Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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Facility

$6,404.20

Service Code	HCPCS 32557
Hospital Charge Code	5701102
Hospital Revenue Code	361
Min. Negotiated Rate	$181.88
Max. Negotiated Rate	$6,783.93
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
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	$6,783.93
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,870.14
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,665.09
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$202.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$181.88

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Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	7411386
Hospital Revenue Code	361
Min. Negotiated Rate	$512.88
Max. Negotiated Rate	$512.88
Rate for Payer: Qualcare PPO/HMO/WC	$512.88

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Facility

$3,419.20

Service Code	HCPCS 32557
Hospital Charge Code	7411386
Hospital Revenue Code	361
Min. Negotiated Rate	$97.11
Max. Negotiated Rate	$6,783.93
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
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	$6,783.93
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,870.14
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$888.99
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$512.88
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$108.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$97.11

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	321032556
Hospital Revenue Code	361
Min. Negotiated Rate	$246.69
Max. Negotiated Rate	$8,269.65
Rate for Payer: Aetna Commercial	$6,200.81
Rate for Payer: Aetna Medicare Advantage	$7,386.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,279.71
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	$8,269.65
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: Cigna Medicare Advantage	$2,279.71
Rate for Payer: Clover Medicare Advantage	$2,165.72
Rate for Payer: EmblemHealth Commercial	$6,839.13
Rate for Payer: Humana Medicare Advantage	$2,348.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,279.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,258.45
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$274.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,279.71
Rate for Payer: Wellcare Medicare Advantage	$2,279.71
Rate for Payer: Wellpoint Medicaid Managed Care	$246.69

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	321032556
Hospital Revenue Code	361
Min. Negotiated Rate	$1,302.95
Max. Negotiated Rate	$1,302.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95

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Facility

$2,281.40

Service Code	HCPCS 32556
Hospital Charge Code	5701015
Hospital Revenue Code	450
Min. Negotiated Rate	$64.79
Max. Negotiated Rate	$8,269.65
Rate for Payer: Aetna Commercial	$6,200.81
Rate for Payer: Aetna Medicare Advantage	$7,386.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,279.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,269.65
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: Cigna Medicare Advantage	$2,279.71
Rate for Payer: Clover Medicare Advantage	$2,165.72
Rate for Payer: EmblemHealth Commercial	$6,839.13
Rate for Payer: Humana Medicare Advantage	$2,348.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,279.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$593.16
Rate for Payer: Qualcare PPO/HMO/WC	$342.21
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,279.71
Rate for Payer: Wellcare Medicare Advantage	$2,279.71
Rate for Payer: Wellpoint Medicaid Managed Care	$64.79

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Facility

$2,281.40

Service Code	HCPCS 32556
Hospital Charge Code	5701015
Hospital Revenue Code	450
Min. Negotiated Rate	$342.21
Max. Negotiated Rate	$342.21
Rate for Payer: Qualcare PPO/HMO/WC	$342.21

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	5701101
Hospital Revenue Code	361
Min. Negotiated Rate	$246.69
Max. Negotiated Rate	$8,269.65
Rate for Payer: Aetna Commercial	$6,200.81
Rate for Payer: Aetna Medicare Advantage	$7,386.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,279.71
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	$8,269.65
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: Cigna Medicare Advantage	$2,279.71
Rate for Payer: Clover Medicare Advantage	$2,165.72
Rate for Payer: EmblemHealth Commercial	$6,839.13
Rate for Payer: Humana Medicare Advantage	$2,348.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,279.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,258.45
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$274.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,279.71
Rate for Payer: Wellcare Medicare Advantage	$2,279.71
Rate for Payer: Wellpoint Medicaid Managed Care	$246.69

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Facility

$5,762.80

Service Code	HCPCS 32556
Hospital Charge Code	16000927
Hospital Revenue Code	360
Min. Negotiated Rate	$864.42
Max. Negotiated Rate	$864.42
Rate for Payer: Qualcare PPO/HMO/WC	$864.42

