Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DUOVISC 0.5-0.55 ML

Facility

$1,338.39

Service Code	NDC 8065183150
Hospital Charge Code	60632265
Hospital Revenue Code	250
Min. Negotiated Rate	$38.01
Max. Negotiated Rate	$669.20
Rate for Payer: Aetna Commercial	$508.59
Rate for Payer: Aetna Medicare Advantage	$401.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.29
Rate for Payer: Cigna Commercial	$669.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$347.98
Rate for Payer: Oxford Commercial	$267.68
Rate for Payer: Qualcare PPO/HMO/WC	$200.76
Rate for Payer: UnitedHealthcare Commercial	$267.68
Rate for Payer: UnitedHealthcare Community & State	$42.29
Rate for Payer: Wellpoint Medicaid Managed Care	$38.01

DUPLEX ART IN & OUT FLOWS LIM

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	2101134
Hospital Revenue Code	921
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

DUPLEX ART IN & OUT FLOWS LIM

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	2101134
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

DUPLEX INFLO/OUTFLO BI

Facility

$1,364.48

Service Code	HCPCS 93985
Hospital Charge Code	407693985
Hospital Revenue Code	920
Min. Negotiated Rate	$38.75
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$918.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$283.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,028.29
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: Cigna Medicare Advantage	$283.47
Rate for Payer: Clover Medicare Advantage	$269.30
Rate for Payer: EmblemHealth Commercial	$850.41
Rate for Payer: Humana Medicare Advantage	$291.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$283.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.76
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.67
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$43.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$283.47
Rate for Payer: Wellcare Medicare Advantage	$283.47
Rate for Payer: Wellpoint Medicaid Managed Care	$38.75

DUPLEX INFLO/OUTFLO BI

Facility

$1,364.48

Service Code	HCPCS 93985
Hospital Charge Code	407693985
Hospital Revenue Code	920
Min. Negotiated Rate	$204.67
Max. Negotiated Rate	$204.67
Rate for Payer: Qualcare PPO/HMO/WC	$204.67

DUPLEX INFLO/OUTFLO UNI

Facility

$656.27

Service Code	HCPCS 93986
Hospital Charge Code	407693986
Hospital Revenue Code	920
Min. Negotiated Rate	$98.44
Max. Negotiated Rate	$98.44
Rate for Payer: Qualcare PPO/HMO/WC	$98.44

DUPLEX INFLO/OUTFLO UNI

Facility

$656.27

Service Code	HCPCS 93986
Hospital Charge Code	407693986
Hospital Revenue Code	920
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.63
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.44
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$20.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

DUPLEX SCAN ABD PELVIS RETR

Facility

$17,200.00

Service Code	HCPCS 93971
Hospital Charge Code	2692155
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

DUPLEX SCAN ABD PELVIS RETR

Facility

$17,200.00

Service Code	HCPCS 93971
Hospital Charge Code	2692155
Hospital Revenue Code	921
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

DUPLEX SCAN EXTREMITY UNI LTD

Facility

$17,200.00

Service Code	HCPCS 93971
Hospital Charge Code	421593971
Hospital Revenue Code	921
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

DUPLEX SCAN EXTREMITY UNI LTD

Facility

$17,200.00

Service Code	HCPCS 93971
Hospital Charge Code	421593971
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

DUPLEX SCAN HEMO ACCESS

Facility

$17,200.00

Service Code	HCPCS 93990
Hospital Charge Code	2692100
Hospital Revenue Code	921
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

DUPLEX SCAN HEMO ACCESS

Facility

$17,200.00

Service Code	HCPCS 93990
Hospital Charge Code	2692100
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

DUPLEX SCAN HEMO COMP BIL

Facility

$1,364.48

Service Code	HCPCS 93985
Hospital Charge Code	404293985
Hospital Revenue Code	920
Min. Negotiated Rate	$204.67
Max. Negotiated Rate	$204.67
Rate for Payer: Qualcare PPO/HMO/WC	$204.67

DUPLEX SCAN HEMO COMP BIL

Facility

$1,364.48

Service Code	HCPCS 93985
Hospital Charge Code	404293985
Hospital Revenue Code	920
Min. Negotiated Rate	$38.75
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$918.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$283.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,028.29
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: Cigna Medicare Advantage	$283.47
Rate for Payer: Clover Medicare Advantage	$269.30
Rate for Payer: EmblemHealth Commercial	$850.41
Rate for Payer: Humana Medicare Advantage	$291.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$283.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.76
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.67
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$43.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$283.47
Rate for Payer: Wellcare Medicare Advantage	$283.47
Rate for Payer: Wellpoint Medicaid Managed Care	$38.75

