Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

INSERT TUN CV CATH W/O PORT

Facility

$17,869.95

Service Code	HCPCS 36565
Hospital Charge Code	7411456
Hospital Revenue Code	361
Min. Negotiated Rate	$430.67
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,360.98
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$430.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$473.55

INSERT URO/VES NCK SPHINCTER

Facility

$94,818.40

Service Code	HCPCS 53445
Hospital Charge Code	1600000493
Hospital Revenue Code	360
Min. Negotiated Rate	$14,222.76
Max. Negotiated Rate	$14,222.76
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76

INSERT URO/VES NCK SPHINCTER

Facility

$94,818.40

Service Code	HCPCS 53445
Hospital Charge Code	1600000493
Hospital Revenue Code	360
Min. Negotiated Rate	$862.00
Max. Negotiated Rate	$88,882.29
Rate for Payer: Aetna Commercial	$66,975.05
Rate for Payer: Aetna Medicare Advantage	$79,779.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88,882.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88,882.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,623.18
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	$88,882.29
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: Cigna Medicare Advantage	$24,623.18
Rate for Payer: Clover Medicare Advantage	$23,392.02
Rate for Payer: EmblemHealth Commercial	$73,869.54
Rate for Payer: Humana Medicare Advantage	$25,361.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,623.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28,445.52
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76
Rate for Payer: UnitedHealthcare Commercial	$17,313.00
Rate for Payer: UnitedHealthcare Community & State	$2,285.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,623.18
Rate for Payer: Wellcare Medicare Advantage	$24,623.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2,512.69

INSERT VAD ARTERY ACCESS

Facility

$5,500.00

Service Code	HCPCS 33990
Hospital Charge Code	411033990
Hospital Revenue Code	361
Min. Negotiated Rate	$132.55
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
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	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,650.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$132.55
Rate for Payer: Wellpoint Medicaid Managed Care	$145.75

INSERT VAD ARTERY ACCESS

Facility

$5,500.00

Service Code	HCPCS 33990
Hospital Charge Code	411033990
Hospital Revenue Code	361
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

INSERT X3 THIATHLON CS #3 11MM

Facility

$5,082.35

Service Code	HCPCS C1776
Hospital Charge Code	270692078
Hospital Revenue Code	278
Min. Negotiated Rate	$762.35
Max. Negotiated Rate	$1,229.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,229.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,118.12
Rate for Payer: Qualcare PPO/HMO/WC	$762.35

INSERT X3 THIATHLON CS #3 11MM

Facility

$5,082.35

Service Code	HCPCS C1776
Hospital Charge Code	270692078
Hospital Revenue Code	278
Min. Negotiated Rate	$122.48
Max. Negotiated Rate	$2,541.18
Rate for Payer: Aetna Commercial	$1,931.29
Rate for Payer: Aetna Medicare Advantage	$1,524.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,296.00
Rate for Payer: Cigna Commercial	$2,541.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,229.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,118.12
Rate for Payer: Qualcare PPO/HMO/WC	$762.35
Rate for Payer: UnitedHealthcare Community & State	$122.48
Rate for Payer: Wellpoint Medicaid Managed Care	$134.68

INSERT X3 TRIATHLON CS S 6

Facility

$4,269.20

Service Code	HCPCS C1776
Hospital Charge Code	270692359
Hospital Revenue Code	278
Min. Negotiated Rate	$640.38
Max. Negotiated Rate	$1,033.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$853.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$939.22
Rate for Payer: Qualcare PPO/HMO/WC	$640.38

INSERT X3 TRIATHLON CS S 6

Facility

$4,269.20

Service Code	HCPCS C1776
Hospital Charge Code	270692359
Hospital Revenue Code	278
Min. Negotiated Rate	$102.89
Max. Negotiated Rate	$2,134.60
Rate for Payer: Aetna Commercial	$1,622.30
Rate for Payer: Aetna Medicare Advantage	$1,280.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,088.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,088.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$853.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,088.65
Rate for Payer: Cigna Commercial	$2,134.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$939.22
Rate for Payer: Qualcare PPO/HMO/WC	$640.38
Rate for Payer: UnitedHealthcare Community & State	$102.89
Rate for Payer: Wellpoint Medicaid Managed Care	$113.13

INSIGNIA PLATE 20MM

Facility

$5,237.45

Service Code	HCPCS C1889
Hospital Charge Code	270703882
Hospital Revenue Code	278
Min. Negotiated Rate	$126.22
Max. Negotiated Rate	$2,618.72
Rate for Payer: Aetna Commercial	$1,990.23
Rate for Payer: Aetna Medicare Advantage	$1,571.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,335.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,335.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,047.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,335.55
Rate for Payer: Cigna Commercial	$2,618.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,267.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,152.24
Rate for Payer: Qualcare PPO/HMO/WC	$785.62
Rate for Payer: UnitedHealthcare Community & State	$126.22
Rate for Payer: Wellpoint Medicaid Managed Care	$138.79

INSIGNIA PLATE 20MM

Facility

$5,237.45

Service Code	HCPCS C1889
Hospital Charge Code	270703882
Hospital Revenue Code	278
Min. Negotiated Rate	$785.62
Max. Negotiated Rate	$1,267.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,047.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,267.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,152.24
Rate for Payer: Qualcare PPO/HMO/WC	$785.62

INSITU HYBRIDIZATION EA PROBE

Facility

$342.65

Service Code	HCPCS 88365
Hospital Charge Code	38477206
Hospital Revenue Code	312
Min. Negotiated Rate	$51.40
Max. Negotiated Rate	$51.40
Rate for Payer: Qualcare PPO/HMO/WC	$51.40

