Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PLMT NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	2600224
Hospital Revenue Code	361
Min. Negotiated Rate	$289.33
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,648.83
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$321.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$289.33

PLMT NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	321050432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

PLMT NEPHROSTOMY CATH

Facility

$11,298.15

Service Code	HCPCS 50432
Hospital Charge Code	366850432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,694.72
Max. Negotiated Rate	$1,694.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72

PLMT NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	321050432
Hospital Revenue Code	361
Min. Negotiated Rate	$289.33
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,648.83
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$321.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$289.33

PLMT NEPHROSTOMY CATH

Facility

$11,298.15

Service Code	HCPCS 50432
Hospital Charge Code	366850432
Hospital Revenue Code	361
Min. Negotiated Rate	$320.87
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,937.52
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$357.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$320.87

PLMT NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	2600224
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

PLMT NEPHROSTOMY CATH

Facility

$9,500.00

Service Code	HCPCS 50432
Hospital Charge Code	2209086
Hospital Revenue Code	361
Min. Negotiated Rate	$269.80
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

PLMT NEPHROSTOMY CATH

Facility

$9,500.00

Service Code	HCPCS 50432
Hospital Charge Code	2209086
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

PLMT NEPHROSTOMY CATH BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2250440
Hospital Revenue Code	361
Min. Negotiated Rate	$320.87
Max. Negotiated Rate	$5,649.07
Rate for Payer: Aetna Commercial	$4,293.30
Rate for Payer: Aetna Medicare Advantage	$3,389.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,881.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,881.03
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	$2,881.03
Rate for Payer: Cigna Commercial	$5,649.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,937.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72
Rate for Payer: UnitedHealthcare Community & State	$357.02
Rate for Payer: Wellpoint Medicaid Managed Care	$320.87

PLMT NEPHROSTOMY CATH BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2011572
Hospital Revenue Code	361
Min. Negotiated Rate	$1,694.72
Max. Negotiated Rate	$1,694.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72

PLMT NEPHROSTOMY CATH BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2011572
Hospital Revenue Code	361
Min. Negotiated Rate	$320.87
Max. Negotiated Rate	$5,649.07
Rate for Payer: Aetna Commercial	$4,293.30
Rate for Payer: Aetna Medicare Advantage	$3,389.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,881.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,881.03
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	$2,881.03
Rate for Payer: Cigna Commercial	$5,649.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,937.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72
Rate for Payer: UnitedHealthcare Community & State	$357.02
Rate for Payer: Wellpoint Medicaid Managed Care	$320.87

PLMT NEPHROSTOMY CATH BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2250440
Hospital Revenue Code	361
Min. Negotiated Rate	$1,694.72
Max. Negotiated Rate	$1,694.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72

PLMT NEPHROSTOMY CATH LT

Facility

$8,875.68

Service Code	HCPCS 50432LT
Hospital Charge Code	2011587
Hospital Revenue Code	361
Min. Negotiated Rate	$252.07
Max. Negotiated Rate	$4,437.84
Rate for Payer: Aetna Commercial	$3,372.76
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$4,437.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Community & State	$280.47
Rate for Payer: Wellpoint Medicaid Managed Care	$252.07

PLMT NEPHROSTOMY CATH LT

Facility

$8,875.68

Service Code	HCPCS 50432LT
Hospital Charge Code	2011587
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	7412038
Hospital Revenue Code	361
Min. Negotiated Rate	$252.07
Max. Negotiated Rate	$4,437.84
Rate for Payer: Aetna Commercial	$3,372.76
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$4,437.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Community & State	$280.47
Rate for Payer: Wellpoint Medicaid Managed Care	$252.07

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	2011580
Hospital Revenue Code	361
Min. Negotiated Rate	$252.07
Max. Negotiated Rate	$4,437.84
Rate for Payer: Aetna Commercial	$3,372.76
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$4,437.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Community & State	$280.47
Rate for Payer: Wellpoint Medicaid Managed Care	$252.07

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	7412038
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	2011580
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2250436
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2250437
Hospital Revenue Code	361
Min. Negotiated Rate	$252.07
Max. Negotiated Rate	$15,191.14
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
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	$15,191.14
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.68
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$280.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$252.07

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2250436
Hospital Revenue Code	361
Min. Negotiated Rate	$252.07
Max. Negotiated Rate	$15,191.14
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
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	$15,191.14
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.68
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$280.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$252.07

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2250437
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	411050433
Hospital Revenue Code	361
Min. Negotiated Rate	$252.07
Max. Negotiated Rate	$15,191.14
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
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	$15,191.14
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.68
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$280.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$252.07

PLMT NEPHROURETERAL CATH

Facility

$10,187.80

Service Code	HCPCS 50433
Hospital Charge Code	2600225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	366850433
Hospital Revenue Code	361
Min. Negotiated Rate	$252.07
Max. Negotiated Rate	$15,191.14
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,191.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
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	$15,191.14
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.68
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$280.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$252.07

Know your out-of-pocket cost for care.

All Charges