Heights University Hospital

All Charges

Charge

Type

Setting

Price

MULTIPLE FAMILY GROUP THERAPY

Facility

$464.00

Service Code	HCPCS 90849
Hospital Charge Code	84504065
Hospital Revenue Code	915
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

MULTIPLE FAMILY GROUP THERAPY

Facility

$464.00

Service Code	HCPCS 90849
Hospital Charge Code	84504065
Hospital Revenue Code	915
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$422.69
Rate for Payer: Aetna Commercial	$139.20
Rate for Payer: Aetna Medicare Advantage	$139.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.32
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.32
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC

Facility

$243,410.33

Service Code	MSDRG 427
Min. Negotiated Rate	$70,093.36
Max. Negotiated Rate	$243,410.33
Rate for Payer: Aetna Commercial	$243,410.33
Rate for Payer: Aetna Medicare Advantage	$78,773.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$73,782.48
Rate for Payer: Cigna Commercial	$155,351.49
Rate for Payer: Cigna Medicare Advantage	$73,782.48
Rate for Payer: Clover Medicare Advantage	$70,093.36
Rate for Payer: EmblemHealth Commercial	$221,347.44
Rate for Payer: Humana Medicare Advantage	$75,995.95
Rate for Payer: Oxford Commercial	$97,090.17
Rate for Payer: UnitedHealthcare Commercial	$110,206.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$73,782.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$78,209.43
Rate for Payer: Wellcare Medicare Advantage	$73,782.48

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

Facility

$371,633.56

Service Code	MSDRG 426
Min. Negotiated Rate	$105,044.89
Max. Negotiated Rate	$371,633.56
Rate for Payer: Aetna Commercial	$371,633.56
Rate for Payer: Aetna Medicare Advantage	$120,269.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$110,573.57
Rate for Payer: Cigna Commercial	$237,187.25
Rate for Payer: Cigna Medicare Advantage	$110,573.57
Rate for Payer: Clover Medicare Advantage	$105,044.89
Rate for Payer: EmblemHealth Commercial	$331,720.71
Rate for Payer: Humana Medicare Advantage	$113,890.78
Rate for Payer: Oxford Commercial	$148,235.14
Rate for Payer: UnitedHealthcare Commercial	$168,260.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$110,573.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$117,207.98
Rate for Payer: Wellcare Medicare Advantage	$110,573.57

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC

Facility

$189,573.17

Service Code	MSDRG 428
Min. Negotiated Rate	$55,418.23
Max. Negotiated Rate	$189,573.17
Rate for Payer: Aetna Commercial	$189,573.17
Rate for Payer: Aetna Medicare Advantage	$61,350.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$58,334.98
Rate for Payer: Cigna Commercial	$120,991.06
Rate for Payer: Cigna Medicare Advantage	$58,334.98
Rate for Payer: Clover Medicare Advantage	$55,418.23
Rate for Payer: EmblemHealth Commercial	$175,004.94
Rate for Payer: Humana Medicare Advantage	$60,085.03
Rate for Payer: Oxford Commercial	$75,615.90
Rate for Payer: UnitedHealthcare Commercial	$85,831.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$58,334.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$61,835.08
Rate for Payer: Wellcare Medicare Advantage	$58,334.98

MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

Facility

$225,302.75

Service Code	MSDRG 447
Min. Negotiated Rate	$65,157.53
Max. Negotiated Rate	$225,302.75
Rate for Payer: Oxford Commercial	$89,867.52
Rate for Payer: UnitedHealthcare Commercial	$102,007.99
Rate for Payer: Aetna Commercial	$225,302.75
Rate for Payer: Aetna Medicare Advantage	$72,913.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$68,586.87
Rate for Payer: Cigna Commercial	$143,794.71
Rate for Payer: Cigna Medicare Advantage	$68,586.87
Rate for Payer: Clover Medicare Advantage	$65,157.53
Rate for Payer: EmblemHealth Commercial	$205,760.61
Rate for Payer: Humana Medicare Advantage	$70,644.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$68,586.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$72,702.08
Rate for Payer: Wellcare Medicare Advantage	$68,586.87

MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

Facility

$142,999.27

Service Code	MSDRG 448
Min. Negotiated Rate	$42,722.95
Max. Negotiated Rate	$142,999.27
Rate for Payer: Aetna Commercial	$142,999.27
Rate for Payer: Aetna Medicare Advantage	$46,278.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44,971.53
Rate for Payer: Cigna Commercial	$91,266.26
Rate for Payer: Cigna Medicare Advantage	$44,971.53
Rate for Payer: Clover Medicare Advantage	$42,722.95
Rate for Payer: EmblemHealth Commercial	$134,914.59
Rate for Payer: Humana Medicare Advantage	$46,320.68
Rate for Payer: Oxford Commercial	$57,038.76
Rate for Payer: UnitedHealthcare Commercial	$64,744.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$44,971.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$47,669.82
Rate for Payer: Wellcare Medicare Advantage	$44,971.53

MULTIPLE SCLEROSIS 1

Facility

$137.50

Service Code	HCPCS 82040
Hospital Charge Code	3036053A
Hospital Revenue Code	307
Min. Negotiated Rate	$20.62
Max. Negotiated Rate	$20.62
Rate for Payer: Qualcare PPO/HMO/WC	$20.62

MULTIPLE SCLEROSIS 1

Facility

$137.50

Service Code	HCPCS 82040
Hospital Charge Code	3036053A
Hospital Revenue Code	307
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.04
Rate for Payer: Aetna Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.14
Rate for Payer: Cigna Commercial	$4.95
Rate for Payer: Cigna Medicare Advantage	$2.48
Rate for Payer: Clover Medicare Advantage	$4.70
Rate for Payer: EmblemHealth Commercial	$14.85
Rate for Payer: Humana Medicare Advantage	$5.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.62
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.25
Rate for Payer: Wellcare Medicare Advantage	$4.95

MULTIPLE SCLEROSIS 2

Facility

$47.50

Service Code	HCPCS 82042
Hospital Charge Code	3036053B
Hospital Revenue Code	307
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.21
Rate for Payer: Aetna Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.51
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: Cigna Medicare Advantage	$3.89
Rate for Payer: Clover Medicare Advantage	$7.39
Rate for Payer: EmblemHealth Commercial	$23.34
Rate for Payer: Humana Medicare Advantage	$8.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.12
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.25
Rate for Payer: Wellcare Medicare Advantage	$7.78

MULTIPLE SCLEROSIS 2

Facility

$47.50

Service Code	HCPCS 82042
Hospital Charge Code	3036053B
Hospital Revenue Code	307
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

MULTIPLE SCLEROSIS 3

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3036053C
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

MULTIPLE SCLEROSIS 3

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3036053C
Hospital Revenue Code	301
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.19

MULTIPLE SCLEROSIS 4

Facility

$181.65

Service Code	HCPCS 83916
Hospital Charge Code	3036053D
Hospital Revenue Code	301
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$88.74
Rate for Payer: Aetna Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.36
Rate for Payer: Cigna Commercial	$27.39
Rate for Payer: Cigna Medicare Advantage	$13.70
Rate for Payer: Clover Medicare Advantage	$26.02
Rate for Payer: EmblemHealth Commercial	$82.17
Rate for Payer: Humana Medicare Advantage	$28.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.03
Rate for Payer: Wellcare Medicare Advantage	$27.39

MULTIPLE SCLEROSIS 4

Facility

$181.65

Service Code	HCPCS 83916
Hospital Charge Code	3036053D
Hospital Revenue Code	301
Min. Negotiated Rate	$27.25
Max. Negotiated Rate	$27.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.25

MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC

Facility

$47,840.25

Service Code	MSDRG 059
Min. Negotiated Rate	$13,541.42
Max. Negotiated Rate	$47,840.25
Rate for Payer: Aetna Commercial	$41,842.99
Rate for Payer: Aetna Medicare Advantage	$13,541.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,804.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,804.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,946.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,804.73
Rate for Payer: Cigna Medicare Advantage	$15,946.75
Rate for Payer: Clover Medicare Advantage	$15,149.41
Rate for Payer: EmblemHealth Commercial	$47,840.25
Rate for Payer: Humana Medicare Advantage	$16,425.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,946.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,903.56
Rate for Payer: Wellcare Medicare Advantage	$15,946.75

MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC

Facility

$61,441.71

Service Code	MSDRG 058
Min. Negotiated Rate	$18,655.06
Max. Negotiated Rate	$61,441.71
Rate for Payer: Aetna Commercial	$57,644.14
Rate for Payer: Aetna Medicare Advantage	$18,655.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,480.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,690.91
Rate for Payer: Cigna Medicare Advantage	$20,480.57
Rate for Payer: Clover Medicare Advantage	$19,456.54
Rate for Payer: EmblemHealth Commercial	$61,441.71
Rate for Payer: Humana Medicare Advantage	$21,094.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,480.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,709.40
Rate for Payer: Wellcare Medicare Advantage	$20,480.57

MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC

Facility

$38,520.09

Service Code	MSDRG 060
Min. Negotiated Rate	$10,037.39
Max. Negotiated Rate	$38,520.09
Rate for Payer: Aetna Commercial	$31,015.54
Rate for Payer: Aetna Medicare Advantage	$10,037.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,840.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,810.30
Rate for Payer: Cigna Medicare Advantage	$12,840.03
Rate for Payer: Clover Medicare Advantage	$12,198.03
Rate for Payer: EmblemHealth Commercial	$38,520.09
Rate for Payer: Humana Medicare Advantage	$13,225.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,840.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,610.43
Rate for Payer: Wellcare Medicare Advantage	$12,840.03

MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$43,412.21

Service Code	APR-DRG 0434
Min. Negotiated Rate	$34,945.45
Max. Negotiated Rate	$43,412.21
Rate for Payer: Aetna Better Health Medicaid	$42,560.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,412.21
Rate for Payer: Wellpoint Medicaid Managed Care	$34,945.45

MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$11,243.49

Service Code	APR-DRG 0431
Min. Negotiated Rate	$7,645.64
Max. Negotiated Rate	$11,243.49
Rate for Payer: Aetna Better Health Medicaid	$11,023.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,243.49
Rate for Payer: Wellpoint Medicaid Managed Care	$7,645.64

MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$15,057.79

Service Code	APR-DRG 0432
Min. Negotiated Rate	$9,797.68
Max. Negotiated Rate	$15,057.79
Rate for Payer: Aetna Better Health Medicaid	$14,762.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,057.79
Rate for Payer: Wellpoint Medicaid Managed Care	$9,797.68

MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$22,290.37

Service Code	APR-DRG 0433
Min. Negotiated Rate	$15,660.32
Max. Negotiated Rate	$22,290.37
Rate for Payer: Aetna Better Health Medicaid	$21,853.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,290.37
Rate for Payer: Wellpoint Medicaid Managed Care	$15,660.32

MULTIPLE SCLEROSIS PROF 1

Facility

$626.00

Service Code	HCPCS 83873
Hospital Charge Code	3035107B
Hospital Revenue Code	301
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.73
Rate for Payer: Aetna Medicare Advantage	$17.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.02
Rate for Payer: Cigna Commercial	$17.20
Rate for Payer: Cigna Medicare Advantage	$8.60
Rate for Payer: Clover Medicare Advantage	$16.34
Rate for Payer: EmblemHealth Commercial	$51.60
Rate for Payer: Humana Medicare Advantage	$17.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.23
Rate for Payer: Wellcare Medicare Advantage	$17.20

MULTIPLE SCLEROSIS PROF 1

Facility

$626.00

Service Code	HCPCS 83873
Hospital Charge Code	3035107B
Hospital Revenue Code	301
Min. Negotiated Rate	$93.90
Max. Negotiated Rate	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$93.90

MULTIPLE SCLEROSIS PROF 1

Facility

$402.00

Service Code	HCPCS 83916
Hospital Charge Code	3035107A
Hospital Revenue Code	301
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$88.74
Rate for Payer: Aetna Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.36
Rate for Payer: Cigna Commercial	$27.39
Rate for Payer: Cigna Medicare Advantage	$13.70
Rate for Payer: Clover Medicare Advantage	$26.02
Rate for Payer: EmblemHealth Commercial	$82.17
Rate for Payer: Humana Medicare Advantage	$28.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.03
Rate for Payer: Wellcare Medicare Advantage	$27.39

Know your out-of-pocket cost for care.

All Charges