Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

ATRIUM CHEST DRAINAGE DUAL

Facility

OP

$189.63

Hospital Charge Code	270650496
Hospital Revenue Code	272
Min. Negotiated Rate	$4.57
Max. Negotiated Rate	$94.81
Rate for Payer: Aetna Commercial	$72.06
Rate for Payer: Aetna Medicare Advantage	$56.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.36
Rate for Payer: Cigna Commercial	$94.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.89
Rate for Payer: Oxford Commercial	$37.93
Rate for Payer: Qualcare PPO/HMO/WC	$28.44
Rate for Payer: UnitedHealthcare Commercial	$37.93
Rate for Payer: UnitedHealthcare Community & State	$4.57
Rate for Payer: Wellpoint Medicaid Managed Care	$5.03

ATRIUM CHEST DRAINAGE DUAL

Facility

IP

$189.63

Hospital Charge Code	270650496
Hospital Revenue Code	272
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Qualcare PPO/HMO/WC	$28.44

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

IP

$24.72

Service Code	HCPCS C1729
Hospital Charge Code	270650497N
Hospital Revenue Code	278
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$5.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.44
Rate for Payer: Qualcare PPO/HMO/WC	$3.71

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

OP

$102.50

Hospital Charge Code	270650497R
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$51.25
Rate for Payer: Aetna Commercial	$38.95
Rate for Payer: Aetna Medicare Advantage	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.14
Rate for Payer: Cigna Commercial	$51.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.75
Rate for Payer: Oxford Commercial	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.38
Rate for Payer: UnitedHealthcare Commercial	$20.50
Rate for Payer: UnitedHealthcare Community & State	$2.47
Rate for Payer: Wellpoint Medicaid Managed Care	$2.72

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

OP

$24.72

Service Code	HCPCS C1729
Hospital Charge Code	270650497N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.36
Rate for Payer: Aetna Commercial	$9.39
Rate for Payer: Aetna Medicare Advantage	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.30
Rate for Payer: Cigna Commercial	$12.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.44
Rate for Payer: Qualcare PPO/HMO/WC	$3.71
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

IP

$102.50

Hospital Charge Code	270650497R
Hospital Revenue Code	272
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$15.38

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

IP

$102.50

Service Code	HCPCS C1729
Hospital Charge Code	270650497S
Hospital Revenue Code	278
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.55
Rate for Payer: Qualcare PPO/HMO/WC	$15.38

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

OP

$102.50

Service Code	HCPCS C1729
Hospital Charge Code	270650497
Hospital Revenue Code	278
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$51.25
Rate for Payer: Aetna Commercial	$38.95
Rate for Payer: Aetna Medicare Advantage	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.14
Rate for Payer: Cigna Commercial	$51.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.55
Rate for Payer: Qualcare PPO/HMO/WC	$15.38
Rate for Payer: UnitedHealthcare Community & State	$2.47
Rate for Payer: Wellpoint Medicaid Managed Care	$2.72

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

IP

$102.50

Service Code	HCPCS C1729
Hospital Charge Code	270650497
Hospital Revenue Code	278
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.55
Rate for Payer: Qualcare PPO/HMO/WC	$15.38

ATRIUM CHESTDRAINAGE UNITSINGL

Facility

OP

$102.50

Service Code	HCPCS C1729
Hospital Charge Code	270650497S
Hospital Revenue Code	278
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$51.25
Rate for Payer: Aetna Commercial	$38.95
Rate for Payer: Aetna Medicare Advantage	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.14
Rate for Payer: Cigna Commercial	$51.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.55
Rate for Payer: Qualcare PPO/HMO/WC	$15.38
Rate for Payer: UnitedHealthcare Community & State	$2.47
Rate for Payer: Wellpoint Medicaid Managed Care	$2.72

ATRIUM CHESTDRAIN UNIT2002-000

Facility

OP

$123.60

Hospital Charge Code	270100638
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.80
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.52
Rate for Payer: Cigna Commercial	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.08
Rate for Payer: Oxford Commercial	$24.72
Rate for Payer: Qualcare PPO/HMO/WC	$18.54
Rate for Payer: UnitedHealthcare Commercial	$24.72
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

ATRIUM CHESTDRAIN UNIT2002-000

Facility

IP

$123.60

Hospital Charge Code	270100638
Hospital Revenue Code	272
Min. Negotiated Rate	$18.54
Max. Negotiated Rate	$18.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.54

ATROMID-S/500MG/CAP

Facility

IP

$6.00

Hospital Charge Code	60632503
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ATROMID-S/500MG/CAP

Facility

OP

$6.00

Hospital Charge Code	60632503
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

ATROP/HYOS/SCOP/PHENOB ELIXIR

Facility

OP

$72.29

Service Code	NDC 66213042304
Hospital Charge Code	60637426
Hospital Revenue Code	250
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.15
Rate for Payer: Aetna Commercial	$27.47
Rate for Payer: Aetna Medicare Advantage	$21.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.43
Rate for Payer: Cigna Commercial	$36.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.69
Rate for Payer: Oxford Commercial	$14.46
Rate for Payer: Qualcare PPO/HMO/WC	$10.84
Rate for Payer: UnitedHealthcare Commercial	$14.46
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

ATROP/HYOS/SCOP/PHENOB ELIXIR

Facility

IP

$72.29

Service Code	NDC 66213042304
Hospital Charge Code	60637426
Hospital Revenue Code	250
Min. Negotiated Rate	$10.84
Max. Negotiated Rate	$10.84
Rate for Payer: Qualcare PPO/HMO/WC	$10.84

ATROPINE

Facility

OP

$47.35

Hospital Charge Code	270656753
Hospital Revenue Code	270
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.68
Rate for Payer: Aetna Commercial	$17.99
Rate for Payer: Aetna Medicare Advantage	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.07
Rate for Payer: Cigna Commercial	$23.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.21
Rate for Payer: Oxford Commercial	$9.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.10
Rate for Payer: UnitedHealthcare Commercial	$9.47
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

ATROPINE

Facility

IP

$47.35

Hospital Charge Code	270656753
Hospital Revenue Code	270
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.10

ATROPINE 0.4 MG/ML INJ (1 ML)

Facility

IP

$28.01

Service Code	HCPCS J0461
Hospital Charge Code	60627424
Hospital Revenue Code	636
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$6.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

ATROPINE 0.4 MG/ML INJ (1 ML)

Facility

OP

$28.01

Service Code	HCPCS J0461
Hospital Charge Code	60627424
Hospital Revenue Code	636
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$14.01
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

ATROPINE 0.4 MG/ML INJ (1ML)

Facility

IP

$58.63

Service Code	HCPCS J0461
Hospital Charge Code	60627423
Hospital Revenue Code	636
Min. Negotiated Rate	$8.79
Max. Negotiated Rate	$14.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.79

ATROPINE 0.4 MG/ML INJ (1ML)

Facility

OP

$58.63

Service Code	HCPCS J0461
Hospital Charge Code	60627423
Hospital Revenue Code	636
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$29.32
Rate for Payer: Aetna Commercial	$22.28
Rate for Payer: Aetna Medicare Advantage	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.95
Rate for Payer: Cigna Commercial	$29.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.79
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

ATROPINE 0.4 MG TAB

Facility

OP

$4.00

Hospital Charge Code	60628568
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ATROPINE 0.4 MG TAB

Facility

IP

$4.00

Hospital Charge Code	60628568
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ATROPINE 0.8MG/2ML

Facility

IP

$4.00

Service Code	HCPCS J0461
Hospital Charge Code	6063943061
Hospital Revenue Code	636
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

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