Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ALL SUTURE ANCHOR 2.2MM

Facility

$1,755.00

Hospital Charge Code	270673195
Hospital Revenue Code	272
Min. Negotiated Rate	$49.84
Max. Negotiated Rate	$877.50
Rate for Payer: Aetna Commercial	$666.90
Rate for Payer: Aetna Medicare Advantage	$526.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$447.52
Rate for Payer: Cigna Commercial	$877.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.30
Rate for Payer: Oxford Commercial	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$263.25
Rate for Payer: UnitedHealthcare Commercial	$351.00
Rate for Payer: UnitedHealthcare Community & State	$55.46
Rate for Payer: Wellpoint Medicaid Managed Care	$49.84

ALL SUTURE ANCHOR 2.2MM

Facility

$1,755.00

Hospital Charge Code	270673195
Hospital Revenue Code	272
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$263.25
Rate for Payer: Qualcare PPO/HMO/WC	$263.25

ALL-TIME FAVORITES GAMES

Facility

$739.95

Hospital Charge Code	270662668
Hospital Revenue Code	270
Min. Negotiated Rate	$110.99
Max. Negotiated Rate	$110.99
Rate for Payer: Qualcare PPO/HMO/WC	$110.99

ALL-TIME FAVORITES GAMES

Facility

$739.95

Hospital Charge Code	270662668
Hospital Revenue Code	270
Min. Negotiated Rate	$21.01
Max. Negotiated Rate	$369.98
Rate for Payer: Aetna Commercial	$281.18
Rate for Payer: Aetna Medicare Advantage	$221.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.69
Rate for Payer: Cigna Commercial	$369.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.39
Rate for Payer: Oxford Commercial	$147.99
Rate for Payer: Qualcare PPO/HMO/WC	$110.99
Rate for Payer: UnitedHealthcare Commercial	$147.99
Rate for Payer: UnitedHealthcare Community & State	$23.38
Rate for Payer: Wellpoint Medicaid Managed Care	$21.01

ALMOND (F20) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900357
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ALMOND (F20) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900357
Hospital Revenue Code	305
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$14.20
Rate for Payer: Aetna Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.22
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.22
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	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Medicare Advantage	$5.22
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ALPHA 1 ANTITRYPSIN

Facility

$530.00

Service Code	HCPCS 82104
Hospital Charge Code	38472056
Hospital Revenue Code	301
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$79.50
Rate for Payer: Qualcare PPO/HMO/WC	$79.50

ALPHA 1 ANTITRYPSIN

Facility

$530.00

Service Code	HCPCS 82104
Hospital Charge Code	38472056
Hospital Revenue Code	301
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$265.00
Rate for Payer: Aetna Commercial	$39.33
Rate for Payer: Aetna Medicare Advantage	$46.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.45
Rate for Payer: Cigna Commercial	$265.00
Rate for Payer: Cigna Medicare Advantage	$14.46
Rate for Payer: Clover Medicare Advantage	$13.74
Rate for Payer: EmblemHealth Commercial	$43.38
Rate for Payer: Humana Medicare Advantage	$14.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.46
Rate for Payer: Wellcare Medicare Advantage	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.05

ALPHA-1-ANTITRYPSIN

Facility

$667.59

Service Code	HCPCS 82103
Hospital Charge Code	39900038
Hospital Revenue Code	301
Min. Negotiated Rate	$10.75
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$36.56
Rate for Payer: Aetna Medicare Advantage	$43.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.75
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$13.44
Rate for Payer: Clover Medicare Advantage	$12.77
Rate for Payer: EmblemHealth Commercial	$40.32
Rate for Payer: Humana Medicare Advantage	$13.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.44
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	$10.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.44
Rate for Payer: Wellcare Medicare Advantage	$13.44
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

ALPHA-1-ANTITRYPSIN

Facility

$667.59

Service Code	HCPCS 82103
Hospital Charge Code	39900038
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

ALPHA-1 ANTITRYPSIN/MUTAT I

Facility

$390.00

Service Code	HCPCS 82103
Hospital Charge Code	39990061A
Hospital Revenue Code	301
Min. Negotiated Rate	$10.75
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$36.56
Rate for Payer: Aetna Medicare Advantage	$43.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.75
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$13.44
Rate for Payer: Clover Medicare Advantage	$12.77
Rate for Payer: EmblemHealth Commercial	$40.32
Rate for Payer: Humana Medicare Advantage	$13.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.44
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	$10.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.44
Rate for Payer: Wellcare Medicare Advantage	$13.44
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ALPHA-1 ANTITRYPSIN/MUTAT I

Facility

$390.00

Service Code	HCPCS 82103
Hospital Charge Code	39990061A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ALPHA-1 ANTITRYPSIN/MUTAT II

Facility

$390.00

Service Code	HCPCS 81332
Hospital Charge Code	39990061B
Hospital Revenue Code	310
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ALPHA-1 ANTITRYPSIN/MUTAT II

