Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OPEN/PERQ PLACE STENT EA ADD

Facility

$15,615.00

Service Code	HCPCS 37237
Hospital Charge Code	366837237
Hospital Revenue Code	361
Min. Negotiated Rate	$443.47
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$5,933.70
Rate for Payer: Aetna Medicare Advantage	$4,684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,981.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,981.82
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	$3,981.82
Rate for Payer: Cigna Commercial	$7,807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,059.90
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.25
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$493.43
Rate for Payer: Wellpoint Medicaid Managed Care	$443.47

OPEN/PERQ PLACE STENT EA ADD

Facility

$15,615.00

Service Code	HCPCS 37237
Hospital Charge Code	411037237
Hospital Revenue Code	361
Min. Negotiated Rate	$443.47
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$5,933.70
Rate for Payer: Aetna Medicare Advantage	$4,684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,981.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,981.82
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	$3,981.82
Rate for Payer: Cigna Commercial	$7,807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,059.90
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.25
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$493.43
Rate for Payer: Wellpoint Medicaid Managed Care	$443.47

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	411037238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	366837238
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.12
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,081.38
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,711.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,538.12

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	366837238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	411037238
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.12
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,081.38
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,711.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,538.12

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	2600205
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	321037238
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	7411526
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.12
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,081.38
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,711.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,538.12

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	2600205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,608.03
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,721.45
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,789.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,608.03

OPEN/PERQ PLACE STENT SAME

Facility

$54,159.16

Service Code	HCPCS 37238
Hospital Charge Code	7411526
Hospital Revenue Code	361
Min. Negotiated Rate	$8,123.87
Max. Negotiated Rate	$8,123.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,123.87

OPEN/PERQ PLACE STENT SAME

Facility

$56,620.95

Service Code	HCPCS 37238
Hospital Charge Code	321037238
Hospital Revenue Code	361
Min. Negotiated Rate	$1,608.03
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,721.45
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,789.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,608.03

OPEN REPAIR ROTATOR CUFF

Facility

$44,647.09

Service Code	HCPCS 23410
Hospital Charge Code	16000610
Hospital Revenue Code	360
Min. Negotiated Rate	$6,697.06
Max. Negotiated Rate	$6,697.06
Rate for Payer: Qualcare PPO/HMO/WC	$6,697.06

OPEN REPAIR ROTATOR CUFF

Facility

$44,647.09

Service Code	HCPCS 23410
Hospital Charge Code	16000610
Hospital Revenue Code	360
Min. Negotiated Rate	$1,267.98
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,608.24
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,697.06
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,410.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,267.98

OPEN REPAIR TOE DISLOCAT

Facility

$17,096.75

Service Code	HCPCS 28645
Hospital Charge Code	323028645
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,445.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,564.51
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$485.55

OPEN REPAIR TOE DISLOCAT

Facility

$17,096.75

Service Code	HCPCS 28645
Hospital Charge Code	323028645
Hospital Revenue Code	450
Min. Negotiated Rate	$2,564.51
Max. Negotiated Rate	$2,564.51
Rate for Payer: Qualcare PPO/HMO/WC	$2,564.51

OPEN REPAIR WST JOINT BL

Facility

$44,916.00

Service Code	HCPCS 25320
Hospital Charge Code	16000473
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

OPEN REPAIR WST JOINT BL

Facility

$44,916.00

Service Code	HCPCS 25320
Hospital Charge Code	16000473
Hospital Revenue Code	360
Min. Negotiated Rate	$1,275.61
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,678.16
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,419.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,275.61

OPEN SKULL FOR DRAINAGE

Facility

$41,042.40

Service Code	HCPCS 61320
Hospital Charge Code	1600000657
Hospital Revenue Code	360
Min. Negotiated Rate	$6,156.36
Max. Negotiated Rate	$6,156.36
Rate for Payer: Qualcare PPO/HMO/WC	$6,156.36

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61315
Hospital Charge Code	1600000592
Hospital Revenue Code	360
Min. Negotiated Rate	$6,711.96
Max. Negotiated Rate	$6,711.96
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96

OPEN SKULL FOR DRAINAGE

Facility

$41,042.40

Service Code	HCPCS 61320
Hospital Charge Code	1600000657
Hospital Revenue Code	360
Min. Negotiated Rate	$1,165.60
Max. Negotiated Rate	$20,521.20
Rate for Payer: Aetna Commercial	$15,596.11
Rate for Payer: Aetna Medicare Advantage	$12,312.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,465.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,465.81
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	$10,465.81
Rate for Payer: Cigna Commercial	$20,521.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,671.02
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,156.36
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,296.94
Rate for Payer: Wellpoint Medicaid Managed Care	$1,165.60

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61312
Hospital Charge Code	1600000670
Hospital Revenue Code	360
Min. Negotiated Rate	$6,711.96
Max. Negotiated Rate	$6,711.96
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96

OPEN SKULL FOR DRAINAGE

Facility

$44,746.40

Service Code	HCPCS 61312
Hospital Charge Code	1600000670
Hospital Revenue Code	360
Min. Negotiated Rate	$1,270.80
Max. Negotiated Rate	$22,373.20
Rate for Payer: Aetna Commercial	$17,003.63
Rate for Payer: Aetna Medicare Advantage	$13,423.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,410.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,410.33
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	$11,410.33
Rate for Payer: Cigna Commercial	$22,373.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,634.06
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,711.96
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,413.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1,270.80

OPEN SKULL FOR DRAINAGE

Facility

$43,072.60

Service Code	HCPCS 61313
Hospital Charge Code	1600000553
Hospital Revenue Code	360
Min. Negotiated Rate	$1,223.26
Max. Negotiated Rate	$21,536.30
Rate for Payer: Aetna Commercial	$16,367.59
Rate for Payer: Aetna Medicare Advantage	$12,921.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,983.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,983.51
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	$10,983.51
Rate for Payer: Cigna Commercial	$21,536.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,198.88
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,460.89
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,361.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1,223.26

OPEN SKULL FOR DRAINAGE

Facility

$43,072.60

Service Code	HCPCS 61313
Hospital Charge Code	1600000553
Hospital Revenue Code	360
Min. Negotiated Rate	$6,460.89
Max. Negotiated Rate	$6,460.89
Rate for Payer: Qualcare PPO/HMO/WC	$6,460.89

Know your out-of-pocket cost for care.

All Charges