Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HAND NEBULIZER SUBSEQ TREATMNT

Facility

$503.00

Service Code	HCPCS 9464076
Hospital Charge Code	9500325
Hospital Revenue Code	410
Min. Negotiated Rate	$75.45
Max. Negotiated Rate	$75.45
Rate for Payer: Qualcare PPO/HMO/WC	$75.45

HAND NEBULIZER TREATMENT

Facility

$503.00

Service Code	HCPCS 94640
Hospital Charge Code	9500306
Hospital Revenue Code	410
Min. Negotiated Rate	$75.45
Max. Negotiated Rate	$75.45
Rate for Payer: Qualcare PPO/HMO/WC	$75.45

HAND NEBULIZER TREATMENT

Facility

$503.00

Service Code	HCPCS 94640
Hospital Charge Code	9500306
Hospital Revenue Code	410
Min. Negotiated Rate	$14.29
Max. Negotiated Rate	$1,440.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.69
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.78
Rate for Payer: Oxford Commercial	$1,367.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.45
Rate for Payer: UnitedHealthcare Commercial	$1,440.00
Rate for Payer: UnitedHealthcare Community & State	$15.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$14.29

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC

Facility

$69,202.35

Service Code	MSDRG 513
Min. Negotiated Rate	$21,071.23
Max. Negotiated Rate	$69,202.35
Rate for Payer: Aetna Commercial	$51,145.21
Rate for Payer: Aetna Medicare Advantage	$69,202.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,882.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,882.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,882.10
Rate for Payer: Cigna Commercial	$35,095.87
Rate for Payer: Cigna Medicare Advantage	$22,180.24
Rate for Payer: Clover Medicare Advantage	$21,071.23
Rate for Payer: EmblemHealth Commercial	$66,540.72
Rate for Payer: Humana Medicare Advantage	$22,845.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,180.24
Rate for Payer: Oxford Commercial	$27,739.17
Rate for Payer: UnitedHealthcare Commercial	$37,129.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,180.24
Rate for Payer: Wellcare Medicare Advantage	$22,180.24

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC

Facility

$51,762.73

Service Code	MSDRG 514
Min. Negotiated Rate	$15,761.09
Max. Negotiated Rate	$51,762.73
Rate for Payer: Aetna Commercial	$38,724.51
Rate for Payer: Aetna Medicare Advantage	$51,762.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,813.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,813.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,590.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,813.20
Rate for Payer: Cigna Commercial	$22,790.13
Rate for Payer: Cigna Medicare Advantage	$16,590.62
Rate for Payer: Clover Medicare Advantage	$15,761.09
Rate for Payer: EmblemHealth Commercial	$49,771.86
Rate for Payer: Humana Medicare Advantage	$17,088.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,590.62
Rate for Payer: Oxford Commercial	$18,012.93
Rate for Payer: UnitedHealthcare Commercial	$24,110.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,590.62
Rate for Payer: Wellcare Medicare Advantage	$16,590.62

HANDPIECE 33 CM PRECIS JPLASMA

Facility

$2,407.50

Hospital Charge Code	270681928
Hospital Revenue Code	272
Min. Negotiated Rate	$68.37
Max. Negotiated Rate	$1,203.75
Rate for Payer: Aetna Commercial	$914.85
Rate for Payer: Aetna Medicare Advantage	$722.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613.91
Rate for Payer: Cigna Commercial	$1,203.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.95
Rate for Payer: Oxford Commercial	$481.50
Rate for Payer: Qualcare PPO/HMO/WC	$361.12
Rate for Payer: UnitedHealthcare Commercial	$481.50
Rate for Payer: UnitedHealthcare Community & State	$76.08
Rate for Payer: Wellpoint Medicaid Managed Care	$68.37

HANDPIECE 33 CM PRECIS JPLASMA

Facility

$2,407.50

Hospital Charge Code	270681928
Hospital Revenue Code	272
Min. Negotiated Rate	$361.12
Max. Negotiated Rate	$361.12
Rate for Payer: Qualcare PPO/HMO/WC	$361.12

HANDPIECE 9G X 14CM, 12MM

Facility

$8,550.00

Hospital Charge Code	270664836
Hospital Revenue Code	270
Min. Negotiated Rate	$242.82
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$3,249.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,223.00
Rate for Payer: Oxford Commercial	$1,710.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$1,710.00
Rate for Payer: UnitedHealthcare Community & State	$270.18
Rate for Payer: Wellpoint Medicaid Managed Care	$242.82

HANDPIECE 9G X 14CM, 12MM

Facility

$8,550.00

Hospital Charge Code	270664836
Hospital Revenue Code	270
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

HANDPIECE 9G X 14CM, 20CM

Facility

$8,550.00

Hospital Charge Code	270664835
Hospital Revenue Code	270
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

HANDPIECE 9G X 14CM, 20CM

Facility

$8,550.00

Hospital Charge Code	270664835
Hospital Revenue Code	270
Min. Negotiated Rate	$242.82
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$3,249.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,223.00
Rate for Payer: Oxford Commercial	$1,710.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$1,710.00
Rate for Payer: UnitedHealthcare Community & State	$270.18
Rate for Payer: Wellpoint Medicaid Managed Care	$242.82

