Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HEMOGLOBIN ELECTROP CHROMA

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3001518
Hospital Revenue Code	301
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$32.77

HEMOGLOBIN ELECTROP CHROMA

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3001518
Hospital Revenue Code	301
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$58.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.19
Rate for Payer: Cigna Commercial	$109.22
Rate for Payer: Cigna Medicare Advantage	$18.06
Rate for Payer: Clover Medicare Advantage	$17.16
Rate for Payer: EmblemHealth Commercial	$54.18
Rate for Payer: Humana Medicare Advantage	$18.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.06
Rate for Payer: Wellcare Medicare Advantage	$18.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

HEMOGLOBIN ELECTROPHORESIS

Facility

$406.00

Service Code	HCPCS 83020
Hospital Charge Code	38472395
Hospital Revenue Code	301
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$203.00
Rate for Payer: Aetna Commercial	$35.01
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.46
Rate for Payer: Cigna Commercial	$203.00
Rate for Payer: Cigna Medicare Advantage	$12.87
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.90
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Medicare Advantage	$12.87
Rate for Payer: Wellpoint Medicaid Managed Care	$10.76

HEMOGLOBIN ELECTROPHORESIS

Facility

$406.00

Service Code	HCPCS 83020
Hospital Charge Code	38472395
Hospital Revenue Code	301
Min. Negotiated Rate	$60.90
Max. Negotiated Rate	$60.90
Rate for Payer: Qualcare PPO/HMO/WC	$60.90

HEMOGLOBIN F

Facility

$515.00

Service Code	HCPCS 83021
Hospital Charge Code	38472401
Hospital Revenue Code	301
Min. Negotiated Rate	$77.25
Max. Negotiated Rate	$77.25
Rate for Payer: Qualcare PPO/HMO/WC	$77.25

HEMOGLOBIN F

Facility

$515.00

Service Code	HCPCS 83021
Hospital Charge Code	38472401
Hospital Revenue Code	301
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$257.50
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$58.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.19
Rate for Payer: Cigna Commercial	$257.50
Rate for Payer: Cigna Medicare Advantage	$18.06
Rate for Payer: Clover Medicare Advantage	$17.16
Rate for Payer: EmblemHealth Commercial	$54.18
Rate for Payer: Humana Medicare Advantage	$18.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.06
Rate for Payer: Wellcare Medicare Advantage	$18.06
Rate for Payer: Wellpoint Medicaid Managed Care	$13.65

HEMOGLOBIN F CHEMICAL

Facility

$58.55

Service Code	HCPCS 83030
Hospital Charge Code	38477054
Hospital Revenue Code	301
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$29.21
Rate for Payer: Aetna Medicare Advantage	$34.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.77
Rate for Payer: Cigna Commercial	$29.27
Rate for Payer: Cigna Medicare Advantage	$10.74
Rate for Payer: Clover Medicare Advantage	$10.20
Rate for Payer: EmblemHealth Commercial	$32.22
Rate for Payer: Humana Medicare Advantage	$11.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.78
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.74
Rate for Payer: Wellcare Medicare Advantage	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

HEMOGLOBIN F CHEMICAL

Facility

$58.55

Service Code	HCPCS 83030
Hospital Charge Code	38477054
Hospital Revenue Code	301
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.78

HEMOGLOBIN, FETAL

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3001517
Hospital Revenue Code	301
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$58.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.19
Rate for Payer: Cigna Commercial	$109.22
Rate for Payer: Cigna Medicare Advantage	$18.06
Rate for Payer: Clover Medicare Advantage	$17.16
Rate for Payer: EmblemHealth Commercial	$54.18
Rate for Payer: Humana Medicare Advantage	$18.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.06
Rate for Payer: Wellcare Medicare Advantage	$18.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

HEMOGLOBIN, FETAL

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3001517
Hospital Revenue Code	301
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$32.77

HEMOGLOBIN,FETAL

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3030279
Hospital Revenue Code	301
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$32.77

HEMOGLOBIN,FETAL

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3030279
Hospital Revenue Code	301
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$58.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.19
Rate for Payer: Cigna Commercial	$109.22
Rate for Payer: Cigna Medicare Advantage	$18.06
Rate for Payer: Clover Medicare Advantage	$17.16
Rate for Payer: EmblemHealth Commercial	$54.18
Rate for Payer: Humana Medicare Advantage	$18.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.06
Rate for Payer: Wellcare Medicare Advantage	$18.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

