Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

IR INSERT CV CATH W/O PORT>5YR

Facility

IP

$7,852.40

Service Code	HCPCS 36569
Hospital Charge Code	2011091
Hospital Revenue Code	361
Min. Negotiated Rate	$1,177.86
Max. Negotiated Rate	$1,177.86
Rate for Payer: Qualcare PPO/HMO/WC	$1,177.86

IR INSERT HEPATIC SHUNT (TIPS)

Facility

OP

$1,600.00

Service Code	HCPCS 37182
Hospital Charge Code	7411491
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
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	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR INSERT HEPATIC SHUNT (TIPS)

Facility

OP

$1,600.00

Service Code	HCPCS 37182
Hospital Charge Code	2011292
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
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	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR INSERT HEPATIC SHUNT (TIPS)

Facility

IP

$1,600.00

Service Code	HCPCS 37182
Hospital Charge Code	2011292
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR INSERT HEPATIC SHUNT (TIPS)

Facility

OP

$1,600.00

Service Code	HCPCS 37182
Hospital Charge Code	321037182
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
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	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR INSERT HEPATIC SHUNT (TIPS)

Facility

IP

$1,600.00

Service Code	HCPCS 37182
Hospital Charge Code	321037182
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR INSERT HEPATIC SHUNT (TIPS)

Facility

IP

$1,600.00

Service Code	HCPCS 37182
Hospital Charge Code	7411491
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR INSERT HEPATIC SHUNT (TIPS)

Facility

IP

$18,561.00

Service Code	HCPCS 37182
Hospital Charge Code	411037182H
Hospital Revenue Code	361
Min. Negotiated Rate	$2,784.15
Max. Negotiated Rate	$2,784.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,784.15

IR INSERT HEPATIC SHUNT (TIPS)

Facility

OP

$18,561.00

Service Code	HCPCS 37182
Hospital Charge Code	411037182H
Hospital Revenue Code	361
Min. Negotiated Rate	$447.32
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
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	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,568.30
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,784.15
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$447.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$491.87

IR-INSERT KIDNEY DRAIN-BI

Facility

OP

$4,495.00

Hospital Charge Code	2690635
Hospital Revenue Code	361
Min. Negotiated Rate	$108.33
Max. Negotiated Rate	$2,247.50
Rate for Payer: Aetna Commercial	$1,708.10
Rate for Payer: Aetna Medicare Advantage	$1,348.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,146.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,146.22
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	$1,146.22
Rate for Payer: Cigna Commercial	$2,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.50
Rate for Payer: Qualcare PPO/HMO/WC	$674.25
Rate for Payer: UnitedHealthcare Community & State	$108.33
Rate for Payer: Wellpoint Medicaid Managed Care	$119.12

IR-INSERT KIDNEY DRAIN-BI

Facility

IP

$4,495.00

Hospital Charge Code	2690635
Hospital Revenue Code	361
Min. Negotiated Rate	$674.25
Max. Negotiated Rate	$674.25
Rate for Payer: Qualcare PPO/HMO/WC	$674.25

IR-INSERT KIDNEY DRAIN-LT

Facility

IP

$4,495.00

Hospital Charge Code	2691600
Hospital Revenue Code	361
Min. Negotiated Rate	$674.25
Max. Negotiated Rate	$674.25
Rate for Payer: Qualcare PPO/HMO/WC	$674.25

IR-INSERT KIDNEY DRAIN-LT

Facility

OP

$4,495.00

Hospital Charge Code	2691600
Hospital Revenue Code	361
Min. Negotiated Rate	$108.33
Max. Negotiated Rate	$2,247.50
Rate for Payer: Aetna Commercial	$1,708.10
Rate for Payer: Aetna Medicare Advantage	$1,348.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,146.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,146.22
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	$1,146.22
Rate for Payer: Cigna Commercial	$2,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.50
Rate for Payer: Qualcare PPO/HMO/WC	$674.25
Rate for Payer: UnitedHealthcare Community & State	$108.33
Rate for Payer: Wellpoint Medicaid Managed Care	$119.12

IR-INSERT KIDNEY DRAIN-RT

Facility

IP

$4,495.00

Hospital Charge Code	2691605
Hospital Revenue Code	361
Min. Negotiated Rate	$674.25
Max. Negotiated Rate	$674.25
Rate for Payer: Qualcare PPO/HMO/WC	$674.25

