Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FREE T3

Facility

$390.00

Service Code	HCPCS 84481
Hospital Charge Code	39900506
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$46.08
Rate for Payer: Aetna Medicare Advantage	$54.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$16.94
Rate for Payer: Clover Medicare Advantage	$16.09
Rate for Payer: EmblemHealth Commercial	$50.82
Rate for Payer: Humana Medicare Advantage	$17.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.94
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	$13.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.94
Rate for Payer: Wellcare Medicare Advantage	$16.94
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

FRENOPLASTY

Facility

$42,339.20

Service Code	HCPCS 41520
Hospital Charge Code	1600000631
Hospital Revenue Code	360
Min. Negotiated Rate	$1,202.43
Max. Negotiated Rate	$14,288.18
Rate for Payer: Aetna Commercial	$10,713.67
Rate for Payer: Aetna Medicare Advantage	$12,761.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,288.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,288.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,938.85
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	$14,288.18
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: Cigna Medicare Advantage	$3,938.85
Rate for Payer: Clover Medicare Advantage	$3,741.91
Rate for Payer: EmblemHealth Commercial	$11,816.55
Rate for Payer: Humana Medicare Advantage	$4,057.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,938.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,008.19
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,337.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,938.85
Rate for Payer: Wellcare Medicare Advantage	$3,938.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1,202.43

FRENOPLASTY

Facility

$42,339.20

Service Code	HCPCS 41520
Hospital Charge Code	1600000631
Hospital Revenue Code	360
Min. Negotiated Rate	$6,350.88
Max. Negotiated Rate	$6,350.88
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88

FRENULOTOMY OF PENIS

Facility

$12,062.25

Service Code	HCPCS 54164
Hospital Charge Code	1600000595
Hospital Revenue Code	360
Min. Negotiated Rate	$1,809.34
Max. Negotiated Rate	$1,809.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,809.34

FRENULOTOMY OF PENIS

Facility

$12,062.25

Service Code	HCPCS 54164
Hospital Charge Code	1600000595
Hospital Revenue Code	360
Min. Negotiated Rate	$342.57
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,136.18
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,809.34
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$381.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$342.57

FRESH FROZEN PLASMA, SING DNR

Facility

$471.00

Hospital Charge Code	38471052
Hospital Revenue Code	390
Min. Negotiated Rate	$13.38
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$178.98
Rate for Payer: Aetna Medicare Advantage	$141.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.11
Rate for Payer: Cigna Commercial	$235.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.46
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.65
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$14.88
Rate for Payer: Wellpoint Medicaid Managed Care	$13.38

FRESH FROZEN PLASMA, SING DNR

Facility

$471.00

Hospital Charge Code	38471052
Hospital Revenue Code	390
Min. Negotiated Rate	$70.65
Max. Negotiated Rate	$70.65
Rate for Payer: Qualcare PPO/HMO/WC	$70.65

FRESH FROZEN PLASMA,THAWING EA

Facility

$126.00

Service Code	HCPCS 86927
Hospital Charge Code	38471093
Hospital Revenue Code	309
Min. Negotiated Rate	$3.58
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) NJ Health	$9.87
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	$32.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

FRESH FROZEN PLASMA,THAWING EA

Facility

$126.00

Service Code	HCPCS 86927
Hospital Charge Code	38471093
Hospital Revenue Code	309
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

FRESH OSTEOCHONDRAL CORE 10MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673844
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$3,018.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

FRESH OSTEOCHONDRAL CORE 10MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673844
Hospital Revenue Code	278
Min. Negotiated Rate	$354.29
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$4,740.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25
Rate for Payer: UnitedHealthcare Community & State	$394.21
Rate for Payer: Wellpoint Medicaid Managed Care	$354.29

FRESH PLUG 16MM

Facility

$21,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270694002
Hospital Revenue Code	278
Min. Negotiated Rate	$620.54
Max. Negotiated Rate	$10,925.00
Rate for Payer: Aetna Commercial	$8,303.00
Rate for Payer: Aetna Medicare Advantage	$6,555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,571.75
Rate for Payer: Cigna Commercial	$10,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,287.70
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50
Rate for Payer: UnitedHealthcare Community & State	$690.46
Rate for Payer: Wellpoint Medicaid Managed Care	$620.54

