Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

EENT KIT

Facility

$163.00

Hospital Charge Code	270338739
Hospital Revenue Code	272
Min. Negotiated Rate	$24.45
Max. Negotiated Rate	$24.45
Rate for Payer: Qualcare PPO/HMO/WC	$24.45

EFAVIRENZ 200 MG CAP

Facility

$354.50

Service Code	NDC 56047492
Hospital Charge Code	60629148
Hospital Revenue Code	250
Min. Negotiated Rate	$10.07
Max. Negotiated Rate	$177.25
Rate for Payer: Aetna Commercial	$134.71
Rate for Payer: Aetna Medicare Advantage	$106.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.40
Rate for Payer: Cigna Commercial	$177.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.17
Rate for Payer: Oxford Commercial	$70.90
Rate for Payer: Qualcare PPO/HMO/WC	$53.17
Rate for Payer: UnitedHealthcare Commercial	$70.90
Rate for Payer: UnitedHealthcare Community & State	$11.20
Rate for Payer: Wellpoint Medicaid Managed Care	$10.07

EFAVIRENZ 200 MG CAP

Facility

$354.50

Service Code	NDC 56047492
Hospital Charge Code	60629148
Hospital Revenue Code	250
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$53.17
Rate for Payer: Qualcare PPO/HMO/WC	$53.17

EFAVIRENZ 600MG CAP

Facility

$225.99

Service Code	NDC 56051030
Hospital Charge Code	60632238
Hospital Revenue Code	250
Min. Negotiated Rate	$6.42
Max. Negotiated Rate	$113.00
Rate for Payer: Aetna Commercial	$85.88
Rate for Payer: Aetna Medicare Advantage	$67.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.63
Rate for Payer: Cigna Commercial	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.76
Rate for Payer: Oxford Commercial	$45.20
Rate for Payer: Qualcare PPO/HMO/WC	$33.90
Rate for Payer: UnitedHealthcare Commercial	$45.20
Rate for Payer: UnitedHealthcare Community & State	$7.14
Rate for Payer: Wellpoint Medicaid Managed Care	$6.42

EFAVIRENZ 600MG CAP

Facility

$225.99

Service Code	NDC 56051030
Hospital Charge Code	60632238
Hospital Revenue Code	250
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

EFFEXOR XR 150MG U/D

Facility

$71.76

Service Code	NDC 8083603
Hospital Charge Code	60635227
Hospital Revenue Code	250
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$35.88
Rate for Payer: Aetna Commercial	$27.27
Rate for Payer: Aetna Medicare Advantage	$21.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.30
Rate for Payer: Cigna Commercial	$35.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.66
Rate for Payer: Oxford Commercial	$14.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.76
Rate for Payer: UnitedHealthcare Commercial	$14.35
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

EFFEXOR XR 150MG U/D

Facility

$71.76

Service Code	NDC 8083603
Hospital Charge Code	60635227
Hospital Revenue Code	250
Min. Negotiated Rate	$10.76
Max. Negotiated Rate	$10.76
Rate for Payer: Qualcare PPO/HMO/WC	$10.76

EGD CONTROL BLEEDING ANY

Facility

$12,832.50

Service Code	HCPCS 43255
Hospital Charge Code	16000963
Hospital Revenue Code	360
Min. Negotiated Rate	$1,924.88
Max. Negotiated Rate	$1,924.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.88

EGD CONTROL BLEEDING ANY

Facility

$12,832.50

Service Code	HCPCS 43255
Hospital Charge Code	16000963
Hospital Revenue Code	360
Min. Negotiated Rate	$364.44
Max. Negotiated Rate	$8,269.65
Rate for Payer: Aetna Commercial	$6,200.81
Rate for Payer: Aetna Medicare Advantage	$7,386.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,279.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,269.65
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: Cigna Medicare Advantage	$2,279.71
Rate for Payer: Clover Medicare Advantage	$2,165.72
Rate for Payer: EmblemHealth Commercial	$6,839.13
Rate for Payer: Humana Medicare Advantage	$2,348.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,279.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,336.45
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.88
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$405.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,279.71
Rate for Payer: Wellcare Medicare Advantage	$2,279.71
Rate for Payer: Wellpoint Medicaid Managed Care	$364.44

EGD VARICES LIGATION

Facility

$7,999.56

Service Code	HCPCS 43244
Hospital Charge Code	16000743
Hospital Revenue Code	360
Min. Negotiated Rate	$1,199.93
Max. Negotiated Rate	$1,199.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,199.93