IR-INSERT KIDNEY DRAIN-RT

Facility

OP

$4,495.00

Hospital Charge Code	2691605
Hospital Revenue Code	361
Min. Negotiated Rate	$108.33
Max. Negotiated Rate	$2,247.50
Rate for Payer: Aetna Commercial	$1,708.10
Rate for Payer: Aetna Medicare Advantage	$1,348.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,146.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,146.22
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	$1,146.22
Rate for Payer: Cigna Commercial	$2,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.50
Rate for Payer: Qualcare PPO/HMO/WC	$674.25
Rate for Payer: UnitedHealthcare Community & State	$108.33
Rate for Payer: Wellpoint Medicaid Managed Care	$119.12

IR-INSERT NDL CATH BOWEL

Facility

IP

$1,155.00

Service Code	HCPCS 44015
Hospital Charge Code	7411549
Hospital Revenue Code	361
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

IR-INSERT NDL CATH BOWEL

Facility

OP

$1,155.00

Service Code	HCPCS 44015
Hospital Charge Code	7411549
Hospital Revenue Code	361
Min. Negotiated Rate	$27.84
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$438.90
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
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	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$27.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.61

IR-INSERT NDL CATH BOWEL

Facility

IP

$1,155.00

Service Code	HCPCS 44015
Hospital Charge Code	2690115
Hospital Revenue Code	361
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

IR-INSERT NDL CATH BOWEL

Facility

OP

$1,155.00

Service Code	HCPCS 44015
Hospital Charge Code	2690115
Hospital Revenue Code	361
Min. Negotiated Rate	$27.84
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$438.90
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
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	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$173.25
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$27.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.61

IR-INSERT NDLE BONE CAVTY

Facility

IP

$240.00

Service Code	HCPCS 36680
Hospital Charge Code	2690075
Hospital Revenue Code	361
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

IR-INSERT NDLE BONE CAVTY

Facility

OP

$240.00

Service Code	HCPCS 36680
Hospital Charge Code	2690075
Hospital Revenue Code	361
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,443.56
Rate for Payer: Aetna Medicare Advantage	$1,719.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,915.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,915.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$530.72
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	$1,915.74
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: Cigna Medicare Advantage	$530.72
Rate for Payer: Clover Medicare Advantage	$504.18
Rate for Payer: EmblemHealth Commercial	$1,592.16
Rate for Payer: Humana Medicare Advantage	$546.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$530.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$530.72
Rate for Payer: Wellcare Medicare Advantage	$530.72
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

IR-INSERT NDLE BONE CAVTY

Facility

IP

$240.00

Service Code	HCPCS 36680
Hospital Charge Code	7411483
Hospital Revenue Code	361
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

IR-INSERT NDLE BONE CAVTY

Facility

OP

$240.00

Service Code	HCPCS 36680
Hospital Charge Code	7411483
Hospital Revenue Code	361
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,443.56
Rate for Payer: Aetna Medicare Advantage	$1,719.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,915.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,915.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$530.72
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	$1,915.74
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: Cigna Medicare Advantage	$530.72
Rate for Payer: Clover Medicare Advantage	$504.18
Rate for Payer: EmblemHealth Commercial	$1,592.16
Rate for Payer: Humana Medicare Advantage	$546.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$530.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$530.72
Rate for Payer: Wellcare Medicare Advantage	$530.72
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

IR INSERT OF IMPLANT VEN DEV

Facility

IP

$5,224.75

Service Code	HCPCS 36557
Hospital Charge Code	7411450
Hospital Revenue Code	361
Min. Negotiated Rate	$783.71
Max. Negotiated Rate	$783.71
Rate for Payer: Qualcare PPO/HMO/WC	$783.71

IR INSERT OF IMPLANT VEN DEV

Facility

OP

$5,224.75

Service Code	HCPCS 36557
Hospital Charge Code	7411450
Hospital Revenue Code	361
Min. Negotiated Rate	$125.92
Max. Negotiated Rate	$23,862.86
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
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	$23,862.86
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,567.42
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$783.71
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$125.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$138.46