Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

NEEDLE LOC STEREO GUIDE 1ST LE

Facility

OP

$1,597.20

Service Code	HCPCS 19283
Hospital Charge Code	87502811
Hospital Revenue Code	361
Min. Negotiated Rate	$38.49
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$479.16
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$239.58
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$38.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$42.33

NEEDLE LOC STEREO GUIDE 1ST LE

Facility

IP

$1,597.20

Service Code	HCPCS 19283RT
Hospital Charge Code	94064013R
Hospital Revenue Code	361
Min. Negotiated Rate	$239.58
Max. Negotiated Rate	$239.58
Rate for Payer: Qualcare PPO/HMO/WC	$239.58

NEEDLE LOC STEREO GUIDE ADD LE

Facility

OP

$1,184.85

Service Code	HCPCS 19284
Hospital Charge Code	87502812
Hospital Revenue Code	361
Min. Negotiated Rate	$28.55
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$450.24
Rate for Payer: Aetna Medicare Advantage	$355.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.14
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	$302.14
Rate for Payer: Cigna Commercial	$592.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.45
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.73
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$28.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.40

NEEDLE LOC STEREO GUIDE ADD LE

Facility

IP

$2,369.70

Service Code	HCPCS 19284
Hospital Charge Code	94064015
Hospital Revenue Code	361
Min. Negotiated Rate	$355.45
Max. Negotiated Rate	$355.45
Rate for Payer: Qualcare PPO/HMO/WC	$355.45

NEEDLE LOC STEREO GUIDE ADD LE

Facility

IP

$1,184.85

Service Code	HCPCS 19284
Hospital Charge Code	87502812
Hospital Revenue Code	361
Min. Negotiated Rate	$177.73
Max. Negotiated Rate	$177.73
Rate for Payer: Qualcare PPO/HMO/WC	$177.73

NEEDLE LOC STEREO GUIDE ADD LE

Facility

IP

$1,184.85

Service Code	HCPCS 19284LT
Hospital Charge Code	94064015L
Hospital Revenue Code	361
Min. Negotiated Rate	$177.73
Max. Negotiated Rate	$177.73
Rate for Payer: Qualcare PPO/HMO/WC	$177.73

NEEDLE LOC STEREO GUIDE ADD LE

Facility

OP

$1,184.85

Service Code	HCPCS 19284LT
Hospital Charge Code	94064015L
Hospital Revenue Code	361
Min. Negotiated Rate	$28.55
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$450.24
Rate for Payer: Aetna Medicare Advantage	$355.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.14
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	$302.14
Rate for Payer: Cigna Commercial	$592.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.45
Rate for Payer: Qualcare PPO/HMO/WC	$177.73
Rate for Payer: UnitedHealthcare Community & State	$28.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.40

NEEDLE LOC STEREO GUIDE ADD LE

Facility

IP

$1,184.85

Service Code	HCPCS 19284
Hospital Charge Code	94064015R
Hospital Revenue Code	361
Min. Negotiated Rate	$177.73
Max. Negotiated Rate	$177.73
Rate for Payer: Qualcare PPO/HMO/WC	$177.73

NEEDLE LOC STEREO GUIDE ADD LE

Facility

OP

$1,184.85

Service Code	HCPCS 19284
Hospital Charge Code	94064015R
Hospital Revenue Code	361
Min. Negotiated Rate	$28.55
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$450.24
Rate for Payer: Aetna Medicare Advantage	$355.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.14
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	$302.14
Rate for Payer: Cigna Commercial	$592.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.45
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.73
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$28.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.40

NEEDLE LOC STEREO GUIDE ADD LE

Facility

OP

$2,369.70

Service Code	HCPCS 19284
Hospital Charge Code	94064015
Hospital Revenue Code	361
Min. Negotiated Rate	$57.11
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$900.49
Rate for Payer: Aetna Medicare Advantage	$710.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$604.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$604.27
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	$604.27
Rate for Payer: Cigna Commercial	$1,184.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$710.91
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$355.45
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$57.11
Rate for Payer: Wellpoint Medicaid Managed Care	$62.80

NEEDLE LOC US GD ADD LES BIL

Facility

OP

$4,642.30

Service Code	HCPCS 1928650
Hospital Charge Code	94064019
Hospital Revenue Code	361
Min. Negotiated Rate	$111.88
Max. Negotiated Rate	$2,321.15
Rate for Payer: Aetna Commercial	$1,764.07
Rate for Payer: Aetna Medicare Advantage	$1,392.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,183.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,183.79
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	$1,183.79
Rate for Payer: Cigna Commercial	$2,321.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.69
Rate for Payer: Qualcare PPO/HMO/WC	$696.35
Rate for Payer: UnitedHealthcare Community & State	$111.88
Rate for Payer: Wellpoint Medicaid Managed Care	$123.02

NEEDLE LOC US GD ADD LES BIL

Facility

IP

$4,642.30

Service Code	HCPCS 1928650
Hospital Charge Code	94064019
Hospital Revenue Code	361
Min. Negotiated Rate	$696.35
Max. Negotiated Rate	$696.35
Rate for Payer: Qualcare PPO/HMO/WC	$696.35

NEEDLE LOC US GUIDE 1ST LES BI

Facility

IP

$5,497.10

Service Code	HCPCS 1928550
Hospital Charge Code	94064017
Hospital Revenue Code	361
Min. Negotiated Rate	$824.57
Max. Negotiated Rate	$824.57
Rate for Payer: Qualcare PPO/HMO/WC	$824.57