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Facility

$2,881.40

Service Code	HCPCS 32556
Hospital Charge Code	7411385
Hospital Revenue Code	361
Min. Negotiated Rate	$81.83
Max. Negotiated Rate	$8,269.65
Rate for Payer: Aetna Commercial	$6,200.81
Rate for Payer: Aetna Medicare Advantage	$7,386.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,279.71
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	$8,269.65
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: Cigna Medicare Advantage	$2,279.71
Rate for Payer: Clover Medicare Advantage	$2,165.72
Rate for Payer: EmblemHealth Commercial	$6,839.13
Rate for Payer: Humana Medicare Advantage	$2,348.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,279.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$749.16
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$432.21
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$91.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,279.71
Rate for Payer: Wellcare Medicare Advantage	$2,279.71
Rate for Payer: Wellpoint Medicaid Managed Care	$81.83

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Facility

$5,762.80

Service Code	HCPCS 32556
Hospital Charge Code	16000927
Hospital Revenue Code	360
Min. Negotiated Rate	$163.66
Max. Negotiated Rate	$8,269.65
Rate for Payer: Aetna Commercial	$6,200.81
Rate for Payer: Aetna Medicare Advantage	$7,386.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,279.71
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	$8,269.65
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: Cigna Medicare Advantage	$2,279.71
Rate for Payer: Clover Medicare Advantage	$2,165.72
Rate for Payer: EmblemHealth Commercial	$6,839.13
Rate for Payer: Humana Medicare Advantage	$2,348.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,279.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,498.33
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$864.42
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$182.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,279.71
Rate for Payer: Wellcare Medicare Advantage	$2,279.71
Rate for Payer: Wellpoint Medicaid Managed Care	$163.66

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Facility

$2,881.40

Service Code	HCPCS 32556
Hospital Charge Code	7411385
Hospital Revenue Code	361
Min. Negotiated Rate	$432.21
Max. Negotiated Rate	$432.21
Rate for Payer: Qualcare PPO/HMO/WC	$432.21

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Facility

$8,686.35

Service Code	HCPCS 32556
Hospital Charge Code	5701101
Hospital Revenue Code	361
Min. Negotiated Rate	$1,302.95
Max. Negotiated Rate	$1,302.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95

INSERT DRILL SLEEVE 2.0/1.5MM

Facility

$1,293.00

Hospital Charge Code	270677032
Hospital Revenue Code	270
Min. Negotiated Rate	$193.95
Max. Negotiated Rate	$193.95
Rate for Payer: Qualcare PPO/HMO/WC	$193.95

INSERT DRILL SLEEVE 2.0/1.5MM

Facility

$1,293.00

Hospital Charge Code	270677032
Hospital Revenue Code	270
Min. Negotiated Rate	$36.72
Max. Negotiated Rate	$646.50
Rate for Payer: Aetna Commercial	$491.34
Rate for Payer: Aetna Medicare Advantage	$387.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.71
Rate for Payer: Cigna Commercial	$646.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.18
Rate for Payer: Oxford Commercial	$258.60
Rate for Payer: Qualcare PPO/HMO/WC	$193.95
Rate for Payer: UnitedHealthcare Commercial	$258.60
Rate for Payer: UnitedHealthcare Community & State	$40.86
Rate for Payer: Wellpoint Medicaid Managed Care	$36.72

INSERT DRILL SLEEVE 2.4/1.8MM

Facility

$1,293.00

Hospital Charge Code	270677030
Hospital Revenue Code	270
Min. Negotiated Rate	$193.95
Max. Negotiated Rate	$193.95
Rate for Payer: Qualcare PPO/HMO/WC	$193.95

INSERT DRILL SLEEVE 2.4/1.8MM

Facility

$1,293.00

Hospital Charge Code	270677030
Hospital Revenue Code	270
Min. Negotiated Rate	$36.72
Max. Negotiated Rate	$646.50
Rate for Payer: Aetna Commercial	$491.34
Rate for Payer: Aetna Medicare Advantage	$387.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.71
Rate for Payer: Cigna Commercial	$646.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.18
Rate for Payer: Oxford Commercial	$258.60
Rate for Payer: Qualcare PPO/HMO/WC	$193.95
Rate for Payer: UnitedHealthcare Commercial	$258.60
Rate for Payer: UnitedHealthcare Community & State	$40.86
Rate for Payer: Wellpoint Medicaid Managed Care	$36.72

