Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RPR AA HRN 1ST 3-10 RDC

Facility

$16,997.60

Service Code	HCPCS 49593
Hospital Charge Code	1600000265
Hospital Revenue Code	360
Min. Negotiated Rate	$482.73
Max. Negotiated Rate	$27,899.36
Rate for Payer: Aetna Commercial	$20,919.71
Rate for Payer: Aetna Medicare Advantage	$24,919.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,899.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,899.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,691.07
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	$27,899.36
Rate for Payer: Cigna Commercial	$15,416.72
Rate for Payer: Cigna Medicare Advantage	$7,691.07
Rate for Payer: Clover Medicare Advantage	$7,306.52
Rate for Payer: EmblemHealth Commercial	$23,073.21
Rate for Payer: Humana Medicare Advantage	$7,921.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,691.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,419.38
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,549.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$537.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,691.07
Rate for Payer: Wellcare Medicare Advantage	$7,691.07
Rate for Payer: Wellpoint Medicaid Managed Care	$482.73

RPR AA HRN 1ST 3-10 RDC

Facility

$16,997.60

Service Code	HCPCS 49593
Hospital Charge Code	1600000382
Hospital Revenue Code	360
Min. Negotiated Rate	$2,549.64
Max. Negotiated Rate	$2,549.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,549.64

RPR AA HRN 1ST 3-10 RDC

Facility

$16,997.60

Service Code	HCPCS 49593
Hospital Charge Code	1600000265
Hospital Revenue Code	360
Min. Negotiated Rate	$2,549.64
Max. Negotiated Rate	$2,549.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,549.64

RPR AA HRN 1ST 3-10 RDC

Facility

$16,997.60

Service Code	HCPCS 49593
Hospital Charge Code	1600000382
Hospital Revenue Code	360
Min. Negotiated Rate	$482.73
Max. Negotiated Rate	$27,899.36
Rate for Payer: Aetna Commercial	$20,919.71
Rate for Payer: Aetna Medicare Advantage	$24,919.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,899.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,899.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,691.07
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	$27,899.36
Rate for Payer: Cigna Commercial	$15,416.72
Rate for Payer: Cigna Medicare Advantage	$7,691.07
Rate for Payer: Clover Medicare Advantage	$7,306.52
Rate for Payer: EmblemHealth Commercial	$23,073.21
Rate for Payer: Humana Medicare Advantage	$7,921.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,691.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,419.38
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,549.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$537.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,691.07
Rate for Payer: Wellcare Medicare Advantage	$7,691.07
Rate for Payer: Wellpoint Medicaid Managed Care	$482.73

RPR AA HRN 1ST < 3 CM RDC

Facility

$16,997.60

Service Code	HCPCS 49591
Hospital Charge Code	16000992
Hospital Revenue Code	360
Min. Negotiated Rate	$2,549.64
Max. Negotiated Rate	$2,549.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,549.64

RPR AA HRN 1ST < 3 CM RDC

Facility

$16,997.60

Service Code	HCPCS 49591
Hospital Charge Code	16000992
Hospital Revenue Code	360
Min. Negotiated Rate	$482.73
Max. Negotiated Rate	$15,429.97
Rate for Payer: Aetna Commercial	$11,569.82
Rate for Payer: Aetna Medicare Advantage	$13,781.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,429.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,429.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,253.61
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	$15,429.97
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: Cigna Medicare Advantage	$4,253.61
Rate for Payer: Clover Medicare Advantage	$4,040.93
Rate for Payer: EmblemHealth Commercial	$12,760.83
Rate for Payer: Humana Medicare Advantage	$4,381.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,253.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,419.38
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,549.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$537.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,253.61
Rate for Payer: Wellcare Medicare Advantage	$4,253.61
Rate for Payer: Wellpoint Medicaid Managed Care	$482.73

RPR AA HRN 1ST < NCR/STRN

Facility

$25,012.88

Service Code	HCPCS 49592
Hospital Charge Code	1600000349
Hospital Revenue Code	360
Min. Negotiated Rate	$3,751.93
Max. Negotiated Rate	$3,751.93
Rate for Payer: Qualcare PPO/HMO/WC	$3,751.93

