Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FOGARTY ART EMBO CATH 4FR/80CM

Facility

$305.00

Hospital Charge Code	270330919
Hospital Revenue Code	278
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$73.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

FOGARTY ART EMBO CATH 4FR/80CM

Facility

$305.00

Hospital Charge Code	270330919
Hospital Revenue Code	278
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$152.50
Rate for Payer: Aetna Commercial	$115.90
Rate for Payer: Aetna Medicare Advantage	$91.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.78
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

FOGARTYART IRRI CATH 4FR 80CM

Facility

$138.00

Hospital Charge Code	270330914
Hospital Revenue Code	278
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$33.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.40
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

FOGARTYART IRRI CATH 4FR 80CM

Facility

$138.00

Hospital Charge Code	270330914
Hospital Revenue Code	278
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$69.00
Rate for Payer: Aetna Commercial	$52.44
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.40
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Community & State	$4.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.92

FOGARTY BILIARY BALLOON CATH.

Facility

$296.00

Hospital Charge Code	270330809
Hospital Revenue Code	278
Min. Negotiated Rate	$8.41
Max. Negotiated Rate	$148.00
Rate for Payer: Aetna Commercial	$112.48
Rate for Payer: Aetna Medicare Advantage	$88.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.48
Rate for Payer: Cigna Commercial	$148.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.63
Rate for Payer: Qualcare PPO/HMO/WC	$44.40
Rate for Payer: UnitedHealthcare Community & State	$9.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.41

FOGARTY BILIARY BALLOON CATH.

Facility

$296.00

Hospital Charge Code	270330809
Hospital Revenue Code	278
Min. Negotiated Rate	$44.40
Max. Negotiated Rate	$71.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.63
Rate for Payer: Qualcare PPO/HMO/WC	$44.40

FOG-OUT SOLUTION/KENDALL

Facility

$12.08

Hospital Charge Code	270655926
Hospital Revenue Code	270
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

FOG-OUT SOLUTION/KENDALL

Facility

$12.08

Hospital Charge Code	270655926
Hospital Revenue Code	270
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$6.04
Rate for Payer: Aetna Commercial	$4.59
Rate for Payer: Aetna Medicare Advantage	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.08
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.14
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$2.42
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

FOLATE

Facility

$131.00

Service Code	HCPCS 82746
Hospital Charge Code	38479400
Hospital Revenue Code	301
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$39.98
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.32
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: Cigna Medicare Advantage	$14.70
Rate for Payer: Clover Medicare Advantage	$13.96
Rate for Payer: EmblemHealth Commercial	$44.10
Rate for Payer: Humana Medicare Advantage	$15.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.06
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.70
Rate for Payer: Wellcare Medicare Advantage	$14.70
Rate for Payer: Wellpoint Medicaid Managed Care	$3.72

FOLATE

Facility

$131.00

Service Code	HCPCS 82746
Hospital Charge Code	38479400
Hospital Revenue Code	301
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

FOLATE

Facility

$667.59

Service Code	HCPCS 82746
Hospital Charge Code	39888003
Hospital Revenue Code	301
Min. Negotiated Rate	$11.76
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$39.98
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.32
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$14.70
Rate for Payer: Clover Medicare Advantage	$13.96
Rate for Payer: EmblemHealth Commercial	$44.10
Rate for Payer: Humana Medicare Advantage	$15.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.70
Rate for Payer: Wellcare Medicare Advantage	$14.70
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

FOLATE

Facility

$667.59

Service Code	HCPCS 82746
Hospital Charge Code	39888003
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

FOLATE (FOLIC ACID)

Facility

$131.00

Service Code	HCPCS 82746
Hospital Charge Code	38472281
Hospital Revenue Code	301
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

FOLATE (FOLIC ACID)

Facility

$131.00

Service Code	HCPCS 82746
Hospital Charge Code	38472281
Hospital Revenue Code	301
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$39.98
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.32
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: Cigna Medicare Advantage	$14.70
Rate for Payer: Clover Medicare Advantage	$13.96
Rate for Payer: EmblemHealth Commercial	$44.10
Rate for Payer: Humana Medicare Advantage	$15.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.06
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.70
Rate for Payer: Wellcare Medicare Advantage	$14.70
Rate for Payer: Wellpoint Medicaid Managed Care	$3.72