INSERT DRILL SLEEVE 2.7/2.0MM

Facility

$1,293.00

Hospital Charge Code	270677031
Hospital Revenue Code	270
Min. Negotiated Rate	$193.95
Max. Negotiated Rate	$193.95
Rate for Payer: Qualcare PPO/HMO/WC	$193.95

INSERT DRILL SLEEVE 2.7/2.0MM

Facility

$1,293.00

Hospital Charge Code	270677031
Hospital Revenue Code	270
Min. Negotiated Rate	$36.72
Max. Negotiated Rate	$646.50
Rate for Payer: Aetna Commercial	$491.34
Rate for Payer: Aetna Medicare Advantage	$387.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.71
Rate for Payer: Cigna Commercial	$646.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.18
Rate for Payer: Oxford Commercial	$258.60
Rate for Payer: Qualcare PPO/HMO/WC	$193.95
Rate for Payer: UnitedHealthcare Commercial	$258.60
Rate for Payer: UnitedHealthcare Community & State	$40.86
Rate for Payer: Wellpoint Medicaid Managed Care	$36.72

INSERT DRILL SLEEVE 3.5/2.5MM

Facility

$478.95

Hospital Charge Code	270613695
Hospital Revenue Code	272
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$239.47
Rate for Payer: Aetna Commercial	$182.00
Rate for Payer: Aetna Medicare Advantage	$143.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.13
Rate for Payer: Cigna Commercial	$239.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.53
Rate for Payer: Oxford Commercial	$95.79
Rate for Payer: Qualcare PPO/HMO/WC	$71.84
Rate for Payer: UnitedHealthcare Commercial	$95.79
Rate for Payer: UnitedHealthcare Community & State	$15.13
Rate for Payer: Wellpoint Medicaid Managed Care	$13.60

INSERT DRILL SLEEVE 3.5/2.5MM

Facility

$478.95

Hospital Charge Code	270613695
Hospital Revenue Code	272
Min. Negotiated Rate	$71.84
Max. Negotiated Rate	$71.84
Rate for Payer: Qualcare PPO/HMO/WC	$71.84

INSERT DRILL SLEEVE 8.5/2.8MM

Facility

$781.75

Hospital Charge Code	270678289
Hospital Revenue Code	272
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$390.88
Rate for Payer: Aetna Commercial	$297.06
Rate for Payer: Aetna Medicare Advantage	$234.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.35
Rate for Payer: Cigna Commercial	$390.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.25
Rate for Payer: Oxford Commercial	$156.35
Rate for Payer: Qualcare PPO/HMO/WC	$117.26
Rate for Payer: UnitedHealthcare Commercial	$156.35
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$22.20

INSERT DRILL SLEEVE 8.5/2.8MM

Facility

$781.75

Hospital Charge Code	270678289
Hospital Revenue Code	272
Min. Negotiated Rate	$117.26
Max. Negotiated Rate	$117.26
Rate for Payer: Qualcare PPO/HMO/WC	$117.26

INSERT DRUG IMPLANT

Facility

$1,167.00

Service Code	HCPCS 11981
Hospital Charge Code	16000783
Hospital Revenue Code	360
Min. Negotiated Rate	$36.88
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
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	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.42
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$175.05
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$36.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$361.89
Rate for Payer: Wellpoint Medicaid Managed Care	$354.79

INSERT DRUG IMPLANT

Facility

$1,167.00

Service Code	HCPCS 11981
Hospital Charge Code	16000783
Hospital Revenue Code	360
Min. Negotiated Rate	$175.05
Max. Negotiated Rate	$175.05
Rate for Payer: Qualcare PPO/HMO/WC	$175.05

Know your out-of-pocket cost for care.

All Charges