Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LUGOL'S 8 ML UD SOLUTION

Facility

$73.30

Service Code	NDC 10481011108
Hospital Charge Code	60629842
Hospital Revenue Code	250
Min. Negotiated Rate	$10.99
Max. Negotiated Rate	$10.99
Rate for Payer: Qualcare PPO/HMO/WC	$10.99

LUGOL'S 8 ML UD SOLUTION

Facility

$73.30

Service Code	NDC 10481011108
Hospital Charge Code	60629842
Hospital Revenue Code	250
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$36.65
Rate for Payer: Aetna Commercial	$27.85
Rate for Payer: Aetna Medicare Advantage	$21.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.69
Rate for Payer: Cigna Commercial	$36.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.06
Rate for Payer: Oxford Commercial	$14.66
Rate for Payer: Qualcare PPO/HMO/WC	$10.99
Rate for Payer: UnitedHealthcare Commercial	$14.66
Rate for Payer: UnitedHealthcare Community & State	$2.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.08

LUMBAR ANCHORS 25MM

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705490
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

LUMBAR ANCHORS 25MM

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705490
Hospital Revenue Code	278
Min. Negotiated Rate	$88.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Community & State	$98.75
Rate for Payer: Wellpoint Medicaid Managed Care	$88.75

LUMBAR PLEXUS BLOCK BIL

Facility

$5,939.55

Service Code	HCPCS 6452050
Hospital Charge Code	1650121
Hospital Revenue Code	361
Min. Negotiated Rate	$890.93
Max. Negotiated Rate	$890.93
Rate for Payer: Qualcare PPO/HMO/WC	$890.93

LUMBAR PLEXUS BLOCK BIL

Facility

$5,939.55

Service Code	HCPCS 6452050
Hospital Charge Code	1650121
Hospital Revenue Code	361
Min. Negotiated Rate	$168.68
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,257.03
Rate for Payer: Aetna Medicare Advantage	$1,781.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,514.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,514.59
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	$1,514.59
Rate for Payer: Cigna Commercial	$2,969.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,544.28
Rate for Payer: Qualcare PPO/HMO/WC	$890.93
Rate for Payer: UnitedHealthcare Community & State	$187.69
Rate for Payer: Wellpoint Medicaid Managed Care	$168.68

LUMBAR PLEXUS BLOCK UNI

Facility

$3,959.70

Service Code	HCPCS 64520
Hospital Charge Code	1650120
Hospital Revenue Code	361
Min. Negotiated Rate	$112.46
Max. Negotiated Rate	$3,811.70
Rate for Payer: Aetna Commercial	$2,858.12
Rate for Payer: Aetna Medicare Advantage	$3,404.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,050.78
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	$3,811.70
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: Cigna Medicare Advantage	$1,050.78
Rate for Payer: Clover Medicare Advantage	$998.24
Rate for Payer: EmblemHealth Commercial	$3,152.34
Rate for Payer: Humana Medicare Advantage	$1,082.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,050.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.52
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$593.96
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$125.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,050.78
Rate for Payer: Wellcare Medicare Advantage	$1,050.78
Rate for Payer: Wellpoint Medicaid Managed Care	$112.46

LUMBAR PLEXUS BLOCK UNI

Facility

$3,959.70

Service Code	HCPCS 64520
Hospital Charge Code	1650120
Hospital Revenue Code	361
Min. Negotiated Rate	$593.96
Max. Negotiated Rate	$593.96
Rate for Payer: Qualcare PPO/HMO/WC	$593.96

LUMBAR PUNCTURE

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	1001135
Hospital Revenue Code	361
Min. Negotiated Rate	$90.48
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.29
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$477.86
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$100.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$90.48

LUMBAR PUNCTURE

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	93500003
Hospital Revenue Code	761
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

LUMBAR PUNCTURE

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	1001135
Hospital Revenue Code	361
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

LUMBAR PUNCTURE

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	93500003
Hospital Revenue Code	761
Min. Negotiated Rate	$90.48
Max. Negotiated Rate	$3,042.06
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.29
Rate for Payer: Oxford Commercial	$637.15
Rate for Payer: Qualcare PPO/HMO/WC	$477.86
Rate for Payer: UnitedHealthcare Commercial	$637.15
Rate for Payer: UnitedHealthcare Community & State	$100.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$90.48

LUMBAR PUNCTURE INFANT

Facility

$42.70

Hospital Charge Code	270665029
Hospital Revenue Code	270
Min. Negotiated Rate	$6.41
Max. Negotiated Rate	$6.41
Rate for Payer: Qualcare PPO/HMO/WC	$6.41

LUMBAR PUNCTURE INFANT

Facility

$42.70

Hospital Charge Code	270665029
Hospital Revenue Code	270
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$21.35
Rate for Payer: Aetna Commercial	$16.23
Rate for Payer: Aetna Medicare Advantage	$12.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.89
Rate for Payer: Cigna Commercial	$21.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.10
Rate for Payer: Oxford Commercial	$8.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.41
Rate for Payer: UnitedHealthcare Commercial	$8.54
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

LUMBAR SPINE 2-3 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72100
Hospital Charge Code	94061065
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

LUMBAR SPINE 2-3 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72100
Hospital Charge Code	94061065
Hospital Revenue Code	320
Min. Negotiated Rate	$36.30
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

