Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

ABLATOR HOOK 90DEG

Facility

IP

$575.00

Hospital Charge Code	270671808
Hospital Revenue Code	272
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$86.25
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

ABO BLOOD TYPE

Facility

IP

$101.00

Service Code	HCPCS 86900
Hospital Charge Code	38471070
Hospital Revenue Code	309
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

ABO BLOOD TYPE

Facility

OP

$101.00

Service Code	HCPCS 86900
Hospital Charge Code	38471070
Hospital Revenue Code	309
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.85
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$2.99
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Medicare Advantage	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$6,594.95

Service Code	APR-DRG 5431
Min. Negotiated Rate	$6,465.64
Max. Negotiated Rate	$6,594.95
Rate for Payer: UnitedHealthcare Community & State	$6,465.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,594.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6,465.64

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$51,143.54

Service Code	MSDRG 770
Min. Negotiated Rate	$15,572.55
Max. Negotiated Rate	$51,143.54
Rate for Payer: Aetna Commercial	$38,283.51
Rate for Payer: Aetna Medicare Advantage	$51,143.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,392.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,164.00
Rate for Payer: Cigna Commercial	$22,353.19
Rate for Payer: Cigna Medicare Advantage	$16,392.16
Rate for Payer: Clover Medicare Advantage	$15,572.55
Rate for Payer: EmblemHealth Commercial	$49,176.48
Rate for Payer: Humana Medicare Advantage	$16,883.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,392.16
Rate for Payer: Oxford Commercial	$17,667.57
Rate for Payer: UnitedHealthcare Commercial	$23,648.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,392.16
Rate for Payer: Wellcare Medicare Advantage	$16,392.16

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$27,131.22

Service Code	APR-DRG 5434
Min. Negotiated Rate	$26,599.24
Max. Negotiated Rate	$27,131.22
Rate for Payer: UnitedHealthcare Community & State	$26,599.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,131.22
Rate for Payer: Wellpoint Medicaid Managed Care	$26,599.24

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$12,476.52

Service Code	APR-DRG 5433
Min. Negotiated Rate	$12,231.88
Max. Negotiated Rate	$12,476.52
Rate for Payer: UnitedHealthcare Community & State	$12,231.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,476.52
Rate for Payer: Wellpoint Medicaid Managed Care	$12,231.88

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$8,634.12

Service Code	APR-DRG 5432
Min. Negotiated Rate	$8,464.82
Max. Negotiated Rate	$8,634.12
Rate for Payer: UnitedHealthcare Community & State	$8,464.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,634.12
Rate for Payer: Wellpoint Medicaid Managed Care	$8,464.82

ABORTION WITHOUT D&C

Facility

IP

$46,044.34

Service Code	MSDRG 779
Min. Negotiated Rate	$12,564.82
Max. Negotiated Rate	$46,044.34
Rate for Payer: Aetna Commercial	$34,651.79
Rate for Payer: Aetna Medicare Advantage	$46,044.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,427.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,427.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,757.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,427.95
Rate for Payer: Cigna Commercial	$15,897.14
Rate for Payer: Cigna Medicare Advantage	$14,757.80
Rate for Payer: Clover Medicare Advantage	$14,019.91
Rate for Payer: EmblemHealth Commercial	$44,273.40
Rate for Payer: Humana Medicare Advantage	$15,200.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,757.80
Rate for Payer: Oxford Commercial	$12,564.82
Rate for Payer: UnitedHealthcare Commercial	$16,818.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,757.80
Rate for Payer: Wellcare Medicare Advantage	$14,757.80

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$5,453.23

Service Code	APR-DRG 5642
Min. Negotiated Rate	$5,346.30
Max. Negotiated Rate	$5,453.23
Rate for Payer: UnitedHealthcare Community & State	$5,346.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,453.23
Rate for Payer: Wellpoint Medicaid Managed Care	$5,346.30

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$4,078.33

Service Code	APR-DRG 5641
Min. Negotiated Rate	$3,998.36
Max. Negotiated Rate	$4,078.33
Rate for Payer: UnitedHealthcare Community & State	$3,998.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,078.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3,998.36

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$8,096.23

Service Code	APR-DRG 5643
Min. Negotiated Rate	$7,937.48
Max. Negotiated Rate	$8,096.23
Rate for Payer: UnitedHealthcare Community & State	$7,937.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,096.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7,937.48

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$25,078.02

Service Code	APR-DRG 5644
Min. Negotiated Rate	$24,586.29
Max. Negotiated Rate	$25,078.02
Rate for Payer: UnitedHealthcare Community & State	$24,586.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,078.02
Rate for Payer: Wellpoint Medicaid Managed Care	$24,586.29

ABRAXANE 100MG VIAL

Facility

OP

$8,317.85

Service Code	HCPCS J9264
Hospital Charge Code	60629905
Hospital Revenue Code	636
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$2,012.92
Rate for Payer: Aetna Commercial	$16.37
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Medicare Advantage	$6.02
Rate for Payer: Clover Medicare Advantage	$5.72
Rate for Payer: EmblemHealth Commercial	$18.06
Rate for Payer: Humana Medicare Advantage	$6.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,012.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,247.68
Rate for Payer: UnitedHealthcare Community & State	$262.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.02
Rate for Payer: Wellcare Medicare Advantage	$6.02
Rate for Payer: Wellpoint Medicaid Managed Care	$236.23

