Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CERV POROUS SPACER 8X16XX14MM

Facility

OP

$8,675.00

Service Code	HCPCS C1889
Hospital Charge Code	270703878
Hospital Revenue Code	278
Min. Negotiated Rate	$246.37
Max. Negotiated Rate	$4,337.50
Rate for Payer: Aetna Commercial	$3,296.50
Rate for Payer: Aetna Medicare Advantage	$2,602.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,212.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,212.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,212.12
Rate for Payer: Cigna Commercial	$4,337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,099.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,301.25
Rate for Payer: UnitedHealthcare Community & State	$274.13
Rate for Payer: Wellpoint Medicaid Managed Care	$246.37

CERV POROUS SPACER 9X16X14MM

Facility

OP

$8,675.00

Service Code	HCPCS C1889
Hospital Charge Code	270703877
Hospital Revenue Code	278
Min. Negotiated Rate	$246.37
Max. Negotiated Rate	$4,337.50
Rate for Payer: Aetna Commercial	$3,296.50
Rate for Payer: Aetna Medicare Advantage	$2,602.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,212.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,212.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,212.12
Rate for Payer: Cigna Commercial	$4,337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,099.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,301.25
Rate for Payer: UnitedHealthcare Community & State	$274.13
Rate for Payer: Wellpoint Medicaid Managed Care	$246.37

CERV POROUS SPACER 9X16X14MM

Facility

IP

$8,675.00

Service Code	HCPCS C1889
Hospital Charge Code	270703877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,301.25
Max. Negotiated Rate	$2,099.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,099.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,301.25

CERV POROUS TI SPACER 7X16X14M

Facility

IP

$600.00

Hospital Charge Code	270703560
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

CERV POROUS TI SPACER 7X16X14M

Facility

OP

$5,225.00

Hospital Charge Code	270703562
Hospital Revenue Code	278
Min. Negotiated Rate	$148.39
Max. Negotiated Rate	$2,612.50
Rate for Payer: Aetna Commercial	$1,985.50
Rate for Payer: Aetna Medicare Advantage	$1,567.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,045.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.38
Rate for Payer: Cigna Commercial	$2,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,264.45
Rate for Payer: Qualcare PPO/HMO/WC	$783.75
Rate for Payer: UnitedHealthcare Community & State	$165.11
Rate for Payer: Wellpoint Medicaid Managed Care	$148.39

CERV POROUS TI SPACER 7X16X14M

Facility

IP

$5,225.00

Hospital Charge Code	270703562
Hospital Revenue Code	278
Min. Negotiated Rate	$783.75
Max. Negotiated Rate	$1,264.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,264.45
Rate for Payer: Qualcare PPO/HMO/WC	$783.75

CERV POROUS TI SPACER 7X16X14M

Facility

IP

$8,500.00

Hospital Charge Code	270703567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

CERV POROUS TI SPACER 7X16X14M

Facility

OP

$600.00

Hospital Charge Code	270703560
Hospital Revenue Code	278
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

CERV POROUS TI SPACER 7X16X14M

Facility

OP

$8,500.00

Hospital Charge Code	270703567
Hospital Revenue Code	278
Min. Negotiated Rate	$241.40
Max. Negotiated Rate	$4,250.00
Rate for Payer: Aetna Commercial	$3,230.00
Rate for Payer: Aetna Medicare Advantage	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.50
Rate for Payer: Cigna Commercial	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00
Rate for Payer: UnitedHealthcare Community & State	$268.60
Rate for Payer: Wellpoint Medicaid Managed Care	$241.40

CERV POROUS TI SPACER 8X16X14M

Facility

IP

$7,875.00

Hospital Charge Code	270703566
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,905.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CERV POROUS TI SPACER 8X16X14M

Facility

OP

$7,875.00

Hospital Charge Code	270703566
Hospital Revenue Code	278
Min. Negotiated Rate	$223.65
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25
Rate for Payer: UnitedHealthcare Community & State	$248.85
Rate for Payer: Wellpoint Medicaid Managed Care	$223.65

CERV SPINE 1 VIEW

Facility

IP

$5,100.00

Service Code	HCPCS 72020
Hospital Charge Code	94061053
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CERV SPINE 1 VIEW

Facility

OP

$5,100.00

Service Code	HCPCS 72020
Hospital Charge Code	94061053
Hospital Revenue Code	320
Min. Negotiated Rate	$20.11
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.05
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

CERV STANDALONE 16X14X8H

Facility

OP

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703790
Hospital Revenue Code	278
Min. Negotiated Rate	$518.30
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$6,935.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50
Rate for Payer: UnitedHealthcare Community & State	$576.70
Rate for Payer: Wellpoint Medicaid Managed Care	$518.30

CERV STANDALONE 16X14X8H

Facility

IP

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703790
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$4,416.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

CERV VARIABLE TAP SCREW

Facility

OP

$1,000.00

Hospital Charge Code	270702204
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

