Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FAT,STOOL,QUANT

Facility

$121.00

Service Code	HCPCS 82710
Hospital Charge Code	38475096
Hospital Revenue Code	301
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

FAT,STOOL,QUANT

Facility

$121.00

Service Code	HCPCS 82710
Hospital Charge Code	38475096
Hospital Revenue Code	301
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$54.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.94
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: Cigna Medicare Advantage	$16.80
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.46
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Medicare Advantage	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$3.44

FBRWIRE3-0 w/Taprd Needle 15MM

Facility

$1,320.00

Hospital Charge Code	270681580
Hospital Revenue Code	272
Min. Negotiated Rate	$37.49
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$501.60
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.20
Rate for Payer: Oxford Commercial	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00
Rate for Payer: UnitedHealthcare Commercial	$264.00
Rate for Payer: UnitedHealthcare Community & State	$41.71
Rate for Payer: Wellpoint Medicaid Managed Care	$37.49

FBRWIRE3-0 w/Taprd Needle 15MM

Facility

$1,320.00

Hospital Charge Code	270681580
Hospital Revenue Code	272
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

FBRWIRE4-0 w/Taprd Needle 12.3

Facility

$110.00

Hospital Charge Code	270681582
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$22.00
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

FBRWIRE4-0 w/Taprd Needle 12.3

Facility

$110.00

Hospital Charge Code	270681582
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

FDL DUALLINK

Facility

$12,675.25

Service Code	HCPCS C1762
Hospital Charge Code	270703581
Hospital Revenue Code	278
Min. Negotiated Rate	$1,901.29
Max. Negotiated Rate	$3,067.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,535.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,067.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.29

FDL DUALLINK

Facility

$12,675.25

Service Code	HCPCS C1762
Hospital Charge Code	270703581
Hospital Revenue Code	278
Min. Negotiated Rate	$359.98
Max. Negotiated Rate	$6,337.62
Rate for Payer: Aetna Commercial	$4,816.60
Rate for Payer: Aetna Medicare Advantage	$3,802.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,232.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,232.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,535.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,232.19
Rate for Payer: Cigna Commercial	$6,337.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,067.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.29
Rate for Payer: UnitedHealthcare Community & State	$400.54
Rate for Payer: Wellpoint Medicaid Managed Care	$359.98

FDL DUALLINK

Facility

$12,675.25

Service Code	HCPCS C1762
Hospital Charge Code	270702637
Hospital Revenue Code	278
Min. Negotiated Rate	$359.98
Max. Negotiated Rate	$6,337.62
Rate for Payer: Aetna Commercial	$4,816.60
Rate for Payer: Aetna Medicare Advantage	$3,802.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,232.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,232.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,535.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,232.19
Rate for Payer: Cigna Commercial	$6,337.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,067.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.29
Rate for Payer: UnitedHealthcare Community & State	$400.54
Rate for Payer: Wellpoint Medicaid Managed Care	$359.98

FDL DUALLINK

Facility

$12,675.25

Service Code	HCPCS C1762
Hospital Charge Code	270702637
Hospital Revenue Code	278
Min. Negotiated Rate	$1,901.29
Max. Negotiated Rate	$3,067.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,535.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,067.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.29

FEATHER RASP BONE CONTOURING

Facility

$2,750.00

Hospital Charge Code	270704102
Hospital Revenue Code	272
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

FEATHER RASP BONE CONTOURING

Facility

$2,750.00

Hospital Charge Code	270704102
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

FEATL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	83653105
Hospital Revenue Code	402
Min. Negotiated Rate	$25.67
Max. Negotiated Rate	$2,904.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.04
Rate for Payer: Oxford Commercial	$2,697.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.60
Rate for Payer: UnitedHealthcare Commercial	$2,904.00
Rate for Payer: UnitedHealthcare Community & State	$28.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$25.67

FEATL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	83653105
Hospital Revenue Code	402
Min. Negotiated Rate	$135.60
Max. Negotiated Rate	$135.60
Rate for Payer: Qualcare PPO/HMO/WC	$135.60

FEBRILE AGGLUTININS,EACH

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38476212
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

FEBRILE AGGLUTININS,EACH

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38476212
Hospital Revenue Code	305
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$18.99
Rate for Payer: Aetna Medicare Advantage	$22.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.32
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: Cigna Medicare Advantage	$6.98
Rate for Payer: Clover Medicare Advantage	$6.63
Rate for Payer: EmblemHealth Commercial	$20.94
Rate for Payer: Humana Medicare Advantage	$7.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.98
Rate for Payer: Wellcare Medicare Advantage	$6.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.64

FECAL FAT,QL

Facility

$390.00

Service Code	HCPCS 82705
Hospital Charge Code	39990006EX
Hospital Revenue Code	301
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$13.87
Rate for Payer: Aetna Medicare Advantage	$16.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.50
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.10
Rate for Payer: Clover Medicare Advantage	$4.84
Rate for Payer: EmblemHealth Commercial	$15.30
Rate for Payer: Humana Medicare Advantage	$5.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.10
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	$4.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.10
Rate for Payer: Wellcare Medicare Advantage	$5.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

FECAL FAT,QL

Facility

$390.00

Service Code	HCPCS 82705
Hospital Charge Code	39990006EX
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FECAL FAT,QL I

Facility

$34.95

Service Code	HCPCS 8270591
Hospital Charge Code	39990006A
Hospital Revenue Code	301
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$13.28
Rate for Payer: Aetna Medicare Advantage	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.91
Rate for Payer: Cigna Commercial	$17.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.09
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.24
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

FECAL FAT,QL I

Facility

$34.95

Service Code	HCPCS 8270591
Hospital Charge Code	39990006A
Hospital Revenue Code	301
Min. Negotiated Rate	$5.24
Max. Negotiated Rate	$5.24
Rate for Payer: Qualcare PPO/HMO/WC	$5.24

FECAL FAT,QL II

Facility

$29.35

Service Code	HCPCS 8270591
Hospital Charge Code	39990006B
Hospital Revenue Code	301
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.40

FECAL FAT,QL II

Facility

$29.35

Service Code	HCPCS 8270591
Hospital Charge Code	39990006B
Hospital Revenue Code	301
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$11.15
Rate for Payer: Aetna Medicare Advantage	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.48
Rate for Payer: Cigna Commercial	$14.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.63
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$0.93
Rate for Payer: Wellpoint Medicaid Managed Care	$0.83

FECAL GLOBIN IMMUNOASSAY FIT

Facility

$90.25

Service Code	HCPCS 82274
Hospital Charge Code	401182274
Hospital Revenue Code	301
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$43.30
Rate for Payer: Aetna Medicare Advantage	$51.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.75
Rate for Payer: Cigna Commercial	$45.12
Rate for Payer: Cigna Medicare Advantage	$15.92
Rate for Payer: Clover Medicare Advantage	$15.12
Rate for Payer: EmblemHealth Commercial	$47.76
Rate for Payer: Humana Medicare Advantage	$16.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.46
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.54
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$12.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.92
Rate for Payer: Wellcare Medicare Advantage	$15.92
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

FECAL GLOBIN IMMUNOASSAY FIT

Facility

$90.25

Service Code	HCPCS 82274
Hospital Charge Code	401182274
Hospital Revenue Code	301
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$13.54
Rate for Payer: Qualcare PPO/HMO/WC	$13.54

FECAL GLOBIN, IMMUNO CHEM

Facility

$390.00

Service Code	HCPCS 82274
Hospital Charge Code	305086
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges