Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,630.70

Service Code	HCPCS 36589
Hospital Charge Code	2011279
Hospital Revenue Code	361
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,690.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,690.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
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	$2,690.13
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.21
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$87.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$96.21

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,062.65

Service Code	HCPCS 36589
Hospital Charge Code	366836589
Hospital Revenue Code	361
Min. Negotiated Rate	$73.81
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,690.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,690.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
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	$2,690.13
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.79
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$459.40
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$73.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$81.16

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	2011278
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	2011278
Hospital Revenue Code	361
Min. Negotiated Rate	$87.50
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	$1,089.21
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$87.50
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	$96.21

IR REM TUNN CV CATH W/PO/PUMP

Facility

$2,024.90

Service Code	HCPCS 36590
Hospital Charge Code	7411472
Hospital Revenue Code	361
Min. Negotiated Rate	$48.80
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	$607.47
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.74
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$48.80
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	$53.66

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	321036590
Hospital Revenue Code	361
Min. Negotiated Rate	$87.50
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	$1,089.21
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$87.50
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	$96.21

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,062.65

Service Code	HCPCS 36590
Hospital Charge Code	411036590
Hospital Revenue Code	361
Min. Negotiated Rate	$73.81
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	$918.79
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$459.40
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$73.81
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	$81.16

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,062.65

Service Code	HCPCS 36590
Hospital Charge Code	411036590
Hospital Revenue Code	361
Min. Negotiated Rate	$459.40
Max. Negotiated Rate	$459.40
Rate for Payer: Qualcare PPO/HMO/WC	$459.40

IR REM TUNN CV CATH W/PO/PUMP

Facility

$2,024.90

Service Code	HCPCS 36590
Hospital Charge Code	7411472
Hospital Revenue Code	361
Min. Negotiated Rate	$303.74
Max. Negotiated Rate	$303.74
Rate for Payer: Qualcare PPO/HMO/WC	$303.74

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,062.65

Service Code	HCPCS 36590
Hospital Charge Code	366836590
Hospital Revenue Code	361
Min. Negotiated Rate	$459.40
Max. Negotiated Rate	$459.40
Rate for Payer: Qualcare PPO/HMO/WC	$459.40

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	321036590
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,062.65

Service Code	HCPCS 36590
Hospital Charge Code	366836590
Hospital Revenue Code	361
Min. Negotiated Rate	$73.81
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	$918.79
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$459.40
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$73.81
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	$81.16

IR-REM TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	7411783
Hospital Revenue Code	361
Min. Negotiated Rate	$39.67
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$625.48
Rate for Payer: Aetna Medicare Advantage	$493.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.73
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	$419.73
Rate for Payer: Cigna Commercial	$823.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.80
Rate for Payer: Qualcare PPO/HMO/WC	$246.90
Rate for Payer: UnitedHealthcare Community & State	$39.67
Rate for Payer: Wellpoint Medicaid Managed Care	$43.62

IR-REM TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	2690390
Hospital Revenue Code	361
Min. Negotiated Rate	$246.90
Max. Negotiated Rate	$246.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	7411783
Hospital Revenue Code	361
Min. Negotiated Rate	$246.90
Max. Negotiated Rate	$246.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	2690390
Hospital Revenue Code	361
Min. Negotiated Rate	$39.67
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$625.48
Rate for Payer: Aetna Medicare Advantage	$493.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.73
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	$419.73
Rate for Payer: Cigna Commercial	$823.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.80
Rate for Payer: Qualcare PPO/HMO/WC	$246.90
Rate for Payer: UnitedHealthcare Community & State	$39.67
Rate for Payer: Wellpoint Medicaid Managed Care	$43.62

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	2691070
Hospital Revenue Code	361
Min. Negotiated Rate	$154.34
Max. Negotiated Rate	$3,202.10
Rate for Payer: Aetna Commercial	$2,433.60
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,202.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,921.26
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Community & State	$154.34
Rate for Payer: Wellpoint Medicaid Managed Care	$169.71

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	321032551L
Hospital Revenue Code	361
Min. Negotiated Rate	$154.34
Max. Negotiated Rate	$3,202.10
Rate for Payer: Aetna Commercial	$2,433.60
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,202.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,921.26
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Community & State	$154.34
Rate for Payer: Wellpoint Medicaid Managed Care	$169.71

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	321032551L
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR-REM TUN PLEURL CATH-LT

Facility

$1,646.00

Service Code	HCPCS 32551LT
Hospital Charge Code	7411885
Hospital Revenue Code	361
Min. Negotiated Rate	$246.90
Max. Negotiated Rate	$246.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-LT

Facility

$1,646.00

Service Code	HCPCS 32551LT
Hospital Charge Code	7411885
Hospital Revenue Code	361
Min. Negotiated Rate	$39.67
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$625.48
Rate for Payer: Aetna Medicare Advantage	$493.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.73
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	$419.73
Rate for Payer: Cigna Commercial	$823.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.80
Rate for Payer: Qualcare PPO/HMO/WC	$246.90
Rate for Payer: UnitedHealthcare Community & State	$39.67
Rate for Payer: Wellpoint Medicaid Managed Care	$43.62

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	2691070
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR-REM TUN PLEURL CATH-RT

Facility

$1,194.00

Service Code	HCPCS 32551RT
Hospital Charge Code	2691075
Hospital Revenue Code	361
Min. Negotiated Rate	$179.10
Max. Negotiated Rate	$179.10
Rate for Payer: Qualcare PPO/HMO/WC	$179.10

IR-REM TUN PLEURL CATH-RT

Facility

$1,194.00

Service Code	HCPCS 32551RT
Hospital Charge Code	7411886
Hospital Revenue Code	361
Min. Negotiated Rate	$28.78
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$453.72
Rate for Payer: Aetna Medicare Advantage	$358.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$304.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$304.47
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	$304.47
Rate for Payer: Cigna Commercial	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.20
Rate for Payer: Qualcare PPO/HMO/WC	$179.10
Rate for Payer: UnitedHealthcare Community & State	$28.78
Rate for Payer: Wellpoint Medicaid Managed Care	$31.64

IR-REM TUN PLEURL CATH-RT

Facility

$1,194.00

Service Code	HCPCS 32551RT
Hospital Charge Code	2691075
Hospital Revenue Code	361
Min. Negotiated Rate	$28.78
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$453.72
Rate for Payer: Aetna Medicare Advantage	$358.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$304.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$304.47
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	$304.47
Rate for Payer: Cigna Commercial	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.20
Rate for Payer: Qualcare PPO/HMO/WC	$179.10
Rate for Payer: UnitedHealthcare Community & State	$28.78
Rate for Payer: Wellpoint Medicaid Managed Care	$31.64

Know your out-of-pocket cost for care.

All Charges