Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CORE NDL BX LNG/MED PERQ W/IMG

Facility

IP

$8,499.00

Service Code	HCPCS 3240850
Hospital Charge Code	321032408B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

IP

$8,499.00

Service Code	HCPCS 3240850
Hospital Charge Code	404632408B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

OP

$8,499.00

Service Code	HCPCS 3240850
Hospital Charge Code	404632408B
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$4,249.50
Rate for Payer: Aetna Commercial	$3,229.62
Rate for Payer: Aetna Medicare Advantage	$2,549.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.24
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	$2,167.24
Rate for Payer: Cigna Commercial	$4,249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

IP

$8,499.00

Service Code	HCPCS 32408LT
Hospital Charge Code	404632408L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

OP

$8,499.00

Service Code	HCPCS 3240850
Hospital Charge Code	321032408B
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$4,249.50
Rate for Payer: Aetna Commercial	$3,229.62
Rate for Payer: Aetna Medicare Advantage	$2,549.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.24
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	$2,167.24
Rate for Payer: Cigna Commercial	$4,249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

IP

$8,499.00

Service Code	HCPCS 32408RT
Hospital Charge Code	404632408R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

OP

$8,499.00

Service Code	HCPCS 32408RT
Hospital Charge Code	404632408R
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$4,249.50
Rate for Payer: Aetna Commercial	$3,229.62
Rate for Payer: Aetna Medicare Advantage	$2,549.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.24
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	$2,167.24
Rate for Payer: Cigna Commercial	$4,249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

IP

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	321032408
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

IP

$8,499.00

Service Code	HCPCS 32408LT
Hospital Charge Code	321032408L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

OP

$8,499.00

Service Code	HCPCS 32408LT
Hospital Charge Code	321032408L
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$4,249.50
Rate for Payer: Aetna Commercial	$3,229.62
Rate for Payer: Aetna Medicare Advantage	$2,549.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.24
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	$2,167.24
Rate for Payer: Cigna Commercial	$4,249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NEEDLE BX EQUIPMENT

Facility

OP

$237.00

Hospital Charge Code	2008135
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$118.50
Rate for Payer: Aetna Commercial	$90.06
Rate for Payer: Aetna Medicare Advantage	$71.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.44
Rate for Payer: Cigna Commercial	$118.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.62
Rate for Payer: Oxford Commercial	$47.40
Rate for Payer: Qualcare PPO/HMO/WC	$35.55
Rate for Payer: UnitedHealthcare Commercial	$47.40
Rate for Payer: UnitedHealthcare Community & State	$7.49
Rate for Payer: Wellpoint Medicaid Managed Care	$6.73

CORE NEEDLE BX EQUIPMENT

Facility

IP

$237.00

Hospital Charge Code	2008135
Hospital Revenue Code	272
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$35.55
Rate for Payer: Qualcare PPO/HMO/WC	$35.55

CORETRAK 40MM EXF

Facility

IP

$11,710.00

Hospital Charge Code	270685123
Hospital Revenue Code	272
Min. Negotiated Rate	$1,756.50
Max. Negotiated Rate	$1,756.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,756.50

CORETRAK 40MM EXF

Facility

OP

$11,710.00

Hospital Charge Code	270685123
Hospital Revenue Code	272
Min. Negotiated Rate	$332.56
Max. Negotiated Rate	$5,855.00
Rate for Payer: Aetna Commercial	$4,449.80
Rate for Payer: Aetna Medicare Advantage	$3,513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,986.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,986.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,986.05
Rate for Payer: Cigna Commercial	$5,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.60
Rate for Payer: Oxford Commercial	$2,342.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,756.50
Rate for Payer: UnitedHealthcare Commercial	$2,342.00
Rate for Payer: UnitedHealthcare Community & State	$370.04
Rate for Payer: Wellpoint Medicaid Managed Care	$332.56

CORETRAK STERIPACK D 40MM

Facility

IP

$15,786.00

Hospital Charge Code	270702950
Hospital Revenue Code	270
Min. Negotiated Rate	$2,367.90
Max. Negotiated Rate	$2,367.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,367.90

