Does CarePoint Health-Hoboken University Medical Center have an emergency room?

Medicare (CMS) data does not list emergency services at CarePoint Health-Hoboken University Medical Center. The closest hospitals that do: Jersey City Medical Center (1.9 mi), VA New York Harbor Healthcare System - NY Div. (2.9 mi) and Bellevue Hospital Center (3.0 mi). In a medical emergency, call 911.

What is the phone number of CarePoint Health-Hoboken University Medical Center?

(201) 418-1000, as listed by Medicare (CMS).

What is the Medicare star rating of CarePoint Health-Hoboken University Medical Center?

1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

CarePoint Health-Hoboken University Medical Center

Quick answers

Does CarePoint Health-Hoboken University Medical Center have an emergency room?: Medicare (CMS) data does not list emergency services at CarePoint Health-Hoboken University Medical Center. The closest hospitals that do: Jersey City Medical Center (1.9 mi), VA New York Harbor Healthcare System - NY Div. (2.9 mi) and Bellevue Hospital Center (3.0 mi). In a medical emergency, call 911.
Where is CarePoint Health-Hoboken University Medical Center?: 308 Willow Ave, Hoboken, NJ 07030, in Hudson County, New Jersey.
What is the phone number of CarePoint Health-Hoboken University Medical Center?: (201) 418-1000, as listed by Medicare (CMS).
What is the Medicare star rating of CarePoint Health-Hoboken University Medical Center?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Conditions treated^[5]

Treatments^[5]

Chemotherapy (infusion center)
Subcutaneous and intravenous injection
Therapeutic phlebotomy
Outpatient phlebotomy

Procedures^[5]

Port flush

Programs and centers^[5]

Hoboken University Hospital Infusion Center

Visiting and practical information

Patient portal	Patient Portal

Doctors and clinicians (186)

186 doctors and other clinicians list CarePoint Health-Hoboken University Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 162 more: the button below opens the full list.

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Jersey City Medical Center1.9 mi · Jersey City, NJ · Acute Care Hospital
VA New York Harbor Healthcare System - NY Div.2.9 mi · New York, NY · Federal/VA Acute Care Hospital
Bellevue Hospital Center3.0 mi · New York, NY · Acute Care Hospital
NYU Langone Hospitals3.1 mi · New York, NY · Acute Care Hospital
Mount Sinai West3.1 mi · New York, NY · Acute Care Hospital

Other hospitals nearby

NY Eye and Ear Infirmary of Mount Sinai2.6 mi · New York, NY · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Hoboken University Medical Center TCU0.0 mi · Hoboken, NJ · 5 of 5 stars
Optima Care Harborview0.6 mi · Jersey City, NJ · 3 of 5 stars
Alaris Health at Hamilton Park1.1 mi · Jersey City, NJ · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Vnsny Hospice and Palliative Care3.3 mi · New York, NY · 2 of 5 stars
Bayada Hospice3.7 mi · North Bergen, NJ · 3 of 5 stars
Hospice of New York, LLC4.9 mi · Long Island City, NY · 2 of 5 stars

All hospice providers in the state →

Home health agencies

VNS of NY Home Care Chha3.3 mi · New York, NY · 5 of 5 stars
Promise Care NJ3.4 mi · West New York, NJ
HHC Health and Home Care3.6 mi · New York, NY

All home health agencies in the state →

Dialysis facilities

Alaris Health Dialysis at Hamilton Park1.6 mi · Jersey City, NJ · 1 of 5 stars
DaVita Jersey City Grand Home at Home1.6 mi · Jersey City, NJ
Fresenius Kidney Care Southern Manhattan Dialysis Center1.7 mi · New York, NY · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Greenwich Village Ambulatory Surgery Center, LLC1.7 mi · New York, NY
Ambulatory Pain and Disability Management Center LLC2.0 mi · Jersey City, NJ
Surgicore of Jersey City, LLC2.0 mi · Jersey City, NJ

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

North Hudson Community Action Corporation Health Center @ Jersey City0.7 mi · Jersey City, NJ · Community health center
Alliance Community Healthcare, Inc.1.6 mi · Jersey City, NJ · Community health center
Callen Lorde Community Health Center1.6 mi · New York, NY · Community health center

Clinics and urgent care

City Medical of New Jersey, PC0.4 mi · Hoboken, NJ · Urgent care center
Hackensack Meridian Urgent Care Plus PC0.4 mi · Hoboken, NJ · Urgent care center
Locals Urgent Care1.3 mi · Jersey City, NJ · Urgent care center

Pharmacies

Albini Pharmacy Inc0.4 mi · Hoboken, NJ · Community/retail pharmacy
Avon RX Inc0.4 mi · Hoboken, NJ · Community/retail pharmacy
Health Fair RX Inc0.4 mi · Hoboken, NJ · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Frederic Fleming Residence1.7 mi · New York, NY
Coterie Hudson Yards2.0 mi · New York, NY
VillageCare at 46 and Ten2.6 mi · New York, NY
NY Found-Sr Citizens EHP#4 Ridge Street Gardens3.0 mi · New York, NY

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What CarePoint Health-Hoboken University Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	48%National average: 72%
Would definitely recommend the hospital	50%National average: 71%
Nurses “always” communicated well	71%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	79%National average: 86%
Room and bathroom “always” clean	54%National average: 74%
Area around the room “always” quiet at night	45%National average: 60%
Completed surveys	140Response rate: 7%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.738No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	11.6%
Deaths within 30 days: pneumonia patients	13.8%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	12.6%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.43No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.1%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	20.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	222 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	76%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in New Jersey Best hospitals in New Jersey

