Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NM BRAIN SCAN*****

Facility

$447.00

Service Code	HCPCS 78605
Hospital Charge Code	4500096
Hospital Revenue Code	341
Min. Negotiated Rate	$67.05
Max. Negotiated Rate	$67.05
Rate for Payer: Qualcare PPO/HMO/WC	$67.05

NM BRAIN SCAN*****

Facility

$447.00

Service Code	HCPCS 78605
Hospital Charge Code	4500096
Hospital Revenue Code	341
Min. Negotiated Rate	$10.77
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$1,754.56
Rate for Payer: Aetna Medicare Advantage	$2,089.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$645.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,328.47
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: Cigna Medicare Advantage	$451.54
Rate for Payer: Clover Medicare Advantage	$612.81
Rate for Payer: EmblemHealth Commercial	$1,935.18
Rate for Payer: Humana Medicare Advantage	$664.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$645.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.10
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.05
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$10.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$645.06
Rate for Payer: Wellcare Medicare Advantage	$645.06
Rate for Payer: Wellpoint Medicaid Managed Care	$11.85

NM BRAIN SPECT

Facility

$1,799.25

Service Code	HCPCS 78607
Hospital Charge Code	4500492
Hospital Revenue Code	341
Min. Negotiated Rate	$269.89
Max. Negotiated Rate	$269.89
Rate for Payer: Qualcare PPO/HMO/WC	$269.89

NM BRAIN SPECT

Facility

$1,799.25

Service Code	HCPCS 78607
Hospital Charge Code	4500492
Hospital Revenue Code	341
Min. Negotiated Rate	$43.36
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$683.72
Rate for Payer: Aetna Medicare Advantage	$539.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$458.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$458.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$458.81
Rate for Payer: Cigna Commercial	$899.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.77
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$269.89
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$43.36
Rate for Payer: Wellpoint Medicaid Managed Care	$47.68

NM CARDIAC BLOOD POOL SINGLE

Facility

$1,489.30

Service Code	HCPCS 78481
Hospital Charge Code	4500948
Hospital Revenue Code	341
Min. Negotiated Rate	$223.40
Max. Negotiated Rate	$223.40
Rate for Payer: Qualcare PPO/HMO/WC	$223.40

NM CARDIAC BLOOD POOL SINGLE

Facility

$1,489.30

Service Code	HCPCS 78481
Hospital Charge Code	4500948
Hospital Revenue Code	341
Min. Negotiated Rate	$35.89
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$1,754.56
Rate for Payer: Aetna Medicare Advantage	$2,089.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$645.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,328.47
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: Cigna Medicare Advantage	$451.54
Rate for Payer: Clover Medicare Advantage	$612.81
Rate for Payer: EmblemHealth Commercial	$1,935.18
Rate for Payer: Humana Medicare Advantage	$664.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$645.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$446.79
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.40
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$35.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$645.06
Rate for Payer: Wellcare Medicare Advantage	$645.06
Rate for Payer: Wellpoint Medicaid Managed Care	$39.47

NM-CARDIAC SPECT SNGL ACQ

Facility

$6,851.00

Service Code	HCPCS 78451
Hospital Charge Code	4509005
Hospital Revenue Code	341
Min. Negotiated Rate	$1,027.65
Max. Negotiated Rate	$1,027.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.65

NM-CARDIAC SPECT SNGL ACQ

Facility

$6,851.00

Service Code	HCPCS 78451
Hospital Charge Code	4509005
Hospital Revenue Code	341
Min. Negotiated Rate	$165.11
Max. Negotiated Rate	$5,552.01
Rate for Payer: Aetna Commercial	$4,183.58
Rate for Payer: Aetna Medicare Advantage	$4,983.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,552.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,552.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,538.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,552.01
Rate for Payer: Cigna Commercial	$3,083.08
Rate for Payer: Cigna Medicare Advantage	$1,076.66
Rate for Payer: Clover Medicare Advantage	$1,461.18
Rate for Payer: EmblemHealth Commercial	$4,614.24
Rate for Payer: Humana Medicare Advantage	$1,584.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,538.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,055.30
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.65
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$165.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,538.08
Rate for Payer: Wellcare Medicare Advantage	$1,538.08
Rate for Payer: Wellpoint Medicaid Managed Care	$181.55