INSITU HYBRIDIZATION EA PROBE

Facility

$342.65

Service Code	HCPCS 88365
Hospital Charge Code	38477206
Hospital Revenue Code	312
Min. Negotiated Rate	$9.08
Max. Negotiated Rate	$730.60
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.60
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.40
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$144.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.08

INSJ BIOMECHANICAL DEVICE

Facility

$25,282.63

Service Code	HCPCS 22854
Hospital Charge Code	160000192
Hospital Revenue Code	360
Min. Negotiated Rate	$3,792.39
Max. Negotiated Rate	$3,792.39
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39

INSJ BIOMECHANICAL DEVICE

Facility

$25,282.63

Service Code	HCPCS 22854
Hospital Charge Code	160000192
Hospital Revenue Code	360
Min. Negotiated Rate	$609.31
Max. Negotiated Rate	$12,641.32
Rate for Payer: Aetna Commercial	$9,607.40
Rate for Payer: Aetna Medicare Advantage	$7,584.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,447.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,447.07
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	$6,447.07
Rate for Payer: Cigna Commercial	$12,641.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,584.79
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$609.31

INSJ BIOMECHANICAL DEVICE

Facility

$23,774.45

Service Code	HCPCS 22853
Hospital Charge Code	162002
Hospital Revenue Code	360
Min. Negotiated Rate	$3,566.17
Max. Negotiated Rate	$3,566.17
Rate for Payer: Qualcare PPO/HMO/WC	$3,566.17

INSJ BIOMECHANICAL DEVICE

Facility

$13,677.00

Service Code	HCPCS 22859
Hospital Charge Code	1600000726
Hospital Revenue Code	360
Min. Negotiated Rate	$329.62
Max. Negotiated Rate	$6,838.50
Rate for Payer: Aetna Commercial	$5,197.26
Rate for Payer: Aetna Medicare Advantage	$4,103.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,487.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,487.64
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	$3,487.64
Rate for Payer: Cigna Commercial	$6,838.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,103.10
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.55
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$329.62
Rate for Payer: Wellpoint Medicaid Managed Care	$362.44

INSJ BIOMECHANICAL DEVICE

Facility

$13,677.00

Service Code	HCPCS 22859
Hospital Charge Code	1600000726
Hospital Revenue Code	360
Min. Negotiated Rate	$2,051.55
Max. Negotiated Rate	$2,051.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.55

INSJ BIOMECHANICAL DEVICE

Facility

$23,774.45

Service Code	HCPCS 22853
Hospital Charge Code	162002
Hospital Revenue Code	360
Min. Negotiated Rate	$572.96
Max. Negotiated Rate	$11,887.23
Rate for Payer: Aetna Commercial	$9,034.29
Rate for Payer: Aetna Medicare Advantage	$7,132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,062.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,062.48
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	$6,062.48
Rate for Payer: Cigna Commercial	$11,887.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,132.34
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,566.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$572.96

INSJ PICC RS&I 5 YR+

Facility

$6,925.84

Service Code	HCPCS 36573
Hospital Charge Code	16000302
Hospital Revenue Code	360
Min. Negotiated Rate	$166.91
Max. Negotiated Rate	$6,750.64
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,750.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,750.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
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	$6,750.64
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,870.14
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,077.75
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.88
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$166.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$183.53

INSJ PICC RS&I 5 YR+

Facility

$6,925.84

Service Code	HCPCS 36573
Hospital Charge Code	16000302
Hospital Revenue Code	360
Min. Negotiated Rate	$1,038.88
Max. Negotiated Rate	$1,038.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.88

INSJ/RPLCMT PERQ ELTRD RA SPI

Facility

$66,189.10

Service Code	HCPCS 0784T
Hospital Charge Code	160000853
Hospital Revenue Code	360
Min. Negotiated Rate	$1,595.16
Max. Negotiated Rate	$47,784.56
Rate for Payer: Aetna Commercial	$36,006.87
Rate for Payer: Aetna Medicare Advantage	$42,890.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,237.82
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	$47,784.56
Rate for Payer: Cigna Commercial	$26,535.15
Rate for Payer: Cigna Medicare Advantage	$13,237.82
Rate for Payer: Clover Medicare Advantage	$12,575.93
Rate for Payer: EmblemHealth Commercial	$39,713.46
Rate for Payer: Humana Medicare Advantage	$13,634.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,237.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,856.73
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,928.36
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,595.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,237.82
Rate for Payer: Wellcare Medicare Advantage	$13,237.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1,754.01

INSJ/RPLCMT PERQ ELTRD RA SPI

Facility

$66,189.10

Service Code	HCPCS 0784T
Hospital Charge Code	160000853
Hospital Revenue Code	360
Min. Negotiated Rate	$9,928.36
Max. Negotiated Rate	$9,928.36
Rate for Payer: Qualcare PPO/HMO/WC	$9,928.36

INS PICC AGE YR/>5

Facility

$10,596.92

Service Code	HCPCS 36569
Hospital Charge Code	1600000659
Hospital Revenue Code	360
Min. Negotiated Rate	$1,589.54
Max. Negotiated Rate	$1,589.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,589.54

INS PICC AGE YR/>5

Facility

$10,596.92

Service Code	HCPCS 36569
Hospital Charge Code	1600000659
Hospital Revenue Code	360
Min. Negotiated Rate	$255.39
Max. Negotiated Rate	$6,750.64
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,750.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,750.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
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	$6,750.64
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,870.14
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,179.08
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,589.54
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$255.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$280.82

Know your out-of-pocket cost for care.

All Charges