NEEDLE LOC US GUIDE 1ST LES BI

Facility

OP

$5,497.10

Service Code	HCPCS 1928550
Hospital Charge Code	94064017
Hospital Revenue Code	361
Min. Negotiated Rate	$132.48
Max. Negotiated Rate	$2,748.55
Rate for Payer: Aetna Commercial	$2,088.90
Rate for Payer: Aetna Medicare Advantage	$1,649.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,401.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,401.76
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	$1,401.76
Rate for Payer: Cigna Commercial	$2,748.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,649.13
Rate for Payer: Qualcare PPO/HMO/WC	$824.57
Rate for Payer: UnitedHealthcare Community & State	$132.48
Rate for Payer: Wellpoint Medicaid Managed Care	$145.67

NEEDLE LOC US GUIDE 1ST LESION

Facility

OP

$2,748.55

Service Code	HCPCS 19285LT
Hospital Charge Code	94064017L
Hospital Revenue Code	361
Min. Negotiated Rate	$66.24
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$1,044.45
Rate for Payer: Aetna Medicare Advantage	$824.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.88
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	$700.88
Rate for Payer: Cigna Commercial	$1,374.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.57
Rate for Payer: Qualcare PPO/HMO/WC	$412.28
Rate for Payer: UnitedHealthcare Community & State	$66.24
Rate for Payer: Wellpoint Medicaid Managed Care	$72.84

NEEDLE LOC US GUIDE 1ST LESION

Facility

IP

$2,748.55

Service Code	HCPCS 19285RT
Hospital Charge Code	94064017R
Hospital Revenue Code	361
Min. Negotiated Rate	$412.28
Max. Negotiated Rate	$412.28
Rate for Payer: Qualcare PPO/HMO/WC	$412.28

NEEDLE LOC US GUIDE 1ST LESION

Facility

OP

$2,748.55

Service Code	HCPCS 19285
Hospital Charge Code	87502813
Hospital Revenue Code	361
Min. Negotiated Rate	$66.24
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.57
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.28
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$66.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.84

NEEDLE LOC US GUIDE 1ST LESION

Facility

IP

$2,748.55

Service Code	HCPCS 19285
Hospital Charge Code	87502813
Hospital Revenue Code	361
Min. Negotiated Rate	$412.28
Max. Negotiated Rate	$412.28
Rate for Payer: Qualcare PPO/HMO/WC	$412.28

NEEDLE LOC US GUIDE 1ST LESION

Facility

IP

$2,748.55

Service Code	HCPCS 19285LT
Hospital Charge Code	94064017L
Hospital Revenue Code	361
Min. Negotiated Rate	$412.28
Max. Negotiated Rate	$412.28
Rate for Payer: Qualcare PPO/HMO/WC	$412.28

NEEDLE LOC US GUIDE 1ST LESION

Facility

OP

$2,748.55

Service Code	HCPCS 19285RT
Hospital Charge Code	94064017R
Hospital Revenue Code	361
Min. Negotiated Rate	$66.24
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$1,044.45
Rate for Payer: Aetna Medicare Advantage	$824.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.88
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	$700.88
Rate for Payer: Cigna Commercial	$1,374.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.57
Rate for Payer: Qualcare PPO/HMO/WC	$412.28
Rate for Payer: UnitedHealthcare Community & State	$66.24
Rate for Payer: Wellpoint Medicaid Managed Care	$72.84

NEEDLE LOC US GUIDE ADDLESION

Facility

OP

$2,321.15

Service Code	HCPCS 19286
Hospital Charge Code	87502814
Hospital Revenue Code	361
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$882.04
Rate for Payer: Aetna Medicare Advantage	$696.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.89
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	$591.89
Rate for Payer: Cigna Commercial	$1,160.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$696.35
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$348.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$55.94
Rate for Payer: Wellpoint Medicaid Managed Care	$61.51

NEEDLE LOC US GUIDE ADDLESION

Facility

IP

$2,321.15

Service Code	HCPCS 19286
Hospital Charge Code	87502814
Hospital Revenue Code	361
Min. Negotiated Rate	$348.17
Max. Negotiated Rate	$348.17
Rate for Payer: Qualcare PPO/HMO/WC	$348.17

NEEDLE LOC US GUIDE ADDLESION

Facility

OP

$2,321.15

Service Code	HCPCS 19286RT
Hospital Charge Code	94064019R
Hospital Revenue Code	361
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$882.04
Rate for Payer: Aetna Medicare Advantage	$696.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.89
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	$591.89
Rate for Payer: Cigna Commercial	$1,160.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$696.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.17
Rate for Payer: UnitedHealthcare Community & State	$55.94
Rate for Payer: Wellpoint Medicaid Managed Care	$61.51

NEEDLE LOC US GUIDE ADDLESION

Facility

OP

$2,321.15

Service Code	HCPCS 19286LT
Hospital Charge Code	94064019L
Hospital Revenue Code	361
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$882.04
Rate for Payer: Aetna Medicare Advantage	$696.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.89
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	$591.89
Rate for Payer: Cigna Commercial	$1,160.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$696.35
Rate for Payer: Qualcare PPO/HMO/WC	$348.17
Rate for Payer: UnitedHealthcare Community & State	$55.94
Rate for Payer: Wellpoint Medicaid Managed Care	$61.51

NEEDLE LOC US GUIDE ADDLESION

Facility

IP

$2,321.15

Service Code	HCPCS 19286RT
Hospital Charge Code	94064019R
Hospital Revenue Code	361
Min. Negotiated Rate	$348.17
Max. Negotiated Rate	$348.17
Rate for Payer: Qualcare PPO/HMO/WC	$348.17