Heights University Hospital

All Charges

Charge

Type

Setting

Price

MYDRIAFAIR 0.5% OPTH 15ML

Facility

$112.00

Hospital Charge Code	60635239
Hospital Revenue Code	250
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

MYDRIAFAIR 0.5% OPTH 15ML

Facility

$112.00

Hospital Charge Code	60635239
Hospital Revenue Code	250
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$56.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$56.00

MYELIN BASIC PROTEIN

Facility

$390.00

Service Code	HCPCS 83873
Hospital Charge Code	39900109
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MYELIN BASIC PROTEIN

Facility

$390.00

Service Code	HCPCS 83873
Hospital Charge Code	39900109
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	$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	$17.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.23
Rate for Payer: Wellcare Medicare Advantage	$17.20

MYELIN BASIC PROTEIN

Facility

$257.65

Service Code	HCPCS 83873
Hospital Charge Code	3009768
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	$33.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.65
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

MYELIN BASIC PROTEIN

Facility

$257.65

Service Code	HCPCS 83873
Hospital Charge Code	3009768
Hospital Revenue Code	301
Min. Negotiated Rate	$38.65
Max. Negotiated Rate	$38.65
Rate for Payer: Qualcare PPO/HMO/WC	$38.65

MYELIN BASIC PROTEIN,CSF

Facility

$291.00

Service Code	HCPCS 83873
Hospital Charge Code	38472749
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	$37.83
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.65
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

MYELIN BASIC PROTEIN,CSF

Facility

$291.00

Service Code	HCPCS 83873
Hospital Charge Code	38472749
Hospital Revenue Code	301
Min. Negotiated Rate	$43.65
Max. Negotiated Rate	$43.65
Rate for Payer: Qualcare PPO/HMO/WC	$43.65

MYELIN CSF

Facility

$257.65

Service Code	HCPCS 83873
Hospital Charge Code	3035112
Hospital Revenue Code	301
Min. Negotiated Rate	$38.65
Max. Negotiated Rate	$38.65
Rate for Payer: Qualcare PPO/HMO/WC	$38.65

MYELIN CSF

Facility

$257.65

Service Code	HCPCS 83873
Hospital Charge Code	3035112
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	$33.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.65
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

MYELIN GLYCOPROTEIN DUAL#T95**

Facility

$214.00

Hospital Charge Code	3010683
Hospital Revenue Code	301
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.20
Rate for Payer: Aetna Medicare Advantage	$64.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.57
Rate for Payer: Cigna Commercial	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.10
Rate for Payer: UnitedHealthcare Commercial	$114.00

MYELIN GLYCOPROTEIN DUAL#T95**

Facility

$214.00

Hospital Charge Code	3010683
Hospital Revenue Code	301
Min. Negotiated Rate	$32.10
Max. Negotiated Rate	$32.10
Rate for Payer: Qualcare PPO/HMO/WC	$32.10

MYELOGRAM INJ; SPINAL NOT C1-C

Facility

$2,994.91

Service Code	HCPCS 62284
Hospital Charge Code	16001016
Hospital Revenue Code	360
Min. Negotiated Rate	$449.24
Max. Negotiated Rate	$449.24
Rate for Payer: Qualcare PPO/HMO/WC	$449.24

MYELOGRAM INJ; SPINAL NOT C1-C

Facility

$2,994.91

Service Code	HCPCS 62284
Hospital Charge Code	16001016
Hospital Revenue Code	360
Min. Negotiated Rate	$77.95
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$898.47
Rate for Payer: Aetna Medicare Advantage	$898.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.70
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	$763.70
Rate for Payer: Cigna Commercial	$77.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.34
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$449.24
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

MYELOPEROXIDASE AB

Facility

$390.00

Service Code	HCPCS 86021
Hospital Charge Code	39900188
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MYELOPEROXIDASE AB

Facility

$205.65

Service Code	HCPCS 86021
Hospital Charge Code	3035150
Hospital Revenue Code	302
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

MYELOPEROXIDASE AB

Facility

$205.65

Service Code	HCPCS 86021
Hospital Charge Code	3035150
Hospital Revenue Code	302
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.76
Rate for Payer: Aetna Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.14
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: Cigna Medicare Advantage	$7.53
Rate for Payer: Clover Medicare Advantage	$14.30
Rate for Payer: EmblemHealth Commercial	$45.15
Rate for Payer: Humana Medicare Advantage	$15.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.95
Rate for Payer: Wellcare Medicare Advantage	$15.05

MYELOPEROXIDASE AB

Facility

$390.00

Service Code	HCPCS 86021
Hospital Charge Code	39900188
Hospital Revenue Code	302
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.76
Rate for Payer: Aetna Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.14
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: Cigna Medicare Advantage	$7.53
Rate for Payer: Clover Medicare Advantage	$14.30
Rate for Payer: EmblemHealth Commercial	$45.15
Rate for Payer: Humana Medicare Advantage	$15.50
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	$15.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.95
Rate for Payer: Wellcare Medicare Advantage	$15.05

MYELOPEROXIDASE (MPO)

