Heights University Hospital

All Charges

Charge

Type

Setting

Price

HEPATITIS PANEL

Facility

$37.50

Service Code	HCPCS 80074
Hospital Charge Code	39900420
Hospital Revenue Code	301
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

HEPATITIS PANEL

Facility

$37.50

Service Code	HCPCS 80074
Hospital Charge Code	39900420
Hospital Revenue Code	301
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$174.52
Rate for Payer: Aetna Commercial	$154.32
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.52
Rate for Payer: Cigna Commercial	$47.63
Rate for Payer: Cigna Medicare Advantage	$23.82
Rate for Payer: Clover Medicare Advantage	$45.25
Rate for Payer: EmblemHealth Commercial	$142.89
Rate for Payer: Humana Medicare Advantage	$49.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50.49
Rate for Payer: Wellcare Medicare Advantage	$47.63

HEPATITIS PANEL-SO

Facility

$551.86

Service Code	HCPCS 80074
Hospital Charge Code	401380074
Hospital Revenue Code	301
Min. Negotiated Rate	$23.82
Max. Negotiated Rate	$174.52
Rate for Payer: Aetna Commercial	$154.32
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.52
Rate for Payer: Cigna Commercial	$47.63
Rate for Payer: Cigna Medicare Advantage	$23.82
Rate for Payer: Clover Medicare Advantage	$45.25
Rate for Payer: EmblemHealth Commercial	$142.89
Rate for Payer: Humana Medicare Advantage	$49.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.78
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50.49
Rate for Payer: Wellcare Medicare Advantage	$47.63

HEPATITIS PANEL-SO

Facility

$551.86

Service Code	HCPCS 80074
Hospital Charge Code	401380074
Hospital Revenue Code	301
Min. Negotiated Rate	$82.78
Max. Negotiated Rate	$82.78
Rate for Payer: Qualcare PPO/HMO/WC	$82.78

HEPATITIS PROF.

Facility

$1,297.00

Service Code	HCPCS 80074
Hospital Charge Code	38479101
Hospital Revenue Code	301
Min. Negotiated Rate	$23.82
Max. Negotiated Rate	$194.55
Rate for Payer: Aetna Commercial	$154.32
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.52
Rate for Payer: Cigna Commercial	$47.63
Rate for Payer: Cigna Medicare Advantage	$23.82
Rate for Payer: Clover Medicare Advantage	$45.25
Rate for Payer: EmblemHealth Commercial	$142.89
Rate for Payer: Humana Medicare Advantage	$49.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$194.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50.49
Rate for Payer: Wellcare Medicare Advantage	$47.63

HEPATITIS PROF.

Facility

$1,297.00

Service Code	HCPCS 80074
Hospital Charge Code	38479101
Hospital Revenue Code	301
Min. Negotiated Rate	$194.55
Max. Negotiated Rate	$194.55
Rate for Payer: Qualcare PPO/HMO/WC	$194.55

HEPATITIS PROFILE

Facility

$1,297.00

Service Code	HCPCS 80074
Hospital Charge Code	38472330
Hospital Revenue Code	301
Min. Negotiated Rate	$23.82
Max. Negotiated Rate	$194.55
Rate for Payer: Aetna Commercial	$154.32
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.52
Rate for Payer: Cigna Commercial	$47.63
Rate for Payer: Cigna Medicare Advantage	$23.82
Rate for Payer: Clover Medicare Advantage	$45.25
Rate for Payer: EmblemHealth Commercial	$142.89
Rate for Payer: Humana Medicare Advantage	$49.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$194.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50.49
Rate for Payer: Wellcare Medicare Advantage	$47.63

HEPATITIS PROFILE

Facility

$1,297.00

Service Code	HCPCS 80074
Hospital Charge Code	38472330
Hospital Revenue Code	301
Min. Negotiated Rate	$194.55
Max. Negotiated Rate	$194.55
Rate for Payer: Qualcare PPO/HMO/WC	$194.55

HEPATITS A VIRUS

Facility

$426.00

Service Code	HCPCS 86708
Hospital Charge Code	38479443
Hospital Revenue Code	302
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.14
Rate for Payer: Aetna Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.40
Rate for Payer: Cigna Commercial	$12.39
Rate for Payer: Cigna Medicare Advantage	$6.20
Rate for Payer: Clover Medicare Advantage	$11.77
Rate for Payer: EmblemHealth Commercial	$37.17
Rate for Payer: Humana Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.13
Rate for Payer: Wellcare Medicare Advantage	$12.39

HEPATITS A VIRUS

Facility

$426.00

Service Code	HCPCS 86708
Hospital Charge Code	38479443
Hospital Revenue Code	302
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$63.90
Rate for Payer: Qualcare PPO/HMO/WC	$63.90

HEPATITS B SURFACE AB QUA

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39900211
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPATITS B SURFACE AB QUA

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39900211
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.92
Rate for Payer: Cigna Commercial	$14.99
Rate for Payer: Cigna Medicare Advantage	$7.50
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.89
Rate for Payer: Wellcare Medicare Advantage	$14.99

