Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

BALANCED SALT SOLUTION 500CC

Facility

IP

$64.00

Hospital Charge Code	270331653
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

BALANCED SALT SOLUTION 500CC

Facility

OP

$64.00

Hospital Charge Code	270331653
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$1.82

BAL IAB 7.5F 25cc 068400047801

Facility

IP

$4,150.00

Service Code	HCPCS C1725
Hospital Charge Code	270634434
Hospital Revenue Code	278
Min. Negotiated Rate	$622.50
Max. Negotiated Rate	$1,004.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$830.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,004.30
Rate for Payer: Qualcare PPO/HMO/WC	$622.50

BAL IAB 7.5F 25cc 068400047801

Facility

OP

$4,150.00

Service Code	HCPCS C1725
Hospital Charge Code	270634434
Hospital Revenue Code	278
Min. Negotiated Rate	$117.86
Max. Negotiated Rate	$2,075.00
Rate for Payer: Aetna Commercial	$1,577.00
Rate for Payer: Aetna Medicare Advantage	$1,245.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,058.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,058.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,058.25
Rate for Payer: Cigna Commercial	$2,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,004.30
Rate for Payer: Qualcare PPO/HMO/WC	$622.50
Rate for Payer: UnitedHealthcare Community & State	$131.14
Rate for Payer: Wellpoint Medicaid Managed Care	$117.86

BAL IAB 7.5F 40cc 068400048001

Facility

IP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432
Hospital Revenue Code	278
Min. Negotiated Rate	$660.39
Max. Negotiated Rate	$1,065.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39

BAL IAB 7.5F 40cc 068400048001

Facility

OP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432
Hospital Revenue Code	278
Min. Negotiated Rate	$125.03
Max. Negotiated Rate	$2,201.30
Rate for Payer: Aetna Commercial	$1,672.99
Rate for Payer: Aetna Medicare Advantage	$1,320.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.66
Rate for Payer: Cigna Commercial	$2,201.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39
Rate for Payer: UnitedHealthcare Community & State	$139.12
Rate for Payer: Wellpoint Medicaid Managed Care	$125.03

BAL IAB 7.5F 40cc 068400048001

Facility

IP

$5,075.00

Service Code	HCPCS C1725
Hospital Charge Code	270634432N
Hospital Revenue Code	278
Min. Negotiated Rate	$761.25
Max. Negotiated Rate	$1,228.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.15
Rate for Payer: Qualcare PPO/HMO/WC	$761.25

BAL IAB 7.5F 40cc 068400048001

Facility

IP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432S
Hospital Revenue Code	278
Min. Negotiated Rate	$660.39
Max. Negotiated Rate	$1,065.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39

BAL IAB 7.5F 40cc 068400048001

Facility

OP

$4,402.60

Service Code	HCPCS C1725
Hospital Charge Code	270634432S
Hospital Revenue Code	278
Min. Negotiated Rate	$125.03
Max. Negotiated Rate	$2,201.30
Rate for Payer: Aetna Commercial	$1,672.99
Rate for Payer: Aetna Medicare Advantage	$1,320.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.66
Rate for Payer: Cigna Commercial	$2,201.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,065.43
Rate for Payer: Qualcare PPO/HMO/WC	$660.39
Rate for Payer: UnitedHealthcare Community & State	$139.12
Rate for Payer: Wellpoint Medicaid Managed Care	$125.03

BAL IAB 7.5F 40cc 068400048001

Facility

OP

$5,075.00

Service Code	HCPCS C1725
Hospital Charge Code	270634432N
Hospital Revenue Code	278
Min. Negotiated Rate	$144.13
Max. Negotiated Rate	$2,537.50
Rate for Payer: Aetna Commercial	$1,928.50
Rate for Payer: Aetna Medicare Advantage	$1,522.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,294.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,294.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,015.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,294.12
Rate for Payer: Cigna Commercial	$2,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.15
Rate for Payer: Qualcare PPO/HMO/WC	$761.25
Rate for Payer: UnitedHealthcare Community & State	$160.37
Rate for Payer: Wellpoint Medicaid Managed Care	$144.13

