Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	411010007
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	321010007
Hospital Revenue Code	361
Min. Negotiated Rate	$96.46
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,051.74
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$883.10
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$107.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$96.46

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	404610007
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	321010007
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	321010008
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	404610008
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	321010008
Hospital Revenue Code	361
Min. Negotiated Rate	$48.23
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.35
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$849.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$53.67
Rate for Payer: Wellpoint Medicaid Managed Care	$48.23

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	404610008
Hospital Revenue Code	361
Min. Negotiated Rate	$48.23
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.35
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$849.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$53.67
Rate for Payer: Wellpoint Medicaid Managed Care	$48.23

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	321010005
Hospital Revenue Code	361
Min. Negotiated Rate	$96.46
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,051.74
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$883.10
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$107.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$96.46

FNA BIOPSY/US 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 10005
Hospital Charge Code	404310005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

FNA BIOPSY/US 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 10005
Hospital Charge Code	404310005
Hospital Revenue Code	361
Min. Negotiated Rate	$269.80
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,051.74
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404210005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404210005
Hospital Revenue Code	361
Min. Negotiated Rate	$96.46
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,051.74
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$883.10
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$107.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$96.46

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404610005
Hospital Revenue Code	361
Min. Negotiated Rate	$96.46
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,051.74
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$883.10
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$107.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$96.46

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404610005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	321010005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	321010006
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	321010006
Hospital Revenue Code	361
Min. Negotiated Rate	$48.23
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.35
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$849.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$53.67
Rate for Payer: Wellpoint Medicaid Managed Care	$48.23

FNA BIOPSY/US EA ADD LESION

Facility

$9,500.00

Service Code	HCPCS 10006
Hospital Charge Code	404310006
Hospital Revenue Code	361
Min. Negotiated Rate	$269.80
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404210006
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/US EA ADD LESION

Facility

$9,500.00

Service Code	HCPCS 10006
Hospital Charge Code	404310006
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404610006
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404610006
Hospital Revenue Code	361
Min. Negotiated Rate	$48.23
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.35
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$849.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$53.67
Rate for Payer: Wellpoint Medicaid Managed Care	$48.23

FNA BIOPSY/US EA ADD LESION

Facility

$1,698.28

Service Code	HCPCS 10006
Hospital Charge Code	404210006
Hospital Revenue Code	361
Min. Negotiated Rate	$48.23
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.35
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
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	$433.06
Rate for Payer: Cigna Commercial	$849.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.55
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$53.67
Rate for Payer: Wellpoint Medicaid Managed Care	$48.23

FNA BX W/CT GDN 1ST LES

Facility

$2,714.04

Service Code	HCPCS 10009
Hospital Charge Code	16000529
Hospital Revenue Code	360
Min. Negotiated Rate	$407.11
Max. Negotiated Rate	$407.11
Rate for Payer: Qualcare PPO/HMO/WC	$407.11

Know your out-of-pocket cost for care.

All Charges