Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

ZONE NAVIGATOR

Facility

OP

$1,790.00

Hospital Charge Code	270691761
Hospital Revenue Code	272
Min. Negotiated Rate	$232.70
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$537.00
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.70
Rate for Payer: Oxford Commercial	$895.00
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Commercial	$895.00

ZONE NAVIGATOR

Facility

IP

$1,790.00

Hospital Charge Code	270691761
Hospital Revenue Code	272
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$268.50
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ZONE SPECIAFIC II MENISCAL RIG

Facility

IP

$1,070.00

Hospital Charge Code	270665310
Hospital Revenue Code	270
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

ZONE SPECIAFIC II MENISCAL RIG

Facility

OP

$1,070.00

Hospital Charge Code	270665310
Hospital Revenue Code	270
Min. Negotiated Rate	$139.10
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$321.00
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.10
Rate for Payer: Oxford Commercial	$535.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$535.00

ZONE SPECIFIC II MENISCAL REPA

Facility

IP

$1,035.00

Hospital Charge Code	270665311
Hospital Revenue Code	270
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

ZONE SPECIFIC II MENISCAL REPA

Facility

IP

$1,070.00

Hospital Charge Code	270665312
Hospital Revenue Code	270
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

ZONE SPECIFIC II MENISCAL REPA

Facility

OP

$1,035.00

Hospital Charge Code	270665311
Hospital Revenue Code	270
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$310.50
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Oxford Commercial	$517.50
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$517.50

ZONE SPECIFIC II MENISCAL REPA

Facility

OP

$4,380.00

Hospital Charge Code	270665307
Hospital Revenue Code	270
Min. Negotiated Rate	$569.40
Max. Negotiated Rate	$2,190.00
Rate for Payer: Aetna Commercial	$1,314.00
Rate for Payer: Aetna Medicare Advantage	$1,314.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,116.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,116.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,116.90
Rate for Payer: Cigna Commercial	$2,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$569.40
Rate for Payer: Oxford Commercial	$2,190.00
Rate for Payer: Qualcare PPO/HMO/WC	$657.00
Rate for Payer: UnitedHealthcare Commercial	$2,190.00

ZONE SPECIFIC II MENISCAL REPA

Facility

OP

$1,070.00

Hospital Charge Code	270665312
Hospital Revenue Code	270
Min. Negotiated Rate	$139.10
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$321.00
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.10
Rate for Payer: Oxford Commercial	$535.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$535.00

ZONE SPECIFIC II MENISCAL REPA

Facility

IP

$1,035.00

Hospital Charge Code	270665313
Hospital Revenue Code	270
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

ZONE SPECIFIC II MENISCAL REPA

Facility

IP

$4,380.00

Hospital Charge Code	270665307
Hospital Revenue Code	270
Min. Negotiated Rate	$657.00
Max. Negotiated Rate	$657.00
Rate for Payer: Qualcare PPO/HMO/WC	$657.00

ZONE SPECIFIC II MENISCAL REPA

Facility

OP

$1,035.00

Hospital Charge Code	270665313
Hospital Revenue Code	270
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$310.50
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Oxford Commercial	$517.50
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$517.50

ZONE SPECIFIC II MENSICAL REPA

Facility

IP

$1,035.00

Hospital Charge Code	270665308
Hospital Revenue Code	270
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

ZONE SPECIFIC II MENSICAL REPA

Facility

OP

$1,035.00

Hospital Charge Code	270665308
Hospital Revenue Code	270
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$310.50
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Oxford Commercial	$517.50
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$517.50

ZONE SPECIFIC MENISCAL REPAIR

Facility

IP

$1,035.00

Hospital Charge Code	270665309
Hospital Revenue Code	270
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

ZONE SPECIFIC MENISCAL REPAIR

Facility

OP

$1,035.00

Hospital Charge Code	270665309
Hospital Revenue Code	270
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$310.50
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Oxford Commercial	$517.50
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$517.50

ZONISAMIDE

Facility

OP

$181.65

Service Code	HCPCS 80299
Hospital Charge Code	3035100
Hospital Revenue Code	301
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.39
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.30
Rate for Payer: Cigna Commercial	$18.64
Rate for Payer: Cigna Medicare Advantage	$9.32
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
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	$18.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.76
Rate for Payer: Wellcare Medicare Advantage	$18.64

ZONISAMIDE

Facility

IP

$181.65

Service Code	HCPCS 80299
Hospital Charge Code	3035100
Hospital Revenue Code	301
Min. Negotiated Rate	$27.25
Max. Negotiated Rate	$27.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.25

ZONISAMIDE 100MG CAP

Facility

OP

$8.00

Hospital Charge Code	60635676
Hospital Revenue Code	250
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

ZONISAMIDE 100MG CAP

Facility

IP

$8.00

Hospital Charge Code	60635676
Hospital Revenue Code	250
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

ZOOM POD ASPIRATION TUBING

Facility

OP

$1,775.00

Hospital Charge Code	270696635S
Hospital Revenue Code	272
Min. Negotiated Rate	$230.75
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$532.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.75
Rate for Payer: Oxford Commercial	$887.50
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Commercial	$887.50

ZOOM POD ASPIRATION TUBING

Facility

IP

$1,775.00

Hospital Charge Code	270696635S
Hospital Revenue Code	272
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$266.25
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

ZOSTER(SHINGLES)VACC

Facility

IP

$1,306.50

Service Code	HCPCS 90736
Hospital Charge Code	83652337
Hospital Revenue Code	636
Min. Negotiated Rate	$195.97
Max. Negotiated Rate	$316.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.17
Rate for Payer: Qualcare PPO/HMO/WC	$195.97

ZOSTER(SHINGLES)VACC

Facility

OP

$1,306.50

Service Code	HCPCS 90736
Hospital Charge Code	83652337
Hospital Revenue Code	636
Min. Negotiated Rate	$195.97
Max. Negotiated Rate	$653.25
Rate for Payer: Aetna Commercial	$391.95
Rate for Payer: Aetna Medicare Advantage	$391.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.16
Rate for Payer: Cigna Commercial	$653.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.17
Rate for Payer: Qualcare PPO/HMO/WC	$195.97

ZOSTRIX/30GM

Facility

IP

$110.55

Service Code	NDC 603064888
Hospital Charge Code	60634302
Hospital Revenue Code	250
Min. Negotiated Rate	$16.58
Max. Negotiated Rate	$16.58
Rate for Payer: Qualcare PPO/HMO/WC	$16.58