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as CarePoint Health-Hoboken University Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 4 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEV 3 >=30 MINS	$450	Not listed in the file	$12.78 – $225
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $171 Aetna — Medicare Advantage: $135 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $114.75 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $114.75 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $77.09 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $114.75 Cigna — Commercial: $225 MagnaCare — PPO/Direct Plus/Exchange/WC: $117 Qualcare — PPO/HMO/WC: $67.50 UnitedHealthcare — Community & State: $14.22
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PERI OV-NEW-INTERMEDIATE	$828.80	Not listed in the file	$23.54 – $414.40
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — Commercial: $314.94 Aetna — Medicare Advantage: $248.64 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $211.34 Cigna — Commercial: $414.40 MagnaCare — PPO/Direct Plus/Exchange/WC: $215.49 Qualcare — PPO/HMO/WC: $124.32 UnitedHealthcare — Community & State: $26.19 Wellpoint — Medicaid Managed Care: $23.54
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLN SURG OV NP DETAILED	$828.80	Not listed in the file	$23.54 – $414.40
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — Commercial: $314.94 Aetna — Medicare Advantage: $248.64 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $211.34 Cigna — Commercial: $414.40 MagnaCare — PPO/Direct Plus/Exchange/WC: $215.49 Qualcare — PPO/HMO/WC: $124.32 UnitedHealthcare — Community & State: $26.19 Wellpoint — Medicaid Managed Care: $23.54
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEV 4 >=45 MINS	$550	Not listed in the file	$15.62 – $275
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $209 Aetna — Medicare Advantage: $165 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $140.25 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $140.25 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $114.66 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $140.25 Cigna — Commercial: $275 MagnaCare — PPO/Direct Plus/Exchange/WC: $143 Qualcare — PPO/HMO/WC: $82.50 UnitedHealthcare — Community & State: $17.38
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PERI OV-NEW-EXTENDED	$1,068.20	Not listed in the file	$30.34 – $534.10
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — Commercial: $405.92 Aetna — Medicare Advantage: $320.46 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $272.39 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $272.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $272.39 Cigna — Commercial: $534.10 MagnaCare — PPO/Direct Plus/Exchange/WC: $277.73 Qualcare — PPO/HMO/WC: $160.23 UnitedHealthcare — Community & State: $33.76 Wellpoint — Medicaid Managed Care: $30.34
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLN SURG OV NP COMPREHENSIVE	$1,068.20	Not listed in the file	$30.34 – $534.10
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — Commercial: $405.92 Aetna — Medicare Advantage: $320.46 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $272.39 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $272.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $272.39 Cigna — Commercial: $534.10 MagnaCare — PPO/Direct Plus/Exchange/WC: $277.73 Qualcare — PPO/HMO/WC: $160.23 UnitedHealthcare — Community & State: $33.76 Wellpoint — Medicaid Managed Care: $30.34
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEV 5 >=60 MINS	$600	Not listed in the file	$17.04 – $300
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $228 Aetna — Medicare Advantage: $180 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $153 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $153 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $151.22 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $153 Cigna — Commercial: $300 MagnaCare — PPO/Direct Plus/Exchange/WC: $156 Qualcare — PPO/HMO/WC: $90 UnitedHealthcare — Community & State: $18.96
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLN SURG OV NP COMPLEX	$1,003	Not listed in the file	$28.49 – $501.50
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — Commercial: $381.14 Aetna — Medicare Advantage: $300.90 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $255.76 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $255.76 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $255.76 Cigna — Commercial: $501.50 MagnaCare — PPO/Direct Plus/Exchange/WC: $260.78 Qualcare — PPO/HMO/WC: $150.45 UnitedHealthcare — Community & State: $31.69 Wellpoint — Medicaid Managed Care: $28.49
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CFH WC NP OV E&M COMPLEX	$1,003	Not listed in the file	$28.49 – $501.50
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — Commercial: $381.14 Aetna — Medicare Advantage: $300.90 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $255.76 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $255.76 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $255.76 Cigna — Commercial: $501.50 MagnaCare — PPO/Direct Plus/Exchange/WC: $260.78 Qualcare — PPO/HMO/WC: $150.45 UnitedHealthcare — Community & State: $31.69 Wellpoint — Medicaid Managed Care: $28.49
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTAB PATIENT LEV 3 >=20 MINS	$450	Not listed in the file	$12.78 – $225
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $171 Aetna — Medicare Advantage: $135 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $114.75 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $114.75 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $97.92 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $114.75 Cigna — Commercial: $225 MagnaCare — PPO/Direct Plus/Exchange/WC: $117 Qualcare — PPO/HMO/WC: $67.50 UnitedHealthcare — Community & State: $14.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OV-ESTABLISHED-INTERMEDIATE	$655.20	Not listed in the file	$18.61 – $327.60
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Commercial: $248.98 Aetna — Medicare Advantage: $196.56 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $167.08 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $167.08 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $167.08 Cigna — Commercial: $327.60 MagnaCare — PPO/Direct Plus/Exchange/WC: $170.35 Qualcare — PPO/HMO/WC: $98.28 UnitedHealthcare — Community & State: $20.70 Wellpoint — Medicaid Managed Care: $18.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PM-UR OV EP EXPANDED PROB FOCU	$655.20	Not listed in the file	$18.61 – $327.60
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Commercial: $248.98 Aetna — Medicare Advantage: $196.56 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $167.08 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $167.08 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $167.08 Cigna — Commercial: $327.60 MagnaCare — PPO/Direct Plus/Exchange/WC: $170.35 Qualcare — PPO/HMO/WC: $98.28 UnitedHealthcare — Community & State: $20.70 Wellpoint — Medicaid Managed Care: $18.61
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTAB PATIENT LEV 4 >=30 MINS	$550	Not listed in the file	$15.62 – $275
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $209 Aetna — Medicare Advantage: $165 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $140.25 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $140.25 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $143.82 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $140.25 Cigna — Commercial: $275 MagnaCare — PPO/Direct Plus/Exchange/WC: $143 Qualcare — PPO/HMO/WC: $82.50 UnitedHealthcare — Community & State: $17.38
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLN OV EP DETAILED	$828.80	Not listed in the file	$23.54 – $414.40
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Commercial: $314.94 Aetna — Medicare Advantage: $248.64 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $211.34 Cigna — Commercial: $414.40 MagnaCare — PPO/Direct Plus/Exchange/WC: $215.49 Qualcare — PPO/HMO/WC: $124.32 UnitedHealthcare — Community & State: $26.19 Wellpoint — Medicaid Managed Care: $23.54
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OV-ESTABLISHED-EXTENDED	$828.80	Not listed in the file	$23.54 – $414.40
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Commercial: $314.94 Aetna — Medicare Advantage: $248.64 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $211.34 Cigna — Commercial: $414.40 MagnaCare — PPO/Direct Plus/Exchange/WC: $215.49 Qualcare — PPO/HMO/WC: $124.32 UnitedHealthcare — Community & State: $26.19 Wellpoint — Medicaid Managed Care: $23.54
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC LEVEL 3 OUTPATIENT CONSULT	$245.50	Not listed in the file	$6.97 – $122.75
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Commercial: $93.29 Aetna — Medicare Advantage: $73.65 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $62.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $62.60 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $62.60 Cigna — Commercial: $122.75 MagnaCare — PPO/Direct Plus/Exchange/WC: $63.83 Qualcare — PPO/HMO/WC: $36.83 UnitedHealthcare — Community & State: $7.76 Wellpoint — Medicaid Managed Care: $6.97
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT DETAILED	$245.50	Not listed in the file	$6.97 – $122.75
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Commercial: $93.29 Aetna — Medicare Advantage: $73.65 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $62.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $62.60 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $62.60 Cigna — Commercial: $122.75 MagnaCare — PPO/Direct Plus/Exchange/WC: $63.83 Qualcare — PPO/HMO/WC: $36.83 UnitedHealthcare — Community & State: $7.76 Wellpoint — Medicaid Managed Care: $6.97
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 3 OUTPATIENT CONSULT	$828.80	Not listed in the file	$23.54 – $414.40
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Commercial: $314.94 Aetna — Medicare Advantage: $248.64 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $211.34 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $211.34 Cigna — Commercial: $414.40 MagnaCare — PPO/Direct Plus/Exchange/WC: $215.49 Qualcare — PPO/HMO/WC: $124.32 UnitedHealthcare — Community & State: $26.19 Wellpoint — Medicaid Managed Care: $23.54
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WC LEVEL 4 OUTPATIENT CONSULT	$348.50	Not listed in the file	$9.90 – $174.25
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Commercial: $132.43 Aetna — Medicare Advantage: $104.55 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $88.87 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $88.87 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $88.87 Cigna — Commercial: $174.25 MagnaCare — PPO/Direct Plus/Exchange/WC: $90.61 Qualcare — PPO/HMO/WC: $52.27 UnitedHealthcare — Community & State: $11.01 Wellpoint — Medicaid Managed Care: $9.90
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT COMPREHENSIVE	$1,160.60	Not listed in the file	$32.96 – $580.30
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Commercial: $441.03 Aetna — Medicare Advantage: $348.18 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $295.95 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $295.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $295.95 Cigna — Commercial: $580.30 MagnaCare — PPO/Direct Plus/Exchange/WC: $301.76 Qualcare — PPO/HMO/WC: $174.09 UnitedHealthcare — Community & State: $36.67 Wellpoint — Medicaid Managed Care: $32.96
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT REFERRED-EXTENSIVE	$1,160.60	Not listed in the file	$32.96 – $580.30
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Commercial: $441.03 Aetna — Medicare Advantage: $348.18 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $295.95 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $295.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $295.95 Cigna — Commercial: $580.30 MagnaCare — PPO/Direct Plus/Exchange/WC: $301.76 Qualcare — PPO/HMO/WC: $174.09 UnitedHealthcare — Community & State: $36.67 Wellpoint — Medicaid Managed Care: $32.96
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CFH WELLNESS NEW PT 18-39 YRS	$92	Not listed in the file	$2.61 – $46
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans Aetna — Commercial: $34.96 Aetna — Medicare Advantage: $27.60 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $23.46 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $23.46 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $23.46 Cigna — Commercial: $46 MagnaCare — PPO/Direct Plus/Exchange/WC: $23.92 Qualcare — PPO/HMO/WC: $13.80 UnitedHealthcare — Community & State: $2.91 Wellpoint — Medicaid Managed Care: $2.61
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TCM PREVNTVE NEW PT 18-39 YRS	$175	Not listed in the file	$4.97 – $87.50
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans Aetna — Commercial: $66.50 Aetna — Medicare Advantage: $52.50 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $44.62 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $44.62 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $44.62 Cigna — Commercial: $87.50 MagnaCare — PPO/Direct Plus/Exchange/WC: $45.50 Qualcare — PPO/HMO/WC: $26.25 UnitedHealthcare — Community & State: $5.53 Wellpoint — Medicaid Managed Care: $4.97
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CFH WELLNESS NEW PT 18-39 YRS	$92	Not listed in the file	$13.80
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $13.80
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CFH WELLNESS NEW PT 40-64 YRS	$126	Not listed in the file	$3.58 – $63
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans Aetna — Commercial: $47.88 Aetna — Medicare Advantage: $37.80 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $32.13 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $32.13 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $32.13 Cigna — Commercial: $63 MagnaCare — PPO/Direct Plus/Exchange/WC: $32.76 Qualcare — PPO/HMO/WC: $18.90 UnitedHealthcare — Community & State: $3.98 Wellpoint — Medicaid Managed Care: $3.58
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TCM PREVNTVE NEW PT 40-64 YRS	$175	Not listed in the file	$4.97 – $87.50
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans Aetna — Commercial: $66.50 Aetna — Medicare Advantage: $52.50 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $44.62 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $44.62 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $44.62 Cigna — Commercial: $87.50 MagnaCare — PPO/Direct Plus/Exchange/WC: $45.50 Qualcare — PPO/HMO/WC: $26.25 UnitedHealthcare — Community & State: $5.53 Wellpoint — Medicaid Managed Care: $4.97
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CFH WELLNESS NEW PT 40-64 YRS	$126	Not listed in the file	$18.90
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $18.90
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER INTERMEDIATE - III W/O MF	$5,991	Not listed in the file	$140 – $2,638
Emergency room visit (moderate): 10 of 22 insurance plan rates Aetna — Commercial: $882.10 Aetna — Medicare Advantage: $1,050.73 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,176.40 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,176.40 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $324.30 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $485 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,176.40 Cigna — Commercial: $650.06 Cigna — Medicare Advantage: $324.30 Clover — Medicare Advantage: $308.08
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER INTERMEDIATE - III	$13,269.54	Not listed in the file	$140 – $2,638
Emergency room visit (moderate): 10 of 22 insurance plan rates Aetna — Commercial: $882.10 Aetna — Medicare Advantage: $1,050.73 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,176.40 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,176.40 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $324.30 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $485 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,176.40 Cigna — Commercial: $650.06 Cigna — Medicare Advantage: $324.30 Clover — Medicare Advantage: $308.08
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: CFH FP ER MODERATE SEVERITY	$237	Not listed in the file	$45.12 – $195.47
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $69.36 Aetna — Medicare Advantage: $54.33 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $195.47 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $195.47 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $195.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $195.47 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $195.47 Cigna — Commercial: $155.45 Cigna — Medicare Advantage: $155.45 Clover — Medicare Advantage: $72.21
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER EXTENDED - IV W/O MF	$6,586	Not listed in the file	$140 – $3,833
Emergency room visit (moderately high): 10 of 22 insurance plan rates Aetna — Commercial: $1,348.36 Aetna — Medicare Advantage: $1,606.13 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,798.22 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,798.22 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $495.72 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $620 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,798.22 Cigna — Commercial: $993.68 Cigna — Medicare Advantage: $495.72 Clover — Medicare Advantage: $470.93
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER EXTENDED - IV	$14,610.29	Not listed in the file	$140 – $3,833
Emergency room visit (moderately high): 10 of 22 insurance plan rates Aetna — Commercial: $1,348.36 Aetna — Medicare Advantage: $1,606.13 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,798.22 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,798.22 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $495.72 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $620 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,798.22 Cigna — Commercial: $993.68 Cigna — Medicare Advantage: $495.72 Clover — Medicare Advantage: $470.93
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: CFH FP ER HIGH SEVERITY	$369	Not listed in the file	$77.06 – $368.37
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Commercial: $129.98 Aetna — Medicare Advantage: $124.66 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $368.37 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $368.37 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $368.37 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $368.37 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $368.37 Cigna — Commercial: $263.84 Cigna — Medicare Advantage: $263.84 Clover — Medicare Advantage: $123.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER COMPREHENSIVE - V W/O MF	$21,654.71	Not listed in the file	$140 – $3,833
Emergency room visit (high): 10 of 22 insurance plan rates Aetna — Commercial: $1,924.43 Aetna — Medicare Advantage: $2,292.33 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $2,566.49 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $2,566.49 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $707.51 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $766 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $2,566.49 Cigna — Commercial: $1,418.20 Cigna — Medicare Advantage: $707.51 Clover — Medicare Advantage: $672.13
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER COMPREHENSIVE - V	$21,839.90	Not listed in the file	$140 – $3,833
Emergency room visit (high): 10 of 22 insurance plan rates Aetna — Commercial: $1,924.43 Aetna — Medicare Advantage: $2,292.33 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $2,566.49 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $2,566.49 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $707.51 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $766 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $2,566.49 Cigna — Commercial: $1,418.20 Cigna — Medicare Advantage: $707.51 Clover — Medicare Advantage: $672.13
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: FP ER HIGH COMPLEXITY/SEVERITY	$544	Not listed in the file	$178.33 – $539.05
Emergency room visit (high): rates for 7 insurance plans Aetna — Medicare Advantage: $178.33 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $539.05 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $539.05 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $539.05 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $539.05 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $539.05 Clover — Medicare Advantage: $178.33

