Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

AIRWAY NASOPHARYNGEAL 30FR PVC

Facility

$9.27

Hospital Charge Code	270668335
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$4.63
Rate for Payer: Aetna Commercial	$3.52
Rate for Payer: Aetna Medicare Advantage	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.41
Rate for Payer: Oxford Commercial	$1.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$1.85
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

AIRWAY NASOPHARYNGEAL 34FR

Facility

$19.40

Hospital Charge Code	270600861
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.04
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

AIRWAY NASOPHARYNGEAL 34FR

Facility

$19.40

Hospital Charge Code	270600861
Hospital Revenue Code	272
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

AIRWAY NASOPHAYNGEAL 20FR

Facility

$44.40

Hospital Charge Code	270676988
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY NASOPHAYNGEAL 20FR

Facility

$44.40

Hospital Charge Code	270676988
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.20
Rate for Payer: Aetna Commercial	$16.87
Rate for Payer: Aetna Medicare Advantage	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.32
Rate for Payer: Cigna Commercial	$22.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$8.88
Rate for Payer: Qualcare PPO/HMO/WC	$6.66
Rate for Payer: UnitedHealthcare Commercial	$8.88
Rate for Payer: UnitedHealthcare Community & State	$1.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

AIRWAY NASOPHAYNGEAL 22FR

Facility

$44.40

Hospital Charge Code	270676989
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.20
Rate for Payer: Aetna Commercial	$16.87
Rate for Payer: Aetna Medicare Advantage	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.32
Rate for Payer: Cigna Commercial	$22.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$8.88
Rate for Payer: Qualcare PPO/HMO/WC	$6.66
Rate for Payer: UnitedHealthcare Commercial	$8.88
Rate for Payer: UnitedHealthcare Community & State	$1.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

AIRWAY NASOPHAYNGEAL 22FR

Facility

$44.40

Hospital Charge Code	270676989
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY NASOPHAYNGEAL 24FR

Facility

$44.40

Hospital Charge Code	270676990
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.20
Rate for Payer: Aetna Commercial	$16.87
Rate for Payer: Aetna Medicare Advantage	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.32
Rate for Payer: Cigna Commercial	$22.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$8.88
Rate for Payer: Qualcare PPO/HMO/WC	$6.66
Rate for Payer: UnitedHealthcare Commercial	$8.88
Rate for Payer: UnitedHealthcare Community & State	$1.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

AIRWAY NASOPHAYNGEAL 24FR

Facility

$44.40

Hospital Charge Code	270676990
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY QUICKTRACH PEDIATRIC

Facility

$690.00

Hospital Charge Code	270680639
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

AIRWAY QUICKTRACH PEDIATRIC

Facility

$690.00

Hospital Charge Code	270680639
Hospital Revenue Code	272
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.40
Rate for Payer: Oxford Commercial	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$138.00
Rate for Payer: UnitedHealthcare Community & State	$21.80
Rate for Payer: Wellpoint Medicaid Managed Care	$19.60

AISENA SINUS TARSI

Facility

$8,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270702083
Hospital Revenue Code	278
Min. Negotiated Rate	$237.85
Max. Negotiated Rate	$4,187.50
Rate for Payer: Aetna Commercial	$3,182.50
Rate for Payer: Aetna Medicare Advantage	$2,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,135.62
Rate for Payer: Cigna Commercial	$4,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25
Rate for Payer: UnitedHealthcare Community & State	$264.65
Rate for Payer: Wellpoint Medicaid Managed Care	$237.85

AISENA SINUS TARSI

Facility

$8,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270702083
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$2,026.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

AKINATOR BLADE

Facility

$4,645.00

Hospital Charge Code	270704036
Hospital Revenue Code	272
Min. Negotiated Rate	$131.92
Max. Negotiated Rate	$2,322.50
Rate for Payer: Aetna Commercial	$1,765.10
Rate for Payer: Aetna Medicare Advantage	$1,393.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,184.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,184.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,184.47
Rate for Payer: Cigna Commercial	$2,322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,207.70
Rate for Payer: Oxford Commercial	$929.00
Rate for Payer: Qualcare PPO/HMO/WC	$696.75
Rate for Payer: UnitedHealthcare Commercial	$929.00
Rate for Payer: UnitedHealthcare Community & State	$146.78
Rate for Payer: Wellpoint Medicaid Managed Care	$131.92

AKINATOR BLADE

Facility

$4,645.00

Hospital Charge Code	270704036
Hospital Revenue Code	272
Min. Negotiated Rate	$696.75
Max. Negotiated Rate	$696.75
Rate for Payer: Qualcare PPO/HMO/WC	$696.75

