Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REPAIR OF BLADDER WOUND

Facility

$39,847.00

Service Code	HCPCS 51865
Hospital Charge Code	1600000324
Hospital Revenue Code	360
Min. Negotiated Rate	$5,977.05
Max. Negotiated Rate	$5,977.05
Rate for Payer: Qualcare PPO/HMO/WC	$5,977.05

REPAIR OF DIAPHRAGM

Facility

$17,842.40

Service Code	HCPCS 39540
Hospital Charge Code	1600000813
Hospital Revenue Code	360
Min. Negotiated Rate	$430.00
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$6,780.11
Rate for Payer: Aetna Medicare Advantage	$5,352.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,549.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,549.81
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	$4,549.81
Rate for Payer: Cigna Commercial	$8,921.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,352.72
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,676.36
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$430.00
Rate for Payer: Wellpoint Medicaid Managed Care	$472.82

REPAIR OF DIAPHRAGM

Facility

$17,842.40

Service Code	HCPCS 39540
Hospital Charge Code	1600000813
Hospital Revenue Code	360
Min. Negotiated Rate	$2,676.36
Max. Negotiated Rate	$2,676.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,676.36

REPAIR OF DIGIT NERVE 1

Facility

$34,014.10

Service Code	HCPCS 64831
Hospital Charge Code	16000368
Hospital Revenue Code	360
Min. Negotiated Rate	$819.74
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$6,310.10
Rate for Payer: Aetna Medicare Advantage	$7,516.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,374.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,374.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,319.89
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	$8,374.11
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: Cigna Medicare Advantage	$2,319.89
Rate for Payer: Clover Medicare Advantage	$2,203.90
Rate for Payer: EmblemHealth Commercial	$6,959.67
Rate for Payer: Humana Medicare Advantage	$2,389.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,319.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,204.23
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$819.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,319.89
Rate for Payer: Wellcare Medicare Advantage	$2,319.89
Rate for Payer: Wellpoint Medicaid Managed Care	$901.37

REPAIR OF DIGIT NERVE 1

Facility

$34,014.10

Service Code	HCPCS 64831
Hospital Charge Code	16000368
Hospital Revenue Code	360
Min. Negotiated Rate	$5,102.11
Max. Negotiated Rate	$5,102.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11

REPAIR OF FINGER/HAND TENDON

Facility

$19,436.10

Service Code	HCPCS 26373
Hospital Charge Code	1600000885
Hospital Revenue Code	360
Min. Negotiated Rate	$468.41
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	$5,830.83
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,915.41
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$468.41
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	$515.06

REPAIR OF FINGER/HAND TENDON

Facility

$19,436.10

Service Code	HCPCS 26373
Hospital Charge Code	1600000885
Hospital Revenue Code	360
Min. Negotiated Rate	$2,915.41
Max. Negotiated Rate	$2,915.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,915.41

REPAIR OF HAND OR FOOT NERVE

Facility

$21,704.79

Service Code	HCPCS 64834
Hospital Charge Code	1600000883
Hospital Revenue Code	360
Min. Negotiated Rate	$523.09
Max. Negotiated Rate	$14,649.86
Rate for Payer: Aetna Commercial	$11,039.04
Rate for Payer: Aetna Medicare Advantage	$13,149.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,649.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,649.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,058.47
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	$14,649.86
Rate for Payer: Cigna Commercial	$8,135.20
Rate for Payer: Cigna Medicare Advantage	$4,058.47
Rate for Payer: Clover Medicare Advantage	$3,855.55
Rate for Payer: EmblemHealth Commercial	$12,175.41
Rate for Payer: Humana Medicare Advantage	$4,180.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,058.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,511.44
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$523.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,058.47
Rate for Payer: Wellcare Medicare Advantage	$4,058.47
Rate for Payer: Wellpoint Medicaid Managed Care	$575.18

REPAIR OF HAND OR FOOT NERVE

Facility

$21,704.79

Service Code	HCPCS 64834
Hospital Charge Code	1600000883
Hospital Revenue Code	360
Min. Negotiated Rate	$3,255.72
Max. Negotiated Rate	$3,255.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72

REPAIR OF HAND TENDON

Facility

$6,331.60

Service Code	HCPCS 26410
Hospital Charge Code	16000844
Hospital Revenue Code	360
Min. Negotiated Rate	$152.59
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	$1,899.48
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$949.74
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$152.59
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	$167.79

REPAIR OF HAND TENDON

Facility

$6,331.60

Service Code	HCPCS 26410
Hospital Charge Code	16000844
Hospital Revenue Code	360
Min. Negotiated Rate	$949.74
Max. Negotiated Rate	$949.74
Rate for Payer: Qualcare PPO/HMO/WC	$949.74

