Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HEMOGLOBINOPATHY EVALUATION I

Facility

$390.00

Service Code	HCPCS 85018
Hospital Charge Code	39990070C
Hospital Revenue Code	305
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$6.45
Rate for Payer: Aetna Medicare Advantage	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.60
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$2.37
Rate for Payer: Clover Medicare Advantage	$2.25
Rate for Payer: EmblemHealth Commercial	$7.11
Rate for Payer: Humana Medicare Advantage	$2.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.37
Rate for Payer: Wellcare Medicare Advantage	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEMOGLOBINOPATHY EVALUATION I

Facility

$390.00

Service Code	HCPCS 85041
Hospital Charge Code	39990070D
Hospital Revenue Code	301
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$8.21
Rate for Payer: Aetna Medicare Advantage	$9.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.96
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$2.87
Rate for Payer: EmblemHealth Commercial	$9.06
Rate for Payer: Humana Medicare Advantage	$3.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.02
Rate for Payer: Wellcare Medicare Advantage	$3.02
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEMOGLOBINOPATHY EVALUATION I

Facility

$390.00

Service Code	HCPCS 83021
Hospital Charge Code	39990070A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$58.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.51
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.06
Rate for Payer: Clover Medicare Advantage	$17.16
Rate for Payer: EmblemHealth Commercial	$54.18
Rate for Payer: Humana Medicare Advantage	$18.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.06
Rate for Payer: Wellcare Medicare Advantage	$18.06
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEMOGLOBIN URINE

Facility

$390.00

Service Code	HCPCS 83069
Hospital Charge Code	38477022
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEMOGLOBIN URINE

Facility

$390.00

Service Code	HCPCS 83069
Hospital Charge Code	38477022
Hospital Revenue Code	301
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.33
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEMOPLOBIN A2 QN

Facility

$127.00

Service Code	HCPCS 83021
Hospital Charge Code	38478096
Hospital Revenue Code	301
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$58.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.51
Rate for Payer: Cigna Commercial	$63.50
Rate for Payer: Cigna Medicare Advantage	$18.06
Rate for Payer: Clover Medicare Advantage	$17.16
Rate for Payer: EmblemHealth Commercial	$54.18
Rate for Payer: Humana Medicare Advantage	$18.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.06
Rate for Payer: Wellcare Medicare Advantage	$18.06
Rate for Payer: Wellpoint Medicaid Managed Care	$3.61

HEMOPLOBIN A2 QN

Facility

$127.00

Service Code	HCPCS 83021
Hospital Charge Code	38478096
Hospital Revenue Code	301
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$8,606.02

Service Code	APR-DRG 8102
Min. Negotiated Rate	$8,437.27
Max. Negotiated Rate	$8,606.02
Rate for Payer: UnitedHealthcare Community & State	$8,437.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,606.02
Rate for Payer: Wellpoint Medicaid Managed Care	$8,437.27

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$6,257.91

Service Code	APR-DRG 8101
Min. Negotiated Rate	$6,135.21
Max. Negotiated Rate	$6,257.91
Rate for Payer: UnitedHealthcare Community & State	$6,135.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,257.91
Rate for Payer: Wellpoint Medicaid Managed Care	$6,135.21

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$13,531.18

Service Code	APR-DRG 8103
Min. Negotiated Rate	$13,265.86
Max. Negotiated Rate	$13,531.18
Rate for Payer: UnitedHealthcare Community & State	$13,265.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,531.18
Rate for Payer: Wellpoint Medicaid Managed Care	$13,265.86

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$27,251.99

Service Code	APR-DRG 8104
Min. Negotiated Rate	$26,717.64
Max. Negotiated Rate	$27,251.99
Rate for Payer: UnitedHealthcare Community & State	$26,717.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,251.99
Rate for Payer: Wellpoint Medicaid Managed Care	$26,717.64

HEMORRHOIDAL SUPP

Facility

$4.00

Service Code	NDC 536138912
Hospital Charge Code	6063943317
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

HEMORRHOIDAL SUPP

Facility

$4.00

Service Code	NDC 536138912
Hospital Charge Code	6063943317
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

HEMORRHOIDAL SUPPOSITORY

Facility

$4.00

Service Code	NDC 904768822
Hospital Charge Code	60628754
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

HEMORRHOIDAL SUPPOSITORY

Facility

$4.00

Service Code	NDC 904768822
Hospital Charge Code	60628754
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S)

Facility

$4,007.70

Service Code	CPT 46221
Hospital Revenue Code	750
Min. Negotiated Rate	$45.69
Max. Negotiated Rate	$4,007.70
Rate for Payer: Aetna Commercial	$3,005.08
Rate for Payer: Aetna Medicare Advantage	$3,579.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,007.70
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: Cigna Medicare Advantage	$1,104.81
Rate for Payer: Clover Medicare Advantage	$1,049.57
Rate for Payer: EmblemHealth Commercial	$3,314.43
Rate for Payer: Humana Medicare Advantage	$1,137.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,104.81
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,104.81
Rate for Payer: Wellcare Medicare Advantage	$1,104.81