LUMBAR SPINE FUSION

Facility

$17,295.60

Service Code	HCPCS 22558
Hospital Charge Code	16000542
Hospital Revenue Code	360
Min. Negotiated Rate	$491.20
Max. Negotiated Rate	$116,935.87
Rate for Payer: Aetna Commercial	$87,681.76
Rate for Payer: Aetna Medicare Advantage	$104,444.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116,935.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116,935.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,235.94
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	$116,935.87
Rate for Payer: Cigna Commercial	$64,616.81
Rate for Payer: Cigna Medicare Advantage	$32,235.94
Rate for Payer: Clover Medicare Advantage	$30,624.14
Rate for Payer: EmblemHealth Commercial	$96,707.82
Rate for Payer: Humana Medicare Advantage	$33,203.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32,235.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,496.86
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,594.34
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$546.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,235.94
Rate for Payer: Wellcare Medicare Advantage	$32,235.94
Rate for Payer: Wellpoint Medicaid Managed Care	$491.20

LUMBAR SPINE FUSION

Facility

$17,295.60

Service Code	HCPCS 22558
Hospital Charge Code	16000542
Hospital Revenue Code	360
Min. Negotiated Rate	$2,594.34
Max. Negotiated Rate	$2,594.34
Rate for Payer: Qualcare PPO/HMO/WC	$2,594.34

LUMBAR SPINE FUSION COMBINED

Facility

$108,286.15

Service Code	HCPCS 22633
Hospital Charge Code	16000441
Hospital Revenue Code	360
Min. Negotiated Rate	$16,242.92
Max. Negotiated Rate	$16,242.92
Rate for Payer: Qualcare PPO/HMO/WC	$16,242.92

LUMBAR SPINE FUSION COMBINED

Facility

$108,286.15

Service Code	HCPCS 22633
Hospital Charge Code	16000441
Hospital Revenue Code	360
Min. Negotiated Rate	$3,075.33
Max. Negotiated Rate	$116,935.87
Rate for Payer: Aetna Commercial	$87,681.76
Rate for Payer: Aetna Medicare Advantage	$104,444.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116,935.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116,935.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,235.94
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	$116,935.87
Rate for Payer: Cigna Commercial	$64,616.81
Rate for Payer: Cigna Medicare Advantage	$32,235.94
Rate for Payer: Clover Medicare Advantage	$30,624.14
Rate for Payer: EmblemHealth Commercial	$96,707.82
Rate for Payer: Humana Medicare Advantage	$33,203.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32,235.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28,154.40
Rate for Payer: Oxford Commercial	$15,591.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,242.92
Rate for Payer: UnitedHealthcare Commercial	$17,348.00
Rate for Payer: UnitedHealthcare Community & State	$3,421.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,235.94
Rate for Payer: Wellcare Medicare Advantage	$32,235.94
Rate for Payer: Wellpoint Medicaid Managed Care	$3,075.33

LUMBAR SPINE FUSION POSTEOR

Facility

$25,747.95

Service Code	HCPCS 22630
Hospital Charge Code	16000543
Hospital Revenue Code	360
Min. Negotiated Rate	$731.24
Max. Negotiated Rate	$116,935.87
Rate for Payer: Aetna Commercial	$87,681.76
Rate for Payer: Aetna Medicare Advantage	$104,444.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116,935.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116,935.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,235.94
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	$116,935.87
Rate for Payer: Cigna Commercial	$64,616.81
Rate for Payer: Cigna Medicare Advantage	$32,235.94
Rate for Payer: Clover Medicare Advantage	$30,624.14
Rate for Payer: EmblemHealth Commercial	$96,707.82
Rate for Payer: Humana Medicare Advantage	$33,203.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32,235.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,694.47
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,862.19
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$813.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,235.94
Rate for Payer: Wellcare Medicare Advantage	$32,235.94
Rate for Payer: Wellpoint Medicaid Managed Care	$731.24

LUMBAR SPINE FUSION POSTEOR

Facility

$25,747.95

Service Code	HCPCS 22630
Hospital Charge Code	16000543
Hospital Revenue Code	360
Min. Negotiated Rate	$3,862.19
Max. Negotiated Rate	$3,862.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,862.19

LUMBOSACRAL SPINE - COMP

Facility

$5,100.00

Service Code	HCPCS 72110
Hospital Charge Code	94061067
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

LUMBOSACRAL SPINE - COMP

Facility

$5,100.00

Service Code	HCPCS 72110
Hospital Charge Code	94061067
Hospital Revenue Code	320
Min. Negotiated Rate	$45.38
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

LUMB SYMP PARAVERT INJ (ANES)

Facility

$3,103.00

Service Code	HCPCS 64520
Hospital Charge Code	84506045
Hospital Revenue Code	361
Min. Negotiated Rate	$88.13
Max. Negotiated Rate	$3,811.70
Rate for Payer: Aetna Commercial	$2,858.12
Rate for Payer: Aetna Medicare Advantage	$3,404.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,050.78
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	$3,811.70
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: Cigna Medicare Advantage	$1,050.78
Rate for Payer: Clover Medicare Advantage	$998.24
Rate for Payer: EmblemHealth Commercial	$3,152.34
Rate for Payer: Humana Medicare Advantage	$1,082.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,050.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.78
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$465.45
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$98.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,050.78
Rate for Payer: Wellcare Medicare Advantage	$1,050.78
Rate for Payer: Wellpoint Medicaid Managed Care	$88.13

Know your out-of-pocket cost for care.

All Charges