HEMOGLOBIN FETAL KB STAIN

Facility

$390.00

Service Code	HCPCS 85460
Hospital Charge Code	3001278
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEMOGLOBIN FETAL KB STAIN

Facility

$390.00

Service Code	HCPCS 85460
Hospital Charge Code	3001278
Hospital Revenue Code	305
Min. Negotiated Rate	$6.18
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$21.03
Rate for Payer: Aetna Medicare Advantage	$25.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.90
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$7.73
Rate for Payer: Clover Medicare Advantage	$7.34
Rate for Payer: EmblemHealth Commercial	$23.19
Rate for Payer: Humana Medicare Advantage	$7.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.73
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	$6.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.73
Rate for Payer: Wellcare Medicare Advantage	$7.73
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

HEMOGLOBIN F QUALITATIVE

Facility

$50.00

Service Code	HCPCS 83033
Hospital Charge Code	3100190
Hospital Revenue Code	300
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.76
Rate for Payer: Aetna Medicare Advantage	$25.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.88
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: Cigna Medicare Advantage	$8.00
Rate for Payer: Clover Medicare Advantage	$7.60
Rate for Payer: EmblemHealth Commercial	$24.00
Rate for Payer: Humana Medicare Advantage	$8.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.00
Rate for Payer: Wellcare Medicare Advantage	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

HEMOGLOBIN F QUALITATIVE

Facility

$42.00

Service Code	HCPCS 83033
Hospital Charge Code	38477045
Hospital Revenue Code	301
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

HEMOGLOBIN F QUALITATIVE

Facility

$42.00

Service Code	HCPCS 83033
Hospital Charge Code	38477045
Hospital Revenue Code	301
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.76
Rate for Payer: Aetna Medicare Advantage	$25.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.88
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: Cigna Medicare Advantage	$8.00
Rate for Payer: Clover Medicare Advantage	$7.60
Rate for Payer: EmblemHealth Commercial	$24.00
Rate for Payer: Humana Medicare Advantage	$8.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.00
Rate for Payer: Wellcare Medicare Advantage	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

HEMOGLOBIN F QUALITATIVE

Facility

$50.00

Service Code	HCPCS 83033
Hospital Charge Code	3100190
Hospital Revenue Code	300
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

HEMOGLOBIN FRACTIONATION I

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3038532A
Hospital Revenue Code	301
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$32.77

HEMOGLOBIN FRACTIONATION I

Facility

$218.45

Service Code	HCPCS 83021
Hospital Charge Code	3038532A
Hospital Revenue Code	301
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$58.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.19
Rate for Payer: Cigna Commercial	$109.22
Rate for Payer: Cigna Medicare Advantage	$18.06
Rate for Payer: Clover Medicare Advantage	$17.16
Rate for Payer: EmblemHealth Commercial	$54.18
Rate for Payer: Humana Medicare Advantage	$18.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.06
Rate for Payer: Wellcare Medicare Advantage	$18.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

HEMOGLOBIN FRACTIONATION II

Facility

$109.25

Service Code	HCPCS 85660
Hospital Charge Code	3038532B
Hospital Revenue Code	305
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.99
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.89
Rate for Payer: Cigna Commercial	$54.62
Rate for Payer: Cigna Medicare Advantage	$5.51
Rate for Payer: Clover Medicare Advantage	$5.23
Rate for Payer: EmblemHealth Commercial	$16.53
Rate for Payer: Humana Medicare Advantage	$5.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.39
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.51
Rate for Payer: Wellcare Medicare Advantage	$5.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

HEMOGLOBIN FRACTIONATION II

Facility

$109.25

Service Code	HCPCS 85660
Hospital Charge Code	3038532B
Hospital Revenue Code	305
Min. Negotiated Rate	$16.39
Max. Negotiated Rate	$16.39
Rate for Payer: Qualcare PPO/HMO/WC	$16.39

HEMOGLOBIN, FREE URINE

Facility

$43.25

Service Code	HCPCS 83069
Hospital Charge Code	3031698
Hospital Revenue Code	301
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

HEMOGLOBIN, FREE URINE

Facility

$43.25

Service Code	HCPCS 83069
Hospital Charge Code	3031698
Hospital Revenue Code	301
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.26
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

HEMOGLOBIN HGB

Facility

$667.59

Service Code	HCPCS 85018
Hospital Charge Code	3031697
Hospital Revenue Code	305
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

Know your out-of-pocket cost for care.

All Charges