CORETRAK STERIPACK D 40MM

Facility

OP

$15,786.00

Hospital Charge Code	270702950
Hospital Revenue Code	270
Min. Negotiated Rate	$448.32
Max. Negotiated Rate	$7,893.00
Rate for Payer: Aetna Commercial	$5,998.68
Rate for Payer: Aetna Medicare Advantage	$4,735.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,025.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,025.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,025.43
Rate for Payer: Cigna Commercial	$7,893.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,104.36
Rate for Payer: Oxford Commercial	$3,157.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,367.90
Rate for Payer: UnitedHealthcare Commercial	$3,157.20
Rate for Payer: UnitedHealthcare Community & State	$498.84
Rate for Payer: Wellpoint Medicaid Managed Care	$448.32

CORETRAK STERIPACK D 70MM

Facility

OP

$18,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270699897
Hospital Revenue Code	278
Min. Negotiated Rate	$513.05
Max. Negotiated Rate	$9,032.50
Rate for Payer: Aetna Commercial	$6,864.70
Rate for Payer: Aetna Medicare Advantage	$5,419.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,606.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,606.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,613.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,606.57
Rate for Payer: Cigna Commercial	$9,032.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,371.73
Rate for Payer: Qualcare PPO/HMO/WC	$2,709.75
Rate for Payer: UnitedHealthcare Community & State	$570.85
Rate for Payer: Wellpoint Medicaid Managed Care	$513.05

CORETRAK STERIPACK D 70MM

Facility

IP

$18,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270699897
Hospital Revenue Code	278
Min. Negotiated Rate	$2,709.75
Max. Negotiated Rate	$4,371.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,613.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,371.73
Rate for Payer: Qualcare PPO/HMO/WC	$2,709.75

CORETRAX HEX DRIVE 3.5 mm

Facility

IP

$555.00

Hospital Charge Code	270680475
Hospital Revenue Code	272
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$83.25
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

CORETRAX HEX DRIVE 3.5 mm

Facility

OP

$555.00

Hospital Charge Code	270680475
Hospital Revenue Code	272
Min. Negotiated Rate	$15.76
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$210.90
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.30
Rate for Payer: Oxford Commercial	$111.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Commercial	$111.00
Rate for Payer: UnitedHealthcare Community & State	$17.54
Rate for Payer: Wellpoint Medicaid Managed Care	$15.76

CORE US BIOPSY NEEDLE

Facility

OP

$533.00

Hospital Charge Code	270325614
Hospital Revenue Code	272
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$266.50
Rate for Payer: Aetna Commercial	$202.54
Rate for Payer: Aetna Medicare Advantage	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.91
Rate for Payer: Cigna Commercial	$266.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.58
Rate for Payer: Oxford Commercial	$106.60
Rate for Payer: Qualcare PPO/HMO/WC	$79.95
Rate for Payer: UnitedHealthcare Commercial	$106.60
Rate for Payer: UnitedHealthcare Community & State	$16.84
Rate for Payer: Wellpoint Medicaid Managed Care	$15.14

CORE US BIOPSY NEEDLE

Facility

IP

$533.00

Hospital Charge Code	270325614
Hospital Revenue Code	272
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$79.95
Rate for Payer: Qualcare PPO/HMO/WC	$79.95

CORGARD/120MG/TAB

Facility

OP

$26.60

Service Code	NDC 378117101
Hospital Charge Code	60632744
Hospital Revenue Code	250
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$13.30
Rate for Payer: Aetna Commercial	$10.11
Rate for Payer: Aetna Medicare Advantage	$7.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.78
Rate for Payer: Cigna Commercial	$13.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Oxford Commercial	$5.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.99
Rate for Payer: UnitedHealthcare Commercial	$5.32
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.76

CORGARD/120MG/TAB

Facility

IP

$26.60

Service Code	NDC 378117101
Hospital Charge Code	60632744
Hospital Revenue Code	250
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$3.99
Rate for Payer: Qualcare PPO/HMO/WC	$3.99

CORGARD/80MG/TAB

Facility

OP

$9.72

Service Code	NDC 27505010201
Hospital Charge Code	60632745
Hospital Revenue Code	250
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$4.86
Rate for Payer: Aetna Commercial	$3.69
Rate for Payer: Aetna Medicare Advantage	$2.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.48
Rate for Payer: Cigna Commercial	$4.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.53
Rate for Payer: Oxford Commercial	$1.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

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