RPR AA HRN 1ST < NCR/STRN

Facility

$25,012.88

Service Code	HCPCS 49592
Hospital Charge Code	1600000349
Hospital Revenue Code	360
Min. Negotiated Rate	$710.37
Max. Negotiated Rate	$26,053.61
Rate for Payer: Aetna Commercial	$19,535.72
Rate for Payer: Aetna Medicare Advantage	$23,270.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,182.25
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	$26,053.61
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: Cigna Medicare Advantage	$7,182.25
Rate for Payer: Clover Medicare Advantage	$6,823.14
Rate for Payer: EmblemHealth Commercial	$21,546.75
Rate for Payer: Humana Medicare Advantage	$7,397.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,182.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,503.35
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,751.93
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$790.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,182.25
Rate for Payer: Wellcare Medicare Advantage	$7,182.25
Rate for Payer: Wellpoint Medicaid Managed Care	$710.37

RPR AA HRN RCR > 10 NCR/STRN

Facility

$5,275.64

Service Code	HCPCS 49618
Hospital Charge Code	16000151
Hospital Revenue Code	360
Min. Negotiated Rate	$149.83
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$2,004.74
Rate for Payer: Aetna Medicare Advantage	$1,582.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,345.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,345.29
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	$1,345.29
Rate for Payer: Cigna Commercial	$2,637.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,371.67
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$791.35
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$166.71
Rate for Payer: Wellpoint Medicaid Managed Care	$149.83

RPR AA HRN RCR > 10 NCR/STRN

Facility

$5,275.64

Service Code	HCPCS 49618
Hospital Charge Code	16000151
Hospital Revenue Code	360
Min. Negotiated Rate	$791.35
Max. Negotiated Rate	$791.35
Rate for Payer: Qualcare PPO/HMO/WC	$791.35

RPR AA HRN RCR 3-10 NCR/STRN

Facility

$3,654.36

Service Code	HCPCS 49616
Hospital Charge Code	16000993
Hospital Revenue Code	360
Min. Negotiated Rate	$103.78
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$1,388.66
Rate for Payer: Aetna Medicare Advantage	$1,096.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$931.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$931.86
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	$931.86
Rate for Payer: Cigna Commercial	$1,827.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$950.13
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$548.15
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$115.48
Rate for Payer: Wellpoint Medicaid Managed Care	$103.78

RPR AA HRN RCR 3-10 NCR/STRN

Facility

$3,654.36

Service Code	HCPCS 49616
Hospital Charge Code	16000993
Hospital Revenue Code	360
Min. Negotiated Rate	$548.15
Max. Negotiated Rate	$548.15
Rate for Payer: Qualcare PPO/HMO/WC	$548.15

RPR AA HRN RCR < 3 NCR/STRN

Facility

$25,012.88

Service Code	HCPCS 49614
Hospital Charge Code	1600000300
Hospital Revenue Code	360
Min. Negotiated Rate	$710.37
Max. Negotiated Rate	$26,053.61
Rate for Payer: Aetna Commercial	$19,535.72
Rate for Payer: Aetna Medicare Advantage	$23,270.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,182.25
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	$26,053.61
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: Cigna Medicare Advantage	$7,182.25
Rate for Payer: Clover Medicare Advantage	$6,823.14
Rate for Payer: EmblemHealth Commercial	$21,546.75
Rate for Payer: Humana Medicare Advantage	$7,397.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,182.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,503.35
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,751.93
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$790.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,182.25
Rate for Payer: Wellcare Medicare Advantage	$7,182.25
Rate for Payer: Wellpoint Medicaid Managed Care	$710.37

RPR AA HRN RCR < 3 NCR/STRN

Facility

$25,012.88

Service Code	HCPCS 49614
Hospital Charge Code	1600000300
Hospital Revenue Code	360
Min. Negotiated Rate	$3,751.93
Max. Negotiated Rate	$3,751.93
Rate for Payer: Qualcare PPO/HMO/WC	$3,751.93

RPR AA HRN RCR < 3 RDC

Facility

$6,997.60

Service Code	HCPCS 49613
Hospital Charge Code	1600000579
Hospital Revenue Code	360
Min. Negotiated Rate	$1,049.64
Max. Negotiated Rate	$1,049.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,049.64

