Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

INSERT TUN CV CATH W/O PORT

Facility

$17,869.95

Service Code	HCPCS 36565
Hospital Charge Code	7411456
Hospital Revenue Code	361
Min. Negotiated Rate	$2,680.49
Max. Negotiated Rate	$2,680.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49

INSERT TUN CV CATH W/O PORT

Facility

$17,869.95

Service Code	HCPCS 36565
Hospital Charge Code	7411456
Hospital Revenue Code	361
Min. Negotiated Rate	$507.51
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	$4,646.19
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$564.69
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	$507.51

INSERT URO/VES NCK SPHINCTER

Facility

$94,818.40

Service Code	HCPCS 53445
Hospital Charge Code	1600000493
Hospital Revenue Code	360
Min. Negotiated Rate	$2,692.84
Max. Negotiated Rate	$89,320.59
Rate for Payer: Aetna Commercial	$66,975.05
Rate for Payer: Aetna Medicare Advantage	$79,779.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89,320.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89,320.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,623.18
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	$89,320.59
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: Cigna Medicare Advantage	$24,623.18
Rate for Payer: Clover Medicare Advantage	$23,392.02
Rate for Payer: EmblemHealth Commercial	$73,869.54
Rate for Payer: Humana Medicare Advantage	$25,361.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,623.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,652.78
Rate for Payer: Oxford Commercial	$15,591.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76
Rate for Payer: UnitedHealthcare Commercial	$17,348.00
Rate for Payer: UnitedHealthcare Community & State	$2,996.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,623.18
Rate for Payer: Wellcare Medicare Advantage	$24,623.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2,692.84

INSERT URO/VES NCK SPHINCTER

Facility

$94,818.40

Service Code	HCPCS 53445
Hospital Charge Code	1600000493
Hospital Revenue Code	360
Min. Negotiated Rate	$14,222.76
Max. Negotiated Rate	$14,222.76
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76

INSERT VAD ARTERY ACCESS

Facility

$5,500.00

Service Code	HCPCS 33990
Hospital Charge Code	411033990
Hospital Revenue Code	361
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

INSERT VAD ARTERY ACCESS

Facility

$5,500.00

Service Code	HCPCS 33990
Hospital Charge Code	411033990
Hospital Revenue Code	361
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
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	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,430.00
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$173.80
Rate for Payer: Wellpoint Medicaid Managed Care	$156.20

INSERT X3 THIATHLON CS #3 11MM

Facility

$5,082.35

Service Code	HCPCS C1776
Hospital Charge Code	270692078
Hospital Revenue Code	278
Min. Negotiated Rate	$762.35
Max. Negotiated Rate	$1,229.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,229.93
Rate for Payer: Qualcare PPO/HMO/WC	$762.35

INSERT X3 THIATHLON CS #3 11MM

Facility

$5,082.35

Service Code	HCPCS C1776
Hospital Charge Code	270692078
Hospital Revenue Code	278
Min. Negotiated Rate	$144.34
Max. Negotiated Rate	$2,541.18
Rate for Payer: Aetna Commercial	$1,931.29
Rate for Payer: Aetna Medicare Advantage	$1,524.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,296.00
Rate for Payer: Cigna Commercial	$2,541.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,229.93
Rate for Payer: Qualcare PPO/HMO/WC	$762.35
Rate for Payer: UnitedHealthcare Community & State	$160.60
Rate for Payer: Wellpoint Medicaid Managed Care	$144.34

INSERT X3 TRIATHLON CS S 6

Facility

$4,269.20

Service Code	HCPCS C1776
Hospital Charge Code	270692359
Hospital Revenue Code	278
Min. Negotiated Rate	$121.25
Max. Negotiated Rate	$2,134.60
Rate for Payer: Aetna Commercial	$1,622.30
Rate for Payer: Aetna Medicare Advantage	$1,280.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,088.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,088.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$853.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,088.65
Rate for Payer: Cigna Commercial	$2,134.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.15
Rate for Payer: Qualcare PPO/HMO/WC	$640.38
Rate for Payer: UnitedHealthcare Community & State	$134.91
Rate for Payer: Wellpoint Medicaid Managed Care	$121.25

INSERT X3 TRIATHLON CS S 6

Facility

$4,269.20

Service Code	HCPCS C1776
Hospital Charge Code	270692359
Hospital Revenue Code	278
Min. Negotiated Rate	$640.38
Max. Negotiated Rate	$1,033.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$853.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.15
Rate for Payer: Qualcare PPO/HMO/WC	$640.38

INSIGNIA PLATE 20MM

Facility

$5,237.45

Service Code	HCPCS C1889
Hospital Charge Code	270703882
Hospital Revenue Code	278
Min. Negotiated Rate	$785.62
Max. Negotiated Rate	$1,267.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,047.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,267.46
Rate for Payer: Qualcare PPO/HMO/WC	$785.62

INSIGNIA PLATE 20MM

Facility

$5,237.45

Service Code	HCPCS C1889
Hospital Charge Code	270703882
Hospital Revenue Code	278
Min. Negotiated Rate	$148.74
Max. Negotiated Rate	$2,618.72
Rate for Payer: Aetna Commercial	$1,990.23
Rate for Payer: Aetna Medicare Advantage	$1,571.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,335.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,335.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,047.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,335.55
Rate for Payer: Cigna Commercial	$2,618.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,267.46
Rate for Payer: Qualcare PPO/HMO/WC	$785.62
Rate for Payer: UnitedHealthcare Community & State	$165.50
Rate for Payer: Wellpoint Medicaid Managed Care	$148.74

