Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

REMOVE ANAL FIST INTER

Facility

$22,676.60

Service Code	HCPCS 46275
Hospital Charge Code	1600000508
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE ANAL FIST SUBQ

Facility

$22,676.60

Service Code	HCPCS 46270
Hospital Charge Code	1600000296
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE ANAL FIST SUBQ

Facility

$22,676.60

Service Code	HCPCS 46270
Hospital Charge Code	1600000296
Hospital Revenue Code	360
Min. Negotiated Rate	$644.02
Max. Negotiated Rate	$11,961.90
Rate for Payer: Aetna Commercial	$8,969.36
Rate for Payer: Aetna Medicare Advantage	$10,684.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,297.56
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	$11,961.90
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: Cigna Medicare Advantage	$3,297.56
Rate for Payer: Clover Medicare Advantage	$3,132.68
Rate for Payer: EmblemHealth Commercial	$9,892.68
Rate for Payer: Humana Medicare Advantage	$3,396.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,297.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,895.92
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$716.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,297.56
Rate for Payer: Wellcare Medicare Advantage	$3,297.56
Rate for Payer: Wellpoint Medicaid Managed Care	$644.02

REMOVE ANKLE IMPLANT BL

Facility

$21,418.70

Service Code	HCPCS 27704
Hospital Charge Code	16000897
Hospital Revenue Code	360
Min. Negotiated Rate	$3,212.80
Max. Negotiated Rate	$3,212.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,212.80

REMOVE ANKLE IMPLANT BL

Facility

$21,418.70

Service Code	HCPCS 27704
Hospital Charge Code	16000897
Hospital Revenue Code	360
Min. Negotiated Rate	$608.29
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,568.86
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,212.80
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$676.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$608.29

REMOVE BLADDER CREATE POUCH

Facility

$49,737.20

Service Code	HCPCS 51596
Hospital Charge Code	1600000539
Hospital Revenue Code	360
Min. Negotiated Rate	$7,460.58
Max. Negotiated Rate	$7,460.58
Rate for Payer: Qualcare PPO/HMO/WC	$7,460.58

REMOVE BLADDER CREATE POUCH

Facility

$49,737.20

Service Code	HCPCS 51596
Hospital Charge Code	1600000539
Hospital Revenue Code	360
Min. Negotiated Rate	$1,412.54
Max. Negotiated Rate	$24,868.60
Rate for Payer: Aetna Commercial	$18,900.14
Rate for Payer: Aetna Medicare Advantage	$14,921.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,682.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,682.99
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	$12,682.99
Rate for Payer: Cigna Commercial	$24,868.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,931.67
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,460.58
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,571.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1,412.54

REMOVE BLADDER /REVISE TRACT

Facility

$99,356.96

Service Code	HCPCS 51590
Hospital Charge Code	1600000440
Hospital Revenue Code	360
Min. Negotiated Rate	$14,903.54
Max. Negotiated Rate	$14,903.54
Rate for Payer: Qualcare PPO/HMO/WC	$14,903.54

REMOVE BLADDER /REVISE TRACT

Facility

$99,356.96

Service Code	HCPCS 51590
Hospital Charge Code	1600000440
Hospital Revenue Code	360
Min. Negotiated Rate	$2,821.74
Max. Negotiated Rate	$49,678.48
Rate for Payer: Aetna Commercial	$37,755.64
Rate for Payer: Aetna Medicare Advantage	$29,807.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,336.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,336.02
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	$25,336.02
Rate for Payer: Cigna Commercial	$49,678.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,832.81
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,903.54
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$3,139.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2,821.74

REMOVE BY LIGAT INT HEM2+GRPS

Facility

$22,676.60

Service Code	HCPCS 46946
Hospital Charge Code	1600000341
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE BY LIGAT INT HEM2+GRPS

Facility

$22,676.60

Service Code	HCPCS 46946
Hospital Charge Code	1600000341
Hospital Revenue Code	360
Min. Negotiated Rate	$644.02
Max. Negotiated Rate	$11,961.90
Rate for Payer: Aetna Commercial	$8,969.36
Rate for Payer: Aetna Medicare Advantage	$10,684.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,297.56
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	$11,961.90
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: Cigna Medicare Advantage	$3,297.56
Rate for Payer: Clover Medicare Advantage	$3,132.68
Rate for Payer: EmblemHealth Commercial	$9,892.68
Rate for Payer: Humana Medicare Advantage	$3,396.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,297.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,895.92
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$716.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,297.56
Rate for Payer: Wellcare Medicare Advantage	$3,297.56
Rate for Payer: Wellpoint Medicaid Managed Care	$644.02

REMOVE BY LIGAT INT HEM GRP

Facility

$22,676.60

Service Code	HCPCS 46945
Hospital Charge Code	1600000262
Hospital Revenue Code	360
Min. Negotiated Rate	$644.02
Max. Negotiated Rate	$11,961.90
Rate for Payer: Aetna Commercial	$8,969.36
Rate for Payer: Aetna Medicare Advantage	$10,684.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,297.56
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	$11,961.90
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: Cigna Medicare Advantage	$3,297.56
Rate for Payer: Clover Medicare Advantage	$3,132.68
Rate for Payer: EmblemHealth Commercial	$9,892.68
Rate for Payer: Humana Medicare Advantage	$3,396.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,297.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,895.92
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$716.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,297.56
Rate for Payer: Wellcare Medicare Advantage	$3,297.56
Rate for Payer: Wellpoint Medicaid Managed Care	$644.02