BALL BUR 4.0MM 24B6ST

Facility

OP

$161.00

Hospital Charge Code	270335572
Hospital Revenue Code	272
Min. Negotiated Rate	$4.57
Max. Negotiated Rate	$80.50
Rate for Payer: Aetna Commercial	$61.18
Rate for Payer: Aetna Medicare Advantage	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.05
Rate for Payer: Cigna Commercial	$80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.86
Rate for Payer: Oxford Commercial	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$32.20
Rate for Payer: UnitedHealthcare Community & State	$5.09
Rate for Payer: Wellpoint Medicaid Managed Care	$4.57

BALL BUR 4.0MM 24B6ST

Facility

IP

$161.00

Hospital Charge Code	270335572
Hospital Revenue Code	272
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

BALL BUR 4.0MM 24B9ST

Facility

IP

$152.00

Hospital Charge Code	270335573
Hospital Revenue Code	272
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

BALL BUR 4.0MM 24B9ST

Facility

OP

$152.00

Hospital Charge Code	270335573
Hospital Revenue Code	272
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$57.76
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.52
Rate for Payer: Oxford Commercial	$30.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$30.40
Rate for Payer: UnitedHealthcare Community & State	$4.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4.32

BALL BURR, CRANIAL

Facility

IP

$5,000.00

Hospital Charge Code	270690851
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

BALL BURR, CRANIAL

Facility

OP

$5,000.00

Hospital Charge Code	270690851
Hospital Revenue Code	272
Min. Negotiated Rate	$142.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00
Rate for Payer: UnitedHealthcare Community & State	$158.00
Rate for Payer: Wellpoint Medicaid Managed Care	$142.00

BALL BURR FLUTED 6MM

Facility

OP

$390.00

Hospital Charge Code	270668483
Hospital Revenue Code	272
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BALL BURR FLUTED 6MM

Facility

IP

$390.00

Hospital Charge Code	270668483
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BALL ELECTRODE 5MM

Facility

OP

$75.00

Hospital Charge Code	270655609
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

BALL ELECTRODE 5MM

Facility

IP

$75.00

Hospital Charge Code	270655609
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

BALLN AVIATOR PLUS 6X20X142

Facility

IP

$3,925.00

Service Code	HCPCS C1725
Hospital Charge Code	270631631N
Hospital Revenue Code	278
Min. Negotiated Rate	$588.75
Max. Negotiated Rate	$949.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$785.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$949.85
Rate for Payer: Qualcare PPO/HMO/WC	$588.75

BALLN AVIATOR PLUS 6X20X142

Facility

OP

$3,925.00

Service Code	HCPCS C1725
Hospital Charge Code	270631631N
Hospital Revenue Code	278
Min. Negotiated Rate	$111.47
Max. Negotiated Rate	$1,962.50
Rate for Payer: Aetna Commercial	$1,491.50
Rate for Payer: Aetna Medicare Advantage	$1,177.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,000.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,000.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,000.88
Rate for Payer: Cigna Commercial	$1,962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$949.85
Rate for Payer: Qualcare PPO/HMO/WC	$588.75
Rate for Payer: UnitedHealthcare Community & State	$124.03
Rate for Payer: Wellpoint Medicaid Managed Care	$111.47

BALLN CATH ADM040040080

Facility

OP

$600.00

Service Code	HCPCS C1725
Hospital Charge Code	270661867
Hospital Revenue Code	278
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

BALLN CATH ADM040040080

Facility

IP

$600.00

Service Code	HCPCS C1725
Hospital Charge Code	270661867
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

BALLN CATH AORC CODA 10 G36042

Facility

IP

$2,215.00

Service Code	HCPCS C2628
Hospital Charge Code	270634570
Hospital Revenue Code	278
Min. Negotiated Rate	$332.25
Max. Negotiated Rate	$536.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$443.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$536.03
Rate for Payer: Qualcare PPO/HMO/WC	$332.25

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