Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LUMBAR PUNCTURE

Facility

$1,695.00

Service Code	HCPCS 62270
Hospital Charge Code	3409001
Hospital Revenue Code	761
Min. Negotiated Rate	$254.25
Max. Negotiated Rate	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$254.25

LUMBAR PUNCTURE

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	1001135
Hospital Revenue Code	361
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

LUMBAR PUNCTURE

Facility

$1,695.00

Service Code	HCPCS 62270
Hospital Charge Code	3409001
Hospital Revenue Code	761
Min. Negotiated Rate	$40.85
Max. Negotiated Rate	$3,027.13
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.50
Rate for Payer: Oxford Commercial	$339.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.25
Rate for Payer: UnitedHealthcare Commercial	$339.00
Rate for Payer: UnitedHealthcare Community & State	$40.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$44.92

LUMBAR PUNCTURE INFANT

Facility

$42.70

Hospital Charge Code	270665029
Hospital Revenue Code	270
Min. Negotiated Rate	$6.41
Max. Negotiated Rate	$6.41
Rate for Payer: Qualcare PPO/HMO/WC	$6.41

LUMBAR PUNCTURE INFANT

Facility

$42.70

Hospital Charge Code	270665029
Hospital Revenue Code	270
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$21.35
Rate for Payer: Aetna Commercial	$16.23
Rate for Payer: Aetna Medicare Advantage	$12.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.89
Rate for Payer: Cigna Commercial	$21.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.81
Rate for Payer: Oxford Commercial	$8.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.41
Rate for Payer: UnitedHealthcare Commercial	$8.54
Rate for Payer: UnitedHealthcare Community & State	$1.03
Rate for Payer: Wellpoint Medicaid Managed Care	$1.13

LUMBAR PUNTURE DX W FLUORO

Facility

$3,999.00

Service Code	HCPCS 62328
Hospital Charge Code	5100854
Hospital Revenue Code	361
Min. Negotiated Rate	$599.85
Max. Negotiated Rate	$599.85
Rate for Payer: Qualcare PPO/HMO/WC	$599.85

LUMBAR PUNTURE DX W FLUORO

Facility

$3,999.00

Service Code	HCPCS 62328
Hospital Charge Code	5100854
Hospital Revenue Code	361
Min. Negotiated Rate	$96.38
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,199.70
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$599.85
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$96.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$105.97

LUMBAR SPINE 2-3 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72100
Hospital Charge Code	94061065
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

LUMBAR SPINE 2-3 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72100
Hospital Charge Code	94061065
Hospital Revenue Code	320
Min. Negotiated Rate	$42.59
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

LUMBAR SPINE COMPLETE

Facility

$701.00

Service Code	HCPCS 72114
Hospital Charge Code	94061069
Hospital Revenue Code	320
Min. Negotiated Rate	$105.15
Max. Negotiated Rate	$105.15
Rate for Payer: Qualcare PPO/HMO/WC	$105.15

LUMBAR SPINE COMPLETE

Facility

$701.00

Service Code	HCPCS 72114
Hospital Charge Code	94061069
Hospital Revenue Code	320
Min. Negotiated Rate	$16.89
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.30
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.15
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$16.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$18.58

LUMBAR SPINE FUSION

Facility

$17,295.60

Service Code	HCPCS 22558
Hospital Charge Code	16000542
Hospital Revenue Code	360
Min. Negotiated Rate	$416.82
Max. Negotiated Rate	$116,362.07
Rate for Payer: Aetna Commercial	$87,681.76
Rate for Payer: Aetna Medicare Advantage	$104,444.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116,362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116,362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,235.94
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	$116,362.07
Rate for Payer: Cigna Commercial	$64,616.81
Rate for Payer: Cigna Medicare Advantage	$32,235.94
Rate for Payer: Clover Medicare Advantage	$30,624.14
Rate for Payer: EmblemHealth Commercial	$96,707.82
Rate for Payer: Humana Medicare Advantage	$33,203.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32,235.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,188.68
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,594.34
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$416.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,235.94
Rate for Payer: Wellcare Medicare Advantage	$32,235.94
Rate for Payer: Wellpoint Medicaid Managed Care	$458.33

LUMBAR SPINE FUSION

Facility

$17,295.60

Service Code	HCPCS 22558
Hospital Charge Code	16000542
Hospital Revenue Code	360
Min. Negotiated Rate	$2,594.34
Max. Negotiated Rate	$2,594.34
Rate for Payer: Qualcare PPO/HMO/WC	$2,594.34

LUMBAR SPINE FUSION COMBINED

Facility

$108,286.15

Service Code	HCPCS 22633
Hospital Charge Code	16000441
Hospital Revenue Code	360
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$116,362.07
Rate for Payer: Aetna Commercial	$87,681.76
Rate for Payer: Aetna Medicare Advantage	$104,444.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116,362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116,362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,235.94
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	$116,362.07
Rate for Payer: Cigna Commercial	$64,616.81
Rate for Payer: Cigna Medicare Advantage	$32,235.94
Rate for Payer: Clover Medicare Advantage	$30,624.14
Rate for Payer: EmblemHealth Commercial	$96,707.82
Rate for Payer: Humana Medicare Advantage	$33,203.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32,235.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32,485.85
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,242.92
Rate for Payer: UnitedHealthcare Commercial	$17,313.00
Rate for Payer: UnitedHealthcare Community & State	$2,609.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,235.94
Rate for Payer: Wellcare Medicare Advantage	$32,235.94
Rate for Payer: Wellpoint Medicaid Managed Care	$2,869.58

