Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$1,548.00

Service Code	HCPCS M0243
Hospital Charge Code	3121M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$232.20
Max. Negotiated Rate	$232.20
Rate for Payer: Qualcare PPO/HMO/WC	$232.20

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$1,548.00

Service Code	HCPCS M0243
Hospital Charge Code	3047M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$232.20
Max. Negotiated Rate	$232.20
Rate for Payer: Qualcare PPO/HMO/WC	$232.20

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3247M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3120M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3034M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3020M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3043M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

OP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3037M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$159.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3050M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3080M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

IP

$1,548.00

Service Code	HCPCS M0243
Hospital Charge Code	3033M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$232.20
Max. Negotiated Rate	$232.20
Rate for Payer: Qualcare PPO/HMO/WC	$232.20

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

OP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3080M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$159.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

REGEN(CAS+IMDVIMB)INFUS&MONITR

Facility

OP

$2,250.00

Service Code	HCPCS M0243
Hospital Charge Code	3043M0243
Hospital Revenue Code	771
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$159.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

REGENERATION MESHED TEMPLATE

Facility

IP

$18,500.00

Hospital Charge Code	270703940
Hospital Revenue Code	272
Min. Negotiated Rate	$2,775.00
Max. Negotiated Rate	$2,775.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,775.00

REGENERATION MESHED TEMPLATE

Facility

OP

$18,500.00

Hospital Charge Code	270703940
Hospital Revenue Code	272
Min. Negotiated Rate	$525.40
Max. Negotiated Rate	$9,250.00
Rate for Payer: Aetna Commercial	$7,030.00
Rate for Payer: Aetna Medicare Advantage	$5,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,717.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,717.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,717.50
Rate for Payer: Cigna Commercial	$9,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,810.00
Rate for Payer: Oxford Commercial	$3,700.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,775.00
Rate for Payer: UnitedHealthcare Commercial	$3,700.00
Rate for Payer: UnitedHealthcare Community & State	$584.60
Rate for Payer: Wellpoint Medicaid Managed Care	$525.40

REGENKIT THT AUTOLOG FOR PRP

Facility

OP

$1,738.15

Service Code	HCPCS A4649
Hospital Charge Code	270700253
Hospital Revenue Code	272
Min. Negotiated Rate	$49.36
Max. Negotiated Rate	$869.08
Rate for Payer: Aetna Commercial	$660.50
Rate for Payer: Aetna Medicare Advantage	$521.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$443.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$443.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$443.23
Rate for Payer: Cigna Commercial	$869.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.92
Rate for Payer: Oxford Commercial	$347.63
Rate for Payer: Qualcare PPO/HMO/WC	$260.72
Rate for Payer: UnitedHealthcare Commercial	$347.63
Rate for Payer: UnitedHealthcare Community & State	$54.93
Rate for Payer: Wellpoint Medicaid Managed Care	$49.36

REGENKIT THT AUTOLOG FOR PRP

Facility

IP

$1,738.15

Service Code	HCPCS A4649
Hospital Charge Code	270700253
Hospital Revenue Code	272
Min. Negotiated Rate	$260.72
Max. Negotiated Rate	$260.72
Rate for Payer: Qualcare PPO/HMO/WC	$260.72

REGLAN/5MG/5ML

Facility

OP

$32.56

Service Code	NDC 121157610
Hospital Charge Code	60633807
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.28
Rate for Payer: Aetna Commercial	$12.37
Rate for Payer: Aetna Medicare Advantage	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.30
Rate for Payer: Cigna Commercial	$16.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.47
Rate for Payer: Oxford Commercial	$6.51
Rate for Payer: Qualcare PPO/HMO/WC	$4.88
Rate for Payer: UnitedHealthcare Commercial	$6.51
Rate for Payer: UnitedHealthcare Community & State	$1.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

REGLAN/5MG/5ML

Facility

IP

$32.56

Service Code	NDC 121157610
Hospital Charge Code	60633807
Hospital Revenue Code	250
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.88

REHABILITATION

Facility

IP

$20,560.15

Service Code	APR-DRG 8603
Min. Negotiated Rate	$20,157.01
Max. Negotiated Rate	$20,560.15
Rate for Payer: UnitedHealthcare Community & State	$20,157.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,560.15
Rate for Payer: Wellpoint Medicaid Managed Care	$20,157.01

REHABILITATION

Facility

IP

$16,362.44

Service Code	APR-DRG 8602
Min. Negotiated Rate	$16,041.61
Max. Negotiated Rate	$16,362.44
Rate for Payer: UnitedHealthcare Community & State	$16,041.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,362.44
Rate for Payer: Wellpoint Medicaid Managed Care	$16,041.61

REHABILITATION

Facility

IP

$13,431.52

Service Code	APR-DRG 8601
Min. Negotiated Rate	$13,168.16
Max. Negotiated Rate	$13,431.52
Rate for Payer: UnitedHealthcare Community & State	$13,168.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,431.52
Rate for Payer: Wellpoint Medicaid Managed Care	$13,168.16

REHABILITATION

Facility

IP

$25,217.06

Service Code	APR-DRG 8604
Min. Negotiated Rate	$24,722.61
Max. Negotiated Rate	$25,217.06
Rate for Payer: UnitedHealthcare Community & State	$24,722.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,217.06
Rate for Payer: Wellpoint Medicaid Managed Care	$24,722.61

REHABILITATION WITH CC/MCC

Facility

IP

$68,390.46

Service Code	MSDRG 945
Min. Negotiated Rate	$20,824.02
Max. Negotiated Rate	$68,390.46
Rate for Payer: Aetna Commercial	$50,566.95
Rate for Payer: Aetna Medicare Advantage	$68,390.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,834.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,834.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,920.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,834.55
Rate for Payer: Cigna Commercial	$34,522.94
Rate for Payer: Cigna Medicare Advantage	$21,920.02
Rate for Payer: Clover Medicare Advantage	$20,824.02
Rate for Payer: EmblemHealth Commercial	$65,760.06
Rate for Payer: Humana Medicare Advantage	$22,577.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,920.02
Rate for Payer: Oxford Commercial	$27,286.33
Rate for Payer: UnitedHealthcare Commercial	$36,523.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,920.02
Rate for Payer: Wellcare Medicare Advantage	$21,920.02

REHABILITATION WITHOUT CC/MCC

Facility

IP

$55,696.18

Service Code	MSDRG 946
Min. Negotiated Rate	$16,958.77
Max. Negotiated Rate	$55,696.18
Rate for Payer: Aetna Commercial	$41,525.95
Rate for Payer: Aetna Medicare Advantage	$55,696.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,851.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,982.05
Rate for Payer: Cigna Commercial	$25,565.61
Rate for Payer: Cigna Medicare Advantage	$17,851.34
Rate for Payer: Clover Medicare Advantage	$16,958.77
Rate for Payer: EmblemHealth Commercial	$53,554.02
Rate for Payer: Humana Medicare Advantage	$18,386.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,851.34
Rate for Payer: Oxford Commercial	$20,206.62
Rate for Payer: UnitedHealthcare Commercial	$27,047.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,851.34
Rate for Payer: Wellcare Medicare Advantage	$17,851.34