Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

URETHRAL STRICTURE

Facility

$36,970.38

Service Code	MSDRG 697
Min. Negotiated Rate	$11,257.01
Max. Negotiated Rate	$36,970.38
Rate for Payer: Aetna Commercial	$25,660.20
Rate for Payer: Aetna Medicare Advantage	$36,970.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,819.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,819.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,849.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,819.71
Rate for Payer: Cigna Commercial	$20,169.95
Rate for Payer: Cigna Medicare Advantage	$11,849.48
Rate for Payer: Clover Medicare Advantage	$11,257.01
Rate for Payer: EmblemHealth Commercial	$35,548.44
Rate for Payer: Humana Medicare Advantage	$12,204.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,849.48
Rate for Payer: Oxford Commercial	$14,496.41
Rate for Payer: UnitedHealthcare Commercial	$25,419.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,849.48
Rate for Payer: Wellcare Medicare Advantage	$11,849.48

URETRAL STENTS 10 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270679884
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$234.84
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.96
Rate for Payer: Qualcare PPO/HMO/WC	$92.70
Rate for Payer: UnitedHealthcare Community & State	$14.89
Rate for Payer: Wellpoint Medicaid Managed Care	$16.38

URETRAL STENTS 10 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270679884
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.96
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

URETRAL STENTS 8 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270623954
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.96
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

URETRAL STENTS 8 FR 24 CM

Facility

$618.00

Service Code	HCPCS C2617
Hospital Charge Code	270623954
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$234.84
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.96
Rate for Payer: Qualcare PPO/HMO/WC	$92.70
Rate for Payer: UnitedHealthcare Community & State	$14.89
Rate for Payer: Wellpoint Medicaid Managed Care	$16.38

URIC ACID

Facility

$6.36

Service Code	HCPCS 84550CF
Hospital Charge Code	8200336RS
Hospital Revenue Code	301
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$2.42
Rate for Payer: Aetna Medicare Advantage	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.62
Rate for Payer: Cigna Commercial	$3.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

URIC ACID

Facility

$6.36

Service Code	HCPCS 84550CF
Hospital Charge Code	8200336RS
Hospital Revenue Code	301
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.95

URIC ACID (24 HR UR)

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	3007929
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

URIC ACID (24 HR UR)

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	3007929
Hospital Revenue Code	301
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$13.82
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.34
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.08
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Medicare Advantage	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

URIC ACID,24HR URINE

Facility

$227.00

Service Code	HCPCS 84560
Hospital Charge Code	38479044
Hospital Revenue Code	301
Min. Negotiated Rate	$34.05
Max. Negotiated Rate	$34.05
Rate for Payer: Qualcare PPO/HMO/WC	$34.05

URIC ACID,24HR URINE

Facility

$227.00

Service Code	HCPCS 84560
Hospital Charge Code	38479044
Hospital Revenue Code	301
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.82
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.34
Rate for Payer: Cigna Commercial	$113.50
Rate for Payer: Cigna Medicare Advantage	$5.08
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Medicare Advantage	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$6.02

URIC ACID, BODY FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3008372
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, BODY FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3008372
Hospital Revenue Code	301
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.82
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.34
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: Cigna Medicare Advantage	$5.08
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Medicare Advantage	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

URIC ACID OTH SOURCE

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	39990241L
Hospital Revenue Code	301
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$13.82
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.34
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.08
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Medicare Advantage	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

URIC ACID OTH SOURCE

Facility

$390.00

Service Code	HCPCS 84560
Hospital Charge Code	39990241L
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

URIC ACID, PERICARDIAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007930
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, PERICARDIAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007930
Hospital Revenue Code	301
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.82
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.34
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: Cigna Medicare Advantage	$5.08
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Medicare Advantage	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

URIC ACID, PERITONEAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007932
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, PERITONEAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007932
Hospital Revenue Code	301
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.82
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.34
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: Cigna Medicare Advantage	$5.08
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Medicare Advantage	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

URIC ACID, PLEURAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007931
Hospital Revenue Code	301
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.82
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.34
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: Cigna Medicare Advantage	$5.08
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Medicare Advantage	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

URIC ACID, PLEURAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007931
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, SERUM

Facility

$667.59

Service Code	HCPCS 84550
Hospital Charge Code	3002672
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

URIC ACID, SERUM

Facility

$667.59

Service Code	HCPCS 84550
Hospital Charge Code	3002672
Hospital Revenue Code	301
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$12.29
Rate for Payer: Aetna Medicare Advantage	$14.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$4.52
Rate for Payer: Clover Medicare Advantage	$4.29
Rate for Payer: EmblemHealth Commercial	$13.56
Rate for Payer: Humana Medicare Advantage	$4.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.52
Rate for Payer: Wellcare Medicare Advantage	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

URIC ACID,SERUM

Facility

$252.00

Service Code	HCPCS 84550
Hospital Charge Code	38472656
Hospital Revenue Code	301
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$37.80
Rate for Payer: Qualcare PPO/HMO/WC	$37.80

URIC ACID,SERUM

Facility

$252.00

Service Code	HCPCS 84550
Hospital Charge Code	38472656
Hospital Revenue Code	301
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$126.00
Rate for Payer: Aetna Commercial	$12.29
Rate for Payer: Aetna Medicare Advantage	$14.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$126.00
Rate for Payer: Cigna Medicare Advantage	$4.52
Rate for Payer: Clover Medicare Advantage	$4.29
Rate for Payer: EmblemHealth Commercial	$13.56
Rate for Payer: Humana Medicare Advantage	$4.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.52
Rate for Payer: Wellcare Medicare Advantage	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$6.68

Know your out-of-pocket cost for care.

All Charges