HEMORRHOIDOPEXY BY STAPLING

Facility

$27,441.80

Service Code	HCPCS 46947
Hospital Charge Code	1600000751
Hospital Revenue Code	360
Min. Negotiated Rate	$779.35
Max. Negotiated Rate	$11,961.90
Rate for Payer: Aetna Commercial	$8,969.36
Rate for Payer: Aetna Medicare Advantage	$10,684.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,297.56
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	$11,961.90
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: Cigna Medicare Advantage	$3,297.56
Rate for Payer: Clover Medicare Advantage	$3,132.68
Rate for Payer: EmblemHealth Commercial	$9,892.68
Rate for Payer: Humana Medicare Advantage	$3,396.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,297.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,134.87
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,116.27
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$867.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,297.56
Rate for Payer: Wellcare Medicare Advantage	$3,297.56
Rate for Payer: Wellpoint Medicaid Managed Care	$779.35

HEMORRHOIDOPEXY BY STAPLING

Facility

$27,441.80

Service Code	HCPCS 46947
Hospital Charge Code	1600000751
Hospital Revenue Code	360
Min. Negotiated Rate	$4,116.27
Max. Negotiated Rate	$4,116.27
Rate for Payer: Qualcare PPO/HMO/WC	$4,116.27

HEMORRHOID STAPLER (CAT.PPHOI)

Facility

$1,052.00

Hospital Charge Code	270335655
Hospital Revenue Code	272
Min. Negotiated Rate	$157.80
Max. Negotiated Rate	$157.80
Rate for Payer: Qualcare PPO/HMO/WC	$157.80

HEMORRHOID STAPLER (CAT.PPHOI)

Facility

$1,052.00

Hospital Charge Code	270335655
Hospital Revenue Code	272
Min. Negotiated Rate	$29.88
Max. Negotiated Rate	$526.00
Rate for Payer: Aetna Commercial	$399.76
Rate for Payer: Aetna Medicare Advantage	$315.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$268.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$268.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$268.26
Rate for Payer: Cigna Commercial	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.52
Rate for Payer: Oxford Commercial	$210.40
Rate for Payer: Qualcare PPO/HMO/WC	$157.80
Rate for Payer: UnitedHealthcare Commercial	$210.40
Rate for Payer: UnitedHealthcare Community & State	$33.24
Rate for Payer: Wellpoint Medicaid Managed Care	$29.88

HEMOSIDERIN,QL,URINE

Facility

$390.00

Service Code	HCPCS 83070
Hospital Charge Code	39900093
Hospital Revenue Code	301
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$12.92
Rate for Payer: Aetna Medicare Advantage	$15.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.23
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$4.75
Rate for Payer: Clover Medicare Advantage	$4.51
Rate for Payer: EmblemHealth Commercial	$14.25
Rate for Payer: Humana Medicare Advantage	$4.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.75
Rate for Payer: Wellcare Medicare Advantage	$4.75
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEMOSIDERIN,QL,URINE

Facility

$390.00

Service Code	HCPCS 83070
Hospital Charge Code	39900093
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEMOSIDERIN,URINE

Facility

$68.00

Service Code	HCPCS 83070
Hospital Charge Code	38472331
Hospital Revenue Code	301
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$12.92
Rate for Payer: Aetna Medicare Advantage	$15.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.23
Rate for Payer: Cigna Commercial	$34.00
Rate for Payer: Cigna Medicare Advantage	$4.75
Rate for Payer: Clover Medicare Advantage	$4.51
Rate for Payer: EmblemHealth Commercial	$14.25
Rate for Payer: Humana Medicare Advantage	$4.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.75
Rate for Payer: Wellcare Medicare Advantage	$4.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

HEMOSIDERIN,URINE

Facility

$68.00

Service Code	HCPCS 83070
Hospital Charge Code	38472331
Hospital Revenue Code	301
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.20

HEMOSPLIT 27CM

Facility

$1,925.00

Service Code	HCPCS C1750
Hospital Charge Code	270637768
Hospital Revenue Code	278
Min. Negotiated Rate	$54.67
Max. Negotiated Rate	$962.50
Rate for Payer: Aetna Commercial	$731.50
Rate for Payer: Aetna Medicare Advantage	$577.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.88
Rate for Payer: Cigna Commercial	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.85
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Community & State	$60.83
Rate for Payer: Wellpoint Medicaid Managed Care	$54.67

Know your out-of-pocket cost for care.

All Charges