Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090386
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

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090386
Hospital Revenue Code	270
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

HELIXX SI LAG IMPLANT 12X50MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704261
Hospital Revenue Code	278
Min. Negotiated Rate	$390.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Community & State	$434.50
Rate for Payer: Wellpoint Medicaid Managed Care	$390.50

HELIXX SI LAG IMPLANT 12X50MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704261
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

HELIXX SI LAG IMPLANT 12X55MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704263
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

HELIXX SI LAG IMPLANT 12X55MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704263
Hospital Revenue Code	278
Min. Negotiated Rate	$390.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Community & State	$434.50
Rate for Payer: Wellpoint Medicaid Managed Care	$390.50

HEMAGGLUTINATION INHBTN- (HAI)

Facility

$58.00

Service Code	HCPCS 86280
Hospital Charge Code	38477053
Hospital Revenue Code	302
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$22.28
Rate for Payer: Aetna Medicare Advantage	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.71
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: Cigna Medicare Advantage	$8.19
Rate for Payer: Clover Medicare Advantage	$7.78
Rate for Payer: EmblemHealth Commercial	$24.57
Rate for Payer: Humana Medicare Advantage	$8.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.19
Rate for Payer: Wellcare Medicare Advantage	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.65

HEMAGGLUTINATION INHBTN- (HAI)

Facility

$58.00

Service Code	HCPCS 86280
Hospital Charge Code	38477053
Hospital Revenue Code	302
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

HEMAGLOBIN OR RBCS,FETAL

Facility

$47.00

Service Code	HCPCS 85461
Hospital Charge Code	38477048
Hospital Revenue Code	305
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.05

HEMAGLOBIN OR RBCS,FETAL

Facility

$47.00

Service Code	HCPCS 85461
Hospital Charge Code	38477048
Hospital Revenue Code	305
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$25.46
Rate for Payer: Aetna Medicare Advantage	$30.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.95
Rate for Payer: Cigna Commercial	$23.50
Rate for Payer: Cigna Medicare Advantage	$9.36
Rate for Payer: Clover Medicare Advantage	$8.89
Rate for Payer: EmblemHealth Commercial	$28.08
Rate for Payer: Humana Medicare Advantage	$9.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.36
Rate for Payer: Wellcare Medicare Advantage	$9.36
Rate for Payer: Wellpoint Medicaid Managed Care	$1.33

HEMAQUET INTRODUCER SET 7 FR

Facility

$176.00

Hospital Charge Code	270331203
Hospital Revenue Code	278
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

HEMAQUET INTRODUCER SET 7 FR

Facility

$176.00

Hospital Charge Code	270331203
Hospital Revenue Code	278
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$88.00
Rate for Payer: Aetna Commercial	$66.88
Rate for Payer: Aetna Medicare Advantage	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.88
Rate for Payer: Cigna Commercial	$88.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: Qualcare PPO/HMO/WC	$26.40
Rate for Payer: UnitedHealthcare Community & State	$5.56
Rate for Payer: Wellpoint Medicaid Managed Care	$5.00

HEMA SHIELD 18X 9 MM BIFURCATI

Facility

$2,451.00

Hospital Charge Code	270335068
Hospital Revenue Code	278
Min. Negotiated Rate	$367.65
Max. Negotiated Rate	$593.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$490.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$593.14
Rate for Payer: Qualcare PPO/HMO/WC	$367.65

HEMA SHIELD 18X 9 MM BIFURCATI

Facility

$2,451.00

Hospital Charge Code	270335068
Hospital Revenue Code	278
Min. Negotiated Rate	$69.61
Max. Negotiated Rate	$1,225.50
Rate for Payer: Aetna Commercial	$931.38
Rate for Payer: Aetna Medicare Advantage	$735.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$490.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$625.00
Rate for Payer: Cigna Commercial	$1,225.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$593.14
Rate for Payer: Qualcare PPO/HMO/WC	$367.65
Rate for Payer: UnitedHealthcare Community & State	$77.45
Rate for Payer: Wellpoint Medicaid Managed Care	$69.61

HEMASHIELD 20 X 10 BIFURCATION

Facility

$4,047.00

Hospital Charge Code	270335067
Hospital Revenue Code	278
Min. Negotiated Rate	$114.93
Max. Negotiated Rate	$2,023.50
Rate for Payer: Aetna Commercial	$1,537.86
Rate for Payer: Aetna Medicare Advantage	$1,214.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,031.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,031.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$809.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,031.98
Rate for Payer: Cigna Commercial	$2,023.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$979.37
Rate for Payer: Qualcare PPO/HMO/WC	$607.05
Rate for Payer: UnitedHealthcare Community & State	$127.89
Rate for Payer: Wellpoint Medicaid Managed Care	$114.93