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PROFILE	$697.90	Not listed in the file	$6.77 – $348.95
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Aetna — Commercial: $23.01 Aetna — Medicare Advantage: $27.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $30.69 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $30.69 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.46 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $15.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $30.69 Cigna — Commercial: $348.95 Cigna — Medicare Advantage: $8.46 Clover — Medicare Advantage: $8.04
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC	$365.40	Not listed in the file	$6.77 – $182.70
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Aetna — Commercial: $23.01 Aetna — Medicare Advantage: $27.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $30.69 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $30.69 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.46 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $15.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $30.69 Cigna — Commercial: $182.70 Cigna — Medicare Advantage: $8.46 Clover — Medicare Advantage: $8.04
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PROFILE	$697.90	Not listed in the file	$104.69
Basic metabolic panel (blood test): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $104.69
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PROFIL	$1,406.54	Not listed in the file	$8.45 – $703.27
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Aetna — Commercial: $28.72 Aetna — Medicare Advantage: $34.21 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $38.31 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $38.31 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $10.56 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $23.76 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $38.31 Cigna — Commercial: $703.27 Cigna — Medicare Advantage: $10.56 Clover — Medicare Advantage: $10.03
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$789.60	Not listed in the file	$8.45 – $394.80
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Aetna — Commercial: $28.72 Aetna — Medicare Advantage: $34.21 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $38.31 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $38.31 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $10.56 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $23.76 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $38.31 Cigna — Commercial: $394.80 Cigna — Medicare Advantage: $10.56 Clover — Medicare Advantage: $10.03
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PROFIL	$1,406.54	Not listed in the file	$210.98
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $210.98
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$105	Not listed in the file	$2.98 – $173.43
Obstetric blood test panel: 10 of 21 insurance plan rates Aetna — Commercial: $130.04 Aetna — Medicare Advantage: $154.90 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $173.43 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $173.43 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $47.81 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $24.75 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $173.43 Cigna — Commercial: $52.50 Cigna — Medicare Advantage: $47.81 Clover — Medicare Advantage: $45.42
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$105	Not listed in the file	$15.75
Obstetric blood test panel: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $15.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE PANEL	$1,475.31	Not listed in the file	$10.71 – $737.65
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Aetna — Commercial: $36.42 Aetna — Medicare Advantage: $43.38 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $48.57 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $48.57 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $13.39 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $24.75 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $48.57 Cigna — Commercial: $737.65 Cigna — Medicare Advantage: $13.39 Clover — Medicare Advantage: $12.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID	$758.80	Not listed in the file	$10.71 – $379.40
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Aetna — Commercial: $36.42 Aetna — Medicare Advantage: $43.38 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $48.57 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $48.57 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $13.39 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $24.75 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $48.57 Cigna — Commercial: $379.40 Cigna — Medicare Advantage: $13.39 Clover — Medicare Advantage: $12.72
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE PANEL	$1,475.31	Not listed in the file	$221.30
Cholesterol panel (lipid panel): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $221.30
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PROFILE	$390	Not listed in the file	$6.94 – $195
Kidney function panel: 10 of 21 insurance plan rates Aetna — Commercial: $23.61 Aetna — Medicare Advantage: $28.12 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $31.49 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $31.49 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.68 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $8.12 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $31.49 Cigna — Commercial: $195 Cigna — Medicare Advantage: $8.68 Clover — Medicare Advantage: $8.25
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$61	Not listed in the file	$1.73 – $156
Kidney function panel: 10 of 21 insurance plan rates Aetna — Commercial: $23.61 Aetna — Medicare Advantage: $28.12 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $31.49 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $31.49 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.68 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $8.12 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $31.49 Cigna — Commercial: $30.50 Cigna — Medicare Advantage: $8.68 Clover — Medicare Advantage: $8.25
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PROFILE	$390	Not listed in the file	$58.50
Kidney function panel: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $58.50
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PROFILE	$1,189.30	Not listed in the file	$6.54 – $594.65
Liver function panel: 10 of 21 insurance plan rates Aetna — Commercial: $22.22 Aetna — Medicare Advantage: $26.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $29.64 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $29.64 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.17 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $11.55 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $29.64 Cigna — Commercial: $594.65 Cigna — Medicare Advantage: $8.17 Clover — Medicare Advantage: $7.76
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION A	$653.80	Not listed in the file	$6.54 – $326.90
Liver function panel: 10 of 21 insurance plan rates Aetna — Commercial: $22.22 Aetna — Medicare Advantage: $26.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $29.64 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $29.64 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.17 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $11.55 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $29.64 Cigna — Commercial: $326.90 Cigna — Medicare Advantage: $8.17 Clover — Medicare Advantage: $7.76
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PROFILE	$1,189.30	Not listed in the file	$178.40
Liver function panel: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $178.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO WITH MICRO	$462	Not listed in the file	$2.54 – $231
Urine test (automated, with microscope): 10 of 21 insurance plan rates Aetna — Commercial: $8.62 Aetna — Medicare Advantage: $10.27 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $11.50 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $11.50 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.17 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3.60 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $11.50 Cigna — Commercial: $231 Cigna — Medicare Advantage: $3.17 Clover — Medicare Advantage: $3.01
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CH URINALYSIS ROUTINE	$790.84	Not listed in the file	$2.54 – $395.42
Urine test (automated, with microscope): 10 of 21 insurance plan rates Aetna — Commercial: $8.62 Aetna — Medicare Advantage: $10.27 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $11.50 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $11.50 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.17 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3.60 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $11.50 Cigna — Commercial: $395.42 Cigna — Medicare Advantage: $3.17 Clover — Medicare Advantage: $3.01
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO WITH MICRO	$462	Not listed in the file	$69.30
Urine test (automated, with microscope): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $69.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPECIFIC GRAVITY, URINE	$390	Not listed in the file	$1.65 – $195
Urine test (manual, without microscope): 10 of 21 insurance plan rates Aetna — Commercial: $9.47 Aetna — Medicare Advantage: $11.28 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $12.62 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $12.62 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.48 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $1.65 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $12.62 Cigna — Commercial: $195 Cigna — Medicare Advantage: $3.48 Clover — Medicare Advantage: $3.31
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP STICK	$390	Not listed in the file	$1.65 – $195
Urine test (manual, without microscope): 10 of 21 insurance plan rates Aetna — Commercial: $9.47 Aetna — Medicare Advantage: $11.28 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $12.62 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $12.62 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.48 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $1.65 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $12.62 Cigna — Commercial: $195 Cigna — Medicare Advantage: $3.48 Clover — Medicare Advantage: $3.31
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINLYSIS DIP STICK/TAB REAGEN	$18	Not listed in the file	$0.51 – $156
Urine test (manual, without microscope): 10 of 21 insurance plan rates Aetna — Commercial: $9.47 Aetna — Medicare Advantage: $11.28 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $12.62 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $12.62 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.48 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $1.65 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $12.62 Cigna — Commercial: $9 Cigna — Medicare Advantage: $3.48 Clover — Medicare Advantage: $3.31
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, ROUTINE	$655.28	Not listed in the file	$1.80 – $327.64
Urine test (automated, without microscope): 10 of 21 insurance plan rates Aetna — Commercial: $6.12 Aetna — Medicare Advantage: $7.29 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $8.16 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $8.16 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2.25 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $2.48 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $8.16 Cigna — Commercial: $327.64 Cigna — Medicare Advantage: $2.25 Clover — Medicare Advantage: $2.14
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PH URINE	$390	Not listed in the file	$1.80 – $195
Urine test (automated, without microscope): 10 of 21 insurance plan rates Aetna — Commercial: $6.12 Aetna — Medicare Advantage: $7.29 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $8.16 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $8.16 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2.25 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $2.48 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $8.16 Cigna — Commercial: $195 Cigna — Medicare Advantage: $2.25 Clover — Medicare Advantage: $2.14
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO W/O MICRO	$253.40	Not listed in the file	$1.80 – $156
Urine test (automated, without microscope): 10 of 21 insurance plan rates Aetna — Commercial: $6.12 Aetna — Medicare Advantage: $7.29 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $8.16 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $8.16 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2.25 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $2.48 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $8.16 Cigna — Commercial: $126.70 Cigna — Medicare Advantage: $2.25 Clover — Medicare Advantage: $2.14
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIF ANTIGEN	$390	Not listed in the file	$11.08 – $195
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Aetna — Commercial: $50.02 Aetna — Medicare Advantage: $59.58 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $66.71 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $66.71 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $18.39 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $40.42 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $66.71 Cigna — Commercial: $195 Cigna — Medicare Advantage: $18.39 Clover — Medicare Advantage: $17.47
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC TOTAL	$667.59	Not listed in the file	$14.71 – $333.80
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Aetna — Commercial: $50.02 Aetna — Medicare Advantage: $59.58 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $66.71 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $66.71 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $18.39 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $40.42 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $66.71 Cigna — Commercial: $333.80 Cigna — Medicare Advantage: $18.39 Clover — Medicare Advantage: $17.47
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE-SPECIFIC ANTIGEN,TOTA	$281	Not listed in the file	$7.98 – $156
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Aetna — Commercial: $50.02 Aetna — Medicare Advantage: $59.58 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $66.71 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $66.71 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $18.39 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $40.42 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $66.71 Cigna — Commercial: $140.50 Cigna — Medicare Advantage: $18.39 Clover — Medicare Advantage: $17.47
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$1,507.69	Not listed in the file	$13.44 – $753.85
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna — Commercial: $45.70 Aetna — Medicare Advantage: $54.43 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $60.94 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $60.94 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $16.80 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $41.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $60.94 Cigna — Commercial: $753.85 Cigna — Medicare Advantage: $16.80 Clover — Medicare Advantage: $15.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chronic Uticaria panel A	$390	Not listed in the file	$11.08 – $195
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna — Commercial: $45.70 Aetna — Medicare Advantage: $54.43 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $60.94 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $60.94 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $16.80 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $41.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $60.94 Cigna — Commercial: $195 Cigna — Medicare Advantage: $16.80 Clover — Medicare Advantage: $15.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$115.50	Not listed in the file	$3.28 – $156
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna — Commercial: $45.70 Aetna — Medicare Advantage: $54.43 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $60.94 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $60.94 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $16.80 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $41.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $60.94 Cigna — Commercial: $57.75 Cigna — Medicare Advantage: $16.80 Clover — Medicare Advantage: $15.96
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT (CBC)	$861.62	Not listed in the file	$6.22 – $430.81
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Aetna — Commercial: $21.13 Aetna — Medicare Advantage: $25.17 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $28.19 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $28.19 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $7.77 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $8.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $28.19 Cigna — Commercial: $430.81 Cigna — Medicare Advantage: $7.77 Clover — Medicare Advantage: $7.38
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFFERNTIAL	$449.40	Not listed in the file	$6.22 – $224.70
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Aetna — Commercial: $21.13 Aetna — Medicare Advantage: $25.17 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $28.19 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $28.19 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $7.77 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $8.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $28.19 Cigna — Commercial: $224.70 Cigna — Medicare Advantage: $7.77 Clover — Medicare Advantage: $7.38
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT (CBC)	$861.62	Not listed in the file	$129.24
Complete blood count (CBC) with differential: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $129.24
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC (NO DIFF)	$667.59	Not listed in the file	$5.18 – $333.80
Complete blood count (CBC), automated: 10 of 21 insurance plan rates Aetna — Commercial: $17.60 Aetna — Medicare Advantage: $20.96 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $23.47 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $23.47 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $7.92 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $23.47 Cigna — Commercial: $333.80 Cigna — Medicare Advantage: $6.47 Clover — Medicare Advantage: $6.15
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/O DIFFERENTIAL	$183	Not listed in the file	$5.18 – $156
Complete blood count (CBC), automated: 10 of 21 insurance plan rates Aetna — Commercial: $17.60 Aetna — Medicare Advantage: $20.96 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $23.47 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $23.47 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $7.92 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $23.47 Cigna — Commercial: $91.50 Cigna — Medicare Advantage: $6.47 Clover — Medicare Advantage: $6.15
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC (NO DIFF)	$667.59	Not listed in the file	$100.14
Complete blood count (CBC), automated: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $100.14
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME (PT)	$661.89	Not listed in the file	$3.43 – $330.94
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Aetna — Commercial: $11.67 Aetna — Medicare Advantage: $13.90 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $15.56 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $15.56 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4.29 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $4.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $15.56 Cigna — Commercial: $330.94 Cigna — Medicare Advantage: $4.29 Clover — Medicare Advantage: $4.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT)	$176.40	Not listed in the file	$3.43 – $156
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Aetna — Commercial: $11.67 Aetna — Medicare Advantage: $13.90 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $15.56 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $15.56 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4.29 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $4.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $15.56 Cigna — Commercial: $88.20 Cigna — Medicare Advantage: $4.29 Clover — Medicare Advantage: $4.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CFH INR STRIP	$176.40	Not listed in the file	$3.43 – $156
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Aetna — Commercial: $11.67 Aetna — Medicare Advantage: $13.90 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $15.56 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $15.56 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4.29 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $4.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $15.56 Cigna — Commercial: $88.20 Cigna — Medicare Advantage: $4.29 Clover — Medicare Advantage: $4.08
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PART THROMBOPLASTIN TIME (PTT)	$659.96	Not listed in the file	$4.81 – $329.98
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Aetna — Commercial: $16.35 Aetna — Medicare Advantage: $19.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $21.80 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $21.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.01 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $4.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $21.80 Cigna — Commercial: $329.98 Cigna — Medicare Advantage: $6.01 Clover — Medicare Advantage: $5.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT MIXING STUDIES II	$390	Not listed in the file	$4.81 – $195
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Aetna — Commercial: $16.35 Aetna — Medicare Advantage: $19.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $21.80 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $21.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.01 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $4.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $21.80 Cigna — Commercial: $195 Cigna — Medicare Advantage: $6.01 Clover — Medicare Advantage: $5.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VON WILLEBRAND COMP PANEL V	$390	Not listed in the file	$4.81 – $195
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Aetna — Commercial: $16.35 Aetna — Medicare Advantage: $19.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $21.80 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $21.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.01 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $4.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $21.80 Cigna — Commercial: $195 Cigna — Medicare Advantage: $6.01 Clover — Medicare Advantage: $5.71

