Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GENERATOR SINGLE CHAMBER RATE

Facility

$28,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270657514
Hospital Revenue Code	278
Min. Negotiated Rate	$822.89
Max. Negotiated Rate	$14,487.50
Rate for Payer: Aetna Commercial	$11,010.50
Rate for Payer: Aetna Medicare Advantage	$8,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,388.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,388.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,388.62
Rate for Payer: Cigna Commercial	$14,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,011.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,346.25
Rate for Payer: UnitedHealthcare Community & State	$915.61
Rate for Payer: Wellpoint Medicaid Managed Care	$822.89

GENERATOR SPINAL CORD ETERNA

Facility

$130,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270701508
Hospital Revenue Code	278
Min. Negotiated Rate	$3,718.70
Max. Negotiated Rate	$65,470.00
Rate for Payer: Aetna Commercial	$49,757.20
Rate for Payer: Aetna Medicare Advantage	$39,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,389.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,389.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,389.70
Rate for Payer: Cigna Commercial	$65,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,687.48
Rate for Payer: Qualcare PPO/HMO/WC	$19,641.00
Rate for Payer: UnitedHealthcare Community & State	$4,137.70
Rate for Payer: Wellpoint Medicaid Managed Care	$3,718.70

GENERATOR SPINAL CORD ETERNA

Facility

$130,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270701508
Hospital Revenue Code	278
Min. Negotiated Rate	$19,641.00
Max. Negotiated Rate	$31,687.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,687.48
Rate for Payer: Qualcare PPO/HMO/WC	$19,641.00

GENESYS 1 LEVEL PLATE

Facility

$6,000.00

Hospital Charge Code	270667750
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

GENESYS 1 LEVEL PLATE

Facility

$6,000.00

Hospital Charge Code	270667750
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

GENITAL SURGERY PROCEDURE

Facility

$1,310.60

Service Code	HCPCS 55899
Hospital Charge Code	16000758
Hospital Revenue Code	360
Min. Negotiated Rate	$196.59
Max. Negotiated Rate	$196.59
Rate for Payer: Qualcare PPO/HMO/WC	$196.59

GENITAL SURGERY PROCEDURE

Facility

$1,310.60

Service Code	HCPCS 55899
Hospital Charge Code	16000758
Hospital Revenue Code	360
Min. Negotiated Rate	$37.22
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$807.38
Rate for Payer: Aetna Medicare Advantage	$961.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$296.83
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	$1,076.75
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: Cigna Medicare Advantage	$296.83
Rate for Payer: Clover Medicare Advantage	$281.99
Rate for Payer: EmblemHealth Commercial	$890.49
Rate for Payer: Humana Medicare Advantage	$305.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$296.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.76
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.59
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$41.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$296.83
Rate for Payer: Wellcare Medicare Advantage	$296.83
Rate for Payer: Wellpoint Medicaid Managed Care	$37.22

GENIUS PRP SYSTEM

Facility

$4,000.00

Hospital Charge Code	270679233
Hospital Revenue Code	272
Min. Negotiated Rate	$113.60
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,040.00
Rate for Payer: Oxford Commercial	$800.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$800.00
Rate for Payer: UnitedHealthcare Community & State	$126.40
Rate for Payer: Wellpoint Medicaid Managed Care	$113.60

GENIUS PRP SYSTEM

Facility

$4,000.00

Hospital Charge Code	270679233
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

GENIUS PRP SYSTEM 60ML

Facility

$1,975.00

Hospital Charge Code	270685399
Hospital Revenue Code	272
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

GENIUS PRP SYSTEM 60ML

Facility

$1,975.00

Hospital Charge Code	270685399
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

GEN LAP KIT

Facility

$352.00

Hospital Charge Code	270338736
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

GEN LAP KIT

Facility

$352.00

Hospital Charge Code	270338736
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$133.76
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.52
Rate for Payer: Oxford Commercial	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$70.40
Rate for Payer: UnitedHealthcare Community & State	$11.12
Rate for Payer: Wellpoint Medicaid Managed Care	$10.00

GENTAMICIN 0.3%/PREDN 0.6% UNG

Facility

$472.25

Hospital Charge Code	606390043
Hospital Revenue Code	250
Min. Negotiated Rate	$13.41
Max. Negotiated Rate	$236.12
Rate for Payer: Aetna Commercial	$179.46
Rate for Payer: Aetna Medicare Advantage	$141.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.42
Rate for Payer: Cigna Commercial	$236.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.78
Rate for Payer: Oxford Commercial	$94.45
Rate for Payer: Qualcare PPO/HMO/WC	$70.84
Rate for Payer: UnitedHealthcare Commercial	$94.45
Rate for Payer: UnitedHealthcare Community & State	$14.92
Rate for Payer: Wellpoint Medicaid Managed Care	$13.41

GENTAMICIN 0.3%/PREDN 0.6% UNG

Facility

$472.25

Hospital Charge Code	606390043
Hospital Revenue Code	250
Min. Negotiated Rate	$70.84
Max. Negotiated Rate	$70.84
Rate for Payer: Qualcare PPO/HMO/WC	$70.84

GENTAMICIN 80 MG/2ML INJ.