HEPATITS B VIRUS DNA QUANT PCR

Facility

$2,190.80

Service Code	HCPCS 87517
Hospital Charge Code	3038539
Hospital Revenue Code	306
Min. Negotiated Rate	$21.42
Max. Negotiated Rate	$328.62
Rate for Payer: Aetna Commercial	$138.80
Rate for Payer: Aetna Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.97
Rate for Payer: Cigna Commercial	$42.84
Rate for Payer: Cigna Medicare Advantage	$21.42
Rate for Payer: Clover Medicare Advantage	$40.70
Rate for Payer: EmblemHealth Commercial	$128.52
Rate for Payer: Humana Medicare Advantage	$44.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$328.62
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$42.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$45.41
Rate for Payer: Wellcare Medicare Advantage	$42.84

HEPATITS B VIRUS DNA QUANT PCR

Facility

$2,190.80

Service Code	HCPCS 87517
Hospital Charge Code	3038539
Hospital Revenue Code	306
Min. Negotiated Rate	$328.62
Max. Negotiated Rate	$328.62
Rate for Payer: Qualcare PPO/HMO/WC	$328.62

HEPATITS PANEL NON-ACUTE I

Facility

$390.00

Service Code	HCPCS 86704
Hospital Charge Code	39990133A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPATITS PANEL NON-ACUTE I

Facility

$390.00

Service Code	HCPCS 86704
Hospital Charge Code	39990133A
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

HEPATITS PANEL NON-ACUTE II

Facility

$390.00

Service Code	HCPCS 86706
Hospital Charge Code	39990133B
Hospital Revenue Code	302
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.35
Rate for Payer: Cigna Commercial	$10.74
Rate for Payer: Cigna Medicare Advantage	$5.37
Rate for Payer: Clover Medicare Advantage	$10.20
Rate for Payer: EmblemHealth Commercial	$32.22
Rate for Payer: Humana Medicare Advantage	$11.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.38
Rate for Payer: Wellcare Medicare Advantage	$10.74

HEPATITS PANEL NON-ACUTE II

Facility

$390.00

Service Code	HCPCS 86706
Hospital Charge Code	39990133B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPATITS PANEL NON-ACUTE III

Facility

$390.00

Service Code	HCPCS 86803
Hospital Charge Code	39990133C
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPATITS PANEL NON-ACUTE III

Facility

$390.00

Service Code	HCPCS 86803
Hospital Charge Code	39990133C
Hospital Revenue Code	302
Min. Negotiated Rate	$7.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.29
Rate for Payer: Cigna Commercial	$14.27
Rate for Payer: Cigna Medicare Advantage	$7.13
Rate for Payer: Clover Medicare Advantage	$13.56
Rate for Payer: EmblemHealth Commercial	$42.81
Rate for Payer: Humana Medicare Advantage	$14.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.13
Rate for Payer: Wellcare Medicare Advantage	$14.27

HEPATITS PANEL NON-ACUTE IV

Facility

$390.00

Service Code	HCPCS 86803
Hospital Charge Code	39990133D
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPATITS PANEL NON-ACUTE IV

Facility

$390.00

Service Code	HCPCS 86803
Hospital Charge Code	39990133D
Hospital Revenue Code	302
Min. Negotiated Rate	$7.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.29
Rate for Payer: Cigna Commercial	$14.27
Rate for Payer: Cigna Medicare Advantage	$7.13
Rate for Payer: Clover Medicare Advantage	$13.56
Rate for Payer: EmblemHealth Commercial	$42.81
Rate for Payer: Humana Medicare Advantage	$14.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.13
Rate for Payer: Wellcare Medicare Advantage	$14.27

HEPATITS PANEL NON-ACUTE V

Facility

$390.00

Service Code	HCPCS 87340
Hospital Charge Code	39990133E
Hospital Revenue Code	306
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.47
Rate for Payer: Aetna Medicare Advantage	$10.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.85
Rate for Payer: Cigna Commercial	$10.33
Rate for Payer: Cigna Medicare Advantage	$5.17
Rate for Payer: Clover Medicare Advantage	$9.81
Rate for Payer: EmblemHealth Commercial	$30.99
Rate for Payer: Humana Medicare Advantage	$10.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.33
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.95
Rate for Payer: Wellcare Medicare Advantage	$10.33

HEPATITS PANEL NON-ACUTE V

Facility

$390.00

Service Code	HCPCS 87340
Hospital Charge Code	39990133E
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC

Facility

$62,254.44

Service Code	MSDRG 421
Min. Negotiated Rate	$18,960.61
Max. Negotiated Rate	$62,254.44
Rate for Payer: Aetna Commercial	$58,588.28
Rate for Payer: Aetna Medicare Advantage	$18,960.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,139.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,139.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,751.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,139.57
Rate for Payer: Cigna Commercial	$37,392.74
Rate for Payer: Cigna Medicare Advantage	$20,751.48
Rate for Payer: Clover Medicare Advantage	$19,713.91
Rate for Payer: EmblemHealth Commercial	$62,254.44
Rate for Payer: Humana Medicare Advantage	$21,374.02
Rate for Payer: Oxford Commercial	$23,369.38
Rate for Payer: UnitedHealthcare Commercial	$26,526.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,751.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,996.57
Rate for Payer: Wellcare Medicare Advantage	$20,751.48

Know your out-of-pocket cost for care.

All Charges