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEAD W/O CONTR	$9,500	Not listed in the file	$86.94 – $3,916
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $226.88 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $86.94 Clover — Medicare Advantage: $117.99
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEAD W/O CONTR	$9,500	Not listed in the file	$1,425
CT scan of the head or brain, without contrast: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,425
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/O & W CONTRAST	$13,500	Not listed in the file	$383.40 – $6,130
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna — Commercial: $1,127.36 Aetna — Medicare Advantage: $1,342.88 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,503.49 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,503.49 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $414.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $897.75 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,503.49 Cigna — Commercial: $830.80 Cigna — Medicare Advantage: $414.47 Clover — Medicare Advantage: $393.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/STEM WO/W CON	$13,500	Not listed in the file	$383.40 – $6,130
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna — Commercial: $1,127.36 Aetna — Medicare Advantage: $1,342.88 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,503.49 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,503.49 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $414.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $897.75 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,503.49 Cigna — Commercial: $830.80 Cigna — Medicare Advantage: $414.47 Clover — Medicare Advantage: $393.75
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/O & W CONTRAST	$13,500	Not listed in the file	$2,025
MRI of the brain, before and after contrast: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $2,025
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST TWO VIEWS	$6,439.57	Not listed in the file	$31.04 – $2,231
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna — Commercial: $281.22 Aetna — Medicare Advantage: $334.98 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $375.05 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $375.05 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $103.39 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $31.04 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $375.05 Cigna — Commercial: $207.24 Cigna — Medicare Advantage: $72.37 Clover — Medicare Advantage: $98.22
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST TWO VIEWS	$6,439.57	Not listed in the file	$965.94
Chest X-ray, 2 views: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $965.94
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBOSACRAL SPINE W/ OBLIQ	$5,151.86	Not listed in the file	$45.38 – $2,231
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $45.38 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $86.94 Clover — Medicare Advantage: $117.99
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBOSACRAL SPINE - COMP	$5,100	Not listed in the file	$45.38 – $2,231
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $45.38 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $86.94 Clover — Medicare Advantage: $117.99
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR LUMBOSACRAL SPINE W/ OBLIQ	$5,151.86	Not listed in the file	$772.78
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $772.78
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINAL LUMBAR W/O CONT	$13,500	Not listed in the file	$269.30 – $6,130
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $771.04 Aetna — Medicare Advantage: $918.44 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,028.29 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,028.29 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $283.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $544.50 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,028.29 Cigna — Commercial: $568.20 Cigna — Medicare Advantage: $283.47 Clover — Medicare Advantage: $269.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE	$13,500	Not listed in the file	$269.30 – $6,130
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $771.04 Aetna — Medicare Advantage: $918.44 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,028.29 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,028.29 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $283.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $544.50 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,028.29 Cigna — Commercial: $568.20 Cigna — Medicare Advantage: $283.47 Clover — Medicare Advantage: $269.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINAL LUMBAR W/O CONT	$13,500	Not listed in the file	$2,025
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $2,025
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST	$9,500	Not listed in the file	$145.87 – $3,916
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna — Commercial: $566.79 Aetna — Medicare Advantage: $675.15 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $755.90 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $755.90 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $208.38 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $270.75 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $755.90 Cigna — Commercial: $417.70 Cigna — Medicare Advantage: $145.87 Clover — Medicare Advantage: $197.96
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST	$9,500	Not listed in the file	$1,425
CT scan of the pelvis, with contrast: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,425
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT LOWER EXTREMITY	$13,500	Not listed in the file	$269.30 – $6,130
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna — Commercial: $771.04 Aetna — Medicare Advantage: $918.44 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,028.29 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,028.29 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $283.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $544.50 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,028.29 Cigna — Commercial: $568.20 Cigna — Medicare Advantage: $283.47 Clover — Medicare Advantage: $269.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI JOINT LOWER EXTREMITY	$13,500	Not listed in the file	$2,025
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $2,025
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABD & PELVIS W/CONTRAST	$9,500	Not listed in the file	$248.57 – $3,916
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna — Commercial: $1,127.36 Aetna — Medicare Advantage: $1,342.88 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,503.49 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,503.49 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $414.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $248.57 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,503.49 Cigna — Commercial: $830.80 Cigna — Medicare Advantage: $290.13 Clover — Medicare Advantage: $393.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABD & PELVIS W/CONTRAST	$9,500	Not listed in the file	$1,425
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,425
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN B SCAN COMPL	$6,700	Not listed in the file	$108.90 – $2,904
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $108.90 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PERI SONOGRAM ABDOMINAL	$2,499	Not listed in the file	$70.97 – $2,904
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $108.90 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONOGRAM ABDOMINAL	$2,499	Not listed in the file	$70.97 – $2,904
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $108.90 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREGN UTERUS COMPL	$6,700	Not listed in the file	$106.59 – $2,904
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $106.59 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DEL OB/US>/= 14WKS SNGL FETUS	$6,700	Not listed in the file	$106.59 – $2,904
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $106.59 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PERI OB/US>/=14 WKS SNGL FETUS	$6,700	Not listed in the file	$106.59 – $2,904
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $106.59 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PELVIS TRANSVAGINAL	$6,700	Not listed in the file	$117.99 – $2,904
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $121.61 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PERI ULTRASOUND, TRANSVAGINAL	$2,298.80	Not listed in the file	$65.29 – $2,904
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $121.61 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND, TRANSVAGINAL	$2,298.80	Not listed in the file	$65.29 – $2,904
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — Commercial: $337.82 Aetna — Medicare Advantage: $402.41 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $450.54 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $124.20 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $121.61 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $450.54 Cigna — Commercial: $248.96 Cigna — Medicare Advantage: $124.20 Clover — Medicare Advantage: $117.99
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMO UNI INC CAD	$4,500	Not listed in the file	$106.36 – $2,250
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Commercial: $1,710 Aetna — Medicare Advantage: $1,350 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,147.50 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,147.50 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $106.36 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,147.50 Cigna — Commercial: $2,250 MagnaCare — PPO/Direct Plus/Exchange/WC: $1,170 Oxford — Commercial: $1,688 Qualcare — PPO/HMO/WC: $675
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMO UNI INC CAD	$4,500	Not listed in the file	$675
Diagnostic mammogram, one breast: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $675
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMO BILAT INC CAD	$4,500	Not listed in the file	$127.80 – $2,250
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $1,710 Aetna — Medicare Advantage: $1,350 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,147.50 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,147.50 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $134.92 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,147.50 Cigna — Commercial: $2,250 MagnaCare — PPO/Direct Plus/Exchange/WC: $1,170 Oxford — Commercial: $1,688 Qualcare — PPO/HMO/WC: $675
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMO BILAT INC CAD	$4,500	Not listed in the file	$675
Diagnostic mammogram, both breasts: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $675
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMO BILAT INC CAD	$4,500	Not listed in the file	$108.90 – $2,250
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $1,710 Aetna — Medicare Advantage: $1,350 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,147.50 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,147.50 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $108.90 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,147.50 Cigna — Commercial: $2,250 MagnaCare — PPO/Direct Plus/Exchange/WC: $1,170 Oxford — Commercial: $1,688 Qualcare — PPO/HMO/WC: $675
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCREENING MAMMO BILAT INC CAD	$4,500	Not listed in the file	$675
Screening mammogram, both breasts: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $675

