Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HEAD 28 MM C-TAPER +5 OFFSET

Facility

$4,277.35

Service Code	HCPCS C1776
Hospital Charge Code	270682463
Hospital Revenue Code	278
Min. Negotiated Rate	$641.60
Max. Negotiated Rate	$1,035.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,035.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$941.02
Rate for Payer: Qualcare PPO/HMO/WC	$641.60

HEAD 28 MM C-TAPER +5 OFFSET

Facility

$4,277.35

Service Code	HCPCS C1776
Hospital Charge Code	270682463
Hospital Revenue Code	278
Min. Negotiated Rate	$103.08
Max. Negotiated Rate	$2,138.68
Rate for Payer: Aetna Commercial	$1,625.39
Rate for Payer: Aetna Medicare Advantage	$1,283.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.72
Rate for Payer: Cigna Commercial	$2,138.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,035.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$941.02
Rate for Payer: Qualcare PPO/HMO/WC	$641.60
Rate for Payer: UnitedHealthcare Community & State	$103.08
Rate for Payer: Wellpoint Medicaid Managed Care	$113.35

HEAD 28MM MORSE TAPER +0

Facility

$4,888.00

Service Code	HCPCS C1776
Hospital Charge Code	270682465
Hospital Revenue Code	278
Min. Negotiated Rate	$117.80
Max. Negotiated Rate	$2,444.00
Rate for Payer: Aetna Commercial	$1,857.44
Rate for Payer: Aetna Medicare Advantage	$1,466.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,246.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,246.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,246.44
Rate for Payer: Cigna Commercial	$2,444.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,075.36
Rate for Payer: Qualcare PPO/HMO/WC	$733.20
Rate for Payer: UnitedHealthcare Community & State	$117.80
Rate for Payer: Wellpoint Medicaid Managed Care	$129.53

HEAD 28MM MORSE TAPER +0

Facility

$4,888.00

Service Code	HCPCS C1776
Hospital Charge Code	270682465
Hospital Revenue Code	278
Min. Negotiated Rate	$733.20
Max. Negotiated Rate	$1,182.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,075.36
Rate for Payer: Qualcare PPO/HMO/WC	$733.20

HEAD 28MM MORSE TAPER +5 OFFSE

Facility

$4,888.00

Service Code	HCPCS C1776
Hospital Charge Code	270682464
Hospital Revenue Code	278
Min. Negotiated Rate	$733.20
Max. Negotiated Rate	$1,182.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,075.36
Rate for Payer: Qualcare PPO/HMO/WC	$733.20

HEAD 28MM MORSE TAPER +5 OFFSE

Facility

$4,888.00

Service Code	HCPCS C1776
Hospital Charge Code	270682464
Hospital Revenue Code	278
Min. Negotiated Rate	$117.80
Max. Negotiated Rate	$2,444.00
Rate for Payer: Aetna Commercial	$1,857.44
Rate for Payer: Aetna Medicare Advantage	$1,466.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,246.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,246.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,246.44
Rate for Payer: Cigna Commercial	$2,444.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,075.36
Rate for Payer: Qualcare PPO/HMO/WC	$733.20
Rate for Payer: UnitedHealthcare Community & State	$117.80
Rate for Payer: Wellpoint Medicaid Managed Care	$129.53

HEAD 32mm X +4

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677753
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

HEAD 32mm X +4

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677753
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

HEADACHES WITH MCC

Facility

$38,363.43

Service Code	MSDRG 102
Min. Negotiated Rate	$11,681.17
Max. Negotiated Rate	$38,363.43
Rate for Payer: Aetna Commercial	$26,617.37
Rate for Payer: Aetna Medicare Advantage	$38,363.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,145.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,145.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,295.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,145.81
Rate for Payer: Cigna Commercial	$20,976.52
Rate for Payer: Cigna Medicare Advantage	$12,295.97
Rate for Payer: Clover Medicare Advantage	$11,681.17
Rate for Payer: EmblemHealth Commercial	$36,887.91
Rate for Payer: Humana Medicare Advantage	$12,664.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,295.97
Rate for Payer: Oxford Commercial	$15,076.10
Rate for Payer: UnitedHealthcare Commercial	$26,436.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,295.97
Rate for Payer: Wellcare Medicare Advantage	$12,295.97

