Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GRAFT MEMBRANE 2 x 3 MM

Facility

$2,800.00

Service Code	HCPCS Q4248
Hospital Charge Code	270696212
Hospital Revenue Code	278
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$677.60
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

GRAFT MEMBRANE 4X6MM

Facility

$12,480.00

Service Code	HCPCS Q4205
Hospital Charge Code	270694128
Hospital Revenue Code	278
Min. Negotiated Rate	$1,872.00
Max. Negotiated Rate	$3,020.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,020.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,872.00

GRAFT MEMBRANE 4X6MM

Facility

$12,480.00

Service Code	HCPCS Q4205
Hospital Charge Code	270694128
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$3,020.16
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,020.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,872.00
Rate for Payer: UnitedHealthcare Community & State	$394.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$354.43

GRAFT MEMBRANE RESTORE 4X4

Facility

$5,750.00

Service Code	HCPCS C1763
Hospital Charge Code	270694127
Hospital Revenue Code	278
Min. Negotiated Rate	$163.30
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$2,185.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50
Rate for Payer: UnitedHealthcare Community & State	$181.70
Rate for Payer: Wellpoint Medicaid Managed Care	$163.30

GRAFT MEMBRANE RESTORE 4X4

Facility

$5,750.00

Service Code	HCPCS C1763
Hospital Charge Code	270694127
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

GRAFT MEMBRANE WRAP 2X2CM

Facility

$3,960.00

Service Code	HCPCS Q4205
Hospital Charge Code	270694504
Hospital Revenue Code	278
Min. Negotiated Rate	$594.00
Max. Negotiated Rate	$958.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$792.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$958.32
Rate for Payer: Qualcare PPO/HMO/WC	$594.00

GRAFT MEMBRANE WRAP 2X2CM

Facility

$3,960.00

Service Code	HCPCS Q4205
Hospital Charge Code	270694504
Hospital Revenue Code	278
Min. Negotiated Rate	$112.46
Max. Negotiated Rate	$958.32
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$792.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$958.32
Rate for Payer: Qualcare PPO/HMO/WC	$594.00
Rate for Payer: UnitedHealthcare Community & State	$125.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$112.46

GRAFT MEMBRANE WRAP 4X6CM

Facility

$23,760.00

Service Code	HCPCS Q4205
Hospital Charge Code	270694210
Hospital Revenue Code	278
Min. Negotiated Rate	$3,564.00
Max. Negotiated Rate	$5,749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,752.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,749.92
Rate for Payer: Qualcare PPO/HMO/WC	$3,564.00

GRAFT MEMBRANE WRAP 4X6CM

Facility

$23,760.00

Service Code	HCPCS Q4205
Hospital Charge Code	270694210
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$5,749.92
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,749.92
Rate for Payer: Qualcare PPO/HMO/WC	$3,564.00
Rate for Payer: UnitedHealthcare Community & State	$750.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$674.78

GRAFT MEMBRANE WRAP DUAL LAY 4

Facility

$15,840.00

Service Code	HCPCS C1762
Hospital Charge Code	270694209
Hospital Revenue Code	278
Min. Negotiated Rate	$449.86
Max. Negotiated Rate	$7,920.00
Rate for Payer: Aetna Commercial	$6,019.20
Rate for Payer: Aetna Medicare Advantage	$4,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,039.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,039.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,039.20
Rate for Payer: Cigna Commercial	$7,920.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,833.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,376.00
Rate for Payer: UnitedHealthcare Community & State	$500.54
Rate for Payer: Wellpoint Medicaid Managed Care	$449.86

GRAFT MEMBRANE WRAP DUAL LAY 4

Facility

$15,840.00

Service Code	HCPCS C1762
Hospital Charge Code	270694209
Hospital Revenue Code	278
Min. Negotiated Rate	$2,376.00
Max. Negotiated Rate	$3,833.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,833.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,376.00

GRAFT NANOPUTTY OSTEOFLO 10CC

Facility

$27,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692931
Hospital Revenue Code	278
Min. Negotiated Rate	$784.55
Max. Negotiated Rate	$13,812.50
Rate for Payer: Aetna Commercial	$10,497.50
Rate for Payer: Aetna Medicare Advantage	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,044.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,044.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,044.38
Rate for Payer: Cigna Commercial	$13,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,685.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,143.75
Rate for Payer: UnitedHealthcare Community & State	$872.95
Rate for Payer: Wellpoint Medicaid Managed Care	$784.55

GRAFT NANOPUTTY OSTEOFLO 10CC

Facility

$27,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692931
Hospital Revenue Code	278
Min. Negotiated Rate	$4,143.75
Max. Negotiated Rate	$6,685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,685.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,143.75

GRAFT NEOX

Facility

$5,975.00

Service Code	HCPCS Q4156
Hospital Charge Code	270683169
Hospital Revenue Code	636
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$1,445.95
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,445.95
Rate for Payer: Qualcare PPO/HMO/WC	$896.25
Rate for Payer: UnitedHealthcare Community & State	$188.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$169.69

