Lso sag-co shell pnl pre ots cost in New Jersey

LSO sag-co shell pnl pre ots · HCPCS L0651

Hospital	City	Cash price	Negotiated range	Payers
Monmouth Medical Center Southern Campus	Lakewood	not published	$788.33 – $1,568.78	9
Monmouth Medical Center	Long Branch	not published	$788.33 – $1,568.78	8
Jersey City Medical Center	Jersey City	not published	$773.53 – $1,568.78	9
Newark Beth Israel Medical Center	Newark	not published	$615.31 – $1,568.78	8
Clara Maass Medical Center	Belleville	not published	$788.33 – $1,568.78	9
Community Medical Center	Toms River	not published	$788.33 – $1,568.78	9
Trinitas Regional Medical Center	Elizabeth	not published	$597.73 – $1,568.78	8
Robert Wood Johnson University Hospital Rahway	Rahway	not published	$788.33 – $1,568.78	9
Robert Wood Johnson University Hospital Somerset	Somerville	not published	$632.89 – $1,568.78	9
Robert Wood Johnson University Hospital Hamilton	Hamilton Township	not published	$788.33 – $1,568.78	9
Southern Ocean Medical Center	Manahawkin	not published	$466.82 – $3,242.73	4
Riverview Medical Center	Red Bank	not published	$999.59 – $3,242.73	4
Robert Wood Johnson University Hospital	New Brunswick	not published	$788.33 – $1,655.49	9
Palisades Medical Center	North Bergen	not published	$1,080.91 – $2,816.52	3
Jersey Shore University Medical Center	Neptune City	not published	$999.59 – $3,242.73	4
JFK Johnson Rehabilitation Institute (JRI)	Edison	not published	$395.51 – $3,242.73	7
Raritan Bay Medical Center	Perth Amboy	not published	$999.59 – $3,242.73	4
Ocean University Medical Center	Brick	not published	$395.51 – $3,242.73	7
Hackensack University Medical Center	Hackensack	not published	$1,080.91 – $1,651.05	2
Bayshore Medical Center	Holmdel	not published	$466.82 – $3,242.73	4
Cooperman Barnabas Medical Center	Livingston	not published	$788.33 – $1,576.66	9