Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ENCEPHALITIS EAST,EQUINE

Facility

$93.00

Service Code	HCPCS 86652
Hospital Charge Code	38479412
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

ENCEPHALITIS EAST,EQUINE

Facility

$93.00

Service Code	HCPCS 86652
Hospital Charge Code	38479412
Hospital Revenue Code	302
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.88
Rate for Payer: Aetna Medicare Advantage	$42.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.85
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: Cigna Medicare Advantage	$13.19
Rate for Payer: Clover Medicare Advantage	$12.53
Rate for Payer: EmblemHealth Commercial	$39.57
Rate for Payer: Humana Medicare Advantage	$13.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.19
Rate for Payer: Wellcare Medicare Advantage	$13.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

ENCEPHALITIS,ST LOUIS

Facility

$93.00

Service Code	HCPCS 86653
Hospital Charge Code	38478089
Hospital Revenue Code	302
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.88
Rate for Payer: Aetna Medicare Advantage	$42.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.85
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: Cigna Medicare Advantage	$13.19
Rate for Payer: Clover Medicare Advantage	$12.53
Rate for Payer: EmblemHealth Commercial	$39.57
Rate for Payer: Humana Medicare Advantage	$13.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.19
Rate for Payer: Wellcare Medicare Advantage	$13.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

ENCEPHALITIS,ST LOUIS

Facility

$93.00

Service Code	HCPCS 86653
Hospital Charge Code	38478089
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

ENCEPHALITIS,ST LOUIS

Facility

$93.00

Service Code	HCPCS 86653
Hospital Charge Code	38479413
Hospital Revenue Code	302
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.88
Rate for Payer: Aetna Medicare Advantage	$42.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.85
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: Cigna Medicare Advantage	$13.19
Rate for Payer: Clover Medicare Advantage	$12.53
Rate for Payer: EmblemHealth Commercial	$39.57
Rate for Payer: Humana Medicare Advantage	$13.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.19
Rate for Payer: Wellcare Medicare Advantage	$13.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

ENCEPHALITIS,ST LOUIS

Facility

$93.00

Service Code	HCPCS 86653
Hospital Charge Code	38479413
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

ENCEPHALITIS, WEST EQUINE

Facility

$93.00

Service Code	HCPCS 86654
Hospital Charge Code	38479414
Hospital Revenue Code	302
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.88
Rate for Payer: Aetna Medicare Advantage	$42.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.85
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: Cigna Medicare Advantage	$13.19
Rate for Payer: Clover Medicare Advantage	$12.53
Rate for Payer: EmblemHealth Commercial	$39.57
Rate for Payer: Humana Medicare Advantage	$13.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.19
Rate for Payer: Wellcare Medicare Advantage	$13.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

ENCEPHALITIS, WEST EQUINE

Facility

$93.00

Service Code	HCPCS 86654
Hospital Charge Code	38479414
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

ENCEPHALITIS, WEST EQUINE

Facility

$93.00

Service Code	HCPCS 86654
Hospital Charge Code	38478090
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

ENCEPHALITIS, WEST EQUINE

Facility

$93.00

Service Code	HCPCS 86654
Hospital Charge Code	38478090
Hospital Revenue Code	302
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.88
Rate for Payer: Aetna Medicare Advantage	$42.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.85
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: Cigna Medicare Advantage	$13.19
Rate for Payer: Clover Medicare Advantage	$12.53
Rate for Payer: EmblemHealth Commercial	$39.57
Rate for Payer: Humana Medicare Advantage	$13.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.19
Rate for Payer: Wellcare Medicare Advantage	$13.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

ENCOMPASS 12MM HA COATED IMPLA

Facility

$11,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270679321
Hospital Revenue Code	278
Min. Negotiated Rate	$1,650.00
Max. Negotiated Rate	$2,662.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,662.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,650.00

ENCOMPASS 12MM HA COATED IMPLA

Facility

$11,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270679321
Hospital Revenue Code	278
Min. Negotiated Rate	$312.40
Max. Negotiated Rate	$5,500.00
Rate for Payer: Aetna Commercial	$4,180.00
Rate for Payer: Aetna Medicare Advantage	$3,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,805.00
Rate for Payer: Cigna Commercial	$5,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,662.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,650.00
Rate for Payer: UnitedHealthcare Community & State	$347.60
Rate for Payer: Wellpoint Medicaid Managed Care	$312.40

ENCORE 26 INFLATION DEVICE

Facility

$310.10

Hospital Charge Code	270656981
Hospital Revenue Code	272
Min. Negotiated Rate	$46.52
Max. Negotiated Rate	$46.52
Rate for Payer: Qualcare PPO/HMO/WC	$46.52