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FP EKG W INTERPRETATION & RPT	$114	Not listed in the file	$3.24 – $879
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates Aetna — Commercial: $43.32 Aetna — Medicare Advantage: $34.20 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $29.07 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $29.07 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $96.80 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $29.07 Cigna — Commercial: $57 MagnaCare — PPO/Direct Plus/Exchange/WC: $29.64 Oxford — Commercial: $659 Qualcare — PPO/HMO/WC: $17.10
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TCM 12 LEAD EKG W INTERP	$2,050	Not listed in the file	$58.22 – $1,025
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates Aetna — Commercial: $779 Aetna — Medicare Advantage: $615 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $522.75 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $522.75 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $96.80 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $522.75 Cigna — Commercial: $1,025 MagnaCare — PPO/Direct Plus/Exchange/WC: $533 Oxford — Commercial: $659 Qualcare — PPO/HMO/WC: $307.50
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FP EKG W INTERPRETATION & RPT	$114	Not listed in the file	$17.10
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $17.10
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HEART CATH PERC RETRO	$25,737.16	Not listed in the file	$730.94 – $13,971.32
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates Aetna — Commercial: $10,476.08 Aetna — Medicare Advantage: $12,478.86 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $13,971.32 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $13,971.32 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,851.50 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $4,213 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $13,971.32 Cigna — Commercial: $7,720.31 Cigna — Medicare Advantage: $3,851.50 Clover — Medicare Advantage: $3,658.93
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HEART CATH PERC RETRO	$25,737.16	Not listed in the file	$3,860.57
Left heart catheterization (diagnostic): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $3,860.57
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG STUDY 4 OR MORE	$40,000	Not listed in the file	$969.20 – $18,046
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna — Commercial: $2,774.97 Aetna — Medicare Advantage: $3,305.48 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,700.81 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,700.81 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,020.21 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $1,469 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,700.81 Cigna — Commercial: $2,044.99 Cigna — Medicare Advantage: $1,020.21 Clover — Medicare Advantage: $969.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG STUDY 4 OR MORE	$40,000	Not listed in the file	$6,000
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $6,000