RPR AA HRN RCR < 3 RDC

Facility

$6,997.60

Service Code	HCPCS 49613
Hospital Charge Code	1600000579
Hospital Revenue Code	360
Min. Negotiated Rate	$198.73
Max. Negotiated Rate	$15,429.97
Rate for Payer: Aetna Commercial	$11,569.82
Rate for Payer: Aetna Medicare Advantage	$13,781.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,429.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,429.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,253.61
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	$15,429.97
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: Cigna Medicare Advantage	$4,253.61
Rate for Payer: Clover Medicare Advantage	$4,040.93
Rate for Payer: EmblemHealth Commercial	$12,760.83
Rate for Payer: Humana Medicare Advantage	$4,381.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,253.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,819.38
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,049.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$221.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,253.61
Rate for Payer: Wellcare Medicare Advantage	$4,253.61
Rate for Payer: Wellpoint Medicaid Managed Care	$198.73

RPR CMPLX FCCMNAXGHF 1.1-2.5CM

Facility

$2,050.00

Service Code	HCPCS 13131
Hospital Charge Code	5700490
Hospital Revenue Code	450
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

RPR CMPLX FCCMNAXGHF 1.1-2.5CM

Facility

$2,050.00

Service Code	HCPCS 13131
Hospital Charge Code	5700490
Hospital Revenue Code	450
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$1,751.90
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$58.22

RPR,COMPX,TRUNK,1.1CM TO 2.5CM

Facility

$5,066.40

Service Code	HCPCS 13100
Hospital Charge Code	1600000848
Hospital Revenue Code	360
Min. Negotiated Rate	$759.96
Max. Negotiated Rate	$759.96
Rate for Payer: Qualcare PPO/HMO/WC	$759.96

RPR,COMPX,TRUNK,1.1CM TO 2.5CM

Facility

$5,066.40

Service Code	HCPCS 13100
Hospital Charge Code	1600000848
Hospital Revenue Code	360
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,388.27
Rate for Payer: Aetna Medicare Advantage	$2,844.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,185.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,185.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$878.04
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	$3,185.09
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: Cigna Medicare Advantage	$878.04
Rate for Payer: Clover Medicare Advantage	$834.14
Rate for Payer: EmblemHealth Commercial	$2,634.12
Rate for Payer: Humana Medicare Advantage	$904.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$878.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,317.26
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$759.96
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$160.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$878.04
Rate for Payer: Wellcare Medicare Advantage	$878.04
Rate for Payer: Wellpoint Medicaid Managed Care	$143.89

RPR DISLOCATED PERONEAL TENDNS

Facility

$19,467.90

Service Code	HCPCS 27675
Hospital Charge Code	1600000267
Hospital Revenue Code	360
Min. Negotiated Rate	$552.89
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	$5,061.65
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,920.18
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$615.19
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	$552.89

RPR DISLOCATED PERONEAL TENDNS

Facility

$19,467.90

Service Code	HCPCS 27675
Hospital Charge Code	1600000267
Hospital Revenue Code	360
Min. Negotiated Rate	$2,920.18
Max. Negotiated Rate	$2,920.18
Rate for Payer: Qualcare PPO/HMO/WC	$2,920.18

RPR NONUNION CARP NAVICULAR BN

Facility

$44,916.00

Service Code	HCPCS 25440
Hospital Charge Code	16000690
Hospital Revenue Code	360
Min. Negotiated Rate	$1,275.61
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	$11,678.16
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,419.35
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	$1,275.61

RPR NONUNION CARP NAVICULAR BN

Facility

$44,916.00

Service Code	HCPCS 25440
Hospital Charge Code	16000690
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

RPR PARASTOMAL HERNIA RDC

Facility

$58,232.00

Service Code	HCPCS 49621
Hospital Charge Code	1600000766
Hospital Revenue Code	360
Min. Negotiated Rate	$1,653.79
Max. Negotiated Rate	$29,116.00
Rate for Payer: Aetna Commercial	$22,128.16
Rate for Payer: Aetna Medicare Advantage	$17,469.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,849.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,849.16
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	$14,849.16
Rate for Payer: Cigna Commercial	$29,116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,140.32
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,734.80
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,840.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1,653.79

Know your out-of-pocket cost for care.

All Charges