ENCORE 26 INFLATION DEVICE

Facility

$310.10

Hospital Charge Code	270656981
Hospital Revenue Code	272
Min. Negotiated Rate	$8.81
Max. Negotiated Rate	$155.05
Rate for Payer: Aetna Commercial	$117.84
Rate for Payer: Aetna Medicare Advantage	$93.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.08
Rate for Payer: Cigna Commercial	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.63
Rate for Payer: Oxford Commercial	$62.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.52
Rate for Payer: UnitedHealthcare Commercial	$62.02
Rate for Payer: UnitedHealthcare Community & State	$9.80
Rate for Payer: Wellpoint Medicaid Managed Care	$8.81

ENDARSECTOR WHITE 20 1001-755

Facility

$45.50

Hospital Charge Code	270622089
Hospital Revenue Code	270
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$17.29
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.83
Rate for Payer: Oxford Commercial	$9.10
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Commercial	$9.10
Rate for Payer: UnitedHealthcare Community & State	$1.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

ENDARSECTOR WHITE 20 1001-755

Facility

$45.50

Hospital Charge Code	270622089
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

END CAP 0

Facility

$1,088.95

Hospital Charge Code	270687877
Hospital Revenue Code	272
Min. Negotiated Rate	$163.34
Max. Negotiated Rate	$163.34
Rate for Payer: Qualcare PPO/HMO/WC	$163.34

END CAP 0

Facility

$1,088.95

Hospital Charge Code	270687877
Hospital Revenue Code	272
Min. Negotiated Rate	$30.93
Max. Negotiated Rate	$544.48
Rate for Payer: Aetna Commercial	$413.80
Rate for Payer: Aetna Medicare Advantage	$326.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.68
Rate for Payer: Cigna Commercial	$544.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.13
Rate for Payer: Oxford Commercial	$217.79
Rate for Payer: Qualcare PPO/HMO/WC	$163.34
Rate for Payer: UnitedHealthcare Commercial	$217.79
Rate for Payer: UnitedHealthcare Community & State	$34.41
Rate for Payer: Wellpoint Medicaid Managed Care	$30.93

END CAP 0

Facility

$1,062.20

Hospital Charge Code	270687793
Hospital Revenue Code	272
Min. Negotiated Rate	$30.17
Max. Negotiated Rate	$531.10
Rate for Payer: Aetna Commercial	$403.64
Rate for Payer: Aetna Medicare Advantage	$318.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.86
Rate for Payer: Cigna Commercial	$531.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.17
Rate for Payer: Oxford Commercial	$212.44
Rate for Payer: Qualcare PPO/HMO/WC	$159.33
Rate for Payer: UnitedHealthcare Commercial	$212.44
Rate for Payer: UnitedHealthcare Community & State	$33.57
Rate for Payer: Wellpoint Medicaid Managed Care	$30.17

END CAP 0

Facility

$1,062.20

Hospital Charge Code	270687793
Hospital Revenue Code	272
Min. Negotiated Rate	$159.33
Max. Negotiated Rate	$159.33
Rate for Payer: Qualcare PPO/HMO/WC	$159.33

END CAP 15 MM EXTENTION

Facility

$979.95

Service Code	HCPCS C1713
Hospital Charge Code	270688998
Hospital Revenue Code	278
Min. Negotiated Rate	$146.99
Max. Negotiated Rate	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.15
Rate for Payer: Qualcare PPO/HMO/WC	$146.99

END CAP 15 MM EXTENTION

Facility

$979.95

Service Code	HCPCS C1713
Hospital Charge Code	270688998
Hospital Revenue Code	278
Min. Negotiated Rate	$27.83
Max. Negotiated Rate	$489.98
Rate for Payer: Aetna Commercial	$372.38
Rate for Payer: Aetna Medicare Advantage	$293.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.89
Rate for Payer: Cigna Commercial	$489.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.15
Rate for Payer: Qualcare PPO/HMO/WC	$146.99
Rate for Payer: UnitedHealthcare Community & State	$30.97
Rate for Payer: Wellpoint Medicaid Managed Care	$27.83

END CAP 8X4MM

Facility

$1,530.00

Hospital Charge Code	270670458
Hospital Revenue Code	272
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$229.50
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

END CAP 8X4MM

Facility

$1,530.00

Hospital Charge Code	270670458
Hospital Revenue Code	272
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$581.40
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.80
Rate for Payer: Oxford Commercial	$306.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Commercial	$306.00
Rate for Payer: UnitedHealthcare Community & State	$48.35
Rate for Payer: Wellpoint Medicaid Managed Care	$43.45

END CAPARTHRODESIS NAIL PANTA2

Facility

$8,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270699958
Hospital Revenue Code	278
Min. Negotiated Rate	$244.24
Max. Negotiated Rate	$4,300.00
Rate for Payer: Aetna Commercial	$3,268.00
Rate for Payer: Aetna Medicare Advantage	$2,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,193.00
Rate for Payer: Cigna Commercial	$4,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,081.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,290.00
Rate for Payer: UnitedHealthcare Community & State	$271.76
Rate for Payer: Wellpoint Medicaid Managed Care	$244.24

Know your out-of-pocket cost for care.

All Charges