Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER INSERT ATRIAL SNGL

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	5100230
Hospital Revenue Code	361
Min. Negotiated Rate	$8,677.87
Max. Negotiated Rate	$8,677.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87

PACEMAKER INSERT ATRIAL SNGL

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	5100230
Hospital Revenue Code	361
Min. Negotiated Rate	$1,828.14
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
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	$45,043.57
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,041.64
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,828.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$46,790.24

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	5100250
Hospital Revenue Code	361
Min. Negotiated Rate	$8,021.14
Max. Negotiated Rate	$8,021.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	5100250
Hospital Revenue Code	361
Min. Negotiated Rate	$1,689.79
Max. Negotiated Rate	$45,043.57
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
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	$45,043.57
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,903.31
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,689.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

PACEMAKER INTERROGRATION

Facility

$301.65

Service Code	HCPCS 93288
Hospital Charge Code	5100275
Hospital Revenue Code	480
Min. Negotiated Rate	$45.25
Max. Negotiated Rate	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$45.25

PACEMAKER INTERROGRATION

Facility

$301.65

Service Code	HCPCS 93288
Hospital Charge Code	5100275
Hospital Revenue Code	480
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$120.60
Rate for Payer: Aetna Medicare Advantage	$143.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.84
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: Cigna Medicare Advantage	$44.34
Rate for Payer: Clover Medicare Advantage	$42.12
Rate for Payer: EmblemHealth Commercial	$133.02
Rate for Payer: Humana Medicare Advantage	$45.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.43
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.25
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$9.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.34
Rate for Payer: Wellcare Medicare Advantage	$44.34
Rate for Payer: Wellpoint Medicaid Managed Care	$8.57

PACEMAKER LEAD

Facility

$3,500.00

Service Code	HCPCS C1779
Hospital Charge Code	270656326
Hospital Revenue Code	275
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

PACEMAKER LEAD

Facility

$3,500.00

Service Code	HCPCS C1779
Hospital Charge Code	270656326
Hospital Revenue Code	275
Min. Negotiated Rate	$99.40
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Community & State	$110.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.40

PACEMAKER LEAD SETROX 45

Facility

$2,365.00

Service Code	HCPCS C1898
Hospital Charge Code	270675163
Hospital Revenue Code	275
Min. Negotiated Rate	$67.17
Max. Negotiated Rate	$1,182.50
Rate for Payer: Aetna Commercial	$898.70
Rate for Payer: Aetna Medicare Advantage	$709.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$603.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$603.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$473.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$603.08
Rate for Payer: Cigna Commercial	$1,182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.33
Rate for Payer: Qualcare PPO/HMO/WC	$354.75
Rate for Payer: UnitedHealthcare Community & State	$74.73
Rate for Payer: Wellpoint Medicaid Managed Care	$67.17

PACEMAKER LEAD SETROX 45

Facility

$2,365.00

Service Code	HCPCS C1898
Hospital Charge Code	270675163
Hospital Revenue Code	275
Min. Negotiated Rate	$354.75
Max. Negotiated Rate	$572.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$473.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.33
Rate for Payer: Qualcare PPO/HMO/WC	$354.75

PACEMAKER MEDT KSR701

Facility

$26,000.00

Service Code	HCPCS C1786
Hospital Charge Code	270616653
Hospital Revenue Code	275
Min. Negotiated Rate	$738.40
Max. Negotiated Rate	$13,000.00
Rate for Payer: Aetna Commercial	$9,880.00
Rate for Payer: Aetna Medicare Advantage	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,630.00
Rate for Payer: Cigna Commercial	$13,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00
Rate for Payer: UnitedHealthcare Community & State	$821.60
Rate for Payer: Wellpoint Medicaid Managed Care	$738.40

PACEMAKER MEDT KSR701

Facility

$26,000.00

Service Code	HCPCS C1786
Hospital Charge Code	270616653
Hospital Revenue Code	275
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$6,292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

Pacemaker MRI UMRI Assurity

Facility

$15,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270687052
Hospital Revenue Code	275
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

Pacemaker MRI UMRI Assurity

Facility

$15,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270687052
Hospital Revenue Code	275
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$474.00
Rate for Payer: Wellpoint Medicaid Managed Care	$426.00

PACEMAKER MRI UMRI ASSURITY

Facility

$24,975.00

Service Code	HCPCS C1785
Hospital Charge Code	270687052S
Hospital Revenue Code	275
Min. Negotiated Rate	$3,746.25
Max. Negotiated Rate	$6,043.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,043.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,746.25

PACEMAKER MRI UMRI ASSURITY

Facility

$24,975.00

Service Code	HCPCS C1785
Hospital Charge Code	270687052S
Hospital Revenue Code	275
Min. Negotiated Rate	$709.29
Max. Negotiated Rate	$12,487.50
Rate for Payer: Aetna Commercial	$9,490.50
Rate for Payer: Aetna Medicare Advantage	$7,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,368.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,368.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,368.62
Rate for Payer: Cigna Commercial	$12,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,043.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,746.25
Rate for Payer: UnitedHealthcare Community & State	$789.21
Rate for Payer: Wellpoint Medicaid Managed Care	$709.29

