Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

IRON URINE

Facility

OP

$239.00

Service Code	HCPCS 83540
Hospital Charge Code	38479117
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$17.60
Rate for Payer: Aetna Medicare Advantage	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$119.50
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Medicare Advantage	$6.47
Rate for Payer: Wellpoint Medicaid Managed Care	$6.33

IRON URINE

Facility

IP

$239.00

Service Code	HCPCS 83540
Hospital Charge Code	38479117
Hospital Revenue Code	301
Min. Negotiated Rate	$35.85
Max. Negotiated Rate	$35.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.85

IR OPEN FEMRORAL ARTERY UNILAT

Facility

OP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	366834812
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
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	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR OPEN FEMRORAL ARTERY UNILAT

Facility

IP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	411034812
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR OPEN FEMRORAL ARTERY UNILAT

Facility

OP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	7411397
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
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	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR OPEN FEMRORAL ARTERY UNILAT

Facility

OP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	321034812
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
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	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR OPEN FEMRORAL ARTERY UNILAT

Facility

IP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	7411397
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR OPEN FEMRORAL ARTERY UNILAT

Facility

IP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	366834812
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR OPEN FEMRORAL ARTERY UNILAT

Facility

IP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	321034812
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR OPEN FEMRORAL ARTERY UNILAT

Facility

IP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	5700212
Hospital Revenue Code	361
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

IR OPEN FEMRORAL ARTERY UNILAT

Facility

OP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	5700212
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
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	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR OPEN FEMRORAL ARTERY UNILAT

Facility

OP

$1,600.00

Service Code	HCPCS 34812
Hospital Charge Code	411034812
Hospital Revenue Code	361
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
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	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

IR-OVARIAN CYST ASPIR-BI

Facility

OP

$5,945.00

Service Code	HCPCS 5880550
Hospital Charge Code	7411833
Hospital Revenue Code	361
Min. Negotiated Rate	$143.27
Max. Negotiated Rate	$2,972.50
Rate for Payer: Aetna Commercial	$2,259.10
Rate for Payer: Aetna Medicare Advantage	$1,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.97
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	$1,515.97
Rate for Payer: Cigna Commercial	$2,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,783.50
Rate for Payer: Qualcare PPO/HMO/WC	$891.75
Rate for Payer: UnitedHealthcare Community & State	$143.27
Rate for Payer: Wellpoint Medicaid Managed Care	$157.54

IR-OVARIAN CYST ASPIR-BI

Facility

IP

$5,945.00

Service Code	HCPCS 5880550
Hospital Charge Code	7411833
Hospital Revenue Code	361
Min. Negotiated Rate	$891.75
Max. Negotiated Rate	$891.75
Rate for Payer: Qualcare PPO/HMO/WC	$891.75

IR-OVARIAN CYST ASPIR-BI

Facility

IP

$5,945.00

Service Code	HCPCS 5880550
Hospital Charge Code	2690700
Hospital Revenue Code	361
Min. Negotiated Rate	$891.75
Max. Negotiated Rate	$891.75
Rate for Payer: Qualcare PPO/HMO/WC	$891.75

IR-OVARIAN CYST ASPIR-BI

Facility

OP

$5,945.00

Service Code	HCPCS 5880550
Hospital Charge Code	2690700
Hospital Revenue Code	361
Min. Negotiated Rate	$143.27
Max. Negotiated Rate	$2,972.50
Rate for Payer: Aetna Commercial	$2,259.10
Rate for Payer: Aetna Medicare Advantage	$1,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.97
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	$1,515.97
Rate for Payer: Cigna Commercial	$2,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,783.50
Rate for Payer: Qualcare PPO/HMO/WC	$891.75
Rate for Payer: UnitedHealthcare Community & State	$143.27
Rate for Payer: Wellpoint Medicaid Managed Care	$157.54

IR-OVARIAN CYST ASPIR-LT

Facility

OP

$5,945.00

Service Code	HCPCS 58805LT
Hospital Charge Code	2691740
Hospital Revenue Code	361
Min. Negotiated Rate	$143.27
Max. Negotiated Rate	$2,972.50
Rate for Payer: Aetna Commercial	$2,259.10
Rate for Payer: Aetna Medicare Advantage	$1,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.97
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	$1,515.97
Rate for Payer: Cigna Commercial	$2,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,783.50
Rate for Payer: Qualcare PPO/HMO/WC	$891.75
Rate for Payer: UnitedHealthcare Community & State	$143.27
Rate for Payer: Wellpoint Medicaid Managed Care	$157.54