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$394	Not listed in the file	$12.45 – $1,060
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Commercial: $149.72 Aetna — Medicare Advantage: $118.20 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.47 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.47 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $69 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.47 Cigna — Commercial: $197 MagnaCare — PPO/Direct Plus/Exchange/WC: $102.44 Oxford — Commercial: $933 Qualcare — PPO/HMO/WC: $59.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$394	Not listed in the file	$59.10
Physical therapy evaluation (low complexity): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $59.10
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCHOTX NONMD 30MIN ADULT	$750	Not listed in the file	$21.30 – $764.93
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $106.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYTX MD ADULT/30MIN MCAID	$750	Not listed in the file	$21.30 – $764.93
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $106.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYTX NONMD AD/30MIN MCAID	$750	Not listed in the file	$21.30 – $764.93
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $106.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCHOTX NONMD 45MIN ADULT	$1,500	Not listed in the file	$42.60 – $764.93
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $120.20 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCHOTX MD 45 MIN	$425	Not listed in the file	$12.07 – $764.93
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $120.20 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCHOTX NONMD 45MIN CHILD	$1,500	Not listed in the file	$42.60 – $764.93
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $120.20 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCHOTX NONMD 60MIN ADULT	$2,000	Not listed in the file	$56.80 – $764.93
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $108.31 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCHOTX MD 60 MIN	$500	Not listed in the file	$14.20 – $764.93
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $108.31 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCHOTX NONMD 60MIN CHILD	$2,000	Not listed in the file	$56.80 – $764.93
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $108.31 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY TX WO PT 50 MIN ADULT	$1,500	Not listed in the file	$42.60 – $764.93
Family psychotherapy, without the patient: 10 of 20 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $136.73 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAM SES ADLT WO PT/30MIN MCAID	$750	Not listed in the file	$21.30 – $764.93
Family psychotherapy, without the patient: 10 of 20 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $136.73 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY TX WO PT 50 MIN CHILD	$1,500	Not listed in the file	$42.60 – $764.93
Family psychotherapy, without the patient: 10 of 20 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $136.73 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY TX W PT 50 MIN ADULT	$1,500	Not listed in the file	$42.60 – $764.93
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $151.74 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAM SES ADULT W PT/30MIN MCAID	$750	Not listed in the file	$21.30 – $764.93
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $151.74 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY TX W PT 50 MIN CHILD	$1,500	Not listed in the file	$42.60 – $764.93
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Aetna — Commercial: $573.57 Aetna — Medicare Advantage: $683.22 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $764.93 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $210.87 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $151.74 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $764.93 Cigna — Commercial: $422.69 Cigna — Medicare Advantage: $210.87 Clover — Medicare Advantage: $200.33
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY ADULT	$750	Not listed in the file	$21.30 – $437.80
Group psychotherapy: 10 of 21 insurance plan rates Aetna — Commercial: $328.28 Aetna — Medicare Advantage: $391.04 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $437.80 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $437.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $120.69 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $36.62 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $437.80 Cigna — Commercial: $241.93 Cigna — Medicare Advantage: $120.69 Clover — Medicare Advantage: $114.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP ADULT OP Medicaid	$750	Not listed in the file	$21.30 – $437.80
Group psychotherapy: 10 of 21 insurance plan rates Aetna — Commercial: $328.28 Aetna — Medicare Advantage: $391.04 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $437.80 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $437.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $120.69 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $36.62 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $437.80 Cigna — Commercial: $241.93 Cigna — Medicare Advantage: $120.69 Clover — Medicare Advantage: $114.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY CHILD	$750	Not listed in the file	$21.30 – $437.80
Group psychotherapy: 10 of 21 insurance plan rates Aetna — Commercial: $328.28 Aetna — Medicare Advantage: $391.04 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $437.80 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $437.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $120.69 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $36.62 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $437.80 Cigna — Commercial: $241.93 Cigna — Medicare Advantage: $120.69 Clover — Medicare Advantage: $114.66