HANDPIECE HANDCONTROLE

Facility

$275.09

Hospital Charge Code	270664982
Hospital Revenue Code	270
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.54
Rate for Payer: Aetna Commercial	$104.53
Rate for Payer: Aetna Medicare Advantage	$82.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.15
Rate for Payer: Cigna Commercial	$137.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.52
Rate for Payer: Oxford Commercial	$55.02
Rate for Payer: Qualcare PPO/HMO/WC	$41.26
Rate for Payer: UnitedHealthcare Commercial	$55.02
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

HANDPIECE HANDCONTROLE

Facility

$275.09

Hospital Charge Code	270664982
Hospital Revenue Code	270
Min. Negotiated Rate	$41.26
Max. Negotiated Rate	$41.26
Rate for Payer: Qualcare PPO/HMO/WC	$41.26

HANDPIECE INTERPULSE W/BONE

Facility

$247.92

Hospital Charge Code	270656162
Hospital Revenue Code	271
Min. Negotiated Rate	$37.19
Max. Negotiated Rate	$37.19
Rate for Payer: Qualcare PPO/HMO/WC	$37.19

HANDPIECE INTERPULSE W/BONE

Facility

$247.92

Hospital Charge Code	270656162
Hospital Revenue Code	271
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$123.96
Rate for Payer: Aetna Commercial	$94.21
Rate for Payer: Aetna Medicare Advantage	$74.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.22
Rate for Payer: Cigna Commercial	$123.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.46
Rate for Payer: Oxford Commercial	$49.58
Rate for Payer: Qualcare PPO/HMO/WC	$37.19
Rate for Payer: UnitedHealthcare Commercial	$49.58
Rate for Payer: UnitedHealthcare Community & State	$7.83
Rate for Payer: Wellpoint Medicaid Managed Care	$7.04

HAND PIECE LAP 33CM J

Facility

$1,947.40

Hospital Charge Code	270681927
Hospital Revenue Code	272
Min. Negotiated Rate	$55.31
Max. Negotiated Rate	$973.70
Rate for Payer: Aetna Commercial	$740.01
Rate for Payer: Aetna Medicare Advantage	$584.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$496.59
Rate for Payer: Cigna Commercial	$973.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$506.32
Rate for Payer: Oxford Commercial	$389.48
Rate for Payer: Qualcare PPO/HMO/WC	$292.11
Rate for Payer: UnitedHealthcare Commercial	$389.48
Rate for Payer: UnitedHealthcare Community & State	$61.54
Rate for Payer: Wellpoint Medicaid Managed Care	$55.31

HAND PIECE LAP 33CM J

Facility

$1,947.40

Hospital Charge Code	270681927
Hospital Revenue Code	272
Min. Negotiated Rate	$292.11
Max. Negotiated Rate	$292.11
Rate for Payer: Qualcare PPO/HMO/WC	$292.11

HANDPIECE VEJET 45DEG 14 50636

Facility

$3,375.00

Hospital Charge Code	270634304
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

HANDPIECE VEJET 45DEG 14 50636

Facility

$3,375.00

Hospital Charge Code	270634304
Hospital Revenue Code	272
Min. Negotiated Rate	$95.85
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$675.00
Rate for Payer: UnitedHealthcare Community & State	$106.65
Rate for Payer: Wellpoint Medicaid Managed Care	$95.85

HANDPIECE VER 15DEG 14MM 50635

Facility

$3,375.00

Hospital Charge Code	270634330
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

HANDPIECE VER 15DEG 14MM 50635

Facility

$3,375.00

Hospital Charge Code	270634330
Hospital Revenue Code	272
Min. Negotiated Rate	$95.85
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$675.00
Rate for Payer: UnitedHealthcare Community & State	$106.65
Rate for Payer: Wellpoint Medicaid Managed Care	$95.85

HANDPIECE VERSAJET 14MM 45D

Facility

$2,975.00

Hospital Charge Code	270682396
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

HANDPIECE VERSAJET 14MM 45D

Facility

$2,975.00

Hospital Charge Code	270682396
Hospital Revenue Code	272
Min. Negotiated Rate	$84.49
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$1,130.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.50
Rate for Payer: Oxford Commercial	$595.00
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$595.00
Rate for Payer: UnitedHealthcare Community & State	$94.01
Rate for Payer: Wellpoint Medicaid Managed Care	$84.49

HANDPIECE VERSA JET 15 x14 MM

Facility

$2,975.00

Hospital Charge Code	270682395
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

HANDPIECE VERSA JET 15 x14 MM

Facility

$2,975.00

Hospital Charge Code	270682395
Hospital Revenue Code	272
Min. Negotiated Rate	$84.49
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$1,130.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.50
Rate for Payer: Oxford Commercial	$595.00
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$595.00
Rate for Payer: UnitedHealthcare Community & State	$94.01
Rate for Payer: Wellpoint Medicaid Managed Care	$84.49

Know your out-of-pocket cost for care.

All Charges