FRESH PLUG 16MM

Facility

$21,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270694002
Hospital Revenue Code	278
Min. Negotiated Rate	$3,277.50
Max. Negotiated Rate	$5,287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,287.70
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50

FROCEP FOX BIPOLAR .5MMX20XM

Facility

$946.15

Hospital Charge Code	270664163
Hospital Revenue Code	270
Min. Negotiated Rate	$26.87
Max. Negotiated Rate	$473.07
Rate for Payer: Aetna Commercial	$359.54
Rate for Payer: Aetna Medicare Advantage	$283.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.27
Rate for Payer: Cigna Commercial	$473.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.00
Rate for Payer: Oxford Commercial	$189.23
Rate for Payer: Qualcare PPO/HMO/WC	$141.92
Rate for Payer: UnitedHealthcare Commercial	$189.23
Rate for Payer: UnitedHealthcare Community & State	$29.90
Rate for Payer: Wellpoint Medicaid Managed Care	$26.87

FROCEP FOX BIPOLAR .5MMX20XM

Facility

$946.15

Hospital Charge Code	270664163
Hospital Revenue Code	270
Min. Negotiated Rate	$141.92
Max. Negotiated Rate	$141.92
Rate for Payer: Qualcare PPO/HMO/WC	$141.92

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001N
Hospital Revenue Code	272
Min. Negotiated Rate	$136.32
Max. Negotiated Rate	$2,400.00
Rate for Payer: Aetna Commercial	$1,824.00
Rate for Payer: Aetna Medicare Advantage	$1,440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,224.00
Rate for Payer: Cigna Commercial	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.00
Rate for Payer: Oxford Commercial	$960.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00
Rate for Payer: UnitedHealthcare Commercial	$960.00
Rate for Payer: UnitedHealthcare Community & State	$151.68
Rate for Payer: Wellpoint Medicaid Managed Care	$136.32

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001S
Hospital Revenue Code	272
Min. Negotiated Rate	$136.32
Max. Negotiated Rate	$2,400.00
Rate for Payer: Aetna Commercial	$1,824.00
Rate for Payer: Aetna Medicare Advantage	$1,440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,224.00
Rate for Payer: Cigna Commercial	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.00
Rate for Payer: Oxford Commercial	$960.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00
Rate for Payer: UnitedHealthcare Commercial	$960.00
Rate for Payer: UnitedHealthcare Community & State	$151.68
Rate for Payer: Wellpoint Medicaid Managed Care	$136.32

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001S
Hospital Revenue Code	272
Min. Negotiated Rate	$720.00
Max. Negotiated Rate	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00

FRONTRUNNER XP CTO

Facility

$4,800.00

Hospital Charge Code	270687001N
Hospital Revenue Code	272
Min. Negotiated Rate	$720.00
Max. Negotiated Rate	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$720.00

FROZEN FIBER 10CC

Facility

$15,000.00

Service Code	HCPCS C1765
Hospital Charge Code	270705405
Hospital Revenue Code	278
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$474.00
Rate for Payer: Wellpoint Medicaid Managed Care	$426.00

FROZEN FIBER 10CC

Facility

$15,000.00

Service Code	HCPCS C1765
Hospital Charge Code	270705405
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

FROZEN SECTION

Facility

$390.00

Service Code	HCPCS 88332
Hospital Charge Code	3004935
Hospital Revenue Code	312
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FROZEN SECTION

Facility

$401.00

Service Code	HCPCS 88331
Hospital Charge Code	3004934
Hospital Revenue Code	310
Min. Negotiated Rate	$11.39
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	$104.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$81.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11.39

FROZEN SECTION

Facility

$390.00

Service Code	HCPCS 88332
Hospital Charge Code	3004935
Hospital Revenue Code	312
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$43.90
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

FROZEN SECTION

Facility

$401.00

Service Code	HCPCS 88331
Hospital Charge Code	3004934
Hospital Revenue Code	310
Min. Negotiated Rate	$60.15
Max. Negotiated Rate	$60.15
Rate for Payer: Qualcare PPO/HMO/WC	$60.15

Know your out-of-pocket cost for care.

All Charges