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION 1+	$41,701.77	Not listed in the file	$1,184.33 – $16,873.82
Removal of breast growth (open surgery): 10 of 22 insurance plan rates Aetna — Commercial: $12,652.46 Aetna — Medicare Advantage: $15,071.31 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $16,873.82 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $16,873.82 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4,651.64 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $16,873.82 Cigna — Commercial: $9,324.19 Cigna — Medicare Advantage: $4,651.64 Clover — Medicare Advantage: $4,419.06
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION 1+	$41,701.77	Not listed in the file	$6,255.27
Removal of breast growth (open surgery): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $6,255.27
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLCMNT(NO IMPT)	$75,763.70	Not listed in the file	$2,151.69 – $55,329.13
Total hip replacement: 10 of 22 insurance plan rates Aetna — Commercial: $41,487.32 Aetna — Medicare Advantage: $49,418.72 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $55,329.13 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $55,329.13 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $15,252.69 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $55,329.13 Cigna — Commercial: $30,573.98 Cigna — Medicare Advantage: $15,252.69 Clover — Medicare Advantage: $14,490.06
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TOTAL HIP REPLCMNT(NO IMPT)	$75,763.70	Not listed in the file	$11,364.56
Total hip replacement: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $11,364.56
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOT KNEE ARTHROPLASTY	$24,330.17	Not listed in the file	$690.98 – $55,329.13
Total knee replacement: 10 of 22 insurance plan rates Aetna — Commercial: $41,487.32 Aetna — Medicare Advantage: $49,418.72 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $55,329.13 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $55,329.13 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $15,252.69 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $55,329.13 Cigna — Commercial: $30,573.98 Cigna — Medicare Advantage: $15,252.69 Clover — Medicare Advantage: $14,490.06
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TOT KNEE ARTHROPLASTY	$24,330.17	Not listed in the file	$3,649.53
Total knee replacement: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $3,649.53
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSC,SHLDR DECOM SA SP WPA	$50,586	Not listed in the file	$1,436.64 – $25,293
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Commercial: $19,222.68 Aetna — Medicare Advantage: $15,175.80 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $12,899.43 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $12,899.43 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $12,899.43 Cigna — Commercial: $25,293 MagnaCare — PPO/Direct Plus/Exchange/WC: $13,152.36 Oxford — Commercial: $2,297 Qualcare — PPO/HMO/WC: $7,587.90
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROSC,SHLDR DECOM SA SP WPA	$50,586	Not listed in the file	$7,587.90
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $7,587.90
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSC KNEE W/MENISC MED/LAT	$35,454.57	Not listed in the file	$1,006.91 – $14,100.89
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates Aetna — Commercial: $10,573.24 Aetna — Medicare Advantage: $12,594.59 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $14,100.89 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $14,100.89 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,887.22 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $14,100.89 Cigna — Commercial: $7,791.93 Cigna — Medicare Advantage: $3,887.22 Clover — Medicare Advantage: $3,692.86
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROSC KNEE W/MENISC MED/LAT	$35,454.57	Not listed in the file	$5,318.19
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $5,318.19
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS & ADNIDS<12YRS	$30,218.69	Not listed in the file	$858.21 – $25,511.88
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates Aetna — Commercial: $19,129.52 Aetna — Medicare Advantage: $22,786.63 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $25,511.88 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $25,511.88 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $7,032.91 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $25,511.88 Cigna — Commercial: $14,097.46 Cigna — Medicare Advantage: $7,032.91 Clover — Medicare Advantage: $6,681.26
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REMOVE TONSILS & ADNIDS<12YRS	$30,218.69	Not listed in the file	$4,532.80
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $4,532.80
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UGI,DIAGNOSTIC-	$7,963.40	Not listed in the file	$226.16 – $5,347
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates Aetna — Commercial: $2,930.85 Aetna — Medicare Advantage: $3,491.16 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,077.52 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,908.70 Cigna — Commercial: $2,159.89 Cigna — Medicare Advantage: $1,077.52 Clover — Medicare Advantage: $1,023.64
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UGI,DIAGNOSTIC-	$7,963.40	Not listed in the file	$1,194.51
Upper GI endoscopy (diagnostic): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,194.51
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP	Not listed in the file	Not listed in the file	$166.10 – $5,347
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Commercial: $2,930.85 Aetna — Medicare Advantage: $3,491.16 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,077.52 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $166.10 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,908.70 Cigna — Commercial: $2,159.89 Cigna — Medicare Advantage: $1,077.52 Clover — Medicare Advantage: $1,023.64
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UGI W BX_SGL/MULTIPLE	$7,963.40	Not listed in the file	$226.16 – $5,347
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates Aetna — Commercial: $2,930.85 Aetna — Medicare Advantage: $3,491.16 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,077.52 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,908.70 Cigna — Commercial: $2,159.89 Cigna — Medicare Advantage: $1,077.52 Clover — Medicare Advantage: $1,023.64
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UGI W BX_SGL/MULTIPLE	$7,963.40	Not listed in the file	$1,194.51
Upper GI endoscopy with biopsy: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,194.51
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$220.62 – $5,347
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna — Commercial: $2,930.85 Aetna — Medicare Advantage: $3,491.16 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,908.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,077.52 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $220.62 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,908.70 Cigna — Commercial: $2,159.89 Cigna — Medicare Advantage: $1,077.52 Clover — Medicare Advantage: $1,023.64
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEX,DX	$8,652	Not listed in the file	$245.72 – $5,347
Colonoscopy (diagnostic): 10 of 22 insurance plan rates Aetna — Commercial: $3,005.08 Aetna — Medicare Advantage: $3,579.58 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $4,007.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $4,007.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,104.81 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $4,007.70 Cigna — Commercial: $2,214.60 Cigna — Medicare Advantage: $1,104.81 Clover — Medicare Advantage: $1,049.57
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEX,DX	$8,652	Not listed in the file	$1,297.80
Colonoscopy (diagnostic): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,297.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)	Not listed in the file	Not listed in the file	$182.71 – $5,347
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Commercial: $3,005.08 Aetna — Medicare Advantage: $3,579.58 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $4,007.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $4,007.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,104.81 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $182.71 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $4,007.70 Cigna — Commercial: $2,214.60 Cigna — Medicare Advantage: $1,104.81 Clover — Medicare Advantage: $1,049.57
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEX W BX,SGL/MULT	$8,751.70	Not listed in the file	$248.55 – $5,347
Colonoscopy with biopsy: 10 of 22 insurance plan rates Aetna — Commercial: $3,866.86 Aetna — Medicare Advantage: $4,606.11 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,421.64 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $5,157 Cigna — Commercial: $2,849.67 Cigna — Medicare Advantage: $1,421.64 Clover — Medicare Advantage: $1,350.56
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEX W BX,SGL/MULT	$8,751.70	Not listed in the file	$1,312.76
Colonoscopy with biopsy: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,312.76
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$220.22 – $5,347
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna — Commercial: $3,866.86 Aetna — Medicare Advantage: $4,606.11 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,421.64 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $220.22 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $5,157 Cigna — Commercial: $2,849.67 Cigna — Medicare Advantage: $1,421.64 Clover — Medicare Advantage: $1,350.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLNSCPY FLX W REM LESN BY SNA	$8,878.50	Not listed in the file	$252.15 – $5,347
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates Aetna — Commercial: $3,866.86 Aetna — Medicare Advantage: $4,606.11 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,421.64 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $5,157 Cigna — Commercial: $2,849.67 Cigna — Medicare Advantage: $1,421.64 Clover — Medicare Advantage: $1,350.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLNSCPY FLX W REM LESN BY SNA	$8,878.50	Not listed in the file	$1,331.78
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,331.78
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE	Not listed in the file	Not listed in the file	$298.10 – $5,347
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna — Commercial: $3,866.86 Aetna — Medicare Advantage: $4,606.11 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $5,157 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,421.64 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $298.10 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $5,157 Cigna — Commercial: $2,849.67 Cigna — Medicare Advantage: $1,421.64 Clover — Medicare Advantage: $1,350.56
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	Not listed in the file	Not listed in the file	$1,049.57 – $4,007.70
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Aetna — Commercial: $3,005.08 Aetna — Medicare Advantage: $3,579.58 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $4,007.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $4,007.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,104.81 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $4,007.70 Cigna — Commercial: $2,214.60 Cigna — Medicare Advantage: $1,104.81 Clover — Medicare Advantage: $1,049.57 EmblemHealth — Commercial: $3,314.43
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY CHOLECYSTECOMY	$58,549.97	Not listed in the file	$1,662.82 – $26,053.61
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates Aetna — Commercial: $19,535.72 Aetna — Medicare Advantage: $23,270.49 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $26,053.61 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $26,053.61 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $7,182.25 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $26,053.61 Cigna — Commercial: $14,396.79 Cigna — Medicare Advantage: $7,182.25 Clover — Medicare Advantage: $6,823.14
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPAROSCOPY CHOLECYSTECOMY	$58,549.97	Not listed in the file	$8,782.50
Gallbladder removal by laparoscope: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $8,782.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRPI/HERN INIT REDUC >5YR	$30,877	Not listed in the file	$876.91 – $15,429.97
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates Aetna — Commercial: $11,569.82 Aetna — Medicare Advantage: $13,781.70 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $15,429.97 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $15,429.97 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4,253.61 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $15,429.97 Cigna — Commercial: $8,526.35 Cigna — Medicare Advantage: $4,253.61 Clover — Medicare Advantage: $4,040.93
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PRPI/HERN INIT REDUC >5YR	$30,877	Not listed in the file	$4,631.55
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $4,631.55
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR BX PROSTATE,NEEDLE OR PUNCH	$10,187.80	Not listed in the file	$289.33 – $5,347
Prostate biopsy: 10 of 14 insurance plan rates Aetna — Commercial: $3,871.36 Aetna — Medicare Advantage: $3,056.34 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $2,597.89 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $2,597.89 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $2,597.89 Cigna — Commercial: $5,093.90 MagnaCare — PPO/Direct Plus/Exchange/WC: $2,648.83 Oxford — Commercial: $5,018 Qualcare — PPO/HMO/WC: $1,528.17
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BX PROSTATE,NEEDLE OR PUNCH	$10,187.80	Not listed in the file	$289.33 – $5,347
Prostate biopsy: 10 of 14 insurance plan rates Aetna — Commercial: $3,871.36 Aetna — Medicare Advantage: $3,056.34 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $2,597.89 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $2,597.89 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $2,597.89 Cigna — Commercial: $5,093.90 MagnaCare — PPO/Direct Plus/Exchange/WC: $2,648.83 Oxford — Commercial: $5,018 Qualcare — PPO/HMO/WC: $1,528.17
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR BX PROSTATE,NEEDLE OR PUNCH	$10,187.80	Not listed in the file	$1,528.17
Prostate biopsy: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $1,528.17
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	$39,439.32	Not listed in the file	$1,120.08 – $45,809.96
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates Aetna — Commercial: $34,349.57 Aetna — Medicare Advantage: $40,916.40 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $45,809.96 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $45,809.96 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $12,628.52 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $45,809.96 Cigna — Commercial: $25,313.84 Cigna — Medicare Advantage: $12,628.52 Clover — Medicare Advantage: $11,997.09
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	$39,439.32	Not listed in the file	$5,915.90
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Qualcare — PPO/HMO/WC: $5,915.90
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSY,W BX ENDOM /POLYPECT	$20,944.30	Not listed in the file	$594.82 – $13,950.60
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates Aetna — Commercial: $10,460.55 Aetna — Medicare Advantage: $12,460.36 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $13,950.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $13,950.60 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,845.79 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $13,950.60 Cigna — Commercial: $7,708.87 Cigna — Medicare Advantage: $3,845.79 Clover — Medicare Advantage: $3,653.50
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: WC HYSTEROSCOPY,SURG W BX-POLY	$746	Not listed in the file	$10.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans Aetna — Medicare Advantage: $10.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Fidelis — All Plans: $10.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSY,W BX ENDOM /POLYPECT	$20,944.30	Not listed in the file	$3,141.64
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $3,141.64
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$5,965.40	Not listed in the file	$188.51 – $42,635.69
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $2,281.02 Aetna — Medicare Advantage: $2,717.10 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,042.06 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,042.06 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $838.61 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,042.06 Cigna — Commercial: $1,680.99 Cigna — Medicare Advantage: $838.61 Clover — Medicare Advantage: $796.68
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$5,965.40	Not listed in the file	$894.81
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $894.81
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	$5,111.97	Not listed in the file	$161.54 – $3,811.70
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $2,858.12 Aetna — Medicare Advantage: $3,404.53 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,811.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,811.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,050.78 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,811.70 Cigna — Commercial: $2,106.27 Cigna — Medicare Advantage: $1,050.78 Clover — Medicare Advantage: $998.24
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&STRD TFRM EPI L/S 1	$5,068	Not listed in the file	$160.15 – $3,811.70
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $2,858.12 Aetna — Medicare Advantage: $3,404.53 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,811.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,811.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,050.78 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,811.70 Cigna — Commercial: $2,106.27 Cigna — Medicare Advantage: $1,050.78 Clover — Medicare Advantage: $998.24
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S	$7,956.80	Not listed in the file	$251.43 – $3,811.70
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $2,858.12 Aetna — Medicare Advantage: $3,404.53 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,811.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,811.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,050.78 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,811.70 Cigna — Commercial: $2,106.27 Cigna — Medicare Advantage: $1,050.78 Clover — Medicare Advantage: $998.24
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEURPLASTY,MEDN NRV AT CRP TNL	$16,437	Not listed in the file	$466.81 – $8,415.40
Carpal tunnel release: 10 of 22 insurance plan rates Aetna — Commercial: $6,310.10 Aetna — Medicare Advantage: $7,516.44 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $8,415.40 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $8,415.40 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2,319.89 Blue Cross Blue Shield of New Jersey (Horizon) — NJ Health: $3,536 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $8,415.40 Cigna — Commercial: $4,650.22 Cigna — Medicare Advantage: $2,319.89 Clover — Medicare Advantage: $2,203.90
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEURPLASTY,MEDN NRV AT CRP TNL	$16,437	Not listed in the file	$2,465.55
Carpal tunnel release: rates for 1 insurance plan Qualcare — PPO/HMO/WC: $2,465.55

