Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

IR TRLUML PERIP ATHRC BRCHIOCP

Facility

OP

$37,614.35

Service Code	HCPCS 0237T
Hospital Charge Code	7411855
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$11,284.31
Rate for Payer: Aetna Medicare Advantage	$11,284.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,591.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,591.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,591.66
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,889.87
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,642.15
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC BRCHIOCP

Facility

IP

$37,614.35

Service Code	HCPCS 0237T
Hospital Charge Code	7411855
Hospital Revenue Code	361
Min. Negotiated Rate	$5,642.15
Max. Negotiated Rate	$5,642.15
Rate for Payer: Qualcare PPO/HMO/WC	$5,642.15

IR TRLUML PERIP ATHRC ILIAC AR

Facility

IP

$80,096.45

Service Code	HCPCS 0238T
Hospital Charge Code	41100238T
Hospital Revenue Code	361
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

IR TRLUML PERIP ATHRC ILIAC AR

Facility

IP

$37,614.35

Service Code	HCPCS 0238T
Hospital Charge Code	7411856
Hospital Revenue Code	361
Min. Negotiated Rate	$5,642.15
Max. Negotiated Rate	$5,642.15
Rate for Payer: Qualcare PPO/HMO/WC	$5,642.15

IR TRLUML PERIP ATHRC ILIAC AR

Facility

IP

$89,914.40

Service Code	HCPCS 0238T
Hospital Charge Code	5600219
Hospital Revenue Code	361
Min. Negotiated Rate	$13,487.16
Max. Negotiated Rate	$13,487.16
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16

IR TRLUML PERIP ATHRC ILIAC AR

Facility

OP

$37,614.35

Service Code	HCPCS 0238T
Hospital Charge Code	7411856
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$11,284.31
Rate for Payer: Aetna Medicare Advantage	$11,284.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,591.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,591.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,591.66
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,889.87
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,642.15
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC ILIAC AR

Facility

OP

$89,914.40

Service Code	HCPCS 0238T
Hospital Charge Code	5600219
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$26,974.32
Rate for Payer: Aetna Medicare Advantage	$26,974.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,928.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,928.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,928.17
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,688.87
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC ILIAC AR

Facility

OP

$80,096.45

Service Code	HCPCS 0238T
Hospital Charge Code	36680238T
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$24,028.94
Rate for Payer: Aetna Medicare Advantage	$24,028.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,424.59
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.54
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC ILIAC AR

Facility

OP

$89,914.40

Service Code	HCPCS 0238T
Hospital Charge Code	32100238T
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$26,974.32
Rate for Payer: Aetna Medicare Advantage	$26,974.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,928.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,928.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,928.17
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,688.87
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC ILIAC AR

Facility

IP

$89,914.40

Service Code	HCPCS 0238T
Hospital Charge Code	32100238T
Hospital Revenue Code	361
Min. Negotiated Rate	$13,487.16
Max. Negotiated Rate	$13,487.16
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16

IR TRLUML PERIP ATHRC ILIAC AR

Facility

IP

$80,096.45

Service Code	HCPCS 0238T
Hospital Charge Code	36680238T
Hospital Revenue Code	361
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

IR TRLUML PERIP ATHRC ILIAC AR

Facility

OP

$80,096.45

Service Code	HCPCS 0238T
Hospital Charge Code	41100238T
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$24,028.94
Rate for Payer: Aetna Medicare Advantage	$24,028.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,424.59
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.54
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC RENAL AR

Facility

OP

$37,914.35

Service Code	HCPCS 0234T
Hospital Charge Code	5600218
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$11,374.31
Rate for Payer: Aetna Medicare Advantage	$11,374.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,668.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,668.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,668.16
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,928.87
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,687.15
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC RENAL AR

Facility

IP

$37,914.35

Service Code	HCPCS 0234T
Hospital Charge Code	5600218
Hospital Revenue Code	361
Min. Negotiated Rate	$5,687.15
Max. Negotiated Rate	$5,687.15
Rate for Payer: Qualcare PPO/HMO/WC	$5,687.15