CERV VARIABLE TAP SCREW

Facility

IP

$1,000.00

Hospital Charge Code	270702204
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CESAREAN SECTION WITHOUT STERILIZATION

Facility

IP

$8,063.99

Service Code	APR-DRG 5401
Min. Negotiated Rate	$7,905.87
Max. Negotiated Rate	$8,063.99
Rate for Payer: UnitedHealthcare Community & State	$7,905.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,063.99
Rate for Payer: Wellpoint Medicaid Managed Care	$7,905.87

CESAREAN SECTION WITHOUT STERILIZATION

Facility

IP

$9,885.41

Service Code	APR-DRG 5402
Min. Negotiated Rate	$9,691.58
Max. Negotiated Rate	$9,885.41
Rate for Payer: UnitedHealthcare Community & State	$9,691.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,885.41
Rate for Payer: Wellpoint Medicaid Managed Care	$9,691.58

CESAREAN SECTION WITHOUT STERILIZATION

Facility

IP

$12,560.81

Service Code	APR-DRG 5403
Min. Negotiated Rate	$12,314.52
Max. Negotiated Rate	$12,560.81
Rate for Payer: UnitedHealthcare Community & State	$12,314.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,560.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12,314.52

CESAREAN SECTION WITHOUT STERILIZATION

Facility

IP

$23,661.04

Service Code	APR-DRG 5404
Min. Negotiated Rate	$23,197.10
Max. Negotiated Rate	$23,661.04
Rate for Payer: UnitedHealthcare Community & State	$23,197.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,661.04
Rate for Payer: Wellpoint Medicaid Managed Care	$23,197.10

CESAREAN SECTION WITHOUT STERILIZATION WITH CC

Facility

IP

$54,748.32

Service Code	MSDRG 787
Min. Negotiated Rate	$9,163.00
Max. Negotiated Rate	$54,748.32
Rate for Payer: Aetna Commercial	$40,850.86
Rate for Payer: Aetna Medicare Advantage	$54,748.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,090.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,090.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,547.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,090.25
Rate for Payer: Cigna Commercial	$24,896.82
Rate for Payer: Cigna Medicare Advantage	$17,547.54
Rate for Payer: Clover Medicare Advantage	$16,670.16
Rate for Payer: EmblemHealth Commercial	$52,642.62
Rate for Payer: Humana Medicare Advantage	$18,073.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,547.54
Rate for Payer: Oxford Commercial	$31,182.00
Rate for Payer: UnitedHealthcare Commercial	$35,393.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,547.54
Rate for Payer: Wellcare Medicare Advantage	$17,547.54

CESAREAN SECTION WITHOUT STERILIZATION WITH MCC

Facility

IP

$71,578.20

Service Code	MSDRG 786
Min. Negotiated Rate	$9,163.00
Max. Negotiated Rate	$71,578.20
Rate for Payer: Aetna Commercial	$52,837.32
Rate for Payer: Aetna Medicare Advantage	$71,578.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,483.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,483.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,941.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,483.75
Rate for Payer: Cigna Commercial	$36,772.30
Rate for Payer: Cigna Medicare Advantage	$22,941.73
Rate for Payer: Clover Medicare Advantage	$21,794.64
Rate for Payer: EmblemHealth Commercial	$68,825.19
Rate for Payer: Humana Medicare Advantage	$23,629.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,941.73
Rate for Payer: Oxford Commercial	$31,182.00
Rate for Payer: UnitedHealthcare Commercial	$35,393.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,941.73
Rate for Payer: Wellcare Medicare Advantage	$22,941.73

CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

Facility

IP

$49,756.61

Service Code	MSDRG 788
Min. Negotiated Rate	$9,163.00
Max. Negotiated Rate	$49,756.61
Rate for Payer: Aetna Commercial	$37,295.72
Rate for Payer: Aetna Medicare Advantage	$49,756.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,947.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,826.30
Rate for Payer: Cigna Commercial	$21,374.53
Rate for Payer: Cigna Medicare Advantage	$15,947.63
Rate for Payer: Clover Medicare Advantage	$15,150.25
Rate for Payer: EmblemHealth Commercial	$47,842.89
Rate for Payer: Humana Medicare Advantage	$16,426.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,947.63
Rate for Payer: Oxford Commercial	$31,182.00
Rate for Payer: UnitedHealthcare Commercial	$35,393.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,947.63
Rate for Payer: Wellcare Medicare Advantage	$15,947.63

CESAREAN SECTION WITH STERILIZATION

Facility

IP

$8,261.99

Service Code	APR-DRG 5391
Min. Negotiated Rate	$8,099.99
Max. Negotiated Rate	$8,261.99
Rate for Payer: UnitedHealthcare Community & State	$8,099.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,261.99
Rate for Payer: Wellpoint Medicaid Managed Care	$8,099.99

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