Facility

$5.43

Service Code	HCPCS J1580
Hospital Charge Code	60627238
Hospital Revenue Code	636
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.81

GENTAMICIN 80 MG/2ML INJ.

Facility

$5.43

Service Code	HCPCS J1580
Hospital Charge Code	60627238
Hospital Revenue Code	636
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$2.71
Rate for Payer: Aetna Commercial	$2.06
Rate for Payer: Aetna Medicare Advantage	$1.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.38
Rate for Payer: Cigna Commercial	$2.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.81
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

GENTAMICIN (GARAMYCIN)

Facility

$179.00

Service Code	HCPCS 80170
Hospital Charge Code	38472296
Hospital Revenue Code	301
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$44.55
Rate for Payer: Aetna Medicare Advantage	$53.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.42
Rate for Payer: Cigna Commercial	$89.50
Rate for Payer: Cigna Medicare Advantage	$16.38
Rate for Payer: Clover Medicare Advantage	$15.56
Rate for Payer: EmblemHealth Commercial	$49.14
Rate for Payer: Humana Medicare Advantage	$16.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.54
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.85
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.38
Rate for Payer: Wellcare Medicare Advantage	$16.38
Rate for Payer: Wellpoint Medicaid Managed Care	$5.08

GENTAMICIN (GARAMYCIN)

Facility

$179.00

Service Code	HCPCS 80170
Hospital Charge Code	38472296
Hospital Revenue Code	301
Min. Negotiated Rate	$26.85
Max. Negotiated Rate	$26.85
Rate for Payer: Qualcare PPO/HMO/WC	$26.85

GENTAMICIN IV 100MG/100ML NS

Facility

$28.07

Service Code	HCPCS J1580
Hospital Charge Code	60629864
Hospital Revenue Code	636
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.04
Rate for Payer: Aetna Commercial	$10.67
Rate for Payer: Aetna Medicare Advantage	$8.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.16
Rate for Payer: Cigna Commercial	$14.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.21
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

GENTAMICIN IV 100MG/100ML NS

Facility

$28.07

Service Code	HCPCS J1580
Hospital Charge Code	60629864
Hospital Revenue Code	636
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$6.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.21

GENTAMICIN SULFATE 0.1 % CRE

Facility

$330.85

Service Code	NDC 45802005635
Hospital Charge Code	6002596
Hospital Revenue Code	251
Min. Negotiated Rate	$49.63
Max. Negotiated Rate	$49.63
Rate for Payer: Qualcare PPO/HMO/WC	$49.63

GENTAMICIN SULFATE 0.1 % CRE

Facility

$330.85

Service Code	NDC 45802005635
Hospital Charge Code	6002596
Hospital Revenue Code	251
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$165.43
Rate for Payer: Aetna Commercial	$125.72
Rate for Payer: Aetna Medicare Advantage	$99.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.37
Rate for Payer: Cigna Commercial	$165.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.02
Rate for Payer: Oxford Commercial	$66.17
Rate for Payer: Qualcare PPO/HMO/WC	$49.63
Rate for Payer: UnitedHealthcare Commercial	$66.17
Rate for Payer: UnitedHealthcare Community & State	$10.45
Rate for Payer: Wellpoint Medicaid Managed Care	$9.40

GENTAMICIN SULFATE 0.1 % OIN

Facility

$330.78

Service Code	NDC 45802004635
Hospital Charge Code	6002604
Hospital Revenue Code	251
Min. Negotiated Rate	$9.39
Max. Negotiated Rate	$165.39
Rate for Payer: Aetna Commercial	$125.70
Rate for Payer: Aetna Medicare Advantage	$99.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.35
Rate for Payer: Cigna Commercial	$165.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.00
Rate for Payer: Oxford Commercial	$66.16
Rate for Payer: Qualcare PPO/HMO/WC	$49.62
Rate for Payer: UnitedHealthcare Commercial	$66.16
Rate for Payer: UnitedHealthcare Community & State	$10.45
Rate for Payer: Wellpoint Medicaid Managed Care	$9.39

GENTAMICIN SULFATE 0.1 % OIN

Facility

$330.78

Service Code	NDC 45802004635
Hospital Charge Code	6002604
Hospital Revenue Code	251
Min. Negotiated Rate	$49.62
Max. Negotiated Rate	$49.62
Rate for Payer: Qualcare PPO/HMO/WC	$49.62

Know your out-of-pocket cost for care.

All Charges