Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HEEL RELIEF SH

Facility

$94.75

Hospital Charge Code	270629862
Hospital Revenue Code	271
Min. Negotiated Rate	$14.21
Max. Negotiated Rate	$14.21
Rate for Payer: Qualcare PPO/HMO/WC	$14.21

HEELSTICK/STATE TEST

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	83092033
Hospital Revenue Code	300
Min. Negotiated Rate	$1.80
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) NJ Health	$2.97
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	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEELSTICK/STATE TEST

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	83091023
Hospital Revenue Code	300
Min. Negotiated Rate	$1.80
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) NJ Health	$2.97
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	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEELSTICK/STATE TEST

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	83092033
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEELSTICK/STATE TEST

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	83091023
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEINZ BODIES;DIRECT

Facility

$30.00

Service Code	HCPCS 85441
Hospital Charge Code	38477025
Hospital Revenue Code	305
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$11.42
Rate for Payer: Aetna Medicare Advantage	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.24
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: Cigna Medicare Advantage	$4.20
Rate for Payer: Clover Medicare Advantage	$3.99
Rate for Payer: EmblemHealth Commercial	$12.60
Rate for Payer: Humana Medicare Advantage	$4.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.20
Rate for Payer: Wellcare Medicare Advantage	$4.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.85

HEINZ BODIES;DIRECT

Facility

$30.00

Service Code	HCPCS 85441
Hospital Charge Code	38477025
Hospital Revenue Code	305
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

HELICAL BLADE

Facility

$3,290.85

Hospital Charge Code	270679032
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

HELICAL BLADE

Facility

$3,290.85

Hospital Charge Code	270679032
Hospital Revenue Code	272
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.62
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

HELICAL BLADE 11/X85

Facility

$12,225.00

Hospital Charge Code	270681680
Hospital Revenue Code	272
Min. Negotiated Rate	$347.19
Max. Negotiated Rate	$6,112.50
Rate for Payer: Aetna Commercial	$4,645.50
Rate for Payer: Aetna Medicare Advantage	$3,667.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,117.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,117.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,117.38
Rate for Payer: Cigna Commercial	$6,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,178.50
Rate for Payer: Oxford Commercial	$2,445.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,833.75
Rate for Payer: UnitedHealthcare Commercial	$2,445.00
Rate for Payer: UnitedHealthcare Community & State	$386.31
Rate for Payer: Wellpoint Medicaid Managed Care	$347.19

HELICAL BLADE 11/X85

Facility

$12,225.00

Hospital Charge Code	270681680
Hospital Revenue Code	272
Min. Negotiated Rate	$1,833.75
Max. Negotiated Rate	$1,833.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,833.75

HELICAL BLADE 11 X95

Facility

$3,290.85

Hospital Charge Code	270679080
Hospital Revenue Code	272
Min. Negotiated Rate	$93.46
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$855.62
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$103.99
Rate for Payer: Wellpoint Medicaid Managed Care	$93.46

HELICAL BLADE 11 X95

Facility

$3,290.85

Hospital Charge Code	270679080
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

HELICOBACTER PYELORO, AB

Facility

$1,080.00

Service Code	HCPCS 86677
Hospital Charge Code	38472493
Hospital Revenue Code	302
Min. Negotiated Rate	$13.48
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$45.83
Rate for Payer: Aetna Medicare Advantage	$54.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.12
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: Cigna Medicare Advantage	$16.85
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Medicare Advantage	$16.85
Rate for Payer: Wellpoint Medicaid Managed Care	$30.67

HELICOBACTER PYELORO, AB

Facility

$1,080.00

Service Code	HCPCS 86677
Hospital Charge Code	38472493
Hospital Revenue Code	302
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

HELICOBACTER PYLORI

Facility

$306.00

Service Code	HCPCS 83013
Hospital Charge Code	38477204
Hospital Revenue Code	301
Min. Negotiated Rate	$8.69
Max. Negotiated Rate	$244.35
Rate for Payer: Aetna Commercial	$183.22
Rate for Payer: Aetna Medicare Advantage	$218.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$67.36
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	$244.35
Rate for Payer: Cigna Commercial	$153.00
Rate for Payer: Cigna Medicare Advantage	$67.36
Rate for Payer: Clover Medicare Advantage	$63.99
Rate for Payer: EmblemHealth Commercial	$202.08
Rate for Payer: Humana Medicare Advantage	$69.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$67.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$53.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$67.36
Rate for Payer: Wellcare Medicare Advantage	$67.36
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

HELICOBACTER PYLORI

Facility

$306.00

Service Code	HCPCS 83013
Hospital Charge Code	38477204
Hospital Revenue Code	301
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$45.90
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

HELICOBACTER PYLORI ANTIGEN I

Facility

$390.00

Service Code	HCPCS 87338
Hospital Charge Code	399900534
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HELICOBACTER PYLORI ANTIGEN I

Facility

$390.00

Service Code	HCPCS 87338
Hospital Charge Code	399900534
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.11
Rate for Payer: Aetna Medicare Advantage	$46.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.16
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.38
Rate for Payer: Clover Medicare Advantage	$13.66
Rate for Payer: EmblemHealth Commercial	$43.14
Rate for Payer: Humana Medicare Advantage	$14.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.38
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	$11.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.38
Rate for Payer: Wellcare Medicare Advantage	$14.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HELICOBACTER PYLORI IGG

Facility

$390.00

Service Code	HCPCS 86677
Hospital Charge Code	39900375
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$45.83
Rate for Payer: Aetna Medicare Advantage	$54.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.12
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$16.85
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.85
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	$13.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Medicare Advantage	$16.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HELICOBACTER PYLORI IGG

Facility

$390.00

Service Code	HCPCS 86677
Hospital Charge Code	39900375
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HELIOCOIDAL RAS MED 3.2x18.3MM

Facility

$592.25

Hospital Charge Code	270672709
Hospital Revenue Code	272
Min. Negotiated Rate	$16.82
Max. Negotiated Rate	$296.12
Rate for Payer: Aetna Commercial	$225.06
Rate for Payer: Aetna Medicare Advantage	$177.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.02
Rate for Payer: Cigna Commercial	$296.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.99
Rate for Payer: Oxford Commercial	$118.45
Rate for Payer: Qualcare PPO/HMO/WC	$88.84
Rate for Payer: UnitedHealthcare Commercial	$118.45
Rate for Payer: UnitedHealthcare Community & State	$18.72
Rate for Payer: Wellpoint Medicaid Managed Care	$16.82

HELIOCOIDAL RAS MED 3.2x18.3MM

Facility

$592.25

Hospital Charge Code	270672709
Hospital Revenue Code	272
Min. Negotiated Rate	$88.84
Max. Negotiated Rate	$88.84
Rate for Payer: Qualcare PPO/HMO/WC	$88.84

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090385
Hospital Revenue Code	270
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090385
Hospital Revenue Code	270
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$38.44
Rate for Payer: Aetna Commercial	$29.21
Rate for Payer: Aetna Medicare Advantage	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.99
Rate for Payer: Oxford Commercial	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$15.38
Rate for Payer: UnitedHealthcare Community & State	$2.43
Rate for Payer: Wellpoint Medicaid Managed Care	$2.18

Know your out-of-pocket cost for care.

All Charges