Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC

Facility

$169,875.30

Service Code	MSDRG 267
Min. Negotiated Rate	$51,724.85
Max. Negotiated Rate	$169,875.30
Rate for Payer: Aetna Commercial	$122,845.64
Rate for Payer: Aetna Medicare Advantage	$169,875.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135,200.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135,200.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$54,447.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135,200.40
Rate for Payer: Cigna Commercial	$106,132.51
Rate for Payer: Cigna Medicare Advantage	$54,447.21
Rate for Payer: Clover Medicare Advantage	$51,724.85
Rate for Payer: EmblemHealth Commercial	$163,341.63
Rate for Payer: Humana Medicare Advantage	$56,080.63
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$54,447.21
Rate for Payer: Oxford Commercial	$83,885.30
Rate for Payer: UnitedHealthcare Commercial	$112,283.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$54,447.21
Rate for Payer: Wellcare Medicare Advantage	$54,447.21

ENDO VASCULAR STAPLER 35MM

Facility

$501.00

Hospital Charge Code	270338711
Hospital Revenue Code	272
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$75.15
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

ENDO VASCULAR STAPLER 35MM

Facility

$501.00

Hospital Charge Code	270338711
Hospital Revenue Code	272
Min. Negotiated Rate	$14.23
Max. Negotiated Rate	$250.50
Rate for Payer: Aetna Commercial	$190.38
Rate for Payer: Aetna Medicare Advantage	$150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.75
Rate for Payer: Cigna Commercial	$250.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.26
Rate for Payer: Oxford Commercial	$100.20
Rate for Payer: Qualcare PPO/HMO/WC	$75.15
Rate for Payer: UnitedHealthcare Commercial	$100.20
Rate for Payer: UnitedHealthcare Community & State	$15.83
Rate for Payer: Wellpoint Medicaid Managed Care	$14.23

ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL IMAGING GUIDANCE AND MONITORING, PERCUTANEOUS, RADIOFREQUENCY; FIRST VEIN TREATED

Facility

$13,607.37

Service Code	CPT 36475
Hospital Revenue Code	361
Min. Negotiated Rate	$3,536.00
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17

ENDOVENOUS LASER 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36478
Hospital Charge Code	421036478
Hospital Revenue Code	761
Min. Negotiated Rate	$500.52
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,239.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,582.23
Rate for Payer: Oxford Commercial	$3,524.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$3,524.79
Rate for Payer: UnitedHealthcare Community & State	$556.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$500.52

ENDOVENOUS LASER 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36478
Hospital Charge Code	421036478
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS LASER VEIN ADDON

Facility

$17,623.95

Service Code	HCPCS 36479
Hospital Charge Code	421036479
Hospital Revenue Code	761
Min. Negotiated Rate	$500.52
Max. Negotiated Rate	$8,811.98
Rate for Payer: Aetna Commercial	$6,697.10
Rate for Payer: Aetna Medicare Advantage	$5,287.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,494.11
Rate for Payer: Cigna Commercial	$8,811.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,582.23
Rate for Payer: Oxford Commercial	$3,524.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$3,524.79
Rate for Payer: UnitedHealthcare Community & State	$556.92
Rate for Payer: Wellpoint Medicaid Managed Care	$500.52

ENDOVENOUS LASER VEIN ADDON

Facility

$17,623.95

Service Code	HCPCS 36479
Hospital Charge Code	421036479
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS MCHNCHEM 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36473
Hospital Charge Code	421036473
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS MCHNCHEM 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36473
Hospital Charge Code	421036473
Hospital Revenue Code	761
Min. Negotiated Rate	$500.52
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$873.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,582.23
Rate for Payer: Oxford Commercial	$3,524.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$3,524.79
Rate for Payer: UnitedHealthcare Community & State	$556.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$500.52

ENDOVENOUS MCHNCHEM ADD ON

Facility

$2,084.00

Service Code	HCPCS 36474
Hospital Charge Code	1600000805
Hospital Revenue Code	360
Min. Negotiated Rate	$59.19
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$791.92
Rate for Payer: Aetna Medicare Advantage	$625.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.42
Rate for Payer: Cigna Commercial	$1,042.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$541.84
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.60
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$65.85
Rate for Payer: Wellpoint Medicaid Managed Care	$59.19

ENDOVENOUS MCHNCHEM ADD ON

Facility

$2,084.00

Service Code	HCPCS 36474
Hospital Charge Code	1600000805
Hospital Revenue Code	360
Min. Negotiated Rate	$312.60
Max. Negotiated Rate	$312.60
Rate for Payer: Qualcare PPO/HMO/WC	$312.60

ENDOVENOUS MCHNCHEM ADD-ON

Facility

$17,623.95

Service Code	HCPCS 36474
Hospital Charge Code	421036474
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS MCHNCHEM ADD-ON