Facility

$240.40

Service Code	HCPCS 83876
Hospital Charge Code	38477190
Hospital Revenue Code	301
Min. Negotiated Rate	$25.43
Max. Negotiated Rate	$186.35
Rate for Payer: Aetna Commercial	$164.79
Rate for Payer: Aetna Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.35
Rate for Payer: Cigna Commercial	$50.86
Rate for Payer: Cigna Medicare Advantage	$25.43
Rate for Payer: Clover Medicare Advantage	$48.32
Rate for Payer: EmblemHealth Commercial	$152.58
Rate for Payer: Humana Medicare Advantage	$52.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.06
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$50.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$53.91
Rate for Payer: Wellcare Medicare Advantage	$50.86

MYELOPEROXIDASE (MPO)

Facility

$240.40

Service Code	HCPCS 83876
Hospital Charge Code	38477190
Hospital Revenue Code	301
Min. Negotiated Rate	$36.06
Max. Negotiated Rate	$36.06
Rate for Payer: Qualcare PPO/HMO/WC	$36.06

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC

Facility

$78,906.51

Service Code	MSDRG 827
Min. Negotiated Rate	$24,987.06
Max. Negotiated Rate	$78,906.51
Rate for Payer: Aetna Commercial	$77,933.38
Rate for Payer: Aetna Medicare Advantage	$25,221.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63,955.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63,955.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,302.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63,955.44
Rate for Payer: Cigna Commercial	$49,739.34
Rate for Payer: Cigna Medicare Advantage	$26,302.17
Rate for Payer: Clover Medicare Advantage	$24,987.06
Rate for Payer: EmblemHealth Commercial	$78,906.51
Rate for Payer: Humana Medicare Advantage	$27,091.24
Rate for Payer: Oxford Commercial	$31,085.64
Rate for Payer: UnitedHealthcare Commercial	$35,285.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,302.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27,880.30
Rate for Payer: Wellcare Medicare Advantage	$26,302.17

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC

Facility

$157,734.86

Service Code	MSDRG 826
Min. Negotiated Rate	$46,739.63
Max. Negotiated Rate	$157,734.86
Rate for Payer: Aetna Commercial	$157,734.86
Rate for Payer: Aetna Medicare Advantage	$51,046.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127,635.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127,635.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$49,199.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127,635.21
Rate for Payer: Cigna Commercial	$100,670.93
Rate for Payer: Cigna Medicare Advantage	$49,199.61
Rate for Payer: Clover Medicare Advantage	$46,739.63
Rate for Payer: EmblemHealth Commercial	$147,598.83
Rate for Payer: Humana Medicare Advantage	$50,675.60
Rate for Payer: Oxford Commercial	$62,916.41
Rate for Payer: UnitedHealthcare Commercial	$71,415.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$49,199.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$52,151.59
Rate for Payer: Wellcare Medicare Advantage	$49,199.61

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Facility

$61,276.29

Service Code	MSDRG 828
Min. Negotiated Rate	$18,592.86
Max. Negotiated Rate	$61,276.29
Rate for Payer: Aetna Commercial	$57,451.94
Rate for Payer: Aetna Medicare Advantage	$18,592.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,209.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,209.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,425.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,209.88
Rate for Payer: Cigna Commercial	$36,667.48
Rate for Payer: Cigna Medicare Advantage	$20,425.43
Rate for Payer: Clover Medicare Advantage	$19,404.16
Rate for Payer: EmblemHealth Commercial	$61,276.29
Rate for Payer: Humana Medicare Advantage	$21,038.19
Rate for Payer: Oxford Commercial	$22,916.11
Rate for Payer: UnitedHealthcare Commercial	$26,011.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,425.43
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,650.96
Rate for Payer: Wellcare Medicare Advantage	$20,425.43

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC

Facility

$106,554.82

Service Code	MSDRG 829
Min. Negotiated Rate	$32,788.79
Max. Negotiated Rate	$106,554.82
Rate for Payer: Aetna Commercial	$106,554.82
Rate for Payer: Aetna Medicare Advantage	$34,483.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86,836.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86,836.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,514.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86,836.05
Rate for Payer: Cigna Commercial	$68,006.36
Rate for Payer: Cigna Medicare Advantage	$34,514.52
Rate for Payer: Clover Medicare Advantage	$32,788.79
Rate for Payer: EmblemHealth Commercial	$103,543.56
Rate for Payer: Humana Medicare Advantage	$35,549.96
Rate for Payer: Oxford Commercial	$42,502.00
Rate for Payer: UnitedHealthcare Commercial	$48,243.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,514.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,585.39
Rate for Payer: Wellcare Medicare Advantage	$34,514.52

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC

Facility

$55,505.97

Service Code	MSDRG 830
Min. Negotiated Rate	$16,423.44
Max. Negotiated Rate	$55,505.97
Rate for Payer: Aetna Commercial	$50,748.43
Rate for Payer: Aetna Medicare Advantage	$16,423.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,555.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,555.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,501.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,555.86
Rate for Payer: Cigna Commercial	$32,389.10
Rate for Payer: Cigna Medicare Advantage	$18,501.99
Rate for Payer: Clover Medicare Advantage	$17,576.89
Rate for Payer: EmblemHealth Commercial	$55,505.97
Rate for Payer: Humana Medicare Advantage	$19,057.05
Rate for Payer: Oxford Commercial	$20,242.25
Rate for Payer: UnitedHealthcare Commercial	$22,976.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,501.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,612.11
Rate for Payer: Wellcare Medicare Advantage	$18,501.99

Know your out-of-pocket cost for care.

All Charges