Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FINGER-RT HAND, THUMB

Facility

$5,100.00

Service Code	HCPCS 73140F5
Hospital Charge Code	94061337
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 SENSOR ADULT FOR PULSE

Facility

$1,451.00

Hospital Charge Code	270332100
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$725.50
Rate for Payer: Aetna Commercial	$551.38
Rate for Payer: Aetna Medicare Advantage	$435.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.00
Rate for Payer: Cigna Commercial	$725.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.26
Rate for Payer: Oxford Commercial	$290.20
Rate for Payer: Qualcare PPO/HMO/WC	$217.65
Rate for Payer: UnitedHealthcare Commercial	$290.20
Rate for Payer: UnitedHealthcare Community & State	$45.85
Rate for Payer: Wellpoint Medicaid Managed Care	$41.21

FINGER SENSOR ADULT FOR PULSE

Facility

$1,451.00

Hospital Charge Code	270332100
Hospital Revenue Code	272
Min. Negotiated Rate	$217.65
Max. Negotiated Rate	$217.65
Rate for Payer: Qualcare PPO/HMO/WC	$217.65

FINGER SPLINT DYNAMIC

Facility

$322.82

Service Code	HCPCS 29131
Hospital Charge Code	412329131
Hospital Revenue Code	361
Min. Negotiated Rate	$9.17
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$190.62
Rate for Payer: Aetna Medicare Advantage	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$70.08
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	$254.22
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: Cigna Medicare Advantage	$70.08
Rate for Payer: Clover Medicare Advantage	$66.58
Rate for Payer: EmblemHealth Commercial	$210.24
Rate for Payer: Humana Medicare Advantage	$72.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$70.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.93
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.42
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$10.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$70.08
Rate for Payer: Wellcare Medicare Advantage	$70.08
Rate for Payer: Wellpoint Medicaid Managed Care	$9.17

FINGER SPLINT DYNAMIC

Facility

$322.82

Service Code	HCPCS 29131
Hospital Charge Code	412329131
Hospital Revenue Code	361
Min. Negotiated Rate	$48.42
Max. Negotiated Rate	$48.42
Rate for Payer: Qualcare PPO/HMO/WC	$48.42

FINGER TRAP LARGE

Facility

$91.57

Hospital Charge Code	270677425
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP LARGE

Facility

$91.57

Hospital Charge Code	270677425
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.81
Rate for Payer: Oxford Commercial	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$18.31
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$2.60

FINGER TRAP MEDIUM

Facility

$91.57

Hospital Charge Code	270677424
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.81
Rate for Payer: Oxford Commercial	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$18.31
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$2.60

FINGER TRAP MEDIUM

Facility

$91.57

Hospital Charge Code	270677424
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP SMALL

Facility

$91.57

Hospital Charge Code	270677423
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP SMALL

Facility

$91.57

Hospital Charge Code	270677423
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.81
Rate for Payer: Oxford Commercial	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$18.31
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$2.60

FINGER TRAP X-LARGE

Facility

$91.57

Hospital Charge Code	270677426
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP X-LARGE

Facility

$91.57

Hospital Charge Code	270677426
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.81
Rate for Payer: Oxford Commercial	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$18.31
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$2.60

FINGER TRAP X-SMALL

Facility

$91.57

Hospital Charge Code	270677422
Hospital Revenue Code	272
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$13.74
Rate for Payer: Qualcare PPO/HMO/WC	$13.74

FINGER TRAP X-SMALL

Facility

$91.57

Hospital Charge Code	270677422
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$45.78
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$45.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.81
Rate for Payer: Oxford Commercial	$18.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.74
Rate for Payer: UnitedHealthcare Commercial	$18.31
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$2.60

FIORICET 300-50-40MG CAPSULE

Facility

$32.23

Service Code	NDC 70010004401
Hospital Charge Code	606390541
Hospital Revenue Code	250
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$4.83