EGD VARICES LIGATION

Facility

$7,999.56

Service Code	HCPCS 43244
Hospital Charge Code	16000743
Hospital Revenue Code	360
Min. Negotiated Rate	$227.19
Max. Negotiated Rate	$8,269.65
Rate for Payer: Aetna Commercial	$6,200.81
Rate for Payer: Aetna Medicare Advantage	$7,386.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,269.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,279.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,269.65
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: Cigna Medicare Advantage	$2,279.71
Rate for Payer: Clover Medicare Advantage	$2,165.72
Rate for Payer: EmblemHealth Commercial	$6,839.13
Rate for Payer: Humana Medicare Advantage	$2,348.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,279.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,079.89
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,199.93
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$252.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,279.71
Rate for Payer: Wellcare Medicare Advantage	$2,279.71
Rate for Payer: Wellpoint Medicaid Managed Care	$227.19

EGFR GENE COM VARIANTS

Facility

$1,270.55

Service Code	HCPCS 81235
Hospital Charge Code	401181235
Hospital Revenue Code	310
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$1,177.41
Rate for Payer: Aetna Commercial	$882.86
Rate for Payer: Aetna Medicare Advantage	$1,051.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,177.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,177.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$324.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,177.41
Rate for Payer: Cigna Commercial	$635.27
Rate for Payer: Cigna Medicare Advantage	$324.58
Rate for Payer: Clover Medicare Advantage	$308.35
Rate for Payer: EmblemHealth Commercial	$973.74
Rate for Payer: Humana Medicare Advantage	$334.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$324.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$190.58
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$259.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$324.58
Rate for Payer: Wellcare Medicare Advantage	$324.58
Rate for Payer: Wellpoint Medicaid Managed Care	$36.08

EGFR GENE COM VARIANTS

Facility

$1,270.55

Service Code	HCPCS 81235
Hospital Charge Code	401181235
Hospital Revenue Code	310
Min. Negotiated Rate	$190.58
Max. Negotiated Rate	$190.58
Rate for Payer: Qualcare PPO/HMO/WC	$190.58

EGGCRATE PAD

Facility

$35.86

Hospital Charge Code	270665428
Hospital Revenue Code	270
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$17.93
Rate for Payer: Aetna Commercial	$13.63
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.14
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.32
Rate for Payer: Oxford Commercial	$7.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$7.17
Rate for Payer: UnitedHealthcare Community & State	$1.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.02

EGGCRATE PAD

Facility

$35.86

Hospital Charge Code	270665428
Hospital Revenue Code	270
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

EGIA 45 ARTICULATING VASCULAR

Facility

$594.35

Hospital Charge Code	270652090
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$297.18
Rate for Payer: Aetna Commercial	$225.85
Rate for Payer: Aetna Medicare Advantage	$178.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.56
Rate for Payer: Cigna Commercial	$297.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.53
Rate for Payer: Oxford Commercial	$118.87
Rate for Payer: Qualcare PPO/HMO/WC	$89.15
Rate for Payer: UnitedHealthcare Commercial	$118.87
Rate for Payer: UnitedHealthcare Community & State	$18.78
Rate for Payer: Wellpoint Medicaid Managed Care	$16.88

EGIA 45 ARTICULATING VASCULAR

Facility

$594.35

Hospital Charge Code	270652090
Hospital Revenue Code	272
Min. Negotiated Rate	$89.15
Max. Negotiated Rate	$89.15
Rate for Payer: Qualcare PPO/HMO/WC	$89.15

E.HISTOLYTICA(AMEBIASIS), I

Facility

$75.65

Service Code	HCPCS 87337
Hospital Charge Code	39990055A
Hospital Revenue Code	306
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

E.HISTOLYTICA(AMEBIASIS), I

Facility

$75.65

Service Code	HCPCS 87337
Hospital Charge Code	39990055A
Hospital Revenue Code	306
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

E.HISTOLYTICA(AMEBIASIS), II

Facility

$75.65

Service Code	HCPCS 87449
Hospital Charge Code	39990055B
Hospital Revenue Code	306
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

E.HISTOLYTICA(AMEBIASIS), II

Facility

$75.65

Service Code	HCPCS 87449
Hospital Charge Code	39990055B
Hospital Revenue Code	306
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

E.HISTOLYTICA ANTIGEN,EIA

Facility

$390.00

Service Code	HCPCS 87337
Hospital Charge Code	39900284
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

E.HISTOLYTICA ANTIGEN,EIA

Facility

$390.00

Service Code	HCPCS 87337
Hospital Charge Code	39900284
Hospital Revenue Code	306
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

E.HISTOLYTICA IGG

Facility

$390.00

Service Code	HCPCS 86753
Hospital Charge Code	39900251
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

E.HISTOLYTICA IGG

Facility

$390.00

Service Code	HCPCS 86753
Hospital Charge Code	39900251
Hospital Revenue Code	302
Min. Negotiated Rate	$9.91
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$33.70
Rate for Payer: Aetna Medicare Advantage	$40.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.39
Rate for Payer: Clover Medicare Advantage	$11.77
Rate for Payer: EmblemHealth Commercial	$37.17
Rate for Payer: Humana Medicare Advantage	$12.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.39
Rate for Payer: Wellcare Medicare Advantage	$12.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Know your out-of-pocket cost for care.

All Charges