Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ELECTRODE TRIGGER FLEX

Facility

$2,975.00

Hospital Charge Code	270670841
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

ELECTRODE TRIGGER FLEX

Facility

$2,975.00

Hospital Charge Code	270670841
Hospital Revenue Code	272
Min. Negotiated Rate	$84.49
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$1,130.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.50
Rate for Payer: Oxford Commercial	$595.00
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$595.00
Rate for Payer: UnitedHealthcare Community & State	$94.01
Rate for Payer: Wellpoint Medicaid Managed Care	$84.49

ELECTRODE VAPR S50 50DEG

Facility

$1,560.00

Hospital Charge Code	270640024
Hospital Revenue Code	272
Min. Negotiated Rate	$44.30
Max. Negotiated Rate	$780.00
Rate for Payer: Aetna Commercial	$592.80
Rate for Payer: Aetna Medicare Advantage	$468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$397.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$397.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$397.80
Rate for Payer: Cigna Commercial	$780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.60
Rate for Payer: Oxford Commercial	$312.00
Rate for Payer: Qualcare PPO/HMO/WC	$234.00
Rate for Payer: UnitedHealthcare Commercial	$312.00
Rate for Payer: UnitedHealthcare Community & State	$49.30
Rate for Payer: Wellpoint Medicaid Managed Care	$44.30

ELECTRODE VAPR S50 50DEG

Facility

$1,560.00

Hospital Charge Code	270640024
Hospital Revenue Code	272
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$234.00
Rate for Payer: Qualcare PPO/HMO/WC	$234.00

ELECTRODE VAPR S90 4.0mm 90deg

Facility

$1,230.00

Hospital Charge Code	270636213
Hospital Revenue Code	272
Min. Negotiated Rate	$34.93
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.80
Rate for Payer: Oxford Commercial	$246.00
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Commercial	$246.00
Rate for Payer: UnitedHealthcare Community & State	$38.87
Rate for Payer: Wellpoint Medicaid Managed Care	$34.93

ELECTRODE VAPR S90 4.0mm 90deg

Facility

$1,230.00

Hospital Charge Code	270636213
Hospital Revenue Code	272
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$184.50
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

ELECTRODE W/BALL TIP 8FR

Facility

$253.00

Hospital Charge Code	270330918
Hospital Revenue Code	272
Min. Negotiated Rate	$7.19
Max. Negotiated Rate	$126.50
Rate for Payer: Aetna Commercial	$96.14
Rate for Payer: Aetna Medicare Advantage	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.52
Rate for Payer: Cigna Commercial	$126.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.78
Rate for Payer: Oxford Commercial	$50.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.95
Rate for Payer: UnitedHealthcare Commercial	$50.60
Rate for Payer: UnitedHealthcare Community & State	$7.99
Rate for Payer: Wellpoint Medicaid Managed Care	$7.19

ELECTRODE W/BALL TIP 8FR

Facility

$253.00

Hospital Charge Code	270330918
Hospital Revenue Code	272
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$37.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.95

ELECTROENCEPHALOGRAM AWAKE/DRO

Facility

$1,491.00

Service Code	HCPCS 95816
Hospital Charge Code	36540006
Hospital Revenue Code	740
Min. Negotiated Rate	$42.34
Max. Negotiated Rate	$5,943.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$281.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.66
Rate for Payer: Oxford Commercial	$5,237.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.65
Rate for Payer: UnitedHealthcare Commercial	$5,943.00
Rate for Payer: UnitedHealthcare Community & State	$47.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$42.34

ELECTROENCEPHALOGRAM AWAKE/DRO

Facility

$1,491.00

Service Code	HCPCS 95816
Hospital Charge Code	36540006
Hospital Revenue Code	740
Min. Negotiated Rate	$223.65
Max. Negotiated Rate	$223.65
Rate for Payer: Qualcare PPO/HMO/WC	$223.65

ELECTROHYDRAULLIC LITH PROBE

Facility

$5,775.00

Hospital Charge Code	270652097
Hospital Revenue Code	272
Min. Negotiated Rate	$164.01
Max. Negotiated Rate	$2,887.50
Rate for Payer: Aetna Commercial	$2,194.50
Rate for Payer: Aetna Medicare Advantage	$1,732.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,472.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,472.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,472.62
Rate for Payer: Cigna Commercial	$2,887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,501.50
Rate for Payer: Oxford Commercial	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$866.25
Rate for Payer: UnitedHealthcare Commercial	$1,155.00
Rate for Payer: UnitedHealthcare Community & State	$182.49
Rate for Payer: Wellpoint Medicaid Managed Care	$164.01

ELECTROHYDRAULLIC LITH PROBE

Facility

$5,775.00

Hospital Charge Code	270652097
Hospital Revenue Code	272
Min. Negotiated Rate	$866.25
Max. Negotiated Rate	$866.25
Rate for Payer: Qualcare PPO/HMO/WC	$866.25