DUPLEX SCAN HEMO COMP UNI

Facility

$656.27

Service Code	HCPCS 93986
Hospital Charge Code	404293986
Hospital Revenue Code	920
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.63
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.44
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$20.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

DUPLEX SCAN HEMO COMP UNI

Facility

$656.27

Service Code	HCPCS 93986
Hospital Charge Code	404293986
Hospital Revenue Code	920
Min. Negotiated Rate	$98.44
Max. Negotiated Rate	$98.44
Rate for Payer: Qualcare PPO/HMO/WC	$98.44

DUPLOTIP APPLICATOR KIT

Facility

$295.88

Hospital Charge Code	270662416
Hospital Revenue Code	272
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$147.94
Rate for Payer: Aetna Commercial	$112.43
Rate for Payer: Aetna Medicare Advantage	$88.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.45
Rate for Payer: Cigna Commercial	$147.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.93
Rate for Payer: Oxford Commercial	$59.18
Rate for Payer: Qualcare PPO/HMO/WC	$44.38
Rate for Payer: UnitedHealthcare Commercial	$59.18
Rate for Payer: UnitedHealthcare Community & State	$9.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.40

DUPLOTIP APPLICATOR KIT

Facility

$295.88

Hospital Charge Code	270662416
Hospital Revenue Code	272
Min. Negotiated Rate	$44.38
Max. Negotiated Rate	$44.38
Rate for Payer: Qualcare PPO/HMO/WC	$44.38

DURA-CUF BLOOD PRESSURE CUFF

Facility

$248.00

Hospital Charge Code	270332075
Hospital Revenue Code	272
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$94.24
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.48
Rate for Payer: Oxford Commercial	$49.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$49.60
Rate for Payer: UnitedHealthcare Community & State	$7.84
Rate for Payer: Wellpoint Medicaid Managed Care	$7.04

DURA-CUF BLOOD PRESSURE CUFF

Facility

$248.00

Hospital Charge Code	270332075
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

DURAGEN 4X5

Facility

$6,365.20

Hospital Charge Code	270660489
Hospital Revenue Code	278
Min. Negotiated Rate	$180.77
Max. Negotiated Rate	$3,182.60
Rate for Payer: Aetna Commercial	$2,418.78
Rate for Payer: Aetna Medicare Advantage	$1,909.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,623.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,623.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,273.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,623.13
Rate for Payer: Cigna Commercial	$3,182.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,540.38
Rate for Payer: Qualcare PPO/HMO/WC	$954.78
Rate for Payer: UnitedHealthcare Community & State	$201.14
Rate for Payer: Wellpoint Medicaid Managed Care	$180.77

DURAGEN 4X5

Facility

$6,365.20

Hospital Charge Code	270660489
Hospital Revenue Code	278
Min. Negotiated Rate	$954.78
Max. Negotiated Rate	$1,540.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,273.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,540.38
Rate for Payer: Qualcare PPO/HMO/WC	$954.78

DURAGEN+ (DURAL REGEN MATRIX)

Facility

$4,930.00

Service Code	HCPCS C1762
Hospital Charge Code	270703897
Hospital Revenue Code	278
Min. Negotiated Rate	$140.01
Max. Negotiated Rate	$2,465.00
Rate for Payer: Aetna Commercial	$1,873.40
Rate for Payer: Aetna Medicare Advantage	$1,479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,257.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,257.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$986.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,257.15
Rate for Payer: Cigna Commercial	$2,465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,193.06
Rate for Payer: Qualcare PPO/HMO/WC	$739.50
Rate for Payer: UnitedHealthcare Community & State	$155.79
Rate for Payer: Wellpoint Medicaid Managed Care	$140.01

DURAGEN+ (DURAL REGEN MATRIX)

Facility

$4,930.00

Service Code	HCPCS C1762
Hospital Charge Code	270703897
Hospital Revenue Code	278
Min. Negotiated Rate	$739.50
Max. Negotiated Rate	$1,193.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$986.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,193.06
Rate for Payer: Qualcare PPO/HMO/WC	$739.50

Know your out-of-pocket cost for care.

All Charges