Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

AFRIN 0.05% NASAL SPRAY 15ML

Facility

$13.74

Service Code	NDC 904571135
Hospital Charge Code	6063943288
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.87
Rate for Payer: Aetna Commercial	$5.22
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.50
Rate for Payer: Cigna Commercial	$6.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.57
Rate for Payer: Oxford Commercial	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$2.75
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

AFRIN 0.05% NASAL SPRAY 15ML

Facility

$13.74

Service Code	NDC 904571135
Hospital Charge Code	6063943288
Hospital Revenue Code	250
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility

$55,042.17

Service Code	MSDRG 560
Min. Negotiated Rate	$16,759.63
Max. Negotiated Rate	$55,042.17
Rate for Payer: Aetna Commercial	$41,060.17
Rate for Payer: Aetna Medicare Advantage	$55,042.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,306.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,306.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,641.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,306.65
Rate for Payer: Cigna Commercial	$25,104.15
Rate for Payer: Cigna Medicare Advantage	$17,641.72
Rate for Payer: Clover Medicare Advantage	$16,759.63
Rate for Payer: EmblemHealth Commercial	$52,925.16
Rate for Payer: Humana Medicare Advantage	$18,170.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,641.72
Rate for Payer: Oxford Commercial	$19,841.88
Rate for Payer: UnitedHealthcare Commercial	$26,559.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,641.72
Rate for Payer: Wellcare Medicare Advantage	$17,641.72

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$78,383.45

Service Code	MSDRG 559
Min. Negotiated Rate	$23,866.76
Max. Negotiated Rate	$78,383.45
Rate for Payer: Aetna Commercial	$57,684.11
Rate for Payer: Aetna Medicare Advantage	$78,383.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,254.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,254.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,122.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,254.25
Rate for Payer: Cigna Commercial	$41,574.22
Rate for Payer: Cigna Medicare Advantage	$25,122.90
Rate for Payer: Clover Medicare Advantage	$23,866.76
Rate for Payer: EmblemHealth Commercial	$75,368.70
Rate for Payer: Humana Medicare Advantage	$25,876.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25,122.90
Rate for Payer: Oxford Commercial	$32,859.54
Rate for Payer: UnitedHealthcare Commercial	$43,983.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,122.90
Rate for Payer: Wellcare Medicare Advantage	$25,122.90

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility

$44,862.73

Service Code	MSDRG 561
Min. Negotiated Rate	$13,660.13
Max. Negotiated Rate	$44,862.73
Rate for Payer: Aetna Commercial	$33,810.26
Rate for Payer: Aetna Medicare Advantage	$44,862.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,609.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,609.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,379.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,609.90
Rate for Payer: Cigna Commercial	$17,921.34
Rate for Payer: Cigna Medicare Advantage	$14,379.08
Rate for Payer: Clover Medicare Advantage	$13,660.13
Rate for Payer: EmblemHealth Commercial	$43,137.24
Rate for Payer: Humana Medicare Advantage	$14,810.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,379.08
Rate for Payer: Oxford Commercial	$14,164.72
Rate for Payer: UnitedHealthcare Commercial	$18,959.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,379.08
Rate for Payer: Wellcare Medicare Advantage	$14,379.08

AFTERCARE WITH CC/MCC

Facility

$57,051.48

Service Code	MSDRG 949
Min. Negotiated Rate	$17,371.44
Max. Negotiated Rate	$57,051.48
Rate for Payer: Aetna Commercial	$42,491.21
Rate for Payer: Aetna Medicare Advantage	$57,051.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,644.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,644.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,285.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,644.35
Rate for Payer: Cigna Commercial	$26,521.98
Rate for Payer: Cigna Medicare Advantage	$18,285.73
Rate for Payer: Clover Medicare Advantage	$17,371.44
Rate for Payer: EmblemHealth Commercial	$54,857.19
Rate for Payer: Humana Medicare Advantage	$18,834.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,285.73
Rate for Payer: Oxford Commercial	$20,962.51
Rate for Payer: UnitedHealthcare Commercial	$28,059.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,285.73
Rate for Payer: Wellcare Medicare Advantage	$18,285.73

AFTERCARE WITHOUT CC/MCC

Facility

$39,295.96

Service Code	MSDRG 950
Min. Negotiated Rate	$11,060.07
Max. Negotiated Rate	$39,295.96
Rate for Payer: Aetna Commercial	$29,845.54
Rate for Payer: Aetna Medicare Advantage	$39,295.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,731.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,731.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,594.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,731.20
Rate for Payer: Cigna Commercial	$13,993.32
Rate for Payer: Cigna Medicare Advantage	$12,594.86
Rate for Payer: Clover Medicare Advantage	$11,965.12
Rate for Payer: EmblemHealth Commercial	$37,784.58
Rate for Payer: Humana Medicare Advantage	$12,972.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,594.86
Rate for Payer: Oxford Commercial	$11,060.07
Rate for Payer: UnitedHealthcare Commercial	$14,804.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,594.86
Rate for Payer: Wellcare Medicare Advantage	$12,594.86