ELECTROLYTES

Facility

$251.00

Service Code	HCPCS 80051
Hospital Charge Code	38472008
Hospital Revenue Code	301
Min. Negotiated Rate	$5.61
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$19.07
Rate for Payer: Aetna Medicare Advantage	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.43
Rate for Payer: Cigna Commercial	$125.50
Rate for Payer: Cigna Medicare Advantage	$7.01
Rate for Payer: Clover Medicare Advantage	$6.66
Rate for Payer: EmblemHealth Commercial	$21.03
Rate for Payer: Humana Medicare Advantage	$7.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.01
Rate for Payer: Wellcare Medicare Advantage	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.13

ELECTROLYTES

Facility

$251.00

Service Code	HCPCS 80051
Hospital Charge Code	38472008
Hospital Revenue Code	301
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

ELECTROLYTES, SERUM

Facility

$390.00

Service Code	HCPCS 80051
Hospital Charge Code	3001138
Hospital Revenue Code	301
Min. Negotiated Rate	$5.61
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$19.07
Rate for Payer: Aetna Medicare Advantage	$22.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.43
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$7.01
Rate for Payer: Clover Medicare Advantage	$6.66
Rate for Payer: EmblemHealth Commercial	$21.03
Rate for Payer: Humana Medicare Advantage	$7.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.01
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	$5.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.01
Rate for Payer: Wellcare Medicare Advantage	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ELECTROLYTES, SERUM

Facility

$390.00

Service Code	HCPCS 80051
Hospital Charge Code	3001138
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ELECTRON MICROSCOPY DIAGNOSTIC

Facility

$895.00

Service Code	HCPCS 88348
Hospital Charge Code	38477209
Hospital Revenue Code	312
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

ELECTRON MICROSCOPY DIAGNOSTIC

Facility

$895.00

Service Code	HCPCS 88348
Hospital Charge Code	38477209
Hospital Revenue Code	312
Min. Negotiated Rate	$25.42
Max. Negotiated Rate	$3,472.13
Rate for Payer: Aetna Commercial	$2,603.50
Rate for Payer: Aetna Medicare Advantage	$3,101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,472.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,472.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$957.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,472.13
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$957.17
Rate for Payer: Clover Medicare Advantage	$909.31
Rate for Payer: EmblemHealth Commercial	$2,871.51
Rate for Payer: Humana Medicare Advantage	$985.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$957.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$397.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$957.17
Rate for Payer: Wellcare Medicare Advantage	$957.17
Rate for Payer: Wellpoint Medicaid Managed Care	$25.42

ELECTRO RESUSCITATION ONESTEP

Facility

$344.13

Hospital Charge Code	270675199N
Hospital Revenue Code	270
Min. Negotiated Rate	$51.62
Max. Negotiated Rate	$51.62
Rate for Payer: Qualcare PPO/HMO/WC	$51.62

ELECTRO RESUSCITATION ONESTEP

Facility

$344.13

Hospital Charge Code	270675199N
Hospital Revenue Code	270
Min. Negotiated Rate	$9.77
Max. Negotiated Rate	$172.06
Rate for Payer: Aetna Commercial	$130.77
Rate for Payer: Aetna Medicare Advantage	$103.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.75
Rate for Payer: Cigna Commercial	$172.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.47
Rate for Payer: Oxford Commercial	$68.83
Rate for Payer: Qualcare PPO/HMO/WC	$51.62
Rate for Payer: UnitedHealthcare Commercial	$68.83
Rate for Payer: UnitedHealthcare Community & State	$10.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.77

ELECTRO RESUSCITATION ONESTEP

Facility

$335.75

Hospital Charge Code	270675199
Hospital Revenue Code	270
Min. Negotiated Rate	$50.36
Max. Negotiated Rate	$50.36
Rate for Payer: Qualcare PPO/HMO/WC	$50.36

ELECTRO RESUSCITATION ONESTEP

Facility

$335.75

Hospital Charge Code	270675199
Hospital Revenue Code	270
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$167.88
Rate for Payer: Aetna Commercial	$127.58
Rate for Payer: Aetna Medicare Advantage	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.62
Rate for Payer: Cigna Commercial	$167.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.30
Rate for Payer: Oxford Commercial	$67.15
Rate for Payer: Qualcare PPO/HMO/WC	$50.36
Rate for Payer: UnitedHealthcare Commercial	$67.15
Rate for Payer: UnitedHealthcare Community & State	$10.61
Rate for Payer: Wellpoint Medicaid Managed Care	$9.54

ELECT STIMULATION-ATTNDED-15 M

Facility

$247.00

Service Code	HCPCS 97032GP
Hospital Charge Code	1008170
Hospital Revenue Code	420
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$93.86
Rate for Payer: Aetna Medicare Advantage	$74.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.98
Rate for Payer: Cigna Commercial	$123.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.22
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.05
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$7.81
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

ELECT STIMULATION-ATTNDED-15 M

Facility

$247.00

Service Code	HCPCS 97032GO
Hospital Charge Code	1008165
Hospital Revenue Code	430
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$93.86
Rate for Payer: Aetna Medicare Advantage	$74.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.98
Rate for Payer: Cigna Commercial	$123.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.22
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.05
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$7.81
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

ELECT STIMULATION-ATTNDED-15 M

Facility

$247.00

Service Code	HCPCS 97032GP
Hospital Charge Code	1008170
Hospital Revenue Code	420
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$37.05

Know your out-of-pocket cost for care.

All Charges