IR-OVARIAN CYST ASPIR-LT

Facility

IP

$5,945.00

Service Code	HCPCS 58805LT
Hospital Charge Code	7411988
Hospital Revenue Code	361
Min. Negotiated Rate	$891.75
Max. Negotiated Rate	$891.75
Rate for Payer: Qualcare PPO/HMO/WC	$891.75

IR-OVARIAN CYST ASPIR-LT

Facility

IP

$5,945.00

Service Code	HCPCS 58805LT
Hospital Charge Code	2691740
Hospital Revenue Code	361
Min. Negotiated Rate	$891.75
Max. Negotiated Rate	$891.75
Rate for Payer: Qualcare PPO/HMO/WC	$891.75

IR-OVARIAN CYST ASPIR-LT

Facility

OP

$5,945.00

Service Code	HCPCS 58805LT
Hospital Charge Code	7411988
Hospital Revenue Code	361
Min. Negotiated Rate	$143.27
Max. Negotiated Rate	$2,972.50
Rate for Payer: Aetna Commercial	$2,259.10
Rate for Payer: Aetna Medicare Advantage	$1,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.97
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	$1,515.97
Rate for Payer: Cigna Commercial	$2,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,783.50
Rate for Payer: Qualcare PPO/HMO/WC	$891.75
Rate for Payer: UnitedHealthcare Community & State	$143.27
Rate for Payer: Wellpoint Medicaid Managed Care	$157.54

IR-OVARIAN CYST ASPIR-RT

Facility

OP

$5,945.00

Service Code	HCPCS 58805RT
Hospital Charge Code	2691745
Hospital Revenue Code	361
Min. Negotiated Rate	$143.27
Max. Negotiated Rate	$2,972.50
Rate for Payer: Aetna Commercial	$2,259.10
Rate for Payer: Aetna Medicare Advantage	$1,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.97
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	$1,515.97
Rate for Payer: Cigna Commercial	$2,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,783.50
Rate for Payer: Qualcare PPO/HMO/WC	$891.75
Rate for Payer: UnitedHealthcare Community & State	$143.27
Rate for Payer: Wellpoint Medicaid Managed Care	$157.54

IR-OVARIAN CYST ASPIR-RT

Facility

IP

$5,945.00

Service Code	HCPCS 58805RT
Hospital Charge Code	2691745
Hospital Revenue Code	361
Min. Negotiated Rate	$891.75
Max. Negotiated Rate	$891.75
Rate for Payer: Qualcare PPO/HMO/WC	$891.75

IR-OVARIAN CYST ASPIR-RT

Facility

OP

$5,945.00

Service Code	HCPCS 58805RT
Hospital Charge Code	7411989
Hospital Revenue Code	361
Min. Negotiated Rate	$143.27
Max. Negotiated Rate	$2,972.50
Rate for Payer: Aetna Commercial	$2,259.10
Rate for Payer: Aetna Medicare Advantage	$1,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.97
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	$1,515.97
Rate for Payer: Cigna Commercial	$2,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,783.50
Rate for Payer: Qualcare PPO/HMO/WC	$891.75
Rate for Payer: UnitedHealthcare Community & State	$143.27
Rate for Payer: Wellpoint Medicaid Managed Care	$157.54

IR-OVARIAN CYST ASPIR-RT

Facility

IP

$5,945.00

Service Code	HCPCS 58805RT
Hospital Charge Code	7411989
Hospital Revenue Code	361
Min. Negotiated Rate	$891.75
Max. Negotiated Rate	$891.75
Rate for Payer: Qualcare PPO/HMO/WC	$891.75

IR-PANCREAS BIOPSY

Facility

IP

$4,021.35

Service Code	HCPCS 48102
Hospital Charge Code	2670160
Hospital Revenue Code	361
Min. Negotiated Rate	$603.20
Max. Negotiated Rate	$603.20
Rate for Payer: Qualcare PPO/HMO/WC	$603.20