LUMBAR SPINE FUSION COMBINED

Facility

$108,286.15

Service Code	HCPCS 22633
Hospital Charge Code	16000441
Hospital Revenue Code	360
Min. Negotiated Rate	$16,242.92
Max. Negotiated Rate	$16,242.92
Rate for Payer: Qualcare PPO/HMO/WC	$16,242.92

LUMBAR SPINE FUSION POSTEOR

Facility

$25,747.95

Service Code	HCPCS 22630
Hospital Charge Code	16000543
Hospital Revenue Code	360
Min. Negotiated Rate	$3,862.19
Max. Negotiated Rate	$3,862.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,862.19

LUMBAR SPINE FUSION POSTEOR

Facility

$25,747.95

Service Code	HCPCS 22630
Hospital Charge Code	16000543
Hospital Revenue Code	360
Min. Negotiated Rate	$620.53
Max. Negotiated Rate	$116,362.07
Rate for Payer: Aetna Commercial	$87,681.76
Rate for Payer: Aetna Medicare Advantage	$104,444.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116,362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116,362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,235.94
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	$116,362.07
Rate for Payer: Cigna Commercial	$64,616.81
Rate for Payer: Cigna Medicare Advantage	$32,235.94
Rate for Payer: Clover Medicare Advantage	$30,624.14
Rate for Payer: EmblemHealth Commercial	$96,707.82
Rate for Payer: Humana Medicare Advantage	$33,203.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32,235.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,724.39
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,862.19
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$620.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,235.94
Rate for Payer: Wellcare Medicare Advantage	$32,235.94
Rate for Payer: Wellpoint Medicaid Managed Care	$682.32

LUMBOSACRAL SPINE - COMP

Facility

$5,100.00

Service Code	HCPCS 72110
Hospital Charge Code	94061067
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

LUMBOSACRAL SPINE - COMP

Facility

$5,100.00

Service Code	HCPCS 72110
Hospital Charge Code	94061067
Hospital Revenue Code	320
Min. Negotiated Rate	$53.24
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

LUMB SYMP PARAVERT INJ (ANES)

Facility

$3,107.20

Service Code	HCPCS 64520
Hospital Charge Code	84506045
Hospital Revenue Code	361
Min. Negotiated Rate	$74.88
Max. Negotiated Rate	$3,793.00
Rate for Payer: Aetna Commercial	$2,858.12
Rate for Payer: Aetna Medicare Advantage	$3,404.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,050.78
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	$3,793.00
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: Cigna Medicare Advantage	$1,050.78
Rate for Payer: Clover Medicare Advantage	$998.24
Rate for Payer: EmblemHealth Commercial	$3,152.34
Rate for Payer: Humana Medicare Advantage	$1,082.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,050.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$932.16
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$466.08
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$74.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,050.78
Rate for Payer: Wellcare Medicare Advantage	$1,050.78
Rate for Payer: Wellpoint Medicaid Managed Care	$82.34

LUMB SYMP PARAVERT INJ (ANES)

Facility

$3,107.20

Service Code	HCPCS 64520
Hospital Charge Code	84506045
Hospital Revenue Code	361
Min. Negotiated Rate	$466.08
Max. Negotiated Rate	$466.08
Rate for Payer: Qualcare PPO/HMO/WC	$466.08

LUNA GRAFT INJECTOR

Facility

$5,104.00

Hospital Charge Code	270697375
Hospital Revenue Code	272
Min. Negotiated Rate	$123.01
Max. Negotiated Rate	$2,552.00
Rate for Payer: Aetna Commercial	$1,939.52
Rate for Payer: Aetna Medicare Advantage	$1,531.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,301.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,301.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,301.52
Rate for Payer: Cigna Commercial	$2,552.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,531.20
Rate for Payer: Oxford Commercial	$1,020.80
Rate for Payer: Qualcare PPO/HMO/WC	$765.60
Rate for Payer: UnitedHealthcare Commercial	$1,020.80
Rate for Payer: UnitedHealthcare Community & State	$123.01
Rate for Payer: Wellpoint Medicaid Managed Care	$135.26

LUNA GRAFT INJECTOR

Facility

$5,104.00

Hospital Charge Code	270697375
Hospital Revenue Code	272
Min. Negotiated Rate	$765.60
Max. Negotiated Rate	$765.60
Rate for Payer: Qualcare PPO/HMO/WC	$765.60

LUNA XD IMPLANT 12D 12MM

Facility

$53,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270697374
Hospital Revenue Code	278
Min. Negotiated Rate	$8,040.00
Max. Negotiated Rate	$12,971.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,971.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11,792.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,040.00

LUNA XD IMPLANT 12D 12MM

Facility

$53,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270697374
Hospital Revenue Code	278
Min. Negotiated Rate	$1,291.76
Max. Negotiated Rate	$26,800.00
Rate for Payer: Aetna Commercial	$20,368.00
Rate for Payer: Aetna Medicare Advantage	$16,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,668.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,668.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,668.00
Rate for Payer: Cigna Commercial	$26,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,971.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11,792.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,040.00
Rate for Payer: UnitedHealthcare Community & State	$1,291.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,420.40

Know your out-of-pocket cost for care.

All Charges