Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

HEREDITARY COLON CA DISORDERS2

Facility

IP

$744.90

Service Code	HCPCS 81436
Hospital Charge Code	401181436B
Hospital Revenue Code	310
Min. Negotiated Rate	$111.73
Max. Negotiated Rate	$111.73
Rate for Payer: Qualcare PPO/HMO/WC	$111.73

HEREDITARY COLON CA DISORDERS2

Facility

OP

$744.90

Service Code	HCPCS 81436
Hospital Charge Code	401181436B
Hospital Revenue Code	310
Min. Negotiated Rate	$96.84
Max. Negotiated Rate	$372.45
Rate for Payer: Aetna Commercial	$223.47
Rate for Payer: Aetna Medicare Advantage	$223.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.95
Rate for Payer: Cigna Commercial	$372.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.84
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$204.00

Hospital Charge Code	3035052D
Hospital Revenue Code	301
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$163.60

Hospital Charge Code	3035052C
Hospital Revenue Code	301
Min. Negotiated Rate	$21.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.08
Rate for Payer: Aetna Medicare Advantage	$49.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.72
Rate for Payer: Cigna Commercial	$81.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.54
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$163.60

Hospital Charge Code	3035052C
Hospital Revenue Code	301
Min. Negotiated Rate	$24.54
Max. Negotiated Rate	$24.54
Rate for Payer: Qualcare PPO/HMO/WC	$24.54

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$204.00

Hospital Charge Code	3035052F
Hospital Revenue Code	301
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$163.60

Hospital Charge Code	3035052A
Hospital Revenue Code	301
Min. Negotiated Rate	$21.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.08
Rate for Payer: Aetna Medicare Advantage	$49.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.72
Rate for Payer: Cigna Commercial	$81.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.54
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$128.00

Hospital Charge Code	3035052H
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$128.00

Hospital Charge Code	3035052G
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$204.00

Service Code	HCPCS 81256
Hospital Charge Code	3035052
Hospital Revenue Code	310
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$204.00

Hospital Charge Code	3035052F
Hospital Revenue Code	301
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$128.00

Hospital Charge Code	3035052G
Hospital Revenue Code	301
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$204.00

Hospital Charge Code	3035052D
Hospital Revenue Code	301
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$204.00

Hospital Charge Code	3035052E
Hospital Revenue Code	301
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$111.00

Hospital Charge Code	3035052I
Hospital Revenue Code	301
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$163.60

Hospital Charge Code	3035052A
Hospital Revenue Code	301
Min. Negotiated Rate	$24.54
Max. Negotiated Rate	$24.54
Rate for Payer: Qualcare PPO/HMO/WC	$24.54

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$163.60

Hospital Charge Code	3035052B
Hospital Revenue Code	301
Min. Negotiated Rate	$21.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.08
Rate for Payer: Aetna Medicare Advantage	$49.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.72
Rate for Payer: Cigna Commercial	$81.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.54
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$163.60

Hospital Charge Code	3035052B
Hospital Revenue Code	301
Min. Negotiated Rate	$24.54
Max. Negotiated Rate	$24.54
Rate for Payer: Qualcare PPO/HMO/WC	$24.54

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$111.00

Hospital Charge Code	3035052I
Hospital Revenue Code	301
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.30
Rate for Payer: Aetna Medicare Advantage	$33.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.30
Rate for Payer: Cigna Commercial	$55.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROMATOSIS DNA

Facility

IP

$204.00

Hospital Charge Code	3035052E
Hospital Revenue Code	301
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$204.00

Service Code	HCPCS 81256
Hospital Charge Code	3035052
Hospital Revenue Code	310
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$239.48
Rate for Payer: Aetna Commercial	$211.77
Rate for Payer: Aetna Medicare Advantage	$65.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$65.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.48
Rate for Payer: Cigna Commercial	$65.36
Rate for Payer: Cigna Medicare Advantage	$32.68
Rate for Payer: Clover Medicare Advantage	$62.09
Rate for Payer: EmblemHealth Commercial	$196.08
Rate for Payer: Humana Medicare Advantage	$67.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$65.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$69.28
Rate for Payer: Wellcare Medicare Advantage	$65.36

HEREDITARY HEMOCHROMATOSIS DNA

Facility

OP

$128.00

Hospital Charge Code	3035052H
Hospital Revenue Code	301
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

HEREDITARY HEMOCHROM DNA

Facility

IP

$455.80

Service Code	HCPCS 81256
Hospital Charge Code	39900018
Hospital Revenue Code	310
Min. Negotiated Rate	$68.37
Max. Negotiated Rate	$68.37
Rate for Payer: Qualcare PPO/HMO/WC	$68.37

HEREDITARY HEMOCHROM DNA

Facility

OP

$455.80

Service Code	HCPCS 81256
Hospital Charge Code	39900018
Hospital Revenue Code	310
Min. Negotiated Rate	$32.68
Max. Negotiated Rate	$239.48
Rate for Payer: Aetna Commercial	$211.77
Rate for Payer: Aetna Medicare Advantage	$65.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$65.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.48
Rate for Payer: Cigna Commercial	$65.36
Rate for Payer: Cigna Medicare Advantage	$32.68
Rate for Payer: Clover Medicare Advantage	$62.09
Rate for Payer: EmblemHealth Commercial	$196.08
Rate for Payer: Humana Medicare Advantage	$67.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$65.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$69.28
Rate for Payer: Wellcare Medicare Advantage	$65.36

HERNIA MESH 3D

Facility

OP

$561.00

Hospital Charge Code	270332618
Hospital Revenue Code	278
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$280.50
Rate for Payer: Aetna Commercial	$168.30
Rate for Payer: Aetna Medicare Advantage	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.06
Rate for Payer: Cigna Commercial	$280.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.76
Rate for Payer: Qualcare PPO/HMO/WC	$84.15