$72.16
Rate for Payer: Wellpoint Medicaid Managed Care	$79.35

EXCHG PREV CATH DUR THROMB S&I

Facility

$2,688.00

Service Code	HCPCS 75900
Hospital Charge Code	5100551
Hospital Revenue Code	320
Min. Negotiated Rate	$403.20
Max. Negotiated Rate	$403.20
Rate for Payer: Qualcare PPO/HMO/WC	$403.20

EXCHG PREV CATH DUR THROMB S&I

Facility

$2,688.00

Service Code	HCPCS 75900
Hospital Charge Code	5100551
Hospital Revenue Code	320
Min. Negotiated Rate	$64.78
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$1,021.44
Rate for Payer: Aetna Medicare Advantage	$806.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$685.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$685.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$685.44
Rate for Payer: Cigna Commercial	$1,344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.40
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$403.20
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$64.78
Rate for Payer: Wellpoint Medicaid Managed Care	$71.23

EXC HIDRAD AXIL,S/I REP

Facility

$22,280.35

Service Code	HCPCS 11450
Hospital Charge Code	16000405
Hospital Revenue Code	360
Min. Negotiated Rate	$536.96
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	$1,016.00
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	$6,684.10
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.05
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$536.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$590.43

EXC HIDRAD AXIL,S/I REP

Facility

$22,280.35

Service Code	HCPCS 11450
Hospital Charge Code	16000405
Hospital Revenue Code	360
Min. Negotiated Rate	$3,342.05
Max. Negotiated Rate	$3,342.05
Rate for Payer: Qualcare PPO/HMO/WC	$3,342.05

EXC HIDRAD UMBIL,S/I REP

Facility

$20,625.50

Service Code	HCPCS 11470
Hospital Charge Code	16000776
Hospital Revenue Code	360
Min. Negotiated Rate	$3,093.82
Max. Negotiated Rate	$3,093.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82

EXC HIDRAD UMBIL,S/I REP

Facility

$20,625.50

Service Code	HCPCS 11470
Hospital Charge Code	16000776
Hospital Revenue Code	360
Min. Negotiated Rate	$497.07
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	$1,016.00
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	$6,187.65
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$497.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$546.58

EXC HIP PELVIS LES SC 3 CM/>

Facility

$20,625.50

Service Code	HCPCS 27043
Hospital Charge Code	16000397
Hospital Revenue Code	360
Min. Negotiated Rate	$497.07
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	$1,742.00
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	$6,187.65
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$497.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$546.58

EXC HIP PELVIS LES SC 3 CM/>

Facility

$20,625.50

Service Code	HCPCS 27043
Hospital Charge Code	16000397
Hospital Revenue Code	360
Min. Negotiated Rate	$3,093.82
Max. Negotiated Rate	$3,093.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,093.82

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	16000170
Hospital Revenue Code	360
Min. Negotiated Rate	$324.92
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	$1,742.00
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	$4,044.62
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$324.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$357.28

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	241174
Hospital Revenue Code	360
Min. Negotiated Rate	$324.92
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	$1,742.00
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	$4,044.62
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$324.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$357.28

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	16000170
Hospital Revenue Code	360
Min. Negotiated Rate	$2,022.31
Max. Negotiated Rate	$2,022.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31

Exc hip/pelv tum deep 5 cm/>

Facility

$13,482.08

Service Code	HCPCS 27045
Hospital Charge Code	241174
Hospital Revenue Code	360
Min. Negotiated Rate	$2,022.31
Max. Negotiated Rate	$2,022.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.31

EXC HIP/PELV TUM DEEP < 5 CM

Facility

$16,680.90

Service Code	HCPCS 27048
Hospital Charge Code	16000862
Hospital Revenue Code	360
Min. Negotiated Rate	$2,502.14
Max. Negotiated Rate	$2,502.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14

EXC HIP/PELV TUM DEEP < 5 CM

Facility

$16,680.90

Service Code	HCPCS 27048
Hospital Charge Code	16000862
Hospital Revenue Code	360
Min. Negotiated Rate	$402.01
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	$1,355.00
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	$5,004.27
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$402.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$442.04

EXC INTRASP LESION SGL SEGM;

Facility

$4,130.44

Service Code	HCPCS 63300
Hospital Charge Code	1600000723
Hospital Revenue Code	360
Min. Negotiated Rate	$619.57
Max. Negotiated Rate	$619.57
Rate for Payer: Qualcare PPO/HMO/WC	$619.57

EXC INTRASP LESION SGL SEGM;

Facility

$4,130.44

Service Code	HCPCS 63300
Hospital Charge Code	1600000723
Hospital Revenue Code	360
Min. Negotiated Rate	$99.54
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$1,569.57
Rate for Payer: Aetna Medicare Advantage	$1,239.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,053.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,053.26
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	$1,053.26
Rate for Payer: Cigna Commercial	$2,065.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,239.13
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$619.57
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$99.54
Rate for Payer: Wellpoint Medicaid Managed Care	$109.46

EXC INTRDIG MRTN NEUROM EA SGL

Facility

$19,998.60

Service Code	HCPCS 28080
Hospital Charge Code	16000294
Hospital Revenue Code	360
Min. Negotiated Rate	$481.97
Max. Negotiated Rate	$8,157.00
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,895.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,895.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,895.75
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,999.58
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$481.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$529.96

EXC INTRDIG MRTN NEUROM EA SGL

Facility

$19,998.60

Service Code	HCPCS 28080
Hospital Charge Code	16000294
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

EXCISE ANAL EXT TAG/PAPILLA

Facility

$19,596.70

Service Code	HCPCS 46220
Hospital Charge Code	16000749
Hospital Revenue Code	360
Min. Negotiated Rate	$472.28
Max. Negotiated Rate	$5,879.01
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
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	$5,131.69
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,879.01
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,939.51
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$472.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64
Rate for Payer: Wellpoint Medicaid Managed Care	$519.31

Know your out-of-pocket cost for care.

All Charges