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Charge Type Setting Price  
Service Code HCPCS C1889
Hospital Charge Code 270706106
Hospital Revenue Code 278
Min. Negotiated Rate $2,587.50
Max. Negotiated Rate $4,174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,174.50
Rate for Payer: Qualcare PPO/HMO/WC $2,587.50
Service Code HCPCS C1889
Hospital Charge Code 270706106
Hospital Revenue Code 278
Min. Negotiated Rate $2,587.50
Max. Negotiated Rate $8,625.00
Rate for Payer: Aetna Commercial $5,175.00
Rate for Payer: Aetna Medicare Advantage $5,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $4,398.75
Rate for Payer: Cigna Commercial $8,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,174.50
Rate for Payer: Qualcare PPO/HMO/WC $2,587.50
Service Code HCPCS C1713
Hospital Charge Code 270706187
Hospital Revenue Code 278
Min. Negotiated Rate $2,587.50
Max. Negotiated Rate $8,625.00
Rate for Payer: Aetna Commercial $5,175.00
Rate for Payer: Aetna Medicare Advantage $5,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $4,398.75
Rate for Payer: Cigna Commercial $8,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,174.50
Rate for Payer: Qualcare PPO/HMO/WC $2,587.50
Service Code HCPCS C1713
Hospital Charge Code 270706187
Hospital Revenue Code 278
Min. Negotiated Rate $2,587.50
Max. Negotiated Rate $4,174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,174.50
Rate for Payer: Qualcare PPO/HMO/WC $2,587.50
Service Code HCPCS C1713
Hospital Charge Code 270699594
Hospital Revenue Code 278
Min. Negotiated Rate $74.57
Max. Negotiated Rate $248.57
Rate for Payer: Aetna Commercial $149.15
Rate for Payer: Aetna Medicare Advantage $149.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $126.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $126.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $99.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $126.77
Rate for Payer: Cigna Commercial $248.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $120.31
Rate for Payer: Qualcare PPO/HMO/WC $74.57
Service Code HCPCS C1713
Hospital Charge Code 270699594
Hospital Revenue Code 278
Min. Negotiated Rate $74.57
Max. Negotiated Rate $120.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $99.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $120.31
Rate for Payer: Qualcare PPO/HMO/WC $74.57
Hospital Charge Code 270657663
Hospital Revenue Code 270
Min. Negotiated Rate $11.63
Max. Negotiated Rate $44.75
Rate for Payer: Aetna Commercial $26.85
Rate for Payer: Aetna Medicare Advantage $26.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $22.82
Rate for Payer: Cigna Commercial $44.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $11.63
Rate for Payer: Oxford Commercial $44.75
Rate for Payer: Qualcare PPO/HMO/WC $13.43
Rate for Payer: UnitedHealthcare Commercial $44.75
Hospital Charge Code 270657663N
Hospital Revenue Code 270
Min. Negotiated Rate $56.85
Max. Negotiated Rate $56.85
Rate for Payer: Qualcare PPO/HMO/WC $56.85
Hospital Charge Code 270657663N
Hospital Revenue Code 270
Min. Negotiated Rate $49.27
Max. Negotiated Rate $189.50
Rate for Payer: Aetna Commercial $113.70
Rate for Payer: Aetna Medicare Advantage $113.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $96.64
Rate for Payer: Cigna Commercial $189.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $49.27
Rate for Payer: Oxford Commercial $189.50
Rate for Payer: Qualcare PPO/HMO/WC $56.85
Rate for Payer: UnitedHealthcare Commercial $189.50
Hospital Charge Code 270657663
Hospital Revenue Code 270
Min. Negotiated Rate $13.43
Max. Negotiated Rate $13.43
Rate for Payer: Qualcare PPO/HMO/WC $13.43
Hospital Charge Code 270657663S
Hospital Revenue Code 270
Min. Negotiated Rate $13.43
Max. Negotiated Rate $13.43
Rate for Payer: Qualcare PPO/HMO/WC $13.43
Hospital Charge Code 270657663S
Hospital Revenue Code 270
Min. Negotiated Rate $11.63
Max. Negotiated Rate $44.75
Rate for Payer: Aetna Commercial $26.85
Rate for Payer: Aetna Medicare Advantage $26.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $22.82
Rate for Payer: Cigna Commercial $44.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $11.63
Rate for Payer: Oxford Commercial $44.75
Rate for Payer: Qualcare PPO/HMO/WC $13.43
Rate for Payer: UnitedHealthcare Commercial $44.75
Hospital Charge Code 2709003702
Hospital Revenue Code 272
Min. Negotiated Rate $284.25
Max. Negotiated Rate $284.25
Rate for Payer: Qualcare PPO/HMO/WC $284.25
Hospital Charge Code 2709003702
Hospital Revenue Code 272
Min. Negotiated Rate $246.35
