Heights University Hospital

All Charges

Charge

Type

Setting

Price

HIV-1 GENOTYPE

Facility

$2,000.00

Service Code	HCPCS 87901
Hospital Charge Code	3035082
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$943.30
Rate for Payer: Aetna Commercial	$834.14
Rate for Payer: Aetna Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.30
Rate for Payer: Cigna Commercial	$257.45
Rate for Payer: Cigna Medicare Advantage	$128.72
Rate for Payer: Clover Medicare Advantage	$244.58
Rate for Payer: EmblemHealth Commercial	$772.35
Rate for Payer: Humana Medicare Advantage	$265.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$257.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$272.90
Rate for Payer: Wellcare Medicare Advantage	$257.45

HIV-1 GENOTYPE

Facility

$1,769.40

Service Code	HCPCS 87901
Hospital Charge Code	39900406
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$943.30
Rate for Payer: Aetna Commercial	$834.14
Rate for Payer: Aetna Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.30
Rate for Payer: Cigna Commercial	$257.45
Rate for Payer: Cigna Medicare Advantage	$128.72
Rate for Payer: Clover Medicare Advantage	$244.58
Rate for Payer: EmblemHealth Commercial	$772.35
Rate for Payer: Humana Medicare Advantage	$265.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$265.41
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$257.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$272.90
Rate for Payer: Wellcare Medicare Advantage	$257.45

HIV-1 GENOTYPE

Facility

$2,000.00

Service Code	HCPCS 87901
Hospital Charge Code	3035082
Hospital Revenue Code	306
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

HIV-1 GENOTYPE RTI AND PI

Facility

$1,823.20

Service Code	HCPCS 87901
Hospital Charge Code	38476283
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$943.30
Rate for Payer: Aetna Commercial	$834.14
Rate for Payer: Aetna Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.30
Rate for Payer: Cigna Commercial	$257.45
Rate for Payer: Cigna Medicare Advantage	$128.72
Rate for Payer: Clover Medicare Advantage	$244.58
Rate for Payer: EmblemHealth Commercial	$772.35
Rate for Payer: Humana Medicare Advantage	$265.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.48
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$257.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$272.90
Rate for Payer: Wellcare Medicare Advantage	$257.45

HIV-1 GENOTYPE RTI AND PI

Facility

$1,823.20

Service Code	HCPCS 87901
Hospital Charge Code	38476283
Hospital Revenue Code	306
Min. Negotiated Rate	$273.48
Max. Negotiated Rate	$273.48
Rate for Payer: Qualcare PPO/HMO/WC	$273.48

HIV-1 INTEGRASE GENOTYPE

Facility

$1,092.00

Service Code	HCPCS 87906
Hospital Charge Code	397071377
Hospital Revenue Code	306
Min. Negotiated Rate	$64.36
Max. Negotiated Rate	$471.67
Rate for Payer: Aetna Commercial	$417.09
Rate for Payer: Aetna Medicare Advantage	$128.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$128.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.67
Rate for Payer: Cigna Commercial	$128.73
Rate for Payer: Cigna Medicare Advantage	$64.36
Rate for Payer: Clover Medicare Advantage	$122.29
Rate for Payer: EmblemHealth Commercial	$386.19
Rate for Payer: Humana Medicare Advantage	$132.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$128.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$136.45
Rate for Payer: Wellcare Medicare Advantage	$128.73

HIV-1 INTEGRASE GENOTYPE

Facility

$1,092.00

Service Code	HCPCS 87906
Hospital Charge Code	397071377
Hospital Revenue Code	306
Min. Negotiated Rate	$163.80
Max. Negotiated Rate	$163.80
Rate for Payer: Qualcare PPO/HMO/WC	$163.80

HIV-1P24 ANTIGEN

Facility

$623.00

Service Code	HCPCS 87390
Hospital Charge Code	38476204
Hospital Revenue Code	306
Min. Negotiated Rate	$12.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$77.95
Rate for Payer: Aetna Medicare Advantage	$24.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.16
Rate for Payer: Cigna Commercial	$24.06
Rate for Payer: Cigna Medicare Advantage	$12.03
Rate for Payer: Clover Medicare Advantage	$22.86
Rate for Payer: EmblemHealth Commercial	$72.18
Rate for Payer: Humana Medicare Advantage	$24.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.50
Rate for Payer: Wellcare Medicare Advantage	$24.06

HIV-1P24 ANTIGEN

Facility

$623.00

Service Code	HCPCS 87390
Hospital Charge Code	38476204
Hospital Revenue Code	306
Min. Negotiated Rate	$93.45
Max. Negotiated Rate	$93.45
Rate for Payer: Qualcare PPO/HMO/WC	$93.45

HIV-1 QUANTIFICATION

Facility

$602.59

Service Code	HCPCS 87536
Hospital Charge Code	38476239
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.39
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

HIV-1 QUANTIFICATION

Facility

$602.59

Service Code	HCPCS 87536
Hospital Charge Code	38476239
Hospital Revenue Code	306
Min. Negotiated Rate	$90.39
Max. Negotiated Rate	$90.39
Rate for Payer: Qualcare PPO/HMO/WC	$90.39

HIV 1 RNA

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900397
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.72
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

HIV 1 RNA

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900397
Hospital Revenue Code	306
Min. Negotiated Rate	$87.72
Max. Negotiated Rate	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$87.72

HIV-1 RNA,BDNA (3RD GEN)

Facility

$602.59

Service Code	HCPCS 87536
Hospital Charge Code	38475114
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.39
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

HIV-1 RNA,BDNA (3RD GEN)

Facility

$602.59

Service Code	HCPCS 87536
Hospital Charge Code	38475114
Hospital Revenue Code	306
Min. Negotiated Rate	$90.39
Max. Negotiated Rate	$90.39
Rate for Payer: Qualcare PPO/HMO/WC	$90.39

HIV-1 RNA QL TMA

Facility

$1,250.00

Service Code	HCPCS 87535
Hospital Charge Code	401087535
Hospital Revenue Code	306
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

HIV-1 RNA QL TMA

Facility

$1,250.00

Service Code	HCPCS 87535
Hospital Charge Code	401087535
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

HIV-1 RNA,QN RT-PCR,CSF

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900398
Hospital Revenue Code	306
Min. Negotiated Rate	$87.72
Max. Negotiated Rate	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$87.72

HIV-1 RNA,QN RT-PCR,CSF

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900398
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.72
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

HIV -1 RNA QUAL REAL TIME PCR

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900433
Hospital Revenue Code	306
Min. Negotiated Rate	$87.72
Max. Negotiated Rate	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$87.72

HIV -1 RNA QUAL REAL TIME PCR

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900433
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.72
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

HIV-1 RNA QUAL WITH REFLEX TO

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	3990434
Hospital Revenue Code	306
Min. Negotiated Rate	$87.72
Max. Negotiated Rate	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$87.72

HIV-1 RNA QUAL WITH REFLEX TO

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900434
Hospital Revenue Code	306
Min. Negotiated Rate	$87.72
Max. Negotiated Rate	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$87.72

HIV-1 RNA QUAL WITH REFLEX TO

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	3990434
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.72
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

HIV-1 RNA QUAL WITH REFLEX TO

Facility

$584.80

Service Code	HCPCS 87536
Hospital Charge Code	39900434
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.72
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

Know your out-of-pocket cost for care.

All Charges