Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	411037239
Hospital Revenue Code	361
Min. Negotiated Rate	$3,928.82
Max. Negotiated Rate	$3,928.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	366837238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	7411526
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	366837238
Hospital Revenue Code	361
Min. Negotiated Rate	$1,305.24
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,247.75
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,305.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,435.22

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	7411526
Hospital Revenue Code	361
Min. Negotiated Rate	$1,305.24
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,247.75
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,305.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,435.22

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	411037238
Hospital Revenue Code	361
Min. Negotiated Rate	$1,305.24
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,247.75
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,305.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,435.22

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	2600205
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	321037238
Hospital Revenue Code	361
Min. Negotiated Rate	$1,364.56
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,986.28
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,364.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,500.46

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	411037238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	321037238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	2600205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,364.56
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,986.28
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,364.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,500.46

OPEN REPAIR ROTATOR CUFF

Facility

$44,647.09

Service Code	HCPCS 23410
Hospital Charge Code	16000610
Hospital Revenue Code	360
Min. Negotiated Rate	$6,697.06
Max. Negotiated Rate	$6,697.06
Rate for Payer: Qualcare PPO/HMO/WC	$6,697.06

OPEN REPAIR ROTATOR CUFF

Facility

$44,647.09

Service Code	HCPCS 23410
Hospital Charge Code	16000610
Hospital Revenue Code	360
Min. Negotiated Rate	$1,075.99
Max. Negotiated Rate	$31,117.67
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,742.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,117.67
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,394.13
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,697.06
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$1,075.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,183.15

OPEN REPAIR TOE DISLOCAT

Facility

$17,096.75

Service Code	HCPCS 28645
Hospital Charge Code	323028645
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$14,031.70
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$316.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,031.70
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,129.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,564.51
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$453.06

OPEN REPAIR TOE DISLOCAT

Facility

$17,096.75

Service Code	HCPCS 28645
Hospital Charge Code	323028645
Hospital Revenue Code	450
Min. Negotiated Rate	$2,564.51
Max. Negotiated Rate	$2,564.51
Rate for Payer: Qualcare PPO/HMO/WC	$2,564.51

OPEN REPAIR WST JOINT BL

Facility

$44,916.00

Service Code	HCPCS 25320
Hospital Charge Code	16000473
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

OPEN REPAIR WST JOINT BL

Facility

$44,916.00

Service Code	HCPCS 25320
Hospital Charge Code	16000473
Hospital Revenue Code	360
Min. Negotiated Rate	$1,082.48
Max. Negotiated Rate	$31,117.67
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,117.67
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,474.80
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$1,082.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,190.27

OPEN RING, 180MM

Facility

$2,779.00

Hospital Charge Code	270656541
Hospital Revenue Code	278
Min. Negotiated Rate	$66.97
Max. Negotiated Rate	$1,389.50
Rate for Payer: Aetna Commercial	$1,056.02
Rate for Payer: Aetna Medicare Advantage	$833.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$708.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$708.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$555.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$708.64
Rate for Payer: Cigna Commercial	$1,389.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$611.38
Rate for Payer: Qualcare PPO/HMO/WC	$416.85
Rate for Payer: UnitedHealthcare Community & State	$66.97
Rate for Payer: Wellpoint Medicaid Managed Care	$73.64

OPEN RING, 180MM

Facility

$2,779.00

Hospital Charge Code	270656541
Hospital Revenue Code	278
Min. Negotiated Rate	$416.85
Max. Negotiated Rate	$672.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$555.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$611.38
Rate for Payer: Qualcare PPO/HMO/WC	$416.85

OPEN SKULL FOR DRAINAGE

Facility

$41,042.40

Service Code	HCPCS 61320
Hospital Charge Code	1600000657
Hospital Revenue Code	360
Min. Negotiated Rate	$6,156.36
Max. Negotiated Rate	$6,156.36
Rate for Payer: Qualcare PPO/HMO/WC	$6,156.36

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61315
Hospital Charge Code	1600000592
Hospital Revenue Code	360
Min. Negotiated Rate	$1,078.39
Max. Negotiated Rate	$22,373.20
Rate for Payer: Aetna Commercial	$17,003.63
Rate for Payer: Aetna Medicare Advantage	$13,423.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,410.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,410.33
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	$11,410.33
Rate for Payer: Cigna Commercial	$22,373.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,423.92
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$1,078.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1,185.78

OPEN SKULL FOR DRAINAGE

Facility

$41,042.40

Service Code	HCPCS 61320
Hospital Charge Code	1600000657
Hospital Revenue Code	360
Min. Negotiated Rate	$989.12
Max. Negotiated Rate	$20,521.20
Rate for Payer: Aetna Commercial	$15,596.11
Rate for Payer: Aetna Medicare Advantage	$12,312.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,465.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,465.81
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	$10,465.81
Rate for Payer: Cigna Commercial	$20,521.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,312.72
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,156.36
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$989.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1,087.62

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61315
Hospital Charge Code	1600000592
Hospital Revenue Code	360
Min. Negotiated Rate	$6,711.96
Max. Negotiated Rate	$6,711.96
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61312
Hospital Charge Code	1600000670
Hospital Revenue Code	360
Min. Negotiated Rate	$6,711.96
Max. Negotiated Rate	$6,711.96
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61312
Hospital Charge Code	1600000670
Hospital Revenue Code	360
Min. Negotiated Rate	$1,078.39
Max. Negotiated Rate	$22,373.20
Rate for Payer: Aetna Commercial	$17,003.63
Rate for Payer: Aetna Medicare Advantage	$13,423.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,410.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,410.33
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	$11,410.33
Rate for Payer: Cigna Commercial	$22,373.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,423.92
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$1,078.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1,185.78

Know your out-of-pocket cost for care.

All Charges