Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REVISION OF CALF TENDON

Facility

$10,580.92

Service Code	HCPCS 27687
Hospital Charge Code	16000304
Hospital Revenue Code	360
Min. Negotiated Rate	$1,587.14
Max. Negotiated Rate	$1,587.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,587.14

REVISION OF HIP OR KNEE REPLACEMENT WITH CC

Facility

$116,119.63

Service Code	MSDRG 467
Min. Negotiated Rate	$35,356.94
Max. Negotiated Rate	$116,119.63
Rate for Payer: Aetna Commercial	$80,044.73
Rate for Payer: Aetna Medicare Advantage	$116,119.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81,180.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81,180.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,217.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81,180.89
Rate for Payer: Cigna Commercial	$65,996.79
Rate for Payer: Cigna Medicare Advantage	$37,217.83
Rate for Payer: Clover Medicare Advantage	$35,356.94
Rate for Payer: EmblemHealth Commercial	$111,653.49
Rate for Payer: Humana Medicare Advantage	$38,334.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37,217.83
Rate for Payer: Oxford Commercial	$47,432.77
Rate for Payer: UnitedHealthcare Commercial	$83,174.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,217.83
Rate for Payer: Wellcare Medicare Advantage	$37,217.83

REVISION OF HIP OR KNEE REPLACEMENT WITH MCC

Facility

$170,381.20

Service Code	MSDRG 466
Min. Negotiated Rate	$51,878.89
Max. Negotiated Rate	$170,381.20
Rate for Payer: Aetna Commercial	$117,328.63
Rate for Payer: Aetna Medicare Advantage	$170,381.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120,724.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120,724.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$54,609.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120,724.59
Rate for Payer: Cigna Commercial	$97,413.86
Rate for Payer: Cigna Medicare Advantage	$54,609.36
Rate for Payer: Clover Medicare Advantage	$51,878.89
Rate for Payer: EmblemHealth Commercial	$163,828.08
Rate for Payer: Humana Medicare Advantage	$56,247.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$54,609.36
Rate for Payer: Oxford Commercial	$70,012.63
Rate for Payer: UnitedHealthcare Commercial	$122,769.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$54,609.36
Rate for Payer: Wellcare Medicare Advantage	$54,609.36

REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC

Facility

$90,953.99

Service Code	MSDRG 468
Min. Negotiated Rate	$27,694.32
Max. Negotiated Rate	$90,953.99
Rate for Payer: Aetna Commercial	$62,753.09
Rate for Payer: Aetna Medicare Advantage	$90,953.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62,106.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62,106.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29,151.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62,106.87
Rate for Payer: Cigna Commercial	$51,426.07
Rate for Payer: Cigna Medicare Advantage	$29,151.92
Rate for Payer: Clover Medicare Advantage	$27,694.32
Rate for Payer: EmblemHealth Commercial	$87,455.76
Rate for Payer: Humana Medicare Advantage	$30,026.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29,151.92
Rate for Payer: Oxford Commercial	$36,960.60
Rate for Payer: UnitedHealthcare Commercial	$64,811.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$29,151.92
Rate for Payer: Wellcare Medicare Advantage	$29,151.92

REVISION OF TOTAL KNEE ARTH

Facility

$21,142.50

Service Code	HCPCS 27487
Hospital Charge Code	16000449
Hospital Revenue Code	360
Min. Negotiated Rate	$509.53
Max. Negotiated Rate	$75,192.36
Rate for Payer: Aetna Commercial	$56,659.34
Rate for Payer: Aetna Medicare Advantage	$67,491.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,192.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,192.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,830.64
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	$75,192.36
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: Cigna Medicare Advantage	$20,830.64
Rate for Payer: Clover Medicare Advantage	$19,789.11
Rate for Payer: EmblemHealth Commercial	$62,491.92
Rate for Payer: Humana Medicare Advantage	$21,455.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,830.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,342.75
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,171.38
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$509.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,830.64
Rate for Payer: Wellcare Medicare Advantage	$20,830.64
Rate for Payer: Wellpoint Medicaid Managed Care	$560.28