AFX BIFURCATED BODY

Facility

$65,795.00

Hospital Charge Code	270678375
Hospital Revenue Code	278
Min. Negotiated Rate	$1,868.58
Max. Negotiated Rate	$32,897.50
Rate for Payer: Aetna Commercial	$25,002.10
Rate for Payer: Aetna Medicare Advantage	$19,738.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,777.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,777.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,777.72
Rate for Payer: Cigna Commercial	$32,897.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,922.39
Rate for Payer: Qualcare PPO/HMO/WC	$9,869.25
Rate for Payer: UnitedHealthcare Community & State	$2,079.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1,868.58

AFX BIFURCATED BODY

Facility

$65,795.00

Hospital Charge Code	270678375
Hospital Revenue Code	278
Min. Negotiated Rate	$9,869.25
Max. Negotiated Rate	$15,922.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,922.39
Rate for Payer: Qualcare PPO/HMO/WC	$9,869.25

AGILON 12CC

Facility

$37,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695756
Hospital Revenue Code	278
Min. Negotiated Rate	$5,696.25
Max. Negotiated Rate	$9,189.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,189.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,696.25

AGILON 12CC

Facility

$37,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695756
Hospital Revenue Code	278
Min. Negotiated Rate	$1,078.49
Max. Negotiated Rate	$18,987.50
Rate for Payer: Aetna Commercial	$14,430.50
Rate for Payer: Aetna Medicare Advantage	$11,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,683.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,683.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,683.62
Rate for Payer: Cigna Commercial	$18,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,189.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,696.25
Rate for Payer: UnitedHealthcare Community & State	$1,200.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1,078.49

AGILON MOLDABLE BONE GRAFT 6CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695865
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$5,021.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

AGILON MOLDABLE BONE GRAFT 6CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695865
Hospital Revenue Code	278
Min. Negotiated Rate	$589.30
Max. Negotiated Rate	$10,375.00
Rate for Payer: Aetna Commercial	$7,885.00
Rate for Payer: Aetna Medicare Advantage	$6,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,291.25
Rate for Payer: Cigna Commercial	$10,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50
Rate for Payer: UnitedHealthcare Community & State	$655.70
Rate for Payer: Wellpoint Medicaid Managed Care	$589.30

AHMED GLAUCOMA VALVE

Facility

$3,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270678561
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

AHMED GLAUCOMA VALVE

Facility

$3,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270678561
Hospital Revenue Code	278
Min. Negotiated Rate	$99.40
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Community & State	$110.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.40

AICD GENERATOR PROCEDURES

Facility

$163,607.09

Service Code	MSDRG 245
Min. Negotiated Rate	$49,816.26
Max. Negotiated Rate	$163,607.09
Rate for Payer: Aetna Commercial	$118,381.36
Rate for Payer: Aetna Medicare Advantage	$163,607.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125,503.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125,503.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$52,438.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125,503.65
Rate for Payer: Cigna Commercial	$101,709.58
Rate for Payer: Cigna Medicare Advantage	$52,438.17
Rate for Payer: Clover Medicare Advantage	$49,816.26
Rate for Payer: EmblemHealth Commercial	$157,314.51
Rate for Payer: Humana Medicare Advantage	$54,011.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$52,438.17
Rate for Payer: Oxford Commercial	$80,389.49
Rate for Payer: UnitedHealthcare Commercial	$107,604.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$52,438.17
Rate for Payer: Wellcare Medicare Advantage	$52,438.17

AICD LEAD PROCEDURES

Facility

$133,776.49

Service Code	MSDRG 265
Min. Negotiated Rate	$40,733.23
Max. Negotiated Rate	$133,776.49
Rate for Payer: Aetna Commercial	$97,135.64
Rate for Payer: Aetna Medicare Advantage	$133,776.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97,798.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97,798.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42,877.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97,798.65
Rate for Payer: Cigna Commercial	$80,660.53
Rate for Payer: Cigna Medicare Advantage	$42,877.08
Rate for Payer: Clover Medicare Advantage	$40,733.23
Rate for Payer: EmblemHealth Commercial	$128,631.24
Rate for Payer: Humana Medicare Advantage	$44,163.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$42,877.08
Rate for Payer: Oxford Commercial	$63,752.68
Rate for Payer: UnitedHealthcare Commercial	$85,335.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$42,877.08
Rate for Payer: Wellcare Medicare Advantage	$42,877.08

AILERON POST FUS SYST SCREW

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697662
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

AILERON POST FUS SYST SCREW

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697662
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

AILERON TRX EXP IMP CORE MED

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697663
Hospital Revenue Code	278
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$474.00
Rate for Payer: Wellpoint Medicaid Managed Care	$426.00

AILERON TRX EXP IMP CORE MED

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697663
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

AILERON TRX EXP IMP CORE SMALL

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697660
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

AILERON TRX EXP IMP CORE SMALL

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697660
Hospital Revenue Code	278
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$474.00
Rate for Payer: Wellpoint Medicaid Managed Care	$426.00

AILERON TRX EXP IMP PLATE MED

Facility

$10,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697664
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

AILERON TRX EXP IMP PLATE MED

Facility

$10,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697664
Hospital Revenue Code	278
Min. Negotiated Rate	$284.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,800.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$316.00
Rate for Payer: Wellpoint Medicaid Managed Care	$284.00

Know your out-of-pocket cost for care.

All Charges