GRAFT NEOX

Facility

$5,975.00

Service Code	HCPCS Q4156
Hospital Charge Code	270683169
Hospital Revenue Code	636
Min. Negotiated Rate	$896.25
Max. Negotiated Rate	$1,445.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,445.95
Rate for Payer: Qualcare PPO/HMO/WC	$896.25

GRAFT NEOX 100MG

Facility

$5,750.00

Service Code	HCPCS Q4156
Hospital Charge Code	270683170
Hospital Revenue Code	636
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

GRAFT NEOX 100MG

Facility

$5,750.00

Service Code	HCPCS Q4156
Hospital Charge Code	270683170
Hospital Revenue Code	636
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$1,391.50
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50
Rate for Payer: UnitedHealthcare Community & State	$181.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$163.30

GRAFT NERVE 2-3X70 AVANCE

Facility

$23,000.00

Hospital Charge Code	270663369
Hospital Revenue Code	278
Min. Negotiated Rate	$3,450.00
Max. Negotiated Rate	$5,566.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,566.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,450.00

GRAFT NERVE 2-3X70 AVANCE

Facility

$23,000.00

Hospital Charge Code	270663369
Hospital Revenue Code	278
Min. Negotiated Rate	$653.20
Max. Negotiated Rate	$11,500.00
Rate for Payer: Aetna Commercial	$8,740.00
Rate for Payer: Aetna Medicare Advantage	$6,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,865.00
Rate for Payer: Cigna Commercial	$11,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,566.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,450.00
Rate for Payer: UnitedHealthcare Community & State	$726.80
Rate for Payer: Wellpoint Medicaid Managed Care	$653.20

GRAFT NERVE PROTECTOR 7x40MM

Facility

$12,600.00

Hospital Charge Code	270661365
Hospital Revenue Code	278
Min. Negotiated Rate	$357.84
Max. Negotiated Rate	$6,300.00
Rate for Payer: Aetna Commercial	$4,788.00
Rate for Payer: Aetna Medicare Advantage	$3,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,520.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,213.00
Rate for Payer: Cigna Commercial	$6,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,049.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,890.00
Rate for Payer: UnitedHealthcare Community & State	$398.16
Rate for Payer: Wellpoint Medicaid Managed Care	$357.84

GRAFT NERVE PROTECTOR 7x40MM

Facility

$12,600.00

Hospital Charge Code	270661365
Hospital Revenue Code	278
Min. Negotiated Rate	$1,890.00
Max. Negotiated Rate	$3,049.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,049.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,890.00

GRAFT NEURAGEN 3MMX2CM NERVE

Facility

$4,732.50

Service Code	HCPCS C9352
Hospital Charge Code	270684066
Hospital Revenue Code	278
Min. Negotiated Rate	$134.40
Max. Negotiated Rate	$2,366.25
Rate for Payer: Aetna Commercial	$1,798.35
Rate for Payer: Aetna Medicare Advantage	$1,419.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,206.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,206.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$946.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,206.79
Rate for Payer: Cigna Commercial	$2,366.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,145.27
Rate for Payer: Qualcare PPO/HMO/WC	$709.88
Rate for Payer: UnitedHealthcare Community & State	$149.55
Rate for Payer: Wellpoint Medicaid Managed Care	$134.40

GRAFT NEURAGEN 3MMX2CM NERVE

Facility

$4,732.50

Service Code	HCPCS C9352
Hospital Charge Code	270684066
Hospital Revenue Code	278
Min. Negotiated Rate	$709.88
Max. Negotiated Rate	$1,145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$946.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,145.27
Rate for Payer: Qualcare PPO/HMO/WC	$709.88

GRAFT NEURAGEN GUIDE 2MMX2CM

Facility

$4,732.50

Service Code	HCPCS C9352
Hospital Charge Code	270684068
Hospital Revenue Code	278
Min. Negotiated Rate	$134.40
Max. Negotiated Rate	$2,366.25
Rate for Payer: Aetna Commercial	$1,798.35
Rate for Payer: Aetna Medicare Advantage	$1,419.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,206.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,206.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$946.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,206.79
Rate for Payer: Cigna Commercial	$2,366.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,145.27
Rate for Payer: Qualcare PPO/HMO/WC	$709.88
Rate for Payer: UnitedHealthcare Community & State	$149.55
Rate for Payer: Wellpoint Medicaid Managed Care	$134.40

GRAFT NEURAGEN GUIDE 2MMX2CM

Facility

$4,732.50

Service Code	HCPCS C9352
Hospital Charge Code	270684068
Hospital Revenue Code	278
Min. Negotiated Rate	$709.88
Max. Negotiated Rate	$1,145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$946.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,145.27
Rate for Payer: Qualcare PPO/HMO/WC	$709.88

Know your out-of-pocket cost for care.

All Charges