Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

PROGRESSIVE RIGHT CORONARY 5FR

Facility

IP

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

PROGRESSIVE RIGHT CORONARY 5FR

Facility

IP

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

PROGRESSIVE RIGHT CORONARY 5FR

Facility

OP

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

PROGRESSIVE RIGHT CORONARY 5FR

Facility

IP

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

PROGRESSIVE RIGHT CORONARY 5FR

Facility

OP

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

PROGRESSIVE RIGHT CORONARY 6F

Facility

IP

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PROGRESSIVE RIGHT CORONARY 6F

Facility

IP

$40.00

Service Code	HCPCS C1887
Hospital Charge Code	270658056N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

PROGRESSIVE RIGHT CORONARY 6F

Facility

OP

$40.00

Service Code	HCPCS C1887
Hospital Charge Code	270658056N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$15.20
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.14

PROGRESSIVE RIGHT CORONARY 6F

Facility

IP

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PROGRESSIVE RIGHT CORONARY 6F

Facility

OP

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

PROGRESSIVE RIGHT CORONARY 6F

Facility

OP

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056
Hospital Revenue Code	278
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

PRO-INSULIN

Facility

OP

$376.00

Service Code	HCPCS 84206
Hospital Charge Code	38476777
Hospital Revenue Code	301
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$188.00
Rate for Payer: Aetna Commercial	$72.60
Rate for Payer: Aetna Medicare Advantage	$86.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.82
Rate for Payer: Cigna Commercial	$188.00
Rate for Payer: Cigna Medicare Advantage	$26.69
Rate for Payer: Clover Medicare Advantage	$25.36
Rate for Payer: EmblemHealth Commercial	$80.07
Rate for Payer: Humana Medicare Advantage	$27.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.69
Rate for Payer: Wellcare Medicare Advantage	$26.69
Rate for Payer: Wellpoint Medicaid Managed Care	$10.68

PRO-INSULIN

Facility

IP

$376.00

Service Code	HCPCS 84206
Hospital Charge Code	38476777
Hospital Revenue Code	301
Min. Negotiated Rate	$56.40
Max. Negotiated Rate	$56.40
Rate for Payer: Qualcare PPO/HMO/WC	$56.40

PROINSULIN

Facility

IP

$122.45

Service Code	HCPCS 84206
Hospital Charge Code	39900125
Hospital Revenue Code	301
Min. Negotiated Rate	$18.37
Max. Negotiated Rate	$18.37
Rate for Payer: Qualcare PPO/HMO/WC	$18.37

PROINSULIN

Facility

OP

$122.45

Service Code	HCPCS 84206
Hospital Charge Code	39900125
Hospital Revenue Code	301
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.60
Rate for Payer: Aetna Medicare Advantage	$86.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.82
Rate for Payer: Cigna Commercial	$61.23
Rate for Payer: Cigna Medicare Advantage	$26.69
Rate for Payer: Clover Medicare Advantage	$25.36
Rate for Payer: EmblemHealth Commercial	$80.07
Rate for Payer: Humana Medicare Advantage	$27.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.84
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.37
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.69
Rate for Payer: Wellcare Medicare Advantage	$26.69
Rate for Payer: Wellpoint Medicaid Managed Care	$3.48

PROJ SAFE IND MSW 45-50 MIN

Facility

OP

$1,423.80

Service Code	HCPCS 90806
Hospital Charge Code	84310025
Hospital Revenue Code	914
Min. Negotiated Rate	$40.44
Max. Negotiated Rate	$711.90
Rate for Payer: Aetna Commercial	$541.04
Rate for Payer: Aetna Medicare Advantage	$427.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.07
Rate for Payer: Cigna Commercial	$711.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.19
Rate for Payer: Qualcare PPO/HMO/WC	$213.57
Rate for Payer: UnitedHealthcare Community & State	$44.99
Rate for Payer: Wellpoint Medicaid Managed Care	$40.44

PROJ SAFE IND MSW 45-50 MIN

Facility

IP

$1,423.80

Service Code	HCPCS 90806
Hospital Charge Code	84310025
Hospital Revenue Code	914
Min. Negotiated Rate	$213.57
Max. Negotiated Rate	$213.57
Rate for Payer: Qualcare PPO/HMO/WC	$213.57

PROJ SAFE INDV MSW 20-30 MIN

Facility

OP

$1,296.00

Service Code	HCPCS 90804
Hospital Charge Code	84310015
Hospital Revenue Code	914
Min. Negotiated Rate	$36.81
Max. Negotiated Rate	$648.00
Rate for Payer: Aetna Commercial	$492.48
Rate for Payer: Aetna Medicare Advantage	$388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.48
Rate for Payer: Cigna Commercial	$648.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.96
Rate for Payer: Qualcare PPO/HMO/WC	$194.40
Rate for Payer: UnitedHealthcare Community & State	$40.95
Rate for Payer: Wellpoint Medicaid Managed Care	$36.81

PROJ SAFE INDV MSW 20-30 MIN

Facility

IP

$1,296.00

Service Code	HCPCS 90804
Hospital Charge Code	84310015
Hospital Revenue Code	914
Min. Negotiated Rate	$194.40
Max. Negotiated Rate	$194.40
Rate for Payer: Qualcare PPO/HMO/WC	$194.40

PROKNOT

Facility

OP

$2,585.00

Hospital Charge Code	270670480
Hospital Revenue Code	272
Min. Negotiated Rate	$73.41
Max. Negotiated Rate	$1,292.50
Rate for Payer: Aetna Commercial	$982.30
Rate for Payer: Aetna Medicare Advantage	$775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$659.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$659.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$659.17
Rate for Payer: Cigna Commercial	$1,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.10
Rate for Payer: Oxford Commercial	$517.00
Rate for Payer: Qualcare PPO/HMO/WC	$387.75
Rate for Payer: UnitedHealthcare Commercial	$517.00
Rate for Payer: UnitedHealthcare Community & State	$81.69
Rate for Payer: Wellpoint Medicaid Managed Care	$73.41

PROKNOT

Facility

IP

$2,585.00

Hospital Charge Code	270670480
Hospital Revenue Code	272
Min. Negotiated Rate	$387.75
Max. Negotiated Rate	$387.75
Rate for Payer: Qualcare PPO/HMO/WC	$387.75

Prolactin

Facility

IP

$667.59

Service Code	HCPCS 84146
Hospital Charge Code	39888020
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

Prolactin

Facility

OP

$667.59

Service Code	HCPCS 84146
Hospital Charge Code	39888020
Hospital Revenue Code	301
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$52.71
Rate for Payer: Aetna Medicare Advantage	$62.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.30
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$19.38
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.38
Rate for Payer: Wellcare Medicare Advantage	$19.38
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

PROLACTIN

Facility

IP

$1,212.40

Service Code	HCPCS 84146
Hospital Charge Code	38472566
Hospital Revenue Code	301
Min. Negotiated Rate	$181.86
Max. Negotiated Rate	$181.86
Rate for Payer: Qualcare PPO/HMO/WC	$181.86

PROLACTIN

Facility

OP

$1,212.40

Service Code	HCPCS 84146
Hospital Charge Code	38472566
Hospital Revenue Code	301
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$606.20
Rate for Payer: Aetna Commercial	$52.71
Rate for Payer: Aetna Medicare Advantage	$62.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.30
Rate for Payer: Cigna Commercial	$606.20
Rate for Payer: Cigna Medicare Advantage	$19.38
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.22
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$181.86
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.38
Rate for Payer: Wellcare Medicare Advantage	$19.38
Rate for Payer: Wellpoint Medicaid Managed Care	$34.43