ABRAXANE 100MG VIAL

Facility

IP

$8,317.85

Service Code	HCPCS J9264
Hospital Charge Code	60629905
Hospital Revenue Code	636
Min. Negotiated Rate	$1,247.68
Max. Negotiated Rate	$2,012.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,012.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,247.68

AB RUBELLA

Facility

OP

$390.00

Service Code	HCPCS 86762
Hospital Charge Code	401386762
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.14
Rate for Payer: Aetna Medicare Advantage	$46.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.20
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.39
Rate for Payer: Clover Medicare Advantage	$13.67
Rate for Payer: EmblemHealth Commercial	$43.17
Rate for Payer: Humana Medicare Advantage	$14.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.39
Rate for Payer: Wellcare Medicare Advantage	$14.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

AB RUBELLA

Facility

IP

$390.00

Service Code	HCPCS 86762
Hospital Charge Code	401386762
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ABSCESSOGRAM

Facility

IP

$770.00

Hospital Charge Code	2200401
Hospital Revenue Code	350
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$115.50

ABSCESSOGRAM

Facility

OP

$770.00

Hospital Charge Code	2200401
Hospital Revenue Code	350
Min. Negotiated Rate	$21.87
Max. Negotiated Rate	$3,916.00
Rate for Payer: Aetna Commercial	$292.60
Rate for Payer: Aetna Medicare Advantage	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.35
Rate for Payer: Cigna Commercial	$385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.20
Rate for Payer: Oxford Commercial	$3,774.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.50
Rate for Payer: UnitedHealthcare Commercial	$3,916.00
Rate for Payer: UnitedHealthcare Community & State	$24.33
Rate for Payer: Wellpoint Medicaid Managed Care	$21.87

ABS LYMPHO & NAT KILL CELLS

Facility

OP

$188.65

Service Code	HCPCS 86357
Hospital Charge Code	401386357
Hospital Revenue Code	306
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$102.63
Rate for Payer: Aetna Medicare Advantage	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.87
Rate for Payer: Cigna Commercial	$94.33
Rate for Payer: Cigna Medicare Advantage	$37.73
Rate for Payer: Clover Medicare Advantage	$35.84
Rate for Payer: EmblemHealth Commercial	$113.19
Rate for Payer: Humana Medicare Advantage	$38.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.05
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$30.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.73
Rate for Payer: Wellcare Medicare Advantage	$37.73
Rate for Payer: Wellpoint Medicaid Managed Care	$5.36

ABS LYMPHO & NAT KILL CELLS

Facility

IP

$188.65

Service Code	HCPCS 86357
Hospital Charge Code	401386357
Hospital Revenue Code	306
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$28.30

ABSOLUTE CD4&CD8 COUNT

Facility

OP

$641.00

Service Code	HCPCS 86360
Hospital Charge Code	38476298
Hospital Revenue Code	302
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$320.50
Rate for Payer: Aetna Commercial	$127.79
Rate for Payer: Aetna Medicare Advantage	$152.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.42
Rate for Payer: Cigna Commercial	$320.50
Rate for Payer: Cigna Medicare Advantage	$46.98
Rate for Payer: Clover Medicare Advantage	$44.63
Rate for Payer: EmblemHealth Commercial	$140.94
Rate for Payer: Humana Medicare Advantage	$48.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$46.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$37.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$46.98
Rate for Payer: Wellcare Medicare Advantage	$46.98
Rate for Payer: Wellpoint Medicaid Managed Care	$18.20

ABSOLUTE CD4&CD8 COUNT

Facility

IP

$641.00

Service Code	HCPCS 86360
Hospital Charge Code	38476298
Hospital Revenue Code	302
Min. Negotiated Rate	$96.15
Max. Negotiated Rate	$96.15
Rate for Payer: Qualcare PPO/HMO/WC	$96.15

ABSOLUTE CD4 COUNT

Facility

IP

$306.00

Service Code	HCPCS 86361
Hospital Charge Code	38476299
Hospital Revenue Code	302
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$45.90
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

ABSOLUTE CD4 COUNT

Facility

OP

$306.00

Service Code	HCPCS 86361
Hospital Charge Code	38476299
Hospital Revenue Code	302
Min. Negotiated Rate	$8.69
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.84
Rate for Payer: Aetna Medicare Advantage	$86.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.14
Rate for Payer: Cigna Commercial	$153.00
Rate for Payer: Cigna Medicare Advantage	$26.78
Rate for Payer: Clover Medicare Advantage	$25.44
Rate for Payer: EmblemHealth Commercial	$80.34
Rate for Payer: Humana Medicare Advantage	$27.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.78
Rate for Payer: Wellcare Medicare Advantage	$26.78
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

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