Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REMOVAL OF ANAL TAGS

Facility

$16,487.80

Service Code	HCPCS 46230
Hospital Charge Code	1600000851
Hospital Revenue Code	360
Min. Negotiated Rate	$397.36
Max. Negotiated Rate	$11,903.20
Rate for Payer: Aetna Commercial	$8,969.36
Rate for Payer: Aetna Medicare Advantage	$10,684.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,903.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,903.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,297.56
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	$11,903.20
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: Cigna Medicare Advantage	$3,297.56
Rate for Payer: Clover Medicare Advantage	$3,132.68
Rate for Payer: EmblemHealth Commercial	$9,892.68
Rate for Payer: Humana Medicare Advantage	$3,396.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,297.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,946.34
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,473.17
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$397.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,297.56
Rate for Payer: Wellcare Medicare Advantage	$3,297.56
Rate for Payer: Wellpoint Medicaid Managed Care	$436.93

REMOVAL OF ANAL TAGS

Facility

$16,487.80

Service Code	HCPCS 46230
Hospital Charge Code	1600000851
Hospital Revenue Code	360
Min. Negotiated Rate	$2,473.17
Max. Negotiated Rate	$2,473.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,473.17

REMOVAL OF ARM FOREIGN BODY

Facility

$9,299.48

Service Code	HCPCS 24201
Hospital Charge Code	16000822
Hospital Revenue Code	360
Min. Negotiated Rate	$1,394.92
Max. Negotiated Rate	$1,394.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.92

REMOVAL OF ARM FOREIGN BODY

Facility

$9,299.48

Service Code	HCPCS 24201
Hospital Charge Code	16000822
Hospital Revenue Code	360
Min. Negotiated Rate	$224.12
Max. Negotiated Rate	$12,456.64
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,456.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,456.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,456.64
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,789.84
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,394.92
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$224.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$246.44

REMOVAL OF BLADDER

Facility

$31,076.20

Service Code	HCPCS 51570
Hospital Charge Code	1600000523
Hospital Revenue Code	360
Min. Negotiated Rate	$748.94
Max. Negotiated Rate	$15,538.10
Rate for Payer: Aetna Commercial	$11,808.96
Rate for Payer: Aetna Medicare Advantage	$9,322.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,924.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,924.43
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	$7,924.43
Rate for Payer: Cigna Commercial	$15,538.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,322.86
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,661.43
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$748.94
Rate for Payer: Wellpoint Medicaid Managed Care	$823.52

REMOVAL OF BLADDER

Facility

$31,076.20

Service Code	HCPCS 51570
Hospital Charge Code	1600000523
Hospital Revenue Code	360
Min. Negotiated Rate	$4,661.43
Max. Negotiated Rate	$4,661.43
Rate for Payer: Qualcare PPO/HMO/WC	$4,661.43

REMOVAL OF BLADDER CYST

Facility

$24,921.08

Service Code	HCPCS 51500
Hospital Charge Code	1600000311
Hospital Revenue Code	360
Min. Negotiated Rate	$3,738.16
Max. Negotiated Rate	$3,738.16
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16

REMOVAL OF BLADDER CYST

Facility

$24,921.08

Service Code	HCPCS 51500
Hospital Charge Code	1600000311
Hospital Revenue Code	360
Min. Negotiated Rate	$600.60
Max. Negotiated Rate	$25,925.77
Rate for Payer: Aetna Commercial	$19,535.72
Rate for Payer: Aetna Medicare Advantage	$23,270.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,925.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,925.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,182.25
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	$25,925.77
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: Cigna Medicare Advantage	$7,182.25
Rate for Payer: Clover Medicare Advantage	$6,823.14
Rate for Payer: EmblemHealth Commercial	$21,546.75
Rate for Payer: Humana Medicare Advantage	$7,397.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,182.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,476.32
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$600.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,182.25
Rate for Payer: Wellcare Medicare Advantage	$7,182.25
Rate for Payer: Wellpoint Medicaid Managed Care	$660.41

REMOVAL OF BONE LESION

Facility

$19,105.25

Service Code	HCPCS 23140
Hospital Charge Code	1600000804
Hospital Revenue Code	360
Min. Negotiated Rate	$460.44
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	$1,626.00
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	$5,731.57
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$460.44
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	$506.29

REMOVAL OF BONE LESION

Facility

$19,105.25

Service Code	HCPCS 23140
Hospital Charge Code	1600000804
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.79
Max. Negotiated Rate	$2,865.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79

REMOVAL OF BRAIN LESION

Facility

$27,732.00

Service Code	HCPCS 61510
Hospital Charge Code	1600000656
Hospital Revenue Code	360
Min. Negotiated Rate	$668.34
Max. Negotiated Rate	$13,866.00
Rate for Payer: Aetna Commercial	$10,538.16
Rate for Payer: Aetna Medicare Advantage	$8,319.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,071.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,071.66
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	$7,071.66
Rate for Payer: Cigna Commercial	$13,866.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,319.60
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,159.80
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$668.34
Rate for Payer: Wellpoint Medicaid Managed Care	$734.90

REMOVAL OF BRAIN LESION

Facility

$27,732.00

Service Code	HCPCS 61510
Hospital Charge Code	1600000656
Hospital Revenue Code	360
Min. Negotiated Rate	$4,159.80
Max. Negotiated Rate	$4,159.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,159.80

