Replace non-molded calf lace cost in New Jersey

Replace non-molded calf lace · HCPCS L4055

Hospital	City	Cash price	Negotiated range	Payers
Monmouth Medical Center Southern Campus	Lakewood	not published	$301.17 – $599.33	9
Monmouth Medical Center	Long Branch	not published	$301.17 – $599.33	8
Jersey City Medical Center	Jersey City	not published	$80.55 – $599.33	9
Newark Beth Israel Medical Center	Newark	not published	$64.07 – $599.33	8
Clara Maass Medical Center	Belleville	not published	$301.17 – $599.33	9
Community Medical Center	Toms River	not published	$301.17 – $599.33	9
Trinitas Regional Medical Center	Elizabeth	not published	$62.24 – $599.33	8
Robert Wood Johnson University Hospital Rahway	Rahway	not published	$301.17 – $599.33	9
Robert Wood Johnson University Hospital Somerset	Somerville	not published	$65.90 – $599.33	9
Robert Wood Johnson University Hospital Hamilton	Hamilton Township	not published	$301.17 – $599.33	9
Southern Ocean Medical Center	Manahawkin	not published	$238.30 – $510.78	2
Riverview Medical Center	Red Bank	not published	$238.30 – $510.78	2
Robert Wood Johnson University Hospital	New Brunswick	not published	$189.72 – $632.46	9
Palisades Medical Center	North Bergen	not published	$521.56 – $804.87	2
Jersey Shore University Medical Center	Neptune City	not published	$238.30 – $510.78	2
JFK Johnson Rehabilitation Institute (JRI)	Edison	not published	$61.02 – $521.56	5
Raritan Bay Medical Center	Perth Amboy	not published	$238.30 – $521.56	2
Ocean University Medical Center	Brick	not published	$61.02 – $510.78	5
Hackensack University Medical Center	Hackensack	not published	$521.56 – $521.56	1
Bayshore Medical Center	Holmdel	not published	$238.30 – $238.30	1
Cooperman Barnabas Medical Center	Livingston	not published	$301.17 – $602.34	9