HEADACHES WITHOUT MCC

Facility

$29,164.67

Service Code	MSDRG 103
Min. Negotiated Rate	$8,880.27
Max. Negotiated Rate	$29,164.67
Rate for Payer: Aetna Commercial	$20,296.79
Rate for Payer: Aetna Medicare Advantage	$29,164.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,539.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,539.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,347.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,539.24
Rate for Payer: Cigna Commercial	$15,650.52
Rate for Payer: Cigna Medicare Advantage	$9,347.65
Rate for Payer: Clover Medicare Advantage	$8,880.27
Rate for Payer: EmblemHealth Commercial	$28,042.95
Rate for Payer: Humana Medicare Advantage	$9,628.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,347.65
Rate for Payer: Oxford Commercial	$11,248.24
Rate for Payer: UnitedHealthcare Commercial	$19,724.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,347.65
Rate for Payer: Wellcare Medicare Advantage	$9,347.65

HEAD ANATOMIC 26MM LT

Facility

$21,765.00

Service Code	HCPCS C1776
Hospital Charge Code	270693317
Hospital Revenue Code	278
Min. Negotiated Rate	$3,264.75
Max. Negotiated Rate	$5,267.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,267.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,788.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,264.75

HEAD ANATOMIC 26MM LT

Facility

$21,765.00

Service Code	HCPCS C1776
Hospital Charge Code	270693317
Hospital Revenue Code	278
Min. Negotiated Rate	$524.54
Max. Negotiated Rate	$10,882.50
Rate for Payer: Aetna Commercial	$8,270.70
Rate for Payer: Aetna Medicare Advantage	$6,529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,550.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,550.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,550.07
Rate for Payer: Cigna Commercial	$10,882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,267.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,788.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,264.75
Rate for Payer: UnitedHealthcare Community & State	$524.54
Rate for Payer: Wellpoint Medicaid Managed Care	$576.77

HEAD ANATOMIC RADIAL 7.0MM

Facility

$12,165.00

Service Code	HCPCS C1776
Hospital Charge Code	270693290
Hospital Revenue Code	278
Min. Negotiated Rate	$293.18
Max. Negotiated Rate	$6,082.50
Rate for Payer: Aetna Commercial	$4,622.70
Rate for Payer: Aetna Medicare Advantage	$3,649.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.07
Rate for Payer: Cigna Commercial	$6,082.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,943.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.75
Rate for Payer: UnitedHealthcare Community & State	$293.18
Rate for Payer: Wellpoint Medicaid Managed Care	$322.37

HEAD ANATOMIC RADIAL 7.0MM

Facility

$12,165.00

Service Code	HCPCS C1776
Hospital Charge Code	270693290
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.75
Max. Negotiated Rate	$2,943.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,943.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.75

HEAD ARTICULATION 28mmI.D 50mm

Facility

$9,775.00

Hospital Charge Code	270645465
Hospital Revenue Code	278
Min. Negotiated Rate	$235.58
Max. Negotiated Rate	$4,887.50
Rate for Payer: Aetna Commercial	$3,714.50
Rate for Payer: Aetna Medicare Advantage	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,492.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,492.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,955.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,492.62
Rate for Payer: Cigna Commercial	$4,887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,365.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,150.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,466.25
Rate for Payer: UnitedHealthcare Community & State	$235.58
Rate for Payer: Wellpoint Medicaid Managed Care	$259.04

HEAD ARTICULATION 28mmI.D 50mm

Facility

$9,775.00

Hospital Charge Code	270645465
Hospital Revenue Code	278
Min. Negotiated Rate	$1,466.25
Max. Negotiated Rate	$2,365.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,955.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,365.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,150.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,466.25