REVISION OF TOTAL KNEE ARTH

Facility

$21,142.50

Service Code	HCPCS 27487
Hospital Charge Code	16000449
Hospital Revenue Code	360
Min. Negotiated Rate	$3,171.38
Max. Negotiated Rate	$3,171.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,171.38

REVISION OF UPPER EYELID

Facility

$7,356.39

Service Code	HCPCS 15822
Hospital Charge Code	16000661
Hospital Revenue Code	360
Min. Negotiated Rate	$1,103.46
Max. Negotiated Rate	$1,103.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,103.46

REVISION OF UPPER EYELID

Facility

$7,356.39

Service Code	HCPCS 15822
Hospital Charge Code	16000661
Hospital Revenue Code	360
Min. Negotiated Rate	$177.29
Max. Negotiated Rate	$8,848.20
Rate for Payer: Aetna Commercial	$6,667.35
Rate for Payer: Aetna Medicare Advantage	$7,941.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,848.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,848.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,451.23
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	$8,848.20
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: Cigna Medicare Advantage	$2,451.23
Rate for Payer: Clover Medicare Advantage	$2,328.67
Rate for Payer: EmblemHealth Commercial	$7,353.69
Rate for Payer: Humana Medicare Advantage	$2,524.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,451.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,206.92
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,103.46
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$177.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,451.23
Rate for Payer: Wellcare Medicare Advantage	$2,451.23
Rate for Payer: Wellpoint Medicaid Managed Care	$194.94

REVISION OPEN GASTRIC RESTRICT

Facility

$112,126.91

Service Code	HCPCS 43848
Hospital Charge Code	1600185
Hospital Revenue Code	361
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$56,063.46
Rate for Payer: Aetna Commercial	$42,608.23
Rate for Payer: Aetna Medicare Advantage	$33,638.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,592.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,592.36
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	$28,592.36
Rate for Payer: Cigna Commercial	$56,063.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33,638.07
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$2,702.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2,971.36

REVISION OPEN GASTRIC RESTRICT

Facility

$112,126.91

Service Code	HCPCS 43848
Hospital Charge Code	1600185
Hospital Revenue Code	361
Min. Negotiated Rate	$16,819.04
Max. Negotiated Rate	$16,819.04
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04

REVISION PCMK ATRIAL&VENT LEAD

Facility

$4,723.35

Service Code	HCPCS 33220
Hospital Charge Code	5100295
Hospital Revenue Code	361
Min. Negotiated Rate	$113.83
Max. Negotiated Rate	$16,025.66
Rate for Payer: Aetna Commercial	$12,075.74
Rate for Payer: Aetna Medicare Advantage	$14,384.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,439.61
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	$16,025.66
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: Cigna Medicare Advantage	$4,439.61
Rate for Payer: Clover Medicare Advantage	$4,217.63
Rate for Payer: EmblemHealth Commercial	$13,318.83
Rate for Payer: Humana Medicare Advantage	$4,572.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,439.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,417.01
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$708.50
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$113.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,439.61
Rate for Payer: Wellcare Medicare Advantage	$4,439.61
Rate for Payer: Wellpoint Medicaid Managed Care	$125.17

REVISION PCMK ATRIAL&VENT LEAD

Facility

$4,723.35

Service Code	HCPCS 33220
Hospital Charge Code	5100295
Hospital Revenue Code	361
Min. Negotiated Rate	$708.50
Max. Negotiated Rate	$708.50
Rate for Payer: Qualcare PPO/HMO/WC	$708.50

REVISIT W/O MD*****

Facility

$23.00

Service Code	HCPCS 99211WF
Hospital Charge Code	9600025
Hospital Revenue Code	519
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

REVISIT W/O MD*****

Facility

$23.00

Service Code	HCPCS 99211WF
Hospital Charge Code	9600025
Hospital Revenue Code	519
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

REVIS RECONST SHOULDER JOINT

Facility

$2,701.00

Service Code	HCPCS 23474
Hospital Charge Code	16000611
Hospital Revenue Code	360
Min. Negotiated Rate	$405.15
Max. Negotiated Rate	$405.15
Rate for Payer: Qualcare PPO/HMO/WC	$405.15

