Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

BAL IAB 7.5F 25CC 068400047801

Facility

IP

$5,075.00

Hospital Charge Code	270634434C
Hospital Revenue Code	278
Min. Negotiated Rate	$761.25
Max. Negotiated Rate	$1,228.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.15
Rate for Payer: Qualcare PPO/HMO/WC	$761.25

BAL IAB 7.5F 40cc 068400048001

Facility

IP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432
Hospital Revenue Code	278
Min. Negotiated Rate	$660.39
Max. Negotiated Rate	$1,065.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39

BAL IAB 7.5F 40cc 068400048001

Facility

IP

$5,075.00

Service Code	HCPCS C1725
Hospital Charge Code	270634432N
Hospital Revenue Code	278
Min. Negotiated Rate	$761.25
Max. Negotiated Rate	$1,228.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.15
Rate for Payer: Qualcare PPO/HMO/WC	$761.25

BAL IAB 7.5F 40cc 068400048001

Facility

OP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432
Hospital Revenue Code	278
Min. Negotiated Rate	$660.39
Max. Negotiated Rate	$2,201.30
Rate for Payer: Aetna Commercial	$1,320.78
Rate for Payer: Aetna Medicare Advantage	$1,320.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.66
Rate for Payer: Cigna Commercial	$2,201.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39

BAL IAB 7.5F 40cc 068400048001

Facility

IP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432S
Hospital Revenue Code	278
Min. Negotiated Rate	$660.39
Max. Negotiated Rate	$1,065.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39

BAL IAB 7.5F 40cc 068400048001

Facility

OP

$5,075.00

Service Code	HCPCS C1725
Hospital Charge Code	270634432N
Hospital Revenue Code	278
Min. Negotiated Rate	$761.25
Max. Negotiated Rate	$2,537.50
Rate for Payer: Aetna Commercial	$1,522.50
Rate for Payer: Aetna Medicare Advantage	$1,522.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,294.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,294.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,015.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,294.12
Rate for Payer: Cigna Commercial	$2,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.15
Rate for Payer: Qualcare PPO/HMO/WC	$761.25

BAL IAB 7.5F 40cc 068400048001

Facility

OP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432S
Hospital Revenue Code	278
Min. Negotiated Rate	$660.39
Max. Negotiated Rate	$2,201.30
Rate for Payer: Aetna Commercial	$1,320.78
Rate for Payer: Aetna Medicare Advantage	$1,320.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.66
Rate for Payer: Cigna Commercial	$2,201.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39

BAL IN OIL

Facility

IP

$114.00

Hospital Charge Code	60634885
Hospital Revenue Code	250
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$17.10

BAL IN OIL

Facility

OP

$114.00

Hospital Charge Code	60634885
Hospital Revenue Code	250
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$57.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.07
Rate for Payer: Cigna Commercial	$57.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.82
Rate for Payer: Oxford Commercial	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.10
Rate for Payer: UnitedHealthcare Commercial	$57.00

BALLARD SUCTION KIT TRACH

Facility

OP

$57.65

Hospital Charge Code	270600663
Hospital Revenue Code	272
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Commercial	$28.82

BALLARD SUCTION KIT TRACH

Facility

IP

$57.65

Hospital Charge Code	270600663
Hospital Revenue Code	272
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

BALL BUR 4.0MM 24B6ST

Facility

IP

$161.00

Hospital Charge Code	270335572
Hospital Revenue Code	272
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

BALL BUR 4.0MM 24B6ST

Facility

OP

$161.00

Hospital Charge Code	270335572
Hospital Revenue Code	272
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$80.50
Rate for Payer: Aetna Commercial	$48.30
Rate for Payer: Aetna Medicare Advantage	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.05
Rate for Payer: Cigna Commercial	$80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.93
Rate for Payer: Oxford Commercial	$80.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$80.50

BALL BUR 4.0MM 24B9ST

Facility

OP

$152.00

Hospital Charge Code	270335573
Hospital Revenue Code	272
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

BALL BUR 4.0MM 24B9ST

Facility

IP

$152.00

Hospital Charge Code	270335573
Hospital Revenue Code	272
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

BALL BURR, CRANIAL

Facility

IP

$5,000.00

Hospital Charge Code	270690851
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

BALL BURR, CRANIAL

Facility

OP

$5,000.00

Hospital Charge Code	270690851
Hospital Revenue Code	272
Min. Negotiated Rate	$650.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$2,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$2,500.00

BALL BURR FLUTED 6MM

Facility

IP

$390.00

Hospital Charge Code	270668483
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BALL BURR FLUTED 6MM

Facility

OP

$390.00

Hospital Charge Code	270668483
Hospital Revenue Code	272
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$195.00

BALL DIAMOND 5MM MEDNEXT

Facility

IP

$703.00

Hospital Charge Code	270657267
Hospital Revenue Code	278
Min. Negotiated Rate	$105.45
Max. Negotiated Rate	$170.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.13
Rate for Payer: Qualcare PPO/HMO/WC	$105.45

BALL DIAMOND 5MM MEDNEXT

Facility

IP

$731.50

Hospital Charge Code	270657269
Hospital Revenue Code	278
Min. Negotiated Rate	$109.72
Max. Negotiated Rate	$177.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.02
Rate for Payer: Qualcare PPO/HMO/WC	$109.72

BALL DIAMOND 5MM MEDNEXT

Facility

OP

$703.00

Hospital Charge Code	270657267
Hospital Revenue Code	278
Min. Negotiated Rate	$105.45
Max. Negotiated Rate	$351.50
Rate for Payer: Aetna Commercial	$210.90
Rate for Payer: Aetna Medicare Advantage	$210.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.26
Rate for Payer: Cigna Commercial	$351.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.13
Rate for Payer: Qualcare PPO/HMO/WC	$105.45

BALL DIAMOND 5MM MEDNEXT

Facility

OP

$731.50

Hospital Charge Code	270657269
Hospital Revenue Code	278
Min. Negotiated Rate	$109.72
Max. Negotiated Rate	$365.75
Rate for Payer: Aetna Commercial	$219.45
Rate for Payer: Aetna Medicare Advantage	$219.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.53
Rate for Payer: Cigna Commercial	$365.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.02
Rate for Payer: Qualcare PPO/HMO/WC	$109.72

BALL DIAMOND 6MM

Facility

OP

$703.00

Hospital Charge Code	270657270
Hospital Revenue Code	278
Min. Negotiated Rate	$105.45
Max. Negotiated Rate	$351.50
Rate for Payer: Aetna Commercial	$210.90
Rate for Payer: Aetna Medicare Advantage	$210.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.26
Rate for Payer: Cigna Commercial	$351.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.13
Rate for Payer: Qualcare PPO/HMO/WC	$105.45

BALL DIAMOND 6MM

Facility

IP

$703.00

Hospital Charge Code	270657270
Hospital Revenue Code	278
Min. Negotiated Rate	$105.45
Max. Negotiated Rate	$170.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.13
Rate for Payer: Qualcare PPO/HMO/WC	$105.45

<<
<
347
348
349
350
351
352
353
354
355
356
>
>>