FIORICET 300-50-40MG CAPSULE

Facility

$32.23

Service Code	NDC 70010004401
Hospital Charge Code	606390541
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.11
Rate for Payer: Aetna Commercial	$12.25
Rate for Payer: Aetna Medicare Advantage	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.22
Rate for Payer: Cigna Commercial	$16.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.38
Rate for Payer: Oxford Commercial	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.83
Rate for Payer: UnitedHealthcare Commercial	$6.45
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

FIOS SCREW 4X40MM

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270703681
Hospital Revenue Code	279
Min. Negotiated Rate	$264.00
Max. Negotiated Rate	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$264.00

FIOS SCREW 4X40MM

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270703681
Hospital Revenue Code	279
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$880.00
Rate for Payer: Aetna Commercial	$668.80
Rate for Payer: Aetna Medicare Advantage	$528.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.80
Rate for Payer: Cigna Commercial	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.60
Rate for Payer: Oxford Commercial	$352.00
Rate for Payer: Qualcare PPO/HMO/WC	$264.00
Rate for Payer: UnitedHealthcare Commercial	$352.00
Rate for Payer: UnitedHealthcare Community & State	$55.62
Rate for Payer: Wellpoint Medicaid Managed Care	$49.98

FIRST TMT PLATE

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270686491
Hospital Revenue Code	278
Min. Negotiated Rate	$128.90
Max. Negotiated Rate	$207.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: Qualcare PPO/HMO/WC	$128.90

FIRST TMT PLATE

Facility

$859.35

Service Code	HCPCS C1713
Hospital Charge Code	270686491
Hospital Revenue Code	278
Min. Negotiated Rate	$24.41
Max. Negotiated Rate	$429.68
Rate for Payer: Aetna Commercial	$326.55
Rate for Payer: Aetna Medicare Advantage	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.13
Rate for Payer: Cigna Commercial	$429.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.96
Rate for Payer: Qualcare PPO/HMO/WC	$128.90
Rate for Payer: UnitedHealthcare Community & State	$27.16
Rate for Payer: Wellpoint Medicaid Managed Care	$24.41

FIRVANQ 50MG/ML SUSP

Facility

$36.18

Service Code	NDC 65628020605
Hospital Charge Code	606390239
Hospital Revenue Code	250
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$18.09
Rate for Payer: Aetna Commercial	$13.75
Rate for Payer: Aetna Medicare Advantage	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.23
Rate for Payer: Cigna Commercial	$18.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.41
Rate for Payer: Oxford Commercial	$7.24
Rate for Payer: Qualcare PPO/HMO/WC	$5.43
Rate for Payer: UnitedHealthcare Commercial	$7.24
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.03

FIRVANQ 50MG/ML SUSP

Facility

$36.18

Service Code	NDC 65628020605
Hospital Charge Code	606390239
Hospital Revenue Code	250
Min. Negotiated Rate	$5.43
Max. Negotiated Rate	$5.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.43

FISH DISPOSABLE VISCERAL LRG

Facility

$243.37

Hospital Charge Code	270653825
Hospital Revenue Code	272
Min. Negotiated Rate	$36.51
Max. Negotiated Rate	$36.51
Rate for Payer: Qualcare PPO/HMO/WC	$36.51

FISH DISPOSABLE VISCERAL LRG

Facility

$243.37

Hospital Charge Code	270653825
Hospital Revenue Code	272
Min. Negotiated Rate	$6.91
Max. Negotiated Rate	$121.69
Rate for Payer: Aetna Commercial	$92.48
Rate for Payer: Aetna Medicare Advantage	$73.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.06
Rate for Payer: Cigna Commercial	$121.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.28
Rate for Payer: Oxford Commercial	$48.67
Rate for Payer: Qualcare PPO/HMO/WC	$36.51
Rate for Payer: UnitedHealthcare Commercial	$48.67
Rate for Payer: UnitedHealthcare Community & State	$7.69
Rate for Payer: Wellpoint Medicaid Managed Care	$6.91

Know your out-of-pocket cost for care.

All Charges