REVIS RECONST SHOULDER JOINT

Facility

$2,701.00

Service Code	HCPCS 23474
Hospital Charge Code	16000611
Hospital Revenue Code	360
Min. Negotiated Rate	$65.09
Max. Negotiated Rate	$55,057.64
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
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	$55,057.64
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.30
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.15
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$65.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$71.58

REVIS RECONST SHOULDER JOINT

Facility

$39,644.20

Service Code	HCPCS 23473
Hospital Charge Code	1600000591
Hospital Revenue Code	360
Min. Negotiated Rate	$955.43
Max. Negotiated Rate	$55,057.64
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
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	$55,057.64
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,893.26
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,946.63
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$955.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1,050.57

REVIS RECONST SHOULDER JOINT

Facility

$2,701.00

Service Code	HCPCS 23474
Hospital Charge Code	1600000674
Hospital Revenue Code	360
Min. Negotiated Rate	$405.15
Max. Negotiated Rate	$405.15
Rate for Payer: Qualcare PPO/HMO/WC	$405.15

REVIS RECONST SHOULDER JOINT

Facility

$39,644.20

Service Code	HCPCS 23473
Hospital Charge Code	1600000591
Hospital Revenue Code	360
Min. Negotiated Rate	$5,946.63
Max. Negotiated Rate	$5,946.63
Rate for Payer: Qualcare PPO/HMO/WC	$5,946.63

REVIS RECONST SHOULDER JOINT

Facility

$2,701.00

Service Code	HCPCS 23474
Hospital Charge Code	1600000674
Hospital Revenue Code	360
Min. Negotiated Rate	$65.09
Max. Negotiated Rate	$55,057.64
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
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	$55,057.64
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.30
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.15
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$65.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$71.58

REVMOVER ADHESIVE SPRAY 1.7 OZ

Facility

$59.50

Hospital Charge Code	270650470
Hospital Revenue Code	270
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

REVMOVER ADHESIVE SPRAY 1.7 OZ

Facility

$59.50

Hospital Charge Code	270650470
Hospital Revenue Code	270
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$22.61
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.85
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$11.90
Rate for Payer: UnitedHealthcare Community & State	$1.43
Rate for Payer: Wellpoint Medicaid Managed Care	$1.58

REVOLUTION NOZZLE BREAKAWAY

Facility

$3,503.30

Hospital Charge Code	270689586
Hospital Revenue Code	272
Min. Negotiated Rate	$525.50
Max. Negotiated Rate	$525.50
Rate for Payer: Qualcare PPO/HMO/WC	$525.50

REVOLUTION NOZZLE BREAKAWAY

Facility

$3,503.30

Hospital Charge Code	270689586
Hospital Revenue Code	272
Min. Negotiated Rate	$84.43
Max. Negotiated Rate	$1,751.65
Rate for Payer: Aetna Commercial	$1,331.25
Rate for Payer: Aetna Medicare Advantage	$1,050.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$893.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$893.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$893.34
Rate for Payer: Cigna Commercial	$1,751.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,050.99
Rate for Payer: Oxford Commercial	$700.66
Rate for Payer: Qualcare PPO/HMO/WC	$525.50
Rate for Payer: UnitedHealthcare Commercial	$700.66
Rate for Payer: UnitedHealthcare Community & State	$84.43
Rate for Payer: Wellpoint Medicaid Managed Care	$92.84

REV PRESSFIT STEM NSLT 10 X 10

Facility

$11,322.50

Service Code	HCPCS C1776
Hospital Charge Code	270686903
Hospital Revenue Code	278
Min. Negotiated Rate	$272.87
Max. Negotiated Rate	$5,661.25
Rate for Payer: Aetna Commercial	$4,302.55
Rate for Payer: Aetna Medicare Advantage	$3,396.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,887.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,887.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,264.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,887.24
Rate for Payer: Cigna Commercial	$5,661.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,740.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,490.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,698.38
Rate for Payer: UnitedHealthcare Community & State	$272.87
Rate for Payer: Wellpoint Medicaid Managed Care	$300.05

Know your out-of-pocket cost for care.

All Charges