REMOVE BY LIGAT INT HEM GRP

Facility

$22,676.60

Service Code	HCPCS 46945
Hospital Charge Code	1600000262
Hospital Revenue Code	360
Min. Negotiated Rate	$3,401.49
Max. Negotiated Rate	$3,401.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,401.49

REMOVE CERV ARTIF DISC

Facility

$9,215.84

Service Code	HCPCS 22864
Hospital Charge Code	1600000800
Hospital Revenue Code	360
Min. Negotiated Rate	$261.73
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.12
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,382.38
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$291.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$261.73

REMOVE CERV ARTIF DISC

Facility

$9,215.84

Service Code	HCPCS 22864
Hospital Charge Code	1600000800
Hospital Revenue Code	360
Min. Negotiated Rate	$1,382.38
Max. Negotiated Rate	$1,382.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,382.38

REMOVE DEVITAL TISSUE WOUND

Facility

$1,319.00

Service Code	HCPCS 97602
Hospital Charge Code	412397602
Hospital Revenue Code	510
Min. Negotiated Rate	$197.85
Max. Negotiated Rate	$197.85
Rate for Payer: Qualcare PPO/HMO/WC	$197.85

REMOVE DEVITAL TISSUE WOUND

Facility

$1,319.00

Service Code	HCPCS 97602
Hospital Charge Code	412397602
Hospital Revenue Code	510
Min. Negotiated Rate	$37.46
Max. Negotiated Rate	$864.65
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.65
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.94
Rate for Payer: Qualcare PPO/HMO/WC	$197.85
Rate for Payer: UnitedHealthcare Community & State	$41.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$37.46

REMOVE DIGIT NERVE LESION

Facility

$4,643.50

Service Code	HCPCS 64776
Hospital Charge Code	1600000713
Hospital Revenue Code	360
Min. Negotiated Rate	$696.52
Max. Negotiated Rate	$696.52
Rate for Payer: Qualcare PPO/HMO/WC	$696.52

REMOVE DIGIT NERVE LESION

Facility

$4,643.50

Service Code	HCPCS 64776
Hospital Charge Code	1600000713
Hospital Revenue Code	360
Min. Negotiated Rate	$131.88
Max. Negotiated Rate	$8,415.40
Rate for Payer: Aetna Commercial	$6,310.10
Rate for Payer: Aetna Medicare Advantage	$7,516.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,319.89
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	$8,415.40
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: Cigna Medicare Advantage	$2,319.89
Rate for Payer: Clover Medicare Advantage	$2,203.90
Rate for Payer: EmblemHealth Commercial	$6,959.67
Rate for Payer: Humana Medicare Advantage	$2,389.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,319.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,207.31
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$696.52
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$146.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,319.89
Rate for Payer: Wellcare Medicare Advantage	$2,319.89
Rate for Payer: Wellpoint Medicaid Managed Care	$131.88

REMOVE DRUG IMPLANT

Facility

$1,704.00

Service Code	HCPCS 11982
Hospital Charge Code	16000155
Hospital Revenue Code	360
Min. Negotiated Rate	$255.60
Max. Negotiated Rate	$255.60
Rate for Payer: Qualcare PPO/HMO/WC	$255.60

REMOVE DRUG IMPLANT

Facility

$1,704.00

Service Code	HCPCS 11982
Hospital Charge Code	16000155
Hospital Revenue Code	360
Min. Negotiated Rate	$48.39
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,443.56
Rate for Payer: Aetna Medicare Advantage	$1,719.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,925.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,925.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$530.72
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	$1,925.19
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: Cigna Medicare Advantage	$530.72
Rate for Payer: Clover Medicare Advantage	$504.18
Rate for Payer: EmblemHealth Commercial	$1,592.16
Rate for Payer: Humana Medicare Advantage	$546.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$530.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.04
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.60
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$53.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$530.72
Rate for Payer: Wellcare Medicare Advantage	$530.72
Rate for Payer: Wellpoint Medicaid Managed Care	$48.39

REMOVE ELBOW JOINT LINING-LT

Facility

$30,595.00

Service Code	HCPCS 24102
Hospital Charge Code	16000681
Hospital Revenue Code	360
Min. Negotiated Rate	$868.90
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,954.70
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$966.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$868.90

REMOVE ELBOW JOINT LINING-LT

Facility

$30,595.00

Service Code	HCPCS 24102
Hospital Charge Code	16000681
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

REMOVE ELECTRD TRANSVENOUS

Facility

$20,101.20

Service Code	HCPCS 33244
Hospital Charge Code	411033244
Hospital Revenue Code	480
Min. Negotiated Rate	$348.11
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	$348.11
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	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
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

REMOVE ELECTRD TRANSVENOUS

Facility

$20,101.20

Service Code	HCPCS 33244
Hospital Charge Code	411033244
Hospital Revenue Code	480
Min. Negotiated Rate	$3,015.18
Max. Negotiated Rate	$3,015.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18

Know your out-of-pocket cost for care.

All Charges