Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REMOVE METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28140
Hospital Charge Code	1600000415
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

REMOVE METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28140
Hospital Charge Code	1600000415
Hospital Revenue Code	360
Min. Negotiated Rate	$481.97
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	$5,999.58
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$481.97
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	$529.96

REMOVE MTP FOOT JNT LINING EA

Facility

$17,164.20

Service Code	HCPCS 28072
Hospital Charge Code	16000904
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

REMOVE MTP FOOT JNT LINING EA

Facility

$17,164.20

Service Code	HCPCS 28072
Hospital Charge Code	16000904
Hospital Revenue Code	360
Min. Negotiated Rate	$413.66
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	$5,149.26
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$413.66
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	$454.85

REMOVE MUTI-COMP PENIS PROS

Facility

$20,308.55

Service Code	HCPCS 54406
Hospital Charge Code	1600000725
Hospital Revenue Code	360
Min. Negotiated Rate	$489.44
Max. Negotiated Rate	$15,116.59
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
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	$15,116.59
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,092.56
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$489.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$538.18

REMOVE MUTI-COMP PENIS PROS

Facility

$20,308.55

Service Code	HCPCS 54406
Hospital Charge Code	1600000725
Hospital Revenue Code	360
Min. Negotiated Rate	$3,046.28
Max. Negotiated Rate	$3,046.28
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28

REMOVE PART OF NECK VERTEBRA

Facility

$94,563.00

Service Code	HCPCS 22110
Hospital Charge Code	1600000449
Hospital Revenue Code	360
Min. Negotiated Rate	$1,626.00
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	$1,626.00
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	$28,368.90
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,184.45
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$2,278.97
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	$2,505.92

REMOVE PART OF NECK VERTEBRA

Facility

$94,563.00

Service Code	HCPCS 22110
Hospital Charge Code	1600000449
Hospital Revenue Code	360
Min. Negotiated Rate	$14,184.45
Max. Negotiated Rate	$14,184.45
Rate for Payer: Qualcare PPO/HMO/WC	$14,184.45

REMOVE PROSTATE REGROWTH

Facility

$34,504.00

Service Code	HCPCS 52630
Hospital Charge Code	1600000691
Hospital Revenue Code	360
Min. Negotiated Rate	$5,175.60
Max. Negotiated Rate	$5,175.60
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60

REMOVE PROSTATE REGROWTH

Facility

$34,504.00

Service Code	HCPCS 52630
Hospital Charge Code	1600000691
Hospital Revenue Code	360
Min. Negotiated Rate	$831.55
Max. Negotiated Rate	$22,993.64
Rate for Payer: Aetna Commercial	$17,326.29
Rate for Payer: Aetna Medicare Advantage	$20,638.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,993.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,993.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,369.96
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	$22,993.64
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: Cigna Medicare Advantage	$6,369.96
Rate for Payer: Clover Medicare Advantage	$6,051.46
Rate for Payer: EmblemHealth Commercial	$19,109.88
Rate for Payer: Humana Medicare Advantage	$6,561.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,369.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,351.20
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,175.60
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$831.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,369.96
Rate for Payer: Wellcare Medicare Advantage	$6,369.96
Rate for Payer: Wellpoint Medicaid Managed Care	$914.36

REMOVER CK STONE 15MM 15200

Facility

$869.65

Hospital Charge Code	270600993
Hospital Revenue Code	272
Min. Negotiated Rate	$20.96
Max. Negotiated Rate	$434.82
Rate for Payer: Aetna Commercial	$330.47
Rate for Payer: Aetna Medicare Advantage	$260.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.76
Rate for Payer: Cigna Commercial	$434.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.89
Rate for Payer: Oxford Commercial	$173.93
Rate for Payer: Qualcare PPO/HMO/WC	$130.45
Rate for Payer: UnitedHealthcare Commercial	$173.93
Rate for Payer: UnitedHealthcare Community & State	$20.96
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

REMOVER CK STONE 15MM 15200

Facility

$869.65

Hospital Charge Code	270600993
Hospital Revenue Code	272
Min. Negotiated Rate	$130.45
Max. Negotiated Rate	$130.45
Rate for Payer: Qualcare PPO/HMO/WC	$130.45

REMOVER CK STONE BALLN 760-422

Facility

$1,032.85

Hospital Charge Code	270600980
Hospital Revenue Code	272
Min. Negotiated Rate	$24.89
Max. Negotiated Rate	$516.42
Rate for Payer: Aetna Commercial	$392.48
Rate for Payer: Aetna Medicare Advantage	$309.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.38
Rate for Payer: Cigna Commercial	$516.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$309.86
Rate for Payer: Oxford Commercial	$206.57
Rate for Payer: Qualcare PPO/HMO/WC	$154.93
Rate for Payer: UnitedHealthcare Commercial	$206.57
Rate for Payer: UnitedHealthcare Community & State	$24.89
Rate for Payer: Wellpoint Medicaid Managed Care	$27.37

REMOVER CK STONE BALLN 760-422

Facility

$1,032.85

Hospital Charge Code	270600980
Hospital Revenue Code	272
Min. Negotiated Rate	$154.93
Max. Negotiated Rate	$154.93
Rate for Payer: Qualcare PPO/HMO/WC	$154.93

REMOVE RENAL TUBE W/FLUORO

Facility

$6,402.00

Service Code	HCPCS 50389
Hospital Charge Code	16000995
Hospital Revenue Code	360
Min. Negotiated Rate	$960.30
Max. Negotiated Rate	$960.30
Rate for Payer: Qualcare PPO/HMO/WC	$960.30