INSITU HYBRIDIZATION EA PROBE

Facility

$335.00

Service Code	HCPCS 88365
Hospital Charge Code	38477206
Hospital Revenue Code	312
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.10
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$144.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

INSITU HYBRIDIZATION EA PROBE

Facility

$335.00

Service Code	HCPCS 88365
Hospital Charge Code	38477206
Hospital Revenue Code	312
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

INSJ BIOMECHANICAL DEVICE

Facility

$25,282.63

Service Code	HCPCS 22854
Hospital Charge Code	160000192
Hospital Revenue Code	360
Min. Negotiated Rate	$3,792.39
Max. Negotiated Rate	$3,792.39
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39

INSJ BIOMECHANICAL DEVICE

Facility

$13,677.00

Service Code	HCPCS 22859
Hospital Charge Code	1600000726
Hospital Revenue Code	360
Min. Negotiated Rate	$2,051.55
Max. Negotiated Rate	$2,051.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.55

INSJ BIOMECHANICAL DEVICE

Facility

$13,677.00

Service Code	HCPCS 22859
Hospital Charge Code	1600000726
Hospital Revenue Code	360
Min. Negotiated Rate	$388.43
Max. Negotiated Rate	$6,838.50
Rate for Payer: Aetna Commercial	$5,197.26
Rate for Payer: Aetna Medicare Advantage	$4,103.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,487.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,487.64
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	$3,487.64
Rate for Payer: Cigna Commercial	$6,838.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,556.02
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$432.19
Rate for Payer: Wellpoint Medicaid Managed Care	$388.43

INSJ BIOMECHANICAL DEVICE

Facility

$25,282.63

Service Code	HCPCS 22854
Hospital Charge Code	160000192
Hospital Revenue Code	360
Min. Negotiated Rate	$798.93
Max. Negotiated Rate	$12,641.32
Rate for Payer: Aetna Commercial	$9,607.40
Rate for Payer: Aetna Medicare Advantage	$7,584.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,447.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,447.07
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	$6,447.07
Rate for Payer: Cigna Commercial	$12,641.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,573.48
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$798.93

INSJ PICC RS&I 5 YR+

Facility

$6,925.84

Service Code	HCPCS 36573
Hospital Charge Code	16000302
Hospital Revenue Code	360
Min. Negotiated Rate	$196.69
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	$1,800.72
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.88
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$218.86
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	$196.69

INSJ PICC RS&I 5 YR+

Facility

$6,925.84

Service Code	HCPCS 36573
Hospital Charge Code	16000302
Hospital Revenue Code	360
Min. Negotiated Rate	$1,038.88
Max. Negotiated Rate	$1,038.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,038.88

INSJ/RPLCMT PERQ ELTRD RA SPI

Facility

$66,189.10

Service Code	HCPCS 0784T
Hospital Charge Code	160000853
Hospital Revenue Code	360
Min. Negotiated Rate	$1,879.77
Max. Negotiated Rate	$48,020.19
Rate for Payer: Aetna Commercial	$36,006.87
Rate for Payer: Aetna Medicare Advantage	$42,890.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,020.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,020.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,237.82
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	$48,020.19
Rate for Payer: Cigna Commercial	$26,535.15
Rate for Payer: Cigna Medicare Advantage	$13,237.82
Rate for Payer: Clover Medicare Advantage	$12,575.93
Rate for Payer: EmblemHealth Commercial	$39,713.46
Rate for Payer: Humana Medicare Advantage	$13,634.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,237.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,209.17
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,928.36
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$2,091.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,237.82
Rate for Payer: Wellcare Medicare Advantage	$13,237.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1,879.77

INSJ/RPLCMT PERQ ELTRD RA SPI

Facility

$66,189.10

Service Code	HCPCS 0784T
Hospital Charge Code	160000853
Hospital Revenue Code	360
Min. Negotiated Rate	$9,928.36
Max. Negotiated Rate	$9,928.36
Rate for Payer: Qualcare PPO/HMO/WC	$9,928.36

INS PICC AGE YR/>5

Facility

$10,596.92

Service Code	HCPCS 36569
Hospital Charge Code	1600000659
Hospital Revenue Code	360
Min. Negotiated Rate	$300.95
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	$2,755.20
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,589.54
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$334.86
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	$300.95

INS PICC AGE YR/>5

Facility

$10,596.92

Service Code	HCPCS 36569
Hospital Charge Code	1600000659
Hospital Revenue Code	360
Min. Negotiated Rate	$1,589.54
Max. Negotiated Rate	$1,589.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,589.54

INS PICC DEVICE W PORT 5 YRS/>

Facility

$22,851.90

Service Code	HCPCS 36571
Hospital Charge Code	16000736
Hospital Revenue Code	360
Min. Negotiated Rate	$648.99
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	$5,941.49
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,427.78
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$722.12
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	$648.99

Know your out-of-pocket cost for care.

All Charges