Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FP COLLECTION CAP BLOOD SPECIM

Facility

$58.00

Service Code	HCPCS 36416
Hospital Charge Code	83652103
Hospital Revenue Code	300
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$22.04
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

FP CRITICAL CARE @ ADDT'L 30 M

Professional

Both

$174.00

Service Code	HCPCS 99292
Hospital Charge Code	83652461
Hospital Revenue Code	981
Min. Negotiated Rate	$101.81
Max. Negotiated Rate	$385.80
Rate for Payer: Aetna Commercial	$101.81
Rate for Payer: Aetna Medicare Advantage	$239.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$385.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.80
Rate for Payer: Cigna Commercial	$239.01
Rate for Payer: Cigna Medicare Advantage	$239.01
Rate for Payer: Clover Medicare Advantage	$109.51
Rate for Payer: Fidelis All Plans	$109.51
Rate for Payer: UnitedHealthcare Commercial	$109.51
Rate for Payer: UnitedHealthcare Community & State	$109.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$109.51

FP CRITICAL CARE E&M 30-40 MTS

Professional

Both

$788.00

Service Code	HCPCS 99291
Hospital Charge Code	83652459
Hospital Revenue Code	981
Min. Negotiated Rate	$84.68
Max. Negotiated Rate	$475.68
Rate for Payer: Aetna Commercial	$216.34
Rate for Payer: Aetna Medicare Advantage	$210.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$84.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.68
Rate for Payer: Cigna Commercial	$475.68
Rate for Payer: Cigna Medicare Advantage	$475.68
Rate for Payer: Clover Medicare Advantage	$217.79
Rate for Payer: EmblemHealth Commercial	$128.44
Rate for Payer: Fidelis All Plans	$146.02
Rate for Payer: Healthfirst NY All Plans	$84.68
Rate for Payer: Humana Medicare Advantage	$225.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.33
Rate for Payer: Marpai Administrators LLC Commercial	$185.46
Rate for Payer: MetroPlus Health All Plans	$84.68
Rate for Payer: Oscar Health Commercial	$475.68
Rate for Payer: UnitedHealthcare Commercial	$210.63
Rate for Payer: UnitedHealthcare Community & State	$210.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.63
Rate for Payer: Wellpoint Medicaid Managed Care	$219.49

FP CRYO PREMLG 2ND-14 LESIONS

Facility

$23.46

Service Code	HCPCS 17003
Hospital Charge Code	87502650
Hospital Revenue Code	761
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$3.52

FP CRYO PREMLG 2ND-14 LESIONS

Facility

$23.46

Service Code	HCPCS 17003
Hospital Charge Code	83652083
Hospital Revenue Code	510
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$3.52

FP CRYO PREMLG 2ND-14 LESIONS

Facility

$23.46

Service Code	HCPCS 17003
Hospital Charge Code	83652083
Hospital Revenue Code	510
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.73
Rate for Payer: Aetna Commercial	$8.91
Rate for Payer: Aetna Medicare Advantage	$7.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.98
Rate for Payer: Cigna Commercial	$11.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.52
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

FP CRYO PREMLG 2ND-14 LESIONS

Facility

$23.46

Service Code	HCPCS 17003
Hospital Charge Code	87502650
Hospital Revenue Code	761
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.73
Rate for Payer: Aetna Commercial	$8.91
Rate for Payer: Aetna Medicare Advantage	$7.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.98
Rate for Payer: Cigna Commercial	$11.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.04
Rate for Payer: Oxford Commercial	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$3.52
Rate for Payer: UnitedHealthcare Commercial	$4.69
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

FP CRYO PREMLG LES 1ST LESION

Facility

$268.40

Service Code	HCPCS 17000
Hospital Charge Code	87502645
Hospital Revenue Code	761
Min. Negotiated Rate	$40.26
Max. Negotiated Rate	$40.26
Rate for Payer: Qualcare PPO/HMO/WC	$40.26

FP CRYO PREMLG LES 1ST LESION

Facility

$268.40

Service Code	HCPCS 17000
Hospital Charge Code	87502645
Hospital Revenue Code	761
Min. Negotiated Rate	$6.47
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	$89.60
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	$80.52
Rate for Payer: Oxford Commercial	$53.68
Rate for Payer: Qualcare PPO/HMO/WC	$40.26
Rate for Payer: UnitedHealthcare Commercial	$53.68
Rate for Payer: UnitedHealthcare Community & State	$6.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$7.11

FP CRYO PREMLG LESION; 1ST LES

Facility

$268.40

Service Code	HCPCS 17000
Hospital Charge Code	83652081
Hospital Revenue Code	510
Min. Negotiated Rate	$40.26
Max. Negotiated Rate	$40.26
Rate for Payer: Qualcare PPO/HMO/WC	$40.26