AKWATEARS OINTMENT 3.5 GM

Facility

$58.56

Service Code	NDC 17478006235
Hospital Charge Code	606350963
Hospital Revenue Code	250
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.78

AKWATEARS OINTMENT 3.5 GM

Facility

$58.56

Service Code	NDC 17478006235
Hospital Charge Code	606350963
Hospital Revenue Code	250
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$29.28
Rate for Payer: Aetna Commercial	$22.25
Rate for Payer: Aetna Medicare Advantage	$17.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.93
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.23
Rate for Payer: Oxford Commercial	$11.71
Rate for Payer: Qualcare PPO/HMO/WC	$8.78
Rate for Payer: UnitedHealthcare Commercial	$11.71
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

ALANINE AMINOTRANSFERASE (ALT/

Facility

$345.00

Service Code	HCPCS 84460
Hospital Charge Code	38472038
Hospital Revenue Code	301
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$51.75
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

ALANINE AMINOTRANSFERASE (ALT/

Facility

$345.00

Service Code	HCPCS 84460
Hospital Charge Code	38472038
Hospital Revenue Code	301
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$172.50
Rate for Payer: Aetna Commercial	$14.42
Rate for Payer: Aetna Medicare Advantage	$17.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.23
Rate for Payer: Cigna Commercial	$172.50
Rate for Payer: Cigna Medicare Advantage	$5.30
Rate for Payer: Clover Medicare Advantage	$5.04
Rate for Payer: EmblemHealth Commercial	$15.90
Rate for Payer: Humana Medicare Advantage	$5.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.30
Rate for Payer: Wellcare Medicare Advantage	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

ALBENDAZOLE 200 MG TAB

Facility

$1,177.99

Service Code	NDC 52054055028
Hospital Charge Code	60629233
Hospital Revenue Code	250
Min. Negotiated Rate	$176.70
Max. Negotiated Rate	$176.70
Rate for Payer: Qualcare PPO/HMO/WC	$176.70

ALBENDAZOLE 200 MG TAB

Facility

$1,177.99

Service Code	NDC 52054055028
Hospital Charge Code	60629233
Hospital Revenue Code	250
Min. Negotiated Rate	$33.45
Max. Negotiated Rate	$589.00
Rate for Payer: Aetna Commercial	$447.64
Rate for Payer: Aetna Medicare Advantage	$353.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.39
Rate for Payer: Cigna Commercial	$589.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.28
Rate for Payer: Oxford Commercial	$235.60
Rate for Payer: Qualcare PPO/HMO/WC	$176.70
Rate for Payer: UnitedHealthcare Commercial	$235.60
Rate for Payer: UnitedHealthcare Community & State	$37.22
Rate for Payer: Wellpoint Medicaid Managed Care	$33.45

ALBUMIN

Facility

$76.00

Service Code	HCPCS 82040
Hospital Charge Code	38472041
Hospital Revenue Code	307
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$13.46
Rate for Payer: Aetna Medicare Advantage	$16.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.96
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: Cigna Medicare Advantage	$4.95
Rate for Payer: Clover Medicare Advantage	$4.70
Rate for Payer: EmblemHealth Commercial	$14.85
Rate for Payer: Humana Medicare Advantage	$5.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.95
Rate for Payer: Wellcare Medicare Advantage	$4.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

ALBUMIN

Facility

$76.00

Service Code	HCPCS 82040
Hospital Charge Code	38472041
Hospital Revenue Code	307
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

ALBUMIN 25% - 25G/100ML

Facility

$864.30

Service Code	HCPCS P9047
Hospital Charge Code	60630107
Hospital Revenue Code	636
Min. Negotiated Rate	$129.65
Max. Negotiated Rate	$209.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.16
Rate for Payer: Qualcare PPO/HMO/WC	$129.65

ALBUMIN 25% - 25G/100ML

Facility

$864.30

Service Code	HCPCS P9047
Hospital Charge Code	60630107
Hospital Revenue Code	636
Min. Negotiated Rate	$24.55
Max. Negotiated Rate	$209.16
Rate for Payer: Aetna Commercial	$144.38
Rate for Payer: Aetna Medicare Advantage	$171.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$53.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.55
Rate for Payer: Cigna Medicare Advantage	$53.08
Rate for Payer: Clover Medicare Advantage	$50.43
Rate for Payer: EmblemHealth Commercial	$159.24
Rate for Payer: Humana Medicare Advantage	$54.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$53.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.16
Rate for Payer: Qualcare PPO/HMO/WC	$129.65
Rate for Payer: UnitedHealthcare Community & State	$27.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$53.08
Rate for Payer: Wellcare Medicare Advantage	$53.08
Rate for Payer: Wellpoint Medicaid Managed Care	$24.55

Know your out-of-pocket cost for care.

All Charges