HEMASHIELD 20 X 10 BIFURCATION

Facility

$4,047.00

Hospital Charge Code	270335067
Hospital Revenue Code	278
Min. Negotiated Rate	$607.05
Max. Negotiated Rate	$979.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$809.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$979.37
Rate for Payer: Qualcare PPO/HMO/WC	$607.05

HEMASHIELD CORATID PTCH-BOSTON

Facility

$509.00

Hospital Charge Code	270335452
Hospital Revenue Code	278
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$254.50
Rate for Payer: Aetna Commercial	$193.42
Rate for Payer: Aetna Medicare Advantage	$152.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.79
Rate for Payer: Cigna Commercial	$254.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.18
Rate for Payer: Qualcare PPO/HMO/WC	$76.35
Rate for Payer: UnitedHealthcare Community & State	$16.08
Rate for Payer: Wellpoint Medicaid Managed Care	$14.46

HEMASHIELD CORATID PTCH-BOSTON

Facility

$509.00

Hospital Charge Code	270335452
Hospital Revenue Code	278
Min. Negotiated Rate	$76.35
Max. Negotiated Rate	$123.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.18
Rate for Payer: Qualcare PPO/HMO/WC	$76.35

HEMASHIELD PLATINUM WOVEN VASC

Facility

$3,491.25

Service Code	HCPCS C1768
Hospital Charge Code	270656587
Hospital Revenue Code	278
Min. Negotiated Rate	$99.15
Max. Negotiated Rate	$1,745.62
Rate for Payer: Aetna Commercial	$1,326.67
Rate for Payer: Aetna Medicare Advantage	$1,047.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$890.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$890.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$890.27
Rate for Payer: Cigna Commercial	$1,745.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$844.88
Rate for Payer: Qualcare PPO/HMO/WC	$523.69
Rate for Payer: UnitedHealthcare Community & State	$110.32
Rate for Payer: Wellpoint Medicaid Managed Care	$99.15

HEMASHIELD PLATINUM WOVEN VASC

Facility

$3,491.25

Service Code	HCPCS C1768
Hospital Charge Code	270656587
Hospital Revenue Code	278
Min. Negotiated Rate	$523.69
Max. Negotiated Rate	$844.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$844.88
Rate for Payer: Qualcare PPO/HMO/WC	$523.69

HEMASHIELD VASCULAR GRAFT

Facility

$2,323.00

Hospital Charge Code	270335060
Hospital Revenue Code	278
Min. Negotiated Rate	$348.45
Max. Negotiated Rate	$562.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.17
Rate for Payer: Qualcare PPO/HMO/WC	$348.45

HEMASHIELD VASCULAR GRAFT

Facility

$2,323.00

Hospital Charge Code	270335060
Hospital Revenue Code	278
Min. Negotiated Rate	$65.97
Max. Negotiated Rate	$1,161.50
Rate for Payer: Aetna Commercial	$882.74
Rate for Payer: Aetna Medicare Advantage	$696.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.37
Rate for Payer: Cigna Commercial	$1,161.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.17
Rate for Payer: Qualcare PPO/HMO/WC	$348.45
Rate for Payer: UnitedHealthcare Community & State	$73.41
Rate for Payer: Wellpoint Medicaid Managed Care	$65.97

HEMATOCRIT

Facility

$44.00

Service Code	HCPCS 85014
Hospital Charge Code	38474117
Hospital Revenue Code	305
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

HEMATOCRIT

Facility

$44.00

Service Code	HCPCS 85014
Hospital Charge Code	38474117
Hospital Revenue Code	305
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$6.45
Rate for Payer: Aetna Medicare Advantage	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.60
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: Cigna Medicare Advantage	$2.37
Rate for Payer: Clover Medicare Advantage	$2.25
Rate for Payer: EmblemHealth Commercial	$7.11
Rate for Payer: Humana Medicare Advantage	$2.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.37
Rate for Payer: Wellcare Medicare Advantage	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

HEMI BONE TENDON GRAFT

Facility

$3,771.00

Hospital Charge Code	270335494
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$1,885.50
Rate for Payer: Aetna Commercial	$1,432.98
Rate for Payer: Aetna Medicare Advantage	$1,131.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$961.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$961.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$754.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$961.61
Rate for Payer: Cigna Commercial	$1,885.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$912.58
Rate for Payer: Qualcare PPO/HMO/WC	$565.65
Rate for Payer: UnitedHealthcare Community & State	$119.16
Rate for Payer: Wellpoint Medicaid Managed Care	$107.10

Know your out-of-pocket cost for care.

All Charges