REPAIR OUTER SHEATH 26FR

Facility

$615.00

Hospital Charge Code	270645669
Hospital Revenue Code	278
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.30
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

REPAIR OUTER SHEATH 26FR

Facility

$615.00

Hospital Charge Code	270645669
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.30
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

REPAIR PARAVAG DEFECT VAG

Facility

$42,389.30

Service Code	HCPCS 57285
Hospital Charge Code	1600000473
Hospital Revenue Code	360
Min. Negotiated Rate	$6,358.40
Max. Negotiated Rate	$6,358.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,358.40

REPAIR PARAVAG DEFECT VAG

Facility

$42,389.30

Service Code	HCPCS 57285
Hospital Charge Code	1600000473
Hospital Revenue Code	360
Min. Negotiated Rate	$1,021.58
Max. Negotiated Rate	$31,800.48
Rate for Payer: Aetna Commercial	$23,962.47
Rate for Payer: Aetna Medicare Advantage	$28,543.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,800.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,800.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,809.73
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	$31,800.48
Rate for Payer: Cigna Commercial	$17,659.09
Rate for Payer: Cigna Medicare Advantage	$8,809.73
Rate for Payer: Clover Medicare Advantage	$8,369.24
Rate for Payer: EmblemHealth Commercial	$26,429.19
Rate for Payer: Humana Medicare Advantage	$9,074.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,809.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,716.79
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,358.40
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$1,021.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,809.73
Rate for Payer: Wellcare Medicare Advantage	$8,809.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1,123.32

REPAIR ROTATOR CUFF CHRONIC

Facility

$44,916.00

Service Code	HCPCS 23412
Hospital Charge Code	16000815
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

REPAIR ROTATOR CUFF CHRONIC

Facility

$44,916.00

Service Code	HCPCS 23412
Hospital Charge Code	16000815
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	$1,936.00
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

REPAIRS - DOMESTIC HOT WATER

Facility

$16,625.00

Hospital Charge Code	270659122
Hospital Revenue Code	278
Min. Negotiated Rate	$2,493.75
Max. Negotiated Rate	$4,023.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,023.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,657.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.75

REPAIRS - DOMESTIC HOT WATER

Facility

$16,625.00

Hospital Charge Code	270659122
Hospital Revenue Code	278
Min. Negotiated Rate	$400.66
Max. Negotiated Rate	$8,312.50
Rate for Payer: Aetna Commercial	$6,317.50
Rate for Payer: Aetna Medicare Advantage	$4,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,239.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,239.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,239.38
Rate for Payer: Cigna Commercial	$8,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,023.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,657.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.75
Rate for Payer: UnitedHealthcare Community & State	$400.66
Rate for Payer: Wellpoint Medicaid Managed Care	$440.56

REPAIR TUNNELED CV CATH

Facility

$9,147.10

Service Code	HCPCS 36576
Hospital Charge Code	1600000732
Hospital Revenue Code	360
Min. Negotiated Rate	$220.45
Max. Negotiated Rate	$6,750.64
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,750.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,750.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
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	$6,750.64
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,870.14
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,744.13
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.07
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$220.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$242.40

REPAIR TUNNELED CV CATH

Facility

$9,147.10

Service Code	HCPCS 36576
Hospital Charge Code	1600000732
Hospital Revenue Code	360
Min. Negotiated Rate	$1,372.07
Max. Negotiated Rate	$1,372.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,372.07

REPAIR UA/ELBOW TENDON/MUSCLE

Facility

$44,916.00

Service Code	HCPCS 24341
Hospital Charge Code	16000392
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

REPAIR UA/ELBOW TENDON/MUSCLE

Facility

$44,916.00

Service Code	HCPCS 24341
Hospital Charge Code	16000392
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

REP ARTEAL BLK OPEN TIBIOPERNL

Facility

$7,917.57

Service Code	HCPCS 35459
Hospital Charge Code	5100603
Hospital Revenue Code	361
Min. Negotiated Rate	$1,187.64
Max. Negotiated Rate	$1,187.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64

REP ARTEAL BLK OPEN TIBIOPERNL

Facility

$7,917.57

Service Code	HCPCS 35459
Hospital Charge Code	5100603
Hospital Revenue Code	361
Min. Negotiated Rate	$190.81
Max. Negotiated Rate	$3,958.78
Rate for Payer: Aetna Commercial	$3,008.68
Rate for Payer: Aetna Medicare Advantage	$2,375.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,018.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,018.98
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	$2,018.98
Rate for Payer: Cigna Commercial	$3,958.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,375.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64
Rate for Payer: UnitedHealthcare Community & State	$190.81
Rate for Payer: Wellpoint Medicaid Managed Care	$209.82

Know your out-of-pocket cost for care.

All Charges