FOLATE RBC

Facility

$390.00

Service Code	HCPCS 82747
Hospital Charge Code	39900330
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FOLATE RBC

Facility

$390.00

Service Code	HCPCS 82747
Hospital Charge Code	39900330
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$48.01
Rate for Payer: Aetna Medicare Advantage	$57.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.03
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$17.65
Rate for Payer: Clover Medicare Advantage	$16.77
Rate for Payer: EmblemHealth Commercial	$52.95
Rate for Payer: Humana Medicare Advantage	$18.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.65
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	$14.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.65
Rate for Payer: Wellcare Medicare Advantage	$17.65
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

FOLATE, RBC

Facility

$169.00

Service Code	HCPCS 82747
Hospital Charge Code	38472006
Hospital Revenue Code	301
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$48.01
Rate for Payer: Aetna Medicare Advantage	$57.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.03
Rate for Payer: Cigna Commercial	$84.50
Rate for Payer: Cigna Medicare Advantage	$17.65
Rate for Payer: Clover Medicare Advantage	$16.77
Rate for Payer: EmblemHealth Commercial	$52.95
Rate for Payer: Humana Medicare Advantage	$18.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.94
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.65
Rate for Payer: Wellcare Medicare Advantage	$17.65
Rate for Payer: Wellpoint Medicaid Managed Care	$4.80

FOLATE, RBC

Facility

$169.00

Service Code	HCPCS 82747
Hospital Charge Code	38472006
Hospital Revenue Code	301
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

FOLATE,SERUM

Facility

$101.05

Service Code	HCPCS 82746
Hospital Charge Code	39900080
Hospital Revenue Code	301
Min. Negotiated Rate	$15.16
Max. Negotiated Rate	$15.16
Rate for Payer: Qualcare PPO/HMO/WC	$15.16

FOLATE,SERUM

Facility

$101.05

Service Code	HCPCS 82746
Hospital Charge Code	39900080
Hospital Revenue Code	301
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$39.98
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.32
Rate for Payer: Cigna Commercial	$50.52
Rate for Payer: Cigna Medicare Advantage	$14.70
Rate for Payer: Clover Medicare Advantage	$13.96
Rate for Payer: EmblemHealth Commercial	$44.10
Rate for Payer: Humana Medicare Advantage	$15.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.27
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.16
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.70
Rate for Payer: Wellcare Medicare Advantage	$14.70
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

FOLEY CATH 18F TRAY LF 900118A

Facility

$72.77

Hospital Charge Code	270639932
Hospital Revenue Code	272
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$10.92
Rate for Payer: Qualcare PPO/HMO/WC	$10.92

FOLEY CATH 18F TRAY LF 900118A

Facility

$72.77

Hospital Charge Code	270639932
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$36.38
Rate for Payer: Aetna Commercial	$27.65
Rate for Payer: Aetna Medicare Advantage	$21.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.56
Rate for Payer: Cigna Commercial	$36.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.92
Rate for Payer: Oxford Commercial	$14.55
Rate for Payer: Qualcare PPO/HMO/WC	$10.92
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: UnitedHealthcare Community & State	$2.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

FOLEY CATHETER 24FR 30CC 2WAY

Facility

$416.00

Hospital Charge Code	270332269
Hospital Revenue Code	272
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

FOLEY CATHETER 24FR 30CC 2WAY

Facility

$416.00

Hospital Charge Code	270332269
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$208.00
Rate for Payer: Aetna Commercial	$158.08
Rate for Payer: Aetna Medicare Advantage	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.08
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.16
Rate for Payer: Oxford Commercial	$83.20
Rate for Payer: Qualcare PPO/HMO/WC	$62.40
Rate for Payer: UnitedHealthcare Commercial	$83.20
Rate for Payer: UnitedHealthcare Community & State	$13.15
Rate for Payer: Wellpoint Medicaid Managed Care	$11.81

FOLEY CATH INSERTION

Facility

$499.90

Service Code	HCPCS 51702
Hospital Charge Code	1001196
Hospital Revenue Code	361
Min. Negotiated Rate	$74.98
Max. Negotiated Rate	$74.98
Rate for Payer: Qualcare PPO/HMO/WC	$74.98

Know your out-of-pocket cost for care.

All Charges