HEAD BIOLOX DELTA FEM HEAD

Facility

$7,500.00

Hospital Charge Code	270663513
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

HEAD BIOLOX DELTA FEM HEAD

Facility

$7,500.00

Hospital Charge Code	270663513
Hospital Revenue Code	278
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

HEAD BIOLOX DELTA OPT FEM 40MM

Facility

$11,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270698590
Hospital Revenue Code	278
Min. Negotiated Rate	$1,710.00
Max. Negotiated Rate	$2,758.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,758.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,508.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,710.00

HEAD BIOLOX DELTA OPT FEM 40MM

Facility

$11,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270698590
Hospital Revenue Code	278
Min. Negotiated Rate	$274.74
Max. Negotiated Rate	$5,700.00
Rate for Payer: Aetna Commercial	$4,332.00
Rate for Payer: Aetna Medicare Advantage	$3,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,907.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,907.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,907.00
Rate for Payer: Cigna Commercial	$5,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,758.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,508.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,710.00
Rate for Payer: UnitedHealthcare Community & State	$274.74
Rate for Payer: Wellpoint Medicaid Managed Care	$302.10

HEAD BIOMOD HUMAL 40X20 113762

Facility

$6,110.00

Hospital Charge Code	270341368
Hospital Revenue Code	278
Min. Negotiated Rate	$916.50
Max. Negotiated Rate	$1,478.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,478.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,344.20
Rate for Payer: Qualcare PPO/HMO/WC	$916.50

HEAD BIOMOD HUMAL 40X20 113762

Facility

$6,110.00

Hospital Charge Code	270341368
Hospital Revenue Code	278
Min. Negotiated Rate	$147.25
Max. Negotiated Rate	$3,055.00
Rate for Payer: Aetna Commercial	$2,321.80
Rate for Payer: Aetna Medicare Advantage	$1,833.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,558.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,558.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,558.05
Rate for Payer: Cigna Commercial	$3,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,478.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,344.20
Rate for Payer: Qualcare PPO/HMO/WC	$916.50
Rate for Payer: UnitedHealthcare Community & State	$147.25
Rate for Payer: Wellpoint Medicaid Managed Care	$161.91

HEAD BIO-MODU HUM 40x20 113672

Facility

$6,110.00

Hospital Charge Code	270641368
Hospital Revenue Code	278
Min. Negotiated Rate	$147.25
Max. Negotiated Rate	$3,055.00
Rate for Payer: Aetna Commercial	$2,321.80
Rate for Payer: Aetna Medicare Advantage	$1,833.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,558.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,558.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,558.05
Rate for Payer: Cigna Commercial	$3,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,478.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,344.20
Rate for Payer: Qualcare PPO/HMO/WC	$916.50
Rate for Payer: UnitedHealthcare Community & State	$147.25
Rate for Payer: Wellpoint Medicaid Managed Care	$161.91

HEAD BIO-MODU HUM 40x20 113672

Facility

$6,110.00

Hospital Charge Code	270641368
Hospital Revenue Code	278
Min. Negotiated Rate	$916.50
Max. Negotiated Rate	$1,478.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,478.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,344.20
Rate for Payer: Qualcare PPO/HMO/WC	$916.50

HEAD BIOMODULAR HUMERAL 54X24

Facility

$7,575.00

Hospital Charge Code	270649256
Hospital Revenue Code	278
Min. Negotiated Rate	$182.56
Max. Negotiated Rate	$3,787.50
Rate for Payer: Aetna Commercial	$2,878.50
Rate for Payer: Aetna Medicare Advantage	$2,272.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,931.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,931.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,515.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,931.62
Rate for Payer: Cigna Commercial	$3,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,833.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,666.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,136.25
Rate for Payer: UnitedHealthcare Community & State	$182.56
Rate for Payer: Wellpoint Medicaid Managed Care	$200.74

Know your out-of-pocket cost for care.

All Charges