Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROTEIN S

Facility

$410.00

Service Code	HCPCS 85305
Hospital Charge Code	38473076
Hospital Revenue Code	305
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.54
Rate for Payer: Cigna Commercial	$11.61
Rate for Payer: Cigna Medicare Advantage	$5.80
Rate for Payer: Clover Medicare Advantage	$11.03
Rate for Payer: EmblemHealth Commercial	$34.83
Rate for Payer: Humana Medicare Advantage	$11.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.31
Rate for Payer: Wellcare Medicare Advantage	$11.61

PROTEIN S, ACTIVITY

Facility

$53.75

Service Code	HCPCS 85306
Hospital Charge Code	3035127
Hospital Revenue Code	305
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.64
Rate for Payer: Aetna Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.13
Rate for Payer: Cigna Commercial	$15.32
Rate for Payer: Cigna Medicare Advantage	$7.66
Rate for Payer: Clover Medicare Advantage	$14.55
Rate for Payer: EmblemHealth Commercial	$45.96
Rate for Payer: Humana Medicare Advantage	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.06
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.24
Rate for Payer: Wellcare Medicare Advantage	$15.32

PROTEIN S, ACTIVITY

Facility

$53.75

Service Code	HCPCS 85306
Hospital Charge Code	3035127
Hospital Revenue Code	305
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$8.06
Rate for Payer: Qualcare PPO/HMO/WC	$8.06

PROTEIN S,ACTIVITY

Facility

$667.59

Service Code	HCPCS 85306
Hospital Charge Code	39900169
Hospital Revenue Code	305
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.64
Rate for Payer: Aetna Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.13
Rate for Payer: Cigna Commercial	$15.32
Rate for Payer: Cigna Medicare Advantage	$7.66
Rate for Payer: Clover Medicare Advantage	$14.55
Rate for Payer: EmblemHealth Commercial	$45.96
Rate for Payer: Humana Medicare Advantage	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.24
Rate for Payer: Wellcare Medicare Advantage	$15.32

PROTEIN S,ACTIVITY

Facility

$667.59

Service Code	HCPCS 85306
Hospital Charge Code	39900169
Hospital Revenue Code	305
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

PROTEIN S,ANTIGENIC

Facility

$667.59

Service Code	HCPCS 85305
Hospital Charge Code	39900168
Hospital Revenue Code	305
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

PROTEIN S,ANTIGENIC

Facility

$667.59

Service Code	HCPCS 85305
Hospital Charge Code	39900168
Hospital Revenue Code	305
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.54
Rate for Payer: Cigna Commercial	$11.61
Rate for Payer: Cigna Medicare Advantage	$5.80
Rate for Payer: Clover Medicare Advantage	$11.03
Rate for Payer: EmblemHealth Commercial	$34.83
Rate for Payer: Humana Medicare Advantage	$11.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.31
Rate for Payer: Wellcare Medicare Advantage	$11.61

PROTEIN, SERUM PANEL***

Facility

$7.20

Service Code	HCPCS 84155
Hospital Charge Code	3002268P
Hospital Revenue Code	301
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.89
Rate for Payer: Aetna Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
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	$13.45
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: Cigna Medicare Advantage	$1.83
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.89
Rate for Payer: Wellcare Medicare Advantage	$3.67

PROTEIN, SERUM PANEL***

Facility

$7.20

Service Code	HCPCS 84155
Hospital Charge Code	3002268P
Hospital Revenue Code	301
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

PROTEIN S,FUNCTIONAL

Facility

$105.30

Service Code	HCPCS 85306
Hospital Charge Code	39900170
Hospital Revenue Code	305
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.64
Rate for Payer: Aetna Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.13
Rate for Payer: Cigna Commercial	$15.32
Rate for Payer: Cigna Medicare Advantage	$7.66
Rate for Payer: Clover Medicare Advantage	$14.55
Rate for Payer: EmblemHealth Commercial	$45.96
Rate for Payer: Humana Medicare Advantage	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.79
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.24
Rate for Payer: Wellcare Medicare Advantage	$15.32

PROTEIN S,FUNCTIONAL

Facility

$105.30

Service Code	HCPCS 85306
Hospital Charge Code	39900170
Hospital Revenue Code	305
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$15.79
Rate for Payer: Qualcare PPO/HMO/WC	$15.79

PROTEIN S I

Facility

$449.00

Service Code	HCPCS 85305
Hospital Charge Code	3038085A
Hospital Revenue Code	305
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.54
Rate for Payer: Cigna Commercial	$11.61
Rate for Payer: Cigna Medicare Advantage	$5.80
Rate for Payer: Clover Medicare Advantage	$11.03
Rate for Payer: EmblemHealth Commercial	$34.83
Rate for Payer: Humana Medicare Advantage	$11.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.31
Rate for Payer: Wellcare Medicare Advantage	$11.61