Facility

$17,623.95

Service Code	HCPCS 36474
Hospital Charge Code	421036474
Hospital Revenue Code	761
Min. Negotiated Rate	$160.03
Max. Negotiated Rate	$8,811.98
Rate for Payer: Aetna Commercial	$6,697.10
Rate for Payer: Aetna Medicare Advantage	$5,287.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,494.11
Rate for Payer: Cigna Commercial	$8,811.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,582.23
Rate for Payer: Oxford Commercial	$3,524.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$3,524.79
Rate for Payer: UnitedHealthcare Community & State	$556.92
Rate for Payer: Wellpoint Medicaid Managed Care	$500.52

ENDOVENOUS RF 1ST VEIN

Facility

$25,406.80

Service Code	HCPCS 36475
Hospital Charge Code	1600000571
Hospital Revenue Code	360
Min. Negotiated Rate	$721.55
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,605.77
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$802.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$721.55

ENDOVENOUS RF 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36475
Hospital Charge Code	421036475
Hospital Revenue Code	761
Min. Negotiated Rate	$500.52
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,346.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,582.23
Rate for Payer: Oxford Commercial	$3,524.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$3,524.79
Rate for Payer: UnitedHealthcare Community & State	$556.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$500.52

ENDOVENOUS RF 1ST VEIN

Facility

$25,406.80

Service Code	HCPCS 36475
Hospital Charge Code	1600000571
Hospital Revenue Code	360
Min. Negotiated Rate	$3,811.02
Max. Negotiated Rate	$3,811.02
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02

ENDOVENOUS RF 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36475
Hospital Charge Code	421036475
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS RF VEIN ADD ON

Facility

$9,970.96

Service Code	HCPCS 36476
Hospital Charge Code	1600000573
Hospital Revenue Code	360
Min. Negotiated Rate	$283.18
Max. Negotiated Rate	$4,985.48
Rate for Payer: Aetna Commercial	$3,788.96
Rate for Payer: Aetna Medicare Advantage	$2,991.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,542.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,542.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,542.59
Rate for Payer: Cigna Commercial	$4,985.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,592.45
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,495.64
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$315.08
Rate for Payer: Wellpoint Medicaid Managed Care	$283.18

ENDOVENOUS RF VEIN ADD ON

Facility

$9,970.96

Service Code	HCPCS 36476
Hospital Charge Code	1600000573
Hospital Revenue Code	360
Min. Negotiated Rate	$1,495.64
Max. Negotiated Rate	$1,495.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,495.64

ENDOVENOUS RF VEIN ADD-ON

Facility

$17,623.95

Service Code	HCPCS 36476
Hospital Charge Code	421036476
Hospital Revenue Code	761
Min. Negotiated Rate	$500.52
Max. Negotiated Rate	$8,811.98
Rate for Payer: Aetna Commercial	$6,697.10
Rate for Payer: Aetna Medicare Advantage	$5,287.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,494.11
Rate for Payer: Cigna Commercial	$8,811.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,582.23
Rate for Payer: Oxford Commercial	$3,524.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$3,524.79
Rate for Payer: UnitedHealthcare Community & State	$556.92
Rate for Payer: Wellpoint Medicaid Managed Care	$500.52

ENDOVENOUS RF VEIN ADD-ON

Facility

$17,623.95

Service Code	HCPCS 36476
Hospital Charge Code	421036476
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVEN THER CHEM ADHES 1ST

Facility

$29,358.35

Service Code	HCPCS 36482
Hospital Charge Code	421036482
Hospital Revenue Code	761
Min. Negotiated Rate	$833.78
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,225.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,633.17
Rate for Payer: Oxford Commercial	$5,871.67
Rate for Payer: Qualcare PPO/HMO/WC	$4,403.75
Rate for Payer: UnitedHealthcare Commercial	$5,871.67
Rate for Payer: UnitedHealthcare Community & State	$927.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$833.78

ENDOVEN THER CHEM ADHES 1ST

Facility

$29,358.35

Service Code	HCPCS 36482
Hospital Charge Code	421036482
Hospital Revenue Code	761
Min. Negotiated Rate	$4,403.75
Max. Negotiated Rate	$4,403.75
Rate for Payer: Qualcare PPO/HMO/WC	$4,403.75

ENDOVEN THER CHEM ADHES SBSQ

Facility

$29,358.35

Service Code	HCPCS 36483
Hospital Charge Code	421036483
Hospital Revenue Code	761
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$14,679.17
Rate for Payer: Aetna Commercial	$11,156.17
Rate for Payer: Aetna Medicare Advantage	$8,807.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,486.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,486.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,486.38
Rate for Payer: Cigna Commercial	$14,679.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,633.17
Rate for Payer: Oxford Commercial	$5,871.67
Rate for Payer: Qualcare PPO/HMO/WC	$4,403.75
Rate for Payer: UnitedHealthcare Commercial	$5,871.67
Rate for Payer: UnitedHealthcare Community & State	$927.72
Rate for Payer: Wellpoint Medicaid Managed Care	$833.78

Know your out-of-pocket cost for care.

All Charges