NM CARDIOVASCULAR OTHER

Facility

$1,490.55

Service Code	HCPCS 78499
Hospital Charge Code	4500949
Hospital Revenue Code	341
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$1,291.84
Rate for Payer: Aetna Medicare Advantage	$1,538.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,714.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,714.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$474.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,714.39
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: Cigna Medicare Advantage	$332.46
Rate for Payer: Clover Medicare Advantage	$451.19
Rate for Payer: EmblemHealth Commercial	$1,424.82
Rate for Payer: Humana Medicare Advantage	$489.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$474.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$447.17
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.58
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$35.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$474.94
Rate for Payer: Wellcare Medicare Advantage	$474.94
Rate for Payer: Wellpoint Medicaid Managed Care	$39.50

NM CARDIOVASCULAR OTHER

Facility

$1,490.55

Service Code	HCPCS 78499
Hospital Charge Code	4500949
Hospital Revenue Code	341
Min. Negotiated Rate	$223.58
Max. Negotiated Rate	$223.58
Rate for Payer: Qualcare PPO/HMO/WC	$223.58

NM CEREBRAL FLOW

Facility

$12,000.00

Service Code	HCPCS 78610
Hospital Charge Code	4500153
Hospital Revenue Code	341
Min. Negotiated Rate	$32.78
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$1,754.56
Rate for Payer: Aetna Medicare Advantage	$2,089.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$645.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,328.47
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: Cigna Medicare Advantage	$451.54
Rate for Payer: Clover Medicare Advantage	$612.81
Rate for Payer: EmblemHealth Commercial	$1,935.18
Rate for Payer: Humana Medicare Advantage	$664.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$645.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,600.00
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$289.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$645.06
Rate for Payer: Wellcare Medicare Advantage	$645.06
Rate for Payer: Wellpoint Medicaid Managed Care	$318.00

NM CEREBRAL FLOW

Facility

$12,000.00

Service Code	HCPCS 78610
Hospital Charge Code	4500153
Hospital Revenue Code	341
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

NM CEREBROSPINAL FLD LKGE DTCT

Facility

$1,241.55

Service Code	HCPCS 78650
Hospital Charge Code	4500951
Hospital Revenue Code	341
Min. Negotiated Rate	$186.23
Max. Negotiated Rate	$186.23
Rate for Payer: Qualcare PPO/HMO/WC	$186.23

NM CEREBROSPINAL FLD LKGE DTCT

Facility

$1,241.55

Service Code	HCPCS 78650
Hospital Charge Code	4500951
Hospital Revenue Code	341
Min. Negotiated Rate	$29.92
Max. Negotiated Rate	$5,552.01
Rate for Payer: Aetna Commercial	$4,183.58
Rate for Payer: Aetna Medicare Advantage	$4,983.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,552.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,552.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,538.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,552.01
Rate for Payer: Cigna Commercial	$3,083.08
Rate for Payer: Cigna Medicare Advantage	$1,076.66
Rate for Payer: Clover Medicare Advantage	$1,461.18
Rate for Payer: EmblemHealth Commercial	$4,614.24
Rate for Payer: Humana Medicare Advantage	$1,584.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,538.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.46
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.23
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$29.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,538.08
Rate for Payer: Wellcare Medicare Advantage	$1,538.08
Rate for Payer: Wellpoint Medicaid Managed Care	$32.90

NM CISTERNAL/C1-C2 PUNC W/ INJ

Facility

$3,257.25

Service Code	HCPCS 61055
Hospital Charge Code	4500757
Hospital Revenue Code	361
Min. Negotiated Rate	$488.59
Max. Negotiated Rate	$488.59
Rate for Payer: Qualcare PPO/HMO/WC	$488.59

NM CISTERNAL/C1-C2 PUNC W/ INJ

Facility

$3,257.25

Service Code	HCPCS 61055
Hospital Charge Code	4500757
Hospital Revenue Code	361
Min. Negotiated Rate	$78.50
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$991.90
Rate for Payer: Aetna Medicare Advantage	$1,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,316.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,316.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$364.67
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	$1,316.35
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: Cigna Medicare Advantage	$364.67
Rate for Payer: Clover Medicare Advantage	$346.44
Rate for Payer: EmblemHealth Commercial	$1,094.01
Rate for Payer: Humana Medicare Advantage	$375.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$364.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$977.17
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$488.59
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$78.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$364.67
Rate for Payer: Wellcare Medicare Advantage	$364.67
Rate for Payer: Wellpoint Medicaid Managed Care	$86.32

NM CISTERNOGRAM

Facility

$12,000.00

Service Code	HCPCS 78630
Hospital Charge Code	4500229
Hospital Revenue Code	341
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