Facility

$390.00

Service Code	HCPCS 81332
Hospital Charge Code	39990061B
Hospital Revenue Code	310
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$118.73
Rate for Payer: Aetna Medicare Advantage	$141.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$43.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.34
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$43.65
Rate for Payer: Clover Medicare Advantage	$41.47
Rate for Payer: EmblemHealth Commercial	$130.95
Rate for Payer: Humana Medicare Advantage	$44.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$43.65
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	$34.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$43.65
Rate for Payer: Wellcare Medicare Advantage	$43.65
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ALPHA-1-ANTITRYPSIN/PHENO I

Facility

$390.00

Service Code	HCPCS 82104
Hospital Charge Code	39990060B
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.33
Rate for Payer: Aetna Medicare Advantage	$46.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.46
Rate for Payer: Clover Medicare Advantage	$13.74
Rate for Payer: EmblemHealth Commercial	$43.38
Rate for Payer: Humana Medicare Advantage	$14.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.46
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	$11.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.46
Rate for Payer: Wellcare Medicare Advantage	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ALPHA-1-ANTITRYPSIN/PHENO I

Facility

$390.00

Service Code	HCPCS 82104
Hospital Charge Code	39990060B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ALPHA-1-ANTITRYPSIN/PHENO II

Facility

$390.00

Service Code	HCPCS 82103
Hospital Charge Code	39990060A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ALPHA-1-ANTITRYPSIN/PHENO II

Facility

$390.00

Service Code	HCPCS 82103
Hospital Charge Code	39990060A
Hospital Revenue Code	301
Min. Negotiated Rate	$10.75
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$36.56
Rate for Payer: Aetna Medicare Advantage	$43.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.75
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$13.44
Rate for Payer: Clover Medicare Advantage	$12.77
Rate for Payer: EmblemHealth Commercial	$40.32
Rate for Payer: Humana Medicare Advantage	$13.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.44
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	$10.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.44
Rate for Payer: Wellcare Medicare Advantage	$13.44
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ALPHA-1-ANTRYPSIN

Facility

$530.00

Service Code	HCPCS 82104
Hospital Charge Code	38479074
Hospital Revenue Code	301
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$79.50
Rate for Payer: Qualcare PPO/HMO/WC	$79.50

ALPHA-1-ANTRYPSIN

Facility

$530.00

Service Code	HCPCS 82104
Hospital Charge Code	38479074
Hospital Revenue Code	301
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$265.00
Rate for Payer: Aetna Commercial	$39.33
Rate for Payer: Aetna Medicare Advantage	$46.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.45
Rate for Payer: Cigna Commercial	$265.00
Rate for Payer: Cigna Medicare Advantage	$14.46
Rate for Payer: Clover Medicare Advantage	$13.74
Rate for Payer: EmblemHealth Commercial	$43.38
Rate for Payer: Humana Medicare Advantage	$14.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.46
Rate for Payer: Wellcare Medicare Advantage	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.05

ALPHA 2 MACROGLOBULIN

Facility

$445.00

Service Code	HCPCS 86329
Hospital Charge Code	38472059
Hospital Revenue Code	302
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$222.50
Rate for Payer: Aetna Commercial	$38.22
Rate for Payer: Aetna Medicare Advantage	$45.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.97
Rate for Payer: Cigna Commercial	$222.50
Rate for Payer: Cigna Medicare Advantage	$14.05
Rate for Payer: Clover Medicare Advantage	$13.35
Rate for Payer: EmblemHealth Commercial	$42.15
Rate for Payer: Humana Medicare Advantage	$14.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.05
Rate for Payer: Wellcare Medicare Advantage	$14.05
Rate for Payer: Wellpoint Medicaid Managed Care	$12.64

ALPHA 2 MACROGLOBULIN

Facility

$445.00

Service Code	HCPCS 86329
Hospital Charge Code	38472059
Hospital Revenue Code	302
Min. Negotiated Rate	$66.75
Max. Negotiated Rate	$66.75
Rate for Payer: Qualcare PPO/HMO/WC	$66.75

ALPHA FETL PROTEIN

Facility

$550.00

Service Code	HCPCS 82105
Hospital Charge Code	38479482
Hospital Revenue Code	301
Min. Negotiated Rate	$13.42
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$45.61
Rate for Payer: Aetna Medicare Advantage	$54.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.83
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: Cigna Medicare Advantage	$16.77
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.77
Rate for Payer: Wellcare Medicare Advantage	$16.77
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

ALPHA FETL PROTEIN

Facility

$550.00

Service Code	HCPCS 82105
Hospital Charge Code	38479482
Hospital Revenue Code	301
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

ALPHA FETOPROTEIN (AFP)

Facility

$550.00

Service Code	HCPCS 82105
Hospital Charge Code	38472062
Hospital Revenue Code	301
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

Know your out-of-pocket cost for care.

All Charges