REMOVE RENAL TUBE W/FLUORO

Facility

$6,402.00

Service Code	HCPCS 50389
Hospital Charge Code	16000995
Hospital Revenue Code	360
Min. Negotiated Rate	$154.29
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,253.28
Rate for Payer: Aetna Medicare Advantage	$2,684.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,990.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,990.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$828.41
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	$2,990.31
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: Cigna Medicare Advantage	$828.41
Rate for Payer: Clover Medicare Advantage	$786.99
Rate for Payer: EmblemHealth Commercial	$2,485.23
Rate for Payer: Humana Medicare Advantage	$853.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$828.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,920.60
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.30
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$154.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$828.41
Rate for Payer: Wellcare Medicare Advantage	$828.41
Rate for Payer: Wellpoint Medicaid Managed Care	$169.65

REMOVE REPLACE UR SPHINCTER

Facility

$118,523.00

Service Code	HCPCS 53447
Hospital Charge Code	1600000794
Hospital Revenue Code	360
Min. Negotiated Rate	$862.00
Max. Negotiated Rate	$88,882.29
Rate for Payer: Aetna Commercial	$66,975.05
Rate for Payer: Aetna Medicare Advantage	$79,779.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88,882.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88,882.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,623.18
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	$88,882.29
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: Cigna Medicare Advantage	$24,623.18
Rate for Payer: Clover Medicare Advantage	$23,392.02
Rate for Payer: EmblemHealth Commercial	$73,869.54
Rate for Payer: Humana Medicare Advantage	$25,361.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,623.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35,556.90
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$17,778.45
Rate for Payer: UnitedHealthcare Commercial	$17,313.00
Rate for Payer: UnitedHealthcare Community & State	$2,856.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,623.18
Rate for Payer: Wellcare Medicare Advantage	$24,623.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3,140.86

REMOVE REPLACE UR SPHINCTER

Facility

$118,523.00

Service Code	HCPCS 53447
Hospital Charge Code	1600000794
Hospital Revenue Code	360
Min. Negotiated Rate	$17,778.45
Max. Negotiated Rate	$17,778.45
Rate for Payer: Qualcare PPO/HMO/WC	$17,778.45

REMOVE REPL PENIS PROSTH

Facility

$94,816.00

Service Code	HCPCS 54410
Hospital Charge Code	1600000673
Hospital Revenue Code	360
Min. Negotiated Rate	$14,222.40
Max. Negotiated Rate	$14,222.40
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.40

REMOVE REPL PENIS PROSTH

Facility

$94,816.00

Service Code	HCPCS 54410
Hospital Charge Code	1600000673
Hospital Revenue Code	360
Min. Negotiated Rate	$1,355.00
Max. Negotiated Rate	$88,882.29
Rate for Payer: Aetna Commercial	$66,975.05
Rate for Payer: Aetna Medicare Advantage	$79,779.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88,882.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88,882.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,623.18
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	$88,882.29
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: Cigna Medicare Advantage	$24,623.18
Rate for Payer: Clover Medicare Advantage	$23,392.02
Rate for Payer: EmblemHealth Commercial	$73,869.54
Rate for Payer: Humana Medicare Advantage	$25,361.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,623.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28,444.80
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.40
Rate for Payer: UnitedHealthcare Commercial	$17,313.00
Rate for Payer: UnitedHealthcare Community & State	$2,285.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,623.18
Rate for Payer: Wellcare Medicare Advantage	$24,623.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2,512.62

REMOVER SKIN STAPLE

Facility

$3.63

Hospital Charge Code	270649490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$0.54
Rate for Payer: Qualcare PPO/HMO/WC	$0.54

REMOVER SKIN STAPLE

Facility

$3.63

Hospital Charge Code	270649490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.81
Rate for Payer: Aetna Commercial	$1.38
Rate for Payer: Aetna Medicare Advantage	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.93
Rate for Payer: Cigna Commercial	$1.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.09
Rate for Payer: Oxford Commercial	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.54
Rate for Payer: UnitedHealthcare Commercial	$0.73
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

REMOVER VCS CLIP

Facility

$509.65

Hospital Charge Code	270600143
Hospital Revenue Code	272
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$254.82
Rate for Payer: Aetna Commercial	$193.67
Rate for Payer: Aetna Medicare Advantage	$152.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.96
Rate for Payer: Cigna Commercial	$254.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.90
Rate for Payer: Oxford Commercial	$101.93
Rate for Payer: Qualcare PPO/HMO/WC	$76.45
Rate for Payer: UnitedHealthcare Commercial	$101.93
Rate for Payer: UnitedHealthcare Community & State	$12.28
Rate for Payer: Wellpoint Medicaid Managed Care	$13.51

REMOVER VCS CLIP

Facility

$509.65

Hospital Charge Code	270600143
Hospital Revenue Code	272
Min. Negotiated Rate	$76.45
Max. Negotiated Rate	$76.45
Rate for Payer: Qualcare PPO/HMO/WC	$76.45

REMOVE SELF-CONTD PENIS PROS

Facility

$29,904.60

Service Code	HCPCS 54415
Hospital Charge Code	1600000314
Hospital Revenue Code	360
Min. Negotiated Rate	$720.70
Max. Negotiated Rate	$15,116.59
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
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	$15,116.59
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,971.38
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,485.69
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$720.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$792.47

Know your out-of-pocket cost for care.

All Charges