IR TRLUML PERIP ATHRC RENAL AR

Facility

OP

$37,614.35

Service Code	HCPCS 0234T
Hospital Charge Code	7411848
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$11,284.31
Rate for Payer: Aetna Medicare Advantage	$11,284.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,591.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,591.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,591.66
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,889.87
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,642.15
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR TRLUML PERIP ATHRC RENAL AR

Facility

IP

$37,614.35

Service Code	HCPCS 0234T
Hospital Charge Code	7411848
Hospital Revenue Code	361
Min. Negotiated Rate	$5,642.15
Max. Negotiated Rate	$5,642.15
Rate for Payer: Qualcare PPO/HMO/WC	$5,642.15

IR TRNSHPTC PRTGRPHY W/HMO EVL

Facility

OP

$13,436.40

Service Code	HCPCS 75885
Hospital Charge Code	7411723
Hospital Revenue Code	320
Min. Negotiated Rate	$267.04
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,030.92
Rate for Payer: Aetna Medicare Advantage	$4,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.73
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR TRNSHPTC PRTGRPHY W/HMO EVL

Facility

IP

$15,254.51

Service Code	HCPCS 75885
Hospital Charge Code	2600114
Hospital Revenue Code	320
Min. Negotiated Rate	$2,288.18
Max. Negotiated Rate	$2,288.18
Rate for Payer: Qualcare PPO/HMO/WC	$2,288.18

IR TRNSHPTC PRTGRPHY W/HMO EVL

Facility

IP

$13,436.40

Service Code	HCPCS 75885
Hospital Charge Code	7411723
Hospital Revenue Code	320
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR TRNSHPTC PRTGRPHY W/HMO EVL

Facility

OP

$15,254.51

Service Code	HCPCS 75885
Hospital Charge Code	2600114
Hospital Revenue Code	320
Min. Negotiated Rate	$267.04
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,576.35
Rate for Payer: Aetna Medicare Advantage	$4,576.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,889.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,889.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,889.90
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,983.09
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,288.18
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR-TRNS IV STNT PRC-IN-BI

Facility

OP

$53,150.12

Service Code	HCPCS 3720550
Hospital Charge Code	2690490
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$26,575.06
Rate for Payer: Aetna Commercial	$15,945.04
Rate for Payer: Aetna Medicare Advantage	$15,945.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,553.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,553.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,553.28
Rate for Payer: Cigna Commercial	$26,575.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,909.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,972.52

IR-TRNS IV STNT PRC-IN-BI

Facility

IP

$53,150.12

Service Code	HCPCS 3720550
Hospital Charge Code	2690490
Hospital Revenue Code	361
Min. Negotiated Rate	$7,972.52
Max. Negotiated Rate	$7,972.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,972.52

IR-TRNS IV STNT PRC-IN-LT

Facility

IP

$53,150.12

Service Code	HCPCS 37205LT
Hospital Charge Code	2691310
Hospital Revenue Code	361
Min. Negotiated Rate	$7,972.52
Max. Negotiated Rate	$7,972.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,972.52

IR-TRNS IV STNT PRC-IN-LT

Facility

OP

$53,150.12

Service Code	HCPCS 37205LT
Hospital Charge Code	2691310
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$26,575.06
Rate for Payer: Aetna Commercial	$15,945.04
Rate for Payer: Aetna Medicare Advantage	$15,945.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,553.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,553.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,553.28
Rate for Payer: Cigna Commercial	$26,575.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,909.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,972.52

IR-TRNS IV STNT PRC-IN-RT

Facility

IP

$53,150.12

Service Code	HCPCS 37205RT
Hospital Charge Code	2691315
Hospital Revenue Code	361
Min. Negotiated Rate	$7,972.52
Max. Negotiated Rate	$7,972.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,972.52