FP CRYO PREMLG LESION; 1ST LES

Facility

$268.40

Service Code	HCPCS 17000
Hospital Charge Code	83652081
Hospital Revenue Code	510
Min. Negotiated Rate	$6.47
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	$89.60
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	$80.52
Rate for Payer: Qualcare PPO/HMO/WC	$40.26
Rate for Payer: UnitedHealthcare Community & State	$6.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$7.11

FP DEBRID SKIN 10% BODY

Facility

$297.00

Service Code	HCPCS 11000
Hospital Charge Code	87502445
Hospital Revenue Code	761
Min. Negotiated Rate	$7.16
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.10
Rate for Payer: Oxford Commercial	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$44.55
Rate for Payer: UnitedHealthcare Commercial	$59.40
Rate for Payer: UnitedHealthcare Community & State	$7.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,639.38
Rate for Payer: Wellpoint Medicaid Managed Care	$7.87

FP DEBRID SKIN 10% BODY

Facility

$297.00

Service Code	HCPCS 11000
Hospital Charge Code	87502445
Hospital Revenue Code	761
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$44.55
Rate for Payer: Qualcare PPO/HMO/WC	$44.55

FP DEBRID SKIN & ADDITN'L 10%

Facility

$372.00

Service Code	HCPCS 11001
Hospital Charge Code	83652015
Hospital Revenue Code	761
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$141.36
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.60
Rate for Payer: Oxford Commercial	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$74.40
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.86

FP DEBRID SKIN & ADDITN'L 10%

Facility

$372.00

Service Code	HCPCS 11001
Hospital Charge Code	83652015
Hospital Revenue Code	761
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

FP DEBRID SKIN & ADDTL 10%

Facility

$372.00

Service Code	HCPCS 11001
Hospital Charge Code	87502450
Hospital Revenue Code	761
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$141.36
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.60
Rate for Payer: Oxford Commercial	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$74.40
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.86

FP DEBRID SKIN & ADDTL 10%

Facility

$372.00

Service Code	HCPCS 11001
Hospital Charge Code	87502450
Hospital Revenue Code	761
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

FP DEBRID SKIN & SUBC TISSUE

Facility

$356.32

Service Code	HCPCS 11042
Hospital Charge Code	83652017
Hospital Revenue Code	761
Min. Negotiated Rate	$53.45
Max. Negotiated Rate	$53.45
Rate for Payer: Qualcare PPO/HMO/WC	$53.45

FP DEBRID SKIN & SUBC TISSUE

Facility

$356.32

Service Code	HCPCS 11042
Hospital Charge Code	83652017
Hospital Revenue Code	761
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.90
Rate for Payer: Oxford Commercial	$71.26
Rate for Payer: Qualcare PPO/HMO/WC	$53.45
Rate for Payer: UnitedHealthcare Commercial	$71.26
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.44

FP DEBRID SKIN & SUB CU TISSUE

Facility

$356.32

Service Code	HCPCS 11042
Hospital Charge Code	87502455
Hospital Revenue Code	761
Min. Negotiated Rate	$53.45
Max. Negotiated Rate	$53.45
Rate for Payer: Qualcare PPO/HMO/WC	$53.45

FP DEBRID SKIN & SUB CU TISSUE

Facility

$356.32

Service Code	HCPCS 11042
Hospital Charge Code	87502455
Hospital Revenue Code	761
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.90
Rate for Payer: Oxford Commercial	$71.26
Rate for Payer: Qualcare PPO/HMO/WC	$53.45
Rate for Payer: UnitedHealthcare Commercial	$71.26
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.44

FP DEST.CRYOTHERAPY LESIONS-14

Facility

$372.00

Service Code	HCPCS 17110
Hospital Charge Code	83652085
Hospital Revenue Code	761
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

FP DEST.CRYOTHERAPY LESIONS-14

Facility

$372.00

Service Code	HCPCS 17110
Hospital Charge Code	83652085
Hospital Revenue Code	761
Min. Negotiated Rate	$8.97
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	$69.70
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	$111.60
Rate for Payer: Oxford Commercial	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$74.40
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$9.86

FP DRESS/DEBRID LARGE

Facility

$612.00

Service Code	HCPCS 16030
Hospital Charge Code	87502520
Hospital Revenue Code	361
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

FP DRESS/DEBRID LARGE

Facility

$612.00

Service Code	HCPCS 16030
Hospital Charge Code	87502520
Hospital Revenue Code	361
Min. Negotiated Rate	$14.75
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.60
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.80
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$14.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$16.22

Know your out-of-pocket cost for care.

All Charges