NM CISTERNOGRAM

Facility

$12,000.00

Service Code	HCPCS 78630
Hospital Charge Code	4500229
Hospital Revenue Code	341
Min. Negotiated Rate	$203.28
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$1,754.56
Rate for Payer: Aetna Medicare Advantage	$2,089.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$645.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,328.47
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: Cigna Medicare Advantage	$451.54
Rate for Payer: Clover Medicare Advantage	$612.81
Rate for Payer: EmblemHealth Commercial	$1,935.18
Rate for Payer: Humana Medicare Advantage	$664.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$645.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,600.00
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$289.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$645.06
Rate for Payer: Wellcare Medicare Advantage	$645.06
Rate for Payer: Wellpoint Medicaid Managed Care	$318.00

NM CISTERNOGRAPHY SPECT

Facility

$1,241.55

Service Code	HCPCS 78647
Hospital Charge Code	4500953
Hospital Revenue Code	341
Min. Negotiated Rate	$29.92
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$471.79
Rate for Payer: Aetna Medicare Advantage	$372.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.60
Rate for Payer: Cigna Commercial	$620.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.46
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.23
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$29.92
Rate for Payer: Wellpoint Medicaid Managed Care	$32.90

NM CISTERNOGRAPHY SPECT

Facility

$1,241.55

Service Code	HCPCS 78647
Hospital Charge Code	4500953
Hospital Revenue Code	341
Min. Negotiated Rate	$186.23
Max. Negotiated Rate	$186.23
Rate for Payer: Qualcare PPO/HMO/WC	$186.23

NM COBALT 57 .5mCi

Facility

$819.00

Service Code	HCPCS 79900
Hospital Charge Code	4500831
Hospital Revenue Code	636
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$409.50
Rate for Payer: Aetna Commercial	$311.22
Rate for Payer: Aetna Medicare Advantage	$245.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.84
Rate for Payer: Cigna Commercial	$409.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.20
Rate for Payer: Qualcare PPO/HMO/WC	$122.85
Rate for Payer: UnitedHealthcare Community & State	$19.74
Rate for Payer: Wellpoint Medicaid Managed Care	$21.70

NM COBALT 57 .5mCi

Facility

$819.00

Service Code	HCPCS 79900
Hospital Charge Code	4500831
Hospital Revenue Code	636
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$198.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.20
Rate for Payer: Qualcare PPO/HMO/WC	$122.85

NM CRDIC BLD POOL MLT REST/STR

Facility

$1,784.05

Service Code	HCPCS 78483
Hospital Charge Code	4500947
Hospital Revenue Code	341
Min. Negotiated Rate	$267.61
Max. Negotiated Rate	$267.61
Rate for Payer: Qualcare PPO/HMO/WC	$267.61

NM CRDIC BLD POOL MLT REST/STR

Facility

$1,784.05

Service Code	HCPCS 78483
Hospital Charge Code	4500947
Hospital Revenue Code	341
Min. Negotiated Rate	$43.00
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$1,754.56
Rate for Payer: Aetna Medicare Advantage	$2,089.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$645.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,328.47
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: Cigna Medicare Advantage	$451.54
Rate for Payer: Clover Medicare Advantage	$612.81
Rate for Payer: EmblemHealth Commercial	$1,935.18
Rate for Payer: Humana Medicare Advantage	$664.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$645.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$535.22
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.61
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$43.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$645.06
Rate for Payer: Wellcare Medicare Advantage	$645.06
Rate for Payer: Wellpoint Medicaid Managed Care	$47.28

NM CTRL CV HMDYNMIC W/W/O EXER

Facility

$1,490.50

Service Code	HCPCS 78414
Hospital Charge Code	4500950
Hospital Revenue Code	341
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$5,021.00
Rate for Payer: Aetna Commercial	$1,754.56
Rate for Payer: Aetna Medicare Advantage	$2,089.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,328.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$645.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,328.47
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: Cigna Medicare Advantage	$451.54
Rate for Payer: Clover Medicare Advantage	$612.81
Rate for Payer: EmblemHealth Commercial	$1,935.18
Rate for Payer: Humana Medicare Advantage	$664.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$645.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$447.15
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.57
Rate for Payer: UnitedHealthcare Commercial	$5,021.00
Rate for Payer: UnitedHealthcare Community & State	$35.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$645.06
Rate for Payer: Wellcare Medicare Advantage	$645.06
Rate for Payer: Wellpoint Medicaid Managed Care	$39.50

Know your out-of-pocket cost for care.

All Charges