REMOVAL OF BREAST LESION 1+

Facility

$41,701.77

Service Code	HCPCS 19120
Hospital Charge Code	16000187
Hospital Revenue Code	360
Min. Negotiated Rate	$1,005.01
Max. Negotiated Rate	$16,791.02
Rate for Payer: Aetna Commercial	$12,652.46
Rate for Payer: Aetna Medicare Advantage	$15,071.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,791.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,791.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,651.64
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	$16,791.02
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: Cigna Medicare Advantage	$4,651.64
Rate for Payer: Clover Medicare Advantage	$4,419.06
Rate for Payer: EmblemHealth Commercial	$13,954.92
Rate for Payer: Humana Medicare Advantage	$4,791.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,651.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,510.53
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,255.27
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$1,005.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,651.64
Rate for Payer: Wellcare Medicare Advantage	$4,651.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1,105.10

REMOVAL OF BREAST LESION 1+

Facility

$41,701.77

Service Code	HCPCS 19120
Hospital Charge Code	16000187
Hospital Revenue Code	360
Min. Negotiated Rate	$6,255.27
Max. Negotiated Rate	$6,255.27
Rate for Payer: Qualcare PPO/HMO/WC	$6,255.27

REMOVAL OF BREAST TISSUE

Facility

$15,552.48

Service Code	HCPCS 19300
Hospital Charge Code	16000407
Hospital Revenue Code	360
Min. Negotiated Rate	$2,332.87
Max. Negotiated Rate	$2,332.87
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.87

REMOVAL OF BREAST TISSUE

Facility

$15,552.48

Service Code	HCPCS 19300
Hospital Charge Code	16000407
Hospital Revenue Code	360
Min. Negotiated Rate	$374.81
Max. Negotiated Rate	$16,791.02
Rate for Payer: Aetna Commercial	$12,652.46
Rate for Payer: Aetna Medicare Advantage	$15,071.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,791.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,791.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,651.64
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	$16,791.02
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: Cigna Medicare Advantage	$4,651.64
Rate for Payer: Clover Medicare Advantage	$4,419.06
Rate for Payer: EmblemHealth Commercial	$13,954.92
Rate for Payer: Humana Medicare Advantage	$4,791.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,651.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,665.74
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.87
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$374.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,651.64
Rate for Payer: Wellcare Medicare Advantage	$4,651.64
Rate for Payer: Wellpoint Medicaid Managed Care	$412.14

REMOVAL OF COLON

Facility

$17,954.72

Service Code	HCPCS 44160
Hospital Charge Code	1600000577
Hospital Revenue Code	360
Min. Negotiated Rate	$432.71
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$6,822.79
Rate for Payer: Aetna Medicare Advantage	$5,386.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,578.45
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	$4,578.45
Rate for Payer: Cigna Commercial	$8,977.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,386.42
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.21
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$432.71
Rate for Payer: Wellpoint Medicaid Managed Care	$475.80

REMOVAL OF COLON

Facility

$17,954.72

Service Code	HCPCS 44160
Hospital Charge Code	1600000577
Hospital Revenue Code	360
Min. Negotiated Rate	$2,693.21
Max. Negotiated Rate	$2,693.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.21

REMOVAL OF FINGER TENDON

Facility

$7,510.76

Service Code	HCPCS 26180
Hospital Charge Code	16000843
Hospital Revenue Code	360
Min. Negotiated Rate	$1,126.61
Max. Negotiated Rate	$1,126.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.61

REMOVAL OF FINGER TENDON

Facility

$7,510.76

Service Code	HCPCS 26180
Hospital Charge Code	16000843
Hospital Revenue Code	360
Min. Negotiated Rate	$181.01
Max. Negotiated Rate	$6,895.75
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,895.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,895.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,895.75
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,253.23
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.61
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$181.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$199.04

REMOVAL OF FOOT FASCIA-RT

Facility

$21,064.69

Service Code	HCPCS 28062
Hospital Charge Code	16000570
Hospital Revenue Code	360
Min. Negotiated Rate	$3,159.70
Max. Negotiated Rate	$3,159.70
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.70

REMOVAL OF FOOT FASCIA-RT

Facility

$21,064.69

Service Code	HCPCS 28062
Hospital Charge Code	16000570
Hospital Revenue Code	360
Min. Negotiated Rate	$507.66
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	$1,355.00
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	$6,319.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.70
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$507.66
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	$558.21

REMOVAL OF FOOT FOREIGN BODY

Facility

$2,392.12

Service Code	HCPCS 28192
Hospital Charge Code	1600000642
Hospital Revenue Code	360
Min. Negotiated Rate	$358.82
Max. Negotiated Rate	$358.82
Rate for Payer: Qualcare PPO/HMO/WC	$358.82

REMOVAL OF FOOT FOREIGN BODY

Facility

$2,392.12

Service Code	HCPCS 28192
Hospital Charge Code	1600000642
Hospital Revenue Code	360
Min. Negotiated Rate	$57.65
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$717.64
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$358.82
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$57.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$63.39

REMOVAL OF HEMORRHOID CLOT

Facility

$21,472.19

Service Code	HCPCS 46320
Hospital Charge Code	1600000557
Hospital Revenue Code	360
Min. Negotiated Rate	$3,220.83
Max. Negotiated Rate	$3,220.83
Rate for Payer: Qualcare PPO/HMO/WC	$3,220.83

Know your out-of-pocket cost for care.

All Charges