Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FINE NEEDLE ASPIRATION IMMED

Facility

$538.00

Service Code	HCPCS 88172
Hospital Charge Code	38474074
Hospital Revenue Code	311
Min. Negotiated Rate	$80.70
Max. Negotiated Rate	$80.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.70

FINE NEEDLE ASPIRATION IMMED

Facility

$538.00

Service Code	HCPCS 88172
Hospital Charge Code	38474074
Hospital Revenue Code	311
Min. Negotiated Rate	$15.28
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.88
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$80.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$44.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$15.28

FINE NEEDLE ASPIRATION PERMANE

Facility

$806.00

Service Code	HCPCS 88173
Hospital Charge Code	3005387
Hospital Revenue Code	311
Min. Negotiated Rate	$120.90
Max. Negotiated Rate	$120.90
Rate for Payer: Qualcare PPO/HMO/WC	$120.90

FINE NEEDLE ASPIRATION PERMANE

Facility

$806.00

Service Code	HCPCS 88173
Hospital Charge Code	3005387
Hospital Revenue Code	311
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$224.58
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$200.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.58
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$61.91
Rate for Payer: Clover Medicare Advantage	$58.81
Rate for Payer: EmblemHealth Commercial	$185.73
Rate for Payer: Humana Medicare Advantage	$63.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$135.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$22.89

FINE NEEDLE ASPIRATION W IMAGE

Facility

$787.00

Service Code	HCPCS 10022
Hospital Charge Code	75190005
Hospital Revenue Code	510
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$393.50
Rate for Payer: Aetna Commercial	$299.06
Rate for Payer: Aetna Medicare Advantage	$236.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.69
Rate for Payer: Cigna Commercial	$393.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.62
Rate for Payer: Qualcare PPO/HMO/WC	$118.05
Rate for Payer: UnitedHealthcare Community & State	$24.87
Rate for Payer: Wellpoint Medicaid Managed Care	$22.35

FINE NEEDLE ASPIRATION W IMAGE

Facility

$787.00

Service Code	HCPCS 10022
Hospital Charge Code	75190005
Hospital Revenue Code	510
Min. Negotiated Rate	$118.05
Max. Negotiated Rate	$118.05
Rate for Payer: Qualcare PPO/HMO/WC	$118.05

FINE NEEDLE ASP W/O IMAGING

Facility

$1,870.85

Service Code	HCPCS 10021
Hospital Charge Code	412310021
Hospital Revenue Code	361
Min. Negotiated Rate	$280.63
Max. Negotiated Rate	$280.63
Rate for Payer: Qualcare PPO/HMO/WC	$280.63

FINE NEEDLE ASP W/O IMAGING

Facility

$1,870.85

Service Code	HCPCS 10021
Hospital Charge Code	412310021
Hospital Revenue Code	361
Min. Negotiated Rate	$53.13
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$486.42
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$280.63
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$59.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$53.13

FINGER CAST APPLICATION

Facility

$475.00

Service Code	HCPCS 29086
Hospital Charge Code	5780125
Hospital Revenue Code	450
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

FINGER CAST APPLICATION

Facility

$475.00

Service Code	HCPCS 29086
Hospital Charge Code	5780125
Hospital Revenue Code	450
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$700.29
Rate for Payer: Aetna Commercial	$525.10
Rate for Payer: Aetna Medicare Advantage	$625.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$193.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$700.29
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: Cigna Medicare Advantage	$193.05
Rate for Payer: Clover Medicare Advantage	$183.40
Rate for Payer: EmblemHealth Commercial	$579.15
Rate for Payer: Humana Medicare Advantage	$198.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$193.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$193.05
Rate for Payer: Wellcare Medicare Advantage	$193.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

FINGER-LT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F4
Hospital Charge Code	94061335
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

FINGER-LT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F4
Hospital Charge Code	94061335
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-LT HAND, 4TH DI

Facility

$5,100.00

Service Code	HCPCS 73140F3
Hospital Charge Code	94061333
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-LT HAND, 4TH DI

Facility

$5,100.00

Service Code	HCPCS 73140F3
Hospital Charge Code	94061333
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

FINGER-LT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140FA
Hospital Charge Code	94061347
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

FINGER-LT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140FA
Hospital Charge Code	94061347
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER PULSE OXIMETER ECONOMY

Facility

$271.90

Hospital Charge Code	270665870
Hospital Revenue Code	270
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$135.95
Rate for Payer: Aetna Commercial	$103.32
Rate for Payer: Aetna Medicare Advantage	$81.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.33
Rate for Payer: Cigna Commercial	$135.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.69
Rate for Payer: Oxford Commercial	$54.38
Rate for Payer: Qualcare PPO/HMO/WC	$40.78
Rate for Payer: UnitedHealthcare Commercial	$54.38
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: Wellpoint Medicaid Managed Care	$7.72

FINGER PULSE OXIMETER ECONOMY

Facility

$271.90

Hospital Charge Code	270665870
Hospital Revenue Code	270
Min. Negotiated Rate	$40.78
Max. Negotiated Rate	$40.78
Rate for Payer: Qualcare PPO/HMO/WC	$40.78

FINGER-RT 2ND DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F6
Hospital Charge Code	94061339
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-RT 2ND DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F6
Hospital Charge Code	94061339
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

FINGER-RT 3RD DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F7
Hospital Charge Code	94061341
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-RT 3RD DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F7
Hospital Charge Code	94061341
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

FINGER-RT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F9
Hospital Charge Code	94061345
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

FINGER-RT 5TH DIGIT

Facility

$5,100.00

Service Code	HCPCS 73140F9
Hospital Charge Code	94061345
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

FINGER-RT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140F5
Hospital Charge Code	94061337
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

Know your out-of-pocket cost for care.

All Charges