Max. Negotiated Rate $947.50
Rate for Payer: Aetna Commercial $568.50
Rate for Payer: Aetna Medicare Advantage $568.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $483.23
Rate for Payer: Cigna Commercial $947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $246.35
Rate for Payer: Oxford Commercial $947.50
Rate for Payer: Qualcare PPO/HMO/WC $284.25
Rate for Payer: UnitedHealthcare Commercial $947.50
Hospital Charge Code 270650188
Hospital Revenue Code 270
Min. Negotiated Rate $2.80
Max. Negotiated Rate $2.80
Rate for Payer: Qualcare PPO/HMO/WC $2.80
Hospital Charge Code 270650188
Hospital Revenue Code 270
Min. Negotiated Rate $2.42
Max. Negotiated Rate $9.32
Rate for Payer: Aetna Commercial $5.59
Rate for Payer: Aetna Medicare Advantage $5.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $4.75
Rate for Payer: Cigna Commercial $9.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2.42
Rate for Payer: Oxford Commercial $9.32
Rate for Payer: Qualcare PPO/HMO/WC $2.80
Rate for Payer: UnitedHealthcare Commercial $9.32
Hospital Charge Code 270619730
Hospital Revenue Code 272
Min. Negotiated Rate $124.30
Max. Negotiated Rate $124.30
Rate for Payer: Qualcare PPO/HMO/WC $124.30
Hospital Charge Code 270619730
Hospital Revenue Code 272
Min. Negotiated Rate $107.72
Max. Negotiated Rate $414.32
Rate for Payer: Aetna Commercial $248.59
Rate for Payer: Aetna Medicare Advantage $248.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $211.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $211.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $211.31
Rate for Payer: Cigna Commercial $414.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $107.72
Rate for Payer: Oxford Commercial $414.32
Rate for Payer: Qualcare PPO/HMO/WC $124.30
Rate for Payer: UnitedHealthcare Commercial $414.32
Service Code HCPCS 92551GN
Hospital Charge Code 74204001
Hospital Revenue Code 440
Min. Negotiated Rate $9.90
Max. Negotiated Rate $9.90
Rate for Payer: Qualcare PPO/HMO/WC $9.90
Service Code HCPCS 92551GN
Hospital Charge Code 74204001
Hospital Revenue Code 440
Min. Negotiated Rate $8.58
Max. Negotiated Rate $686.00
Rate for Payer: Aetna Commercial $19.80
Rate for Payer: Aetna Medicare Advantage $19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $16.83
Rate for Payer: Cigna Commercial $33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $8.58
Rate for Payer: Oxford Commercial $604.00
Rate for Payer: Qualcare PPO/HMO/WC $9.90
Rate for Payer: UnitedHealthcare Commercial $686.00
Service Code HCPCS 92597GN
Hospital Charge Code 74204019
Hospital Revenue Code 440
Min. Negotiated Rate $83.98
Max. Negotiated Rate $686.00
Rate for Payer: Aetna Commercial $193.80
Rate for Payer: Aetna Medicare Advantage $193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $164.73
Rate for Payer: Cigna Commercial $323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $83.98
Rate for Payer: Oxford Commercial $604.00
Rate for Payer: Qualcare PPO/HMO/WC $96.90
Rate for Payer: UnitedHealthcare Commercial $686.00
Service Code HCPCS 92597GN
Hospital Charge Code 74204019
Hospital Revenue Code 440
Min. Negotiated Rate $96.90
Max. Negotiated Rate $96.90
Rate for Payer: Qualcare PPO/HMO/WC $96.90
Service Code HCPCS 92506GN
Hospital Charge Code 74204009
Hospital Revenue Code 444
Min. Negotiated Rate $143.85
Max. Negotiated Rate $143.85
Rate for Payer: Qualcare PPO/HMO/WC $143.85
Service Code HCPCS 92506GN
Hospital Charge Code 74204009
Hospital Revenue Code 444
Min. Negotiated Rate $90.00
Max. Negotiated Rate $686.00
Rate for Payer: Aetna Commercial $287.70
Rate for Payer: Aetna Medicare Advantage $287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $244.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $244.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $244.54
Rate for Payer: Cigna Commercial $479.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $124.67
Rate for Payer: Oxford Commercial $604.00
Rate for Payer: Qualcare PPO/HMO/WC $143.85
Rate for Payer: UnitedHealthcare Commercial $686.00
Hospital Charge Code 60628708
Hospital Revenue Code 250
Min. Negotiated Rate $4.39
Max. Negotiated Rate $16.90
Rate for Payer: Aetna Commercial $10.14
Rate for Payer: Aetna Medicare Advantage $10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $8.62
Rate for Payer: Cigna Commercial $16.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4.39
Rate for Payer: Oxford Commercial $16.90
Rate for Payer: Qualcare PPO/HMO/WC $5.07
Rate for Payer: UnitedHealthcare Commercial $16.90