Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FECAL GLOBIN, IMMUNO CHEM

Facility

$390.00

Service Code	HCPCS 82274
Hospital Charge Code	305086
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
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	$195.00
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	$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	$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	$11.08

FECAL LEUKOCYTE

Facility

$150.00

Service Code	HCPCS 89055
Hospital Charge Code	38475094
Hospital Revenue Code	309
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

FECAL LEUKOCYTE

Facility

$150.00

Service Code	HCPCS 89055
Hospital Charge Code	38475094
Hospital Revenue Code	309
Min. Negotiated Rate	$3.42
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.49
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: Cigna Medicare Advantage	$4.27
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Medicare Advantage	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

FECAL LEUKOCYTES

Facility

$390.00

Service Code	HCPCS 87205
Hospital Charge Code	3004652
Hospital Revenue Code	309
Min. Negotiated Rate	$3.42
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.49
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$4.27
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.27
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	$3.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Medicare Advantage	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

FECAL LEUKOCYTES

Facility

$390.00

Service Code	HCPCS 87205
Hospital Charge Code	3004652
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FECAL LIPIDS,TOTAL

Facility

$390.00

Service Code	HCPCS 82710
Hospital Charge Code	39900078
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
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	$195.00
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	$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	$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	$11.08

FECAL LIPIDS,TOTAL

Facility

$390.00

Service Code	HCPCS 82710
Hospital Charge Code	39900078
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FEC. PANCREATIC ELASTASE-1

Facility

$951.00

Service Code	HCPCS 82656
Hospital Charge Code	397071379
Hospital Revenue Code	301
Min. Negotiated Rate	$142.65
Max. Negotiated Rate	$142.65
Rate for Payer: Qualcare PPO/HMO/WC	$142.65

FEC. PANCREATIC ELASTASE-1

Facility

$951.00

Service Code	HCPCS 82656
Hospital Charge Code	397071379
Hospital Revenue Code	301
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$475.50
Rate for Payer: Aetna Commercial	$31.36
Rate for Payer: Aetna Medicare Advantage	$37.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.83
Rate for Payer: Cigna Commercial	$475.50
Rate for Payer: Cigna Medicare Advantage	$11.53
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Medicare Advantage	$11.53
Rate for Payer: Wellpoint Medicaid Managed Care	$27.01

FEE CANCEL AT PROCEDURE ATS400

Facility

$1,455.00

Hospital Charge Code	270613407
Hospital Revenue Code	272
Min. Negotiated Rate	$218.25
Max. Negotiated Rate	$218.25
Rate for Payer: Qualcare PPO/HMO/WC	$218.25

FEE CANCEL AT PROCEDURE ATS400

Facility

$1,455.00

Hospital Charge Code	270613407
Hospital Revenue Code	272
Min. Negotiated Rate	$41.32
Max. Negotiated Rate	$727.50
Rate for Payer: Aetna Commercial	$552.90
Rate for Payer: Aetna Medicare Advantage	$436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.02
Rate for Payer: Cigna Commercial	$727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.30
Rate for Payer: Oxford Commercial	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.25
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: UnitedHealthcare Community & State	$45.98
Rate for Payer: Wellpoint Medicaid Managed Care	$41.32

FEEDING TUBE INFANT 6FR

Facility

$7.70

Hospital Charge Code	270659380
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.93
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.00
Rate for Payer: Oxford Commercial	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.54
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

FEEDING TUBE INFANT 6FR

Facility

$7.70

Hospital Charge Code	270659380
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

FEEDING TUBE JUJUNAL

Facility

$195.20

Hospital Charge Code	270687764
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$74.18
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.75
Rate for Payer: Oxford Commercial	$39.04
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$39.04
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$5.54

FEEDING TUBE JUJUNAL

Facility

$195.20

Hospital Charge Code	270687764
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

FELBAMATE

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38476778
Hospital Revenue Code	301
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

FELBAMATE

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38476778
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$60.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Medicare Advantage	$18.64
Rate for Payer: Wellpoint Medicaid Managed Care	$9.20

FELBATOL

Facility

$390.00

Service Code	HCPCS 80299
Hospital Charge Code	39900414
Hospital Revenue Code	301
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$60.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.62
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.64
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	$14.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Medicare Advantage	$18.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

FELBATOL

Facility

$390.00

Service Code	HCPCS 80299
Hospital Charge Code	39900414
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FELT ADHESIVE BCKG 1/4RL 68926

Facility

$236.20

Hospital Charge Code	270640902W
Hospital Revenue Code	272
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$35.43
Rate for Payer: Qualcare PPO/HMO/WC	$35.43

FELT ADHESIVE BCKG 1/4RL 68926

Facility

$236.20

Hospital Charge Code	270640902W
Hospital Revenue Code	272
Min. Negotiated Rate	$6.71
Max. Negotiated Rate	$118.10
Rate for Payer: Aetna Commercial	$89.76
Rate for Payer: Aetna Medicare Advantage	$70.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.23
Rate for Payer: Cigna Commercial	$118.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.41
Rate for Payer: Oxford Commercial	$47.24
Rate for Payer: Qualcare PPO/HMO/WC	$35.43
Rate for Payer: UnitedHealthcare Commercial	$47.24
Rate for Payer: UnitedHealthcare Community & State	$7.46
Rate for Payer: Wellpoint Medicaid Managed Care	$6.71

FELT ORTH 1/2TH 21/36

Facility

$740.00

Hospital Charge Code	270300910
Hospital Revenue Code	270
Min. Negotiated Rate	$21.02
Max. Negotiated Rate	$370.00
Rate for Payer: Aetna Commercial	$281.20
Rate for Payer: Aetna Medicare Advantage	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.70
Rate for Payer: Cigna Commercial	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.40
Rate for Payer: Oxford Commercial	$148.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00
Rate for Payer: UnitedHealthcare Commercial	$148.00
Rate for Payer: UnitedHealthcare Community & State	$23.38
Rate for Payer: Wellpoint Medicaid Managed Care	$21.02

FELT ORTH 1/2TH 21/36

Facility

$740.00

Hospital Charge Code	270300910
Hospital Revenue Code	270
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$111.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

FEMADPTBIOLOXD 16/18 12-14 7MM

Facility

$937.50

Service Code	HCPCS C1776
Hospital Charge Code	270697543
Hospital Revenue Code	278
Min. Negotiated Rate	$26.62
Max. Negotiated Rate	$468.75
Rate for Payer: Aetna Commercial	$356.25
Rate for Payer: Aetna Medicare Advantage	$281.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.06
Rate for Payer: Cigna Commercial	$468.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.88
Rate for Payer: Qualcare PPO/HMO/WC	$140.62
Rate for Payer: UnitedHealthcare Community & State	$29.62
Rate for Payer: Wellpoint Medicaid Managed Care	$26.62

FEMADPTBIOLOXD 16/18 12-14 7MM

Facility

$937.50

Service Code	HCPCS C1776
Hospital Charge Code	270697543
Hospital Revenue Code	278
Min. Negotiated Rate	$140.62
Max. Negotiated Rate	$226.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.88
Rate for Payer: Qualcare PPO/HMO/WC	$140.62

Know your out-of-pocket cost for care.

All Charges