PROTEIN S I

Facility

$449.00

Service Code	HCPCS 85305
Hospital Charge Code	3038085A
Hospital Revenue Code	305
Min. Negotiated Rate	$67.35
Max. Negotiated Rate	$67.35
Rate for Payer: Qualcare PPO/HMO/WC	$67.35

PROTEIN S II

Facility

$53.75

Service Code	HCPCS 85306
Hospital Charge Code	3038085B
Hospital Revenue Code	305
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.64
Rate for Payer: Aetna Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.13
Rate for Payer: Cigna Commercial	$15.32
Rate for Payer: Cigna Medicare Advantage	$7.66
Rate for Payer: Clover Medicare Advantage	$14.55
Rate for Payer: EmblemHealth Commercial	$45.96
Rate for Payer: Humana Medicare Advantage	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.06
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.24
Rate for Payer: Wellcare Medicare Advantage	$15.32

PROTEIN S II

Facility

$53.75

Service Code	HCPCS 85306
Hospital Charge Code	3038085B
Hospital Revenue Code	305
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$8.06
Rate for Payer: Qualcare PPO/HMO/WC	$8.06

PROTEIN S TOTAL (PLASMA)

Facility

$128.00

Service Code	HCPCS 85305
Hospital Charge Code	3007663
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

PROTEIN S TOTAL (PLASMA)

Facility

$128.00

Service Code	HCPCS 85305
Hospital Charge Code	3007663
Hospital Revenue Code	305
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.54
Rate for Payer: Cigna Commercial	$11.61
Rate for Payer: Cigna Medicare Advantage	$5.80
Rate for Payer: Clover Medicare Advantage	$11.03
Rate for Payer: EmblemHealth Commercial	$34.83
Rate for Payer: Humana Medicare Advantage	$11.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.31
Rate for Payer: Wellcare Medicare Advantage	$11.61

PROTEIN, TOTAL, BLOOD

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3002227C
Hospital Revenue Code	301
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

PROTEIN, TOTAL, BLOOD

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3002227C
Hospital Revenue Code	301
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.89
Rate for Payer: Aetna Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
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	$13.45
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: Cigna Medicare Advantage	$1.83
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.89
Rate for Payer: Wellcare Medicare Advantage	$3.67

PROTEIN, TOTAL, BLOOD

Facility

$112.38

Service Code	HCPCS 84155
Hospital Charge Code	3002268
Hospital Revenue Code	301
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.89
Rate for Payer: Aetna Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
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	$13.45
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: Cigna Medicare Advantage	$1.83
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.86
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.89
Rate for Payer: Wellcare Medicare Advantage	$3.67

PROTEIN, TOTAL, BLOOD

Facility

$112.38

Service Code	HCPCS 84155
Hospital Charge Code	3002268
Hospital Revenue Code	301
Min. Negotiated Rate	$16.86
Max. Negotiated Rate	$16.86
Rate for Payer: Qualcare PPO/HMO/WC	$16.86

PROTEIN, TOTAL, BODY FLUID

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3031176
Hospital Revenue Code	301
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.89
Rate for Payer: Aetna Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
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	$13.45
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: Cigna Medicare Advantage	$1.83
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.89
Rate for Payer: Wellcare Medicare Advantage	$3.67

PROTEIN, TOTAL, BODY FLUID

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3031176
Hospital Revenue Code	301
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

PROTEIN TOTAL BY REFRACT ANY S

Facility

$36.64

Service Code	HCPCS 84160
Hospital Charge Code	38477040
Hospital Revenue Code	301
Min. Negotiated Rate	$5.50
Max. Negotiated Rate	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.50

PROTEIN TOTAL BY REFRACT ANY S

Facility

$36.64

Service Code	HCPCS 84160
Hospital Charge Code	38477040
Hospital Revenue Code	301
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.18
Rate for Payer: Aetna Medicare Advantage	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.61
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	$20.56
Rate for Payer: Cigna Commercial	$5.61
Rate for Payer: Cigna Medicare Advantage	$2.81
Rate for Payer: Clover Medicare Advantage	$5.33
Rate for Payer: EmblemHealth Commercial	$16.83
Rate for Payer: Humana Medicare Advantage	$5.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.95
Rate for Payer: Wellcare Medicare Advantage	$5.61

Know your out-of-pocket cost for care.

All Charges