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: WC OB CARE-ANTEPART-VAG-POST P	$3,465	Not listed in the file	Not listed in the file
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: WC VAG DEL-W/WO EPIS/W/WO FOR	$2,395	Not listed in the file	Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: WC OB CARE C SETION-ANTE-POST	$8,085	Not listed in the file	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: CFH WC V BAC (ALL INCLUSIVE)	$2,395	Not listed in the file	Not listed in the file

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$100,035.65 – $328,538.12
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 16 insurance plan rates Aetna — Commercial: $235,847.15 Aetna — Medicare Advantage: $328,538.12 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $269,015.55 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $269,015.55 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $105,300.68 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $269,015.55 Cigna — Commercial: $218,087.96 Cigna — Medicare Advantage: $105,300.68 Clover — Medicare Advantage: $100,035.65 EmblemHealth — Commercial: $315,902.04
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$101,400.30
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $101,400.30 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $101,400.30 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $101,400.30
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$24,482.43 – $80,405.46
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates Aetna — Commercial: $59,124.19 Aetna — Medicare Advantage: $80,405.46 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $52,085.40 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $52,085.40 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $25,770.98 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $52,085.40 Cigna — Commercial: $43,000.97 Cigna — Medicare Advantage: $25,770.98 Clover — Medicare Advantage: $24,482.43 EmblemHealth — Commercial: $77,312.94
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$29,411.63 – $96,593.98
Neck (cervical) spinal fusion, without complications: 10 of 16 insurance plan rates Aetna — Commercial: $70,653.84 Aetna — Medicare Advantage: $96,593.98 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $68,154.30 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $68,154.30 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $30,959.61 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $68,154.30 Cigna — Commercial: $54,423.90 Cigna — Medicare Advantage: $30,959.61 Clover — Medicare Advantage: $29,411.63 EmblemHealth — Commercial: $92,878.83
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$17,862.06 – $58,662.77
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates Aetna — Commercial: $43,638.81 Aetna — Medicare Advantage: $58,662.77 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $32,137.80 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $32,137.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $18,802.17 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $32,137.80 Cigna — Commercial: $27,658.93 Cigna — Medicare Advantage: $18,802.17 Clover — Medicare Advantage: $17,862.06 EmblemHealth — Commercial: $56,406.51

Source: CarePoint Health-Hoboken University Medical Center’s standard charges file (images.pricetransparency.healthcare, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 17, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	308 Willow Ave, Hoboken, NJ 07030
County	Hudson County
State	New Jersey
Phone	(201) 418‑1000
Emergency services	Not listed
Ownership	Voluntary non-profit - Church
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	310040
Name in Medicare records	CAREPOINT HEALTH-HOBOKEN UNIVERSITY MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Hoboken University Hospital
Official website	hudsonregionalhospital.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Infusion Center - Hudson Regional Health — hudsonregionalhospital.com