Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR INS TUND CV CATH W/O PORT>5

Facility

$14,614.45

Service Code	HCPCS 36558
Hospital Charge Code	7411451
Hospital Revenue Code	361
Min. Negotiated Rate	$2,192.17
Max. Negotiated Rate	$2,192.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17

IR INS TUND CV CATH W/O PORT>5

Facility

$14,614.45

Service Code	HCPCS 36558
Hospital Charge Code	7411451
Hospital Revenue Code	361
Min. Negotiated Rate	$352.21
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	$1,016.00
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	$4,384.34
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$352.21
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	$387.28

IR INS TUND CV CATH W PORT <5

Facility

$14,614.45

Service Code	HCPCS 36560
Hospital Charge Code	366836560
Hospital Revenue Code	361
Min. Negotiated Rate	$352.21
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	$4,384.34
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$352.21
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	$387.28

IR INS TUND CV CATH W PORT <5

Facility

$14,614.45

Service Code	HCPCS 36560
Hospital Charge Code	366836560
Hospital Revenue Code	361
Min. Negotiated Rate	$2,192.17
Max. Negotiated Rate	$2,192.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17

IR INS TUND CV CATH W PORT <5

Facility

$14,614.45

Service Code	HCPCS 36560
Hospital Charge Code	7411452
Hospital Revenue Code	361
Min. Negotiated Rate	$352.21
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	$4,384.34
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$352.21
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	$387.28

IR INS TUND CV CATH W PORT <5

Facility

$14,614.45

Service Code	HCPCS 36560
Hospital Charge Code	7411452
Hospital Revenue Code	361
Min. Negotiated Rate	$2,192.17
Max. Negotiated Rate	$2,192.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17

IR INS TUND CV CATH W PORT <5

Facility

$13,510.10

Service Code	HCPCS 36560
Hospital Charge Code	5600125
Hospital Revenue Code	361
Min. Negotiated Rate	$2,026.52
Max. Negotiated Rate	$2,026.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52

IR INS TUND CV CATH W PORT <5

Facility

$13,510.10

Service Code	HCPCS 36560
Hospital Charge Code	5600125
Hospital Revenue Code	361
Min. Negotiated Rate	$325.59
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	$4,053.03
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$325.59
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	$358.02

IR INS TUND CV CATH W PORT>5

Facility

$15,468.50

Service Code	HCPCS 36561
Hospital Charge Code	321036561
Hospital Revenue Code	361
Min. Negotiated Rate	$372.79
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	$4,640.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$372.79
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	$409.92

IR INS TUND CV CATH W PORT>5

Facility

$15,468.50

Service Code	HCPCS 36561
Hospital Charge Code	321036561
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

IR INS TUND CV CATH W PORT>5

Facility

$15,468.50

Service Code	HCPCS 36561
Hospital Charge Code	2011293
Hospital Revenue Code	361
Min. Negotiated Rate	$372.79
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	$4,640.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$372.79
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	$409.92

IR INS TUND CV CATH W PORT>5

Facility

$15,468.50

Service Code	HCPCS 36561
Hospital Charge Code	2011293
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

IR INS TUND CV CATH W PORT>5

Facility

$8,696.85

Service Code	HCPCS 36561
Hospital Charge Code	7411453
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.53
Max. Negotiated Rate	$1,304.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.53

IR INS TUND CV CATH W PORT>5

Facility

$8,696.85

Service Code	HCPCS 36561
Hospital Charge Code	7411453
Hospital Revenue Code	361
Min. Negotiated Rate	$209.59
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	$2,609.05
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.53
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$209.59
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	$230.47

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	2690385
Hospital Revenue Code	361
Min. Negotiated Rate	$1,355.40
Max. Negotiated Rate	$1,355.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	7411782
Hospital Revenue Code	361
Min. Negotiated Rate	$217.77
Max. Negotiated Rate	$4,518.00
Rate for Payer: Aetna Commercial	$3,433.68
Rate for Payer: Aetna Medicare Advantage	$2,710.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,304.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,304.18
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	$2,304.18
Rate for Payer: Cigna Commercial	$4,518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,710.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40
Rate for Payer: UnitedHealthcare Community & State	$217.77
Rate for Payer: Wellpoint Medicaid Managed Care	$239.45

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	2690385
Hospital Revenue Code	361
Min. Negotiated Rate	$217.77
Max. Negotiated Rate	$4,518.00
Rate for Payer: Aetna Commercial	$3,433.68
Rate for Payer: Aetna Medicare Advantage	$2,710.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,304.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,304.18
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	$2,304.18
Rate for Payer: Cigna Commercial	$4,518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,710.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40
Rate for Payer: UnitedHealthcare Community & State	$217.77
Rate for Payer: Wellpoint Medicaid Managed Care	$239.45

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	7411782
Hospital Revenue Code	361
Min. Negotiated Rate	$1,355.40
Max. Negotiated Rate	$1,355.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-RT

Facility

$9,036.00

Service Code	HCPCS 32550RT
Hospital Charge Code	7411884
Hospital Revenue Code	361
Min. Negotiated Rate	$217.77
Max. Negotiated Rate	$4,518.00
Rate for Payer: Aetna Commercial	$3,433.68
Rate for Payer: Aetna Medicare Advantage	$2,710.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,304.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,304.18
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	$2,304.18
Rate for Payer: Cigna Commercial	$4,518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,710.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40
Rate for Payer: UnitedHealthcare Community & State	$217.77
Rate for Payer: Wellpoint Medicaid Managed Care	$239.45

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	2691065
Hospital Revenue Code	361
Min. Negotiated Rate	$415.95
Max. Negotiated Rate	$8,629.60
Rate for Payer: Aetna Commercial	$6,558.50
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,629.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,177.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Community & State	$415.95
Rate for Payer: Wellpoint Medicaid Managed Care	$457.37

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	2691065
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	321032550R
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	321032550R
Hospital Revenue Code	361
Min. Negotiated Rate	$415.95
Max. Negotiated Rate	$8,629.60
Rate for Payer: Aetna Commercial	$6,558.50
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,629.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,177.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Community & State	$415.95
Rate for Payer: Wellpoint Medicaid Managed Care	$457.37

IR-INS TUN PLEURL CATH-RT

Facility

$9,036.00

Service Code	HCPCS 32550RT
Hospital Charge Code	7411884
Hospital Revenue Code	361
Min. Negotiated Rate	$1,355.40
Max. Negotiated Rate	$1,355.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INTERSTIT PLACE NDL/CA

Facility

$10,856.00

Service Code	HCPCS 55875
Hospital Charge Code	7411635
Hospital Revenue Code	761
Min. Negotiated Rate	$261.63
Max. Negotiated Rate	$22,993.64
Rate for Payer: Aetna Commercial	$17,326.29
Rate for Payer: Aetna Medicare Advantage	$20,638.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,993.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,993.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,369.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,993.64
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: Cigna Medicare Advantage	$6,369.96
Rate for Payer: Clover Medicare Advantage	$6,051.46
Rate for Payer: EmblemHealth Commercial	$19,109.88
Rate for Payer: Humana Medicare Advantage	$6,561.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,369.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,256.80
Rate for Payer: Oxford Commercial	$2,171.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.40
Rate for Payer: UnitedHealthcare Commercial	$2,171.20
Rate for Payer: UnitedHealthcare Community & State	$261.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,369.96
Rate for Payer: Wellcare Medicare Advantage	$6,369.96
Rate for Payer: Wellpoint Medicaid Managed Care	$287.68

Know your out-of-pocket cost for care.

All Charges