Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ARTERIAL LINE KIT 20G 3

Facility

$88.68

Hospital Charge Code	270650554
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$44.34
Rate for Payer: Aetna Commercial	$33.70
Rate for Payer: Aetna Medicare Advantage	$26.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.61
Rate for Payer: Cigna Commercial	$44.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.06
Rate for Payer: Oxford Commercial	$17.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.30
Rate for Payer: UnitedHealthcare Commercial	$17.74
Rate for Payer: UnitedHealthcare Community & State	$2.80
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

ARTERIAL LINE KIT 20G 3

Facility

$88.68

Hospital Charge Code	270650554
Hospital Revenue Code	270
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$13.30
Rate for Payer: Qualcare PPO/HMO/WC	$13.30

ARTERIAL LINE KIT 20G 6

Facility

$78.02

Hospital Charge Code	270649796
Hospital Revenue Code	270
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$11.70
Rate for Payer: Qualcare PPO/HMO/WC	$11.70

ARTERIAL LINE KIT 20G 6

Facility

$78.02

Hospital Charge Code	270649796
Hospital Revenue Code	270
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$39.01
Rate for Payer: Aetna Commercial	$29.65
Rate for Payer: Aetna Medicare Advantage	$23.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.90
Rate for Payer: Cigna Commercial	$39.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.29
Rate for Payer: Oxford Commercial	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.70
Rate for Payer: UnitedHealthcare Commercial	$15.60
Rate for Payer: UnitedHealthcare Community & State	$2.47
Rate for Payer: Wellpoint Medicaid Managed Care	$2.22

ARTERIAL LINE KIT 20GA 12CM

Facility

$303.42

Hospital Charge Code	270663684S
Hospital Revenue Code	272
Min. Negotiated Rate	$45.51
Max. Negotiated Rate	$45.51
Rate for Payer: Qualcare PPO/HMO/WC	$45.51

ARTERIAL LINE KIT 20GA 12CM

Facility

$303.42

Hospital Charge Code	270663684S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$151.71
Rate for Payer: Aetna Commercial	$115.30
Rate for Payer: Aetna Medicare Advantage	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.37
Rate for Payer: Cigna Commercial	$151.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.89
Rate for Payer: Oxford Commercial	$60.68
Rate for Payer: Qualcare PPO/HMO/WC	$45.51
Rate for Payer: UnitedHealthcare Commercial	$60.68
Rate for Payer: UnitedHealthcare Community & State	$9.59
Rate for Payer: Wellpoint Medicaid Managed Care	$8.62

ARTERIAL PVR DOPPLER UP EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	74115033
Hospital Revenue Code	921
Min. Negotiated Rate	$243.69
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$301.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

ARTERIAL PVR DOPPLER UP EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	2692145
Hospital Revenue Code	921
Min. Negotiated Rate	$243.69
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$301.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

ARTERIAL PVR DOPPLER UP EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	74115033
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL PVR DOPPLER UP EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	2692145
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL PVR/SEG LOW EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	2692150
Hospital Revenue Code	921
Min. Negotiated Rate	$243.69
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$301.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

ARTERIAL PVR/SEG LOW EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	2692150
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL PVR/SEG LOW EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	74115034
Hospital Revenue Code	921
Min. Negotiated Rate	$243.69
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$301.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

ARTERIAL PVR/SEG LOW EXT BI

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	74115034
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL STUDIES LOWER EXTREM

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	74116032
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL STUDIES LOWER EXTREM

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	74116032
Hospital Revenue Code	921
Min. Negotiated Rate	$243.69
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$301.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

ARTERIAL STUDIES LOWER EXTREM

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	2684010
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL STUDIES LOWER EXTREM

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	2684010
Hospital Revenue Code	921
Min. Negotiated Rate	$243.69
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$301.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

ARTERIAL STUDIES UPP OR LOW

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	421593923
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL STUDIES UPP OR LOW

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	421593923
Hospital Revenue Code	921
Min. Negotiated Rate	$243.69
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$301.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

ARTERION MARK IV INJ SYST150ML

Facility

$43.80

Hospital Charge Code	270699516S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$6.57
Rate for Payer: Qualcare PPO/HMO/WC	$6.57

ARTERION MARK IV INJ SYST150ML

Facility

$43.80

Hospital Charge Code	270699516S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$21.90
Rate for Payer: Aetna Commercial	$16.64
Rate for Payer: Aetna Medicare Advantage	$13.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.17
Rate for Payer: Cigna Commercial	$21.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.39
Rate for Payer: Oxford Commercial	$8.76
Rate for Payer: Qualcare PPO/HMO/WC	$6.57
Rate for Payer: UnitedHealthcare Commercial	$8.76
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

ARTERY XRAY ARM/LEG

Facility

$15,468.50

Service Code	HCPCS 75710
Hospital Charge Code	1600000866
Hospital Revenue Code	360
Min. Negotiated Rate	$439.31
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	$4,021.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Community & State	$488.80
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	$439.31

ARTERY XRAY ARM/LEG

Facility

$15,468.50

Service Code	HCPCS 75710
Hospital Charge Code	1600000866
Hospital Revenue Code	360
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

ARTERY X-RAYS ABDOMEN

Facility

$25,628.45

Service Code	HCPCS 75726
Hospital Charge Code	321075726
Hospital Revenue Code	323
Min. Negotiated Rate	$235.16
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$4,627.53
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,663.40
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$809.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$727.85

Know your out-of-pocket cost for care.

All Charges