Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534I
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534C
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534G
Hospital Revenue Code	301
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534G
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534I
Hospital Revenue Code	301
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Hospital Charge Code	3038534B
Hospital Revenue Code	301
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$8.51
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$236.70

Service Code	HCPCS 88291
Hospital Charge Code	3038534L
Hospital Revenue Code	311
Min. Negotiated Rate	$35.51
Max. Negotiated Rate	$35.51
Rate for Payer: Qualcare PPO/HMO/WC	$35.51

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$276.00

Service Code	HCPCS 88275
Hospital Charge Code	3038534K
Hospital Revenue Code	311
Min. Negotiated Rate	$7.31
Max. Negotiated Rate	$184.78
Rate for Payer: Aetna Commercial	$139.24
Rate for Payer: Aetna Medicare Advantage	$165.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.78
Rate for Payer: Cigna Commercial	$138.00
Rate for Payer: Cigna Medicare Advantage	$51.19
Rate for Payer: Clover Medicare Advantage	$48.63
Rate for Payer: EmblemHealth Commercial	$153.57
Rate for Payer: Humana Medicare Advantage	$52.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$51.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.40
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$40.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$51.19
Rate for Payer: Wellcare Medicare Advantage	$51.19
Rate for Payer: Wellpoint Medicaid Managed Care	$7.31

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534F
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534D
Hospital Revenue Code	301
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$2,240.00

Service Code	HCPCS 82271
Hospital Charge Code	3038534J
Hospital Revenue Code	301
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$1,120.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$1,120.00
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$59.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$276.00

Service Code	HCPCS 88275
Hospital Charge Code	3038534K
Hospital Revenue Code	311
Min. Negotiated Rate	$41.40
Max. Negotiated Rate	$41.40
Rate for Payer: Qualcare PPO/HMO/WC	$41.40

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$236.70

Service Code	HCPCS 88291
Hospital Charge Code	3038534L
Hospital Revenue Code	311
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$89.95
Rate for Payer: Aetna Medicare Advantage	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.36
Rate for Payer: Cigna Commercial	$118.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.01
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.51
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$26.68
Rate for Payer: Wellpoint Medicaid Managed Care	$6.27

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Hospital Charge Code	3038534B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$2,240.00

Service Code	HCPCS 82271
Hospital Charge Code	3038534J
Hospital Revenue Code	301
Min. Negotiated Rate	$336.00
Max. Negotiated Rate	$336.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.00

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534E
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534A
Hospital Revenue Code	301
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534E
Hospital Revenue Code	301
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534H
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

IP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534D
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534F
Hospital Revenue Code	301
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

OP

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534C
Hospital Revenue Code	301
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

IP

$11,409.98

Service Code	APR-DRG 4263
Min. Negotiated Rate	$11,186.25
Max. Negotiated Rate	$11,409.98
Rate for Payer: UnitedHealthcare Community & State	$11,186.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,409.98
Rate for Payer: Wellpoint Medicaid Managed Care	$11,186.25

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

IP

$5,793.70

Service Code	APR-DRG 4261
Min. Negotiated Rate	$5,680.10
Max. Negotiated Rate	$5,793.70
Rate for Payer: UnitedHealthcare Community & State	$5,680.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,793.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5,680.10