Pacemaker Pocket Revision

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	5100221
Hospital Revenue Code	481
Min. Negotiated Rate	$1,379.31
Max. Negotiated Rate	$1,379.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31

Pacemaker Pocket Revision

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	5100221
Hospital Revenue Code	481
Min. Negotiated Rate	$261.15
Max. Negotiated Rate	$8,891.84
Rate for Payer: Aetna Commercial	$6,667.35
Rate for Payer: Aetna Medicare Advantage	$7,941.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,451.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,891.84
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: Cigna Medicare Advantage	$2,451.23
Rate for Payer: Clover Medicare Advantage	$2,328.67
Rate for Payer: EmblemHealth Commercial	$7,353.69
Rate for Payer: Humana Medicare Advantage	$2,524.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,451.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,390.80
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$290.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,451.23
Rate for Payer: Wellcare Medicare Advantage	$2,451.23
Rate for Payer: Wellpoint Medicaid Managed Care	$261.15

PACEMAKER QUADPOLAR VALITUDE

Facility

$51,250.00

Service Code	HCPCS C2621
Hospital Charge Code	270680910
Hospital Revenue Code	275
Min. Negotiated Rate	$7,687.50
Max. Negotiated Rate	$12,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,402.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,687.50

PACEMAKER QUADPOLAR VALITUDE

Facility

$51,250.00

Service Code	HCPCS C2621
Hospital Charge Code	270680910
Hospital Revenue Code	275
Min. Negotiated Rate	$1,455.50
Max. Negotiated Rate	$25,625.00
Rate for Payer: Aetna Commercial	$19,475.00
Rate for Payer: Aetna Medicare Advantage	$15,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,068.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,068.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,068.75
Rate for Payer: Cigna Commercial	$25,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,402.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,687.50
Rate for Payer: UnitedHealthcare Community & State	$1,619.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1,455.50

PACEMAKER REMOV DUAL LD SYS

Facility

$20,101.20

Service Code	HCPCS 33235
Hospital Charge Code	411033235
Hospital Revenue Code	481
Min. Negotiated Rate	$3,015.18
Max. Negotiated Rate	$3,015.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18

PACEMAKER REMOV DUAL LD SYS

Facility

$20,101.20

Service Code	HCPCS 33235
Hospital Charge Code	411033235
Hospital Revenue Code	481
Min. Negotiated Rate	$570.87
Max. Negotiated Rate	$16,104.69
Rate for Payer: Aetna Commercial	$12,075.74
Rate for Payer: Aetna Medicare Advantage	$14,384.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,104.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,104.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,439.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,104.69
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: Cigna Medicare Advantage	$4,439.61
Rate for Payer: Clover Medicare Advantage	$4,217.63
Rate for Payer: EmblemHealth Commercial	$13,318.83
Rate for Payer: Humana Medicare Advantage	$4,572.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,439.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,226.31
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$635.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,439.61
Rate for Payer: Wellcare Medicare Advantage	$4,439.61
Rate for Payer: Wellpoint Medicaid Managed Care	$570.87

PACEMAKER REMOV PUL GEN SNGL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100210
Hospital Revenue Code	361
Min. Negotiated Rate	$336.20
Max. Negotiated Rate	$35,663.33
Rate for Payer: Aetna Commercial	$26,741.35
Rate for Payer: Aetna Medicare Advantage	$31,853.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,663.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,663.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,831.38
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	$35,663.33
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: Cigna Medicare Advantage	$9,831.38
Rate for Payer: Clover Medicare Advantage	$9,339.81
Rate for Payer: EmblemHealth Commercial	$29,494.14
Rate for Payer: Humana Medicare Advantage	$10,126.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,831.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,077.92
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$374.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,831.38
Rate for Payer: Wellcare Medicare Advantage	$9,831.38
Rate for Payer: Wellpoint Medicaid Managed Care	$336.20

PACEMAKER REMOV PUL GEN SNGL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100210
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER SENSIA DR

Facility

$21,540.00

Service Code	HCPCS C1785
Hospital Charge Code	270637991
Hospital Revenue Code	275
Min. Negotiated Rate	$611.74
Max. Negotiated Rate	$10,770.00
Rate for Payer: Aetna Commercial	$8,185.20
Rate for Payer: Aetna Medicare Advantage	$6,462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,492.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,492.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,308.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,492.70
Rate for Payer: Cigna Commercial	$10,770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,212.68
Rate for Payer: Qualcare PPO/HMO/WC	$3,231.00
Rate for Payer: UnitedHealthcare Community & State	$680.66
Rate for Payer: Wellpoint Medicaid Managed Care	$611.74

Know your out-of-pocket cost for care.

All Charges