Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HEMI BONE TENDON GRAFT

Facility

$3,771.00

Hospital Charge Code	270335494
Hospital Revenue Code	278
Min. Negotiated Rate	$565.65
Max. Negotiated Rate	$912.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$754.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$912.58
Rate for Payer: Qualcare PPO/HMO/WC	$565.65

HEMICAP MTP CE 1.5X3.5MM

Facility

$15,030.00

Service Code	HCPCS L8641
Hospital Charge Code	270699529
Hospital Revenue Code	278
Min. Negotiated Rate	$2,254.50
Max. Negotiated Rate	$3,637.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,006.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,637.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,254.50

HEMICAP MTP CE 1.5X3.5MM

Facility

$15,030.00

Service Code	HCPCS L8641
Hospital Charge Code	270699529
Hospital Revenue Code	278
Min. Negotiated Rate	$426.85
Max. Negotiated Rate	$7,515.00
Rate for Payer: Aetna Commercial	$5,711.40
Rate for Payer: Aetna Medicare Advantage	$4,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,832.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,832.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,006.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,832.65
Rate for Payer: Cigna Commercial	$7,515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,637.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,254.50
Rate for Payer: UnitedHealthcare Community & State	$474.95
Rate for Payer: Wellpoint Medicaid Managed Care	$426.85

HEMICAP TOE JT TAPER 9.5X18MM

Facility

$15,030.00

Service Code	HCPCS L8641
Hospital Charge Code	270696338
Hospital Revenue Code	278
Min. Negotiated Rate	$426.85
Max. Negotiated Rate	$7,515.00
Rate for Payer: Aetna Commercial	$5,711.40
Rate for Payer: Aetna Medicare Advantage	$4,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,832.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,832.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,006.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,832.65
Rate for Payer: Cigna Commercial	$7,515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,637.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,254.50
Rate for Payer: UnitedHealthcare Community & State	$474.95
Rate for Payer: Wellpoint Medicaid Managed Care	$426.85

HEMICAP TOE JT TAPER 9.5X18MM

Facility

$15,030.00

Service Code	HCPCS L8641
Hospital Charge Code	270696338
Hospital Revenue Code	278
Min. Negotiated Rate	$2,254.50
Max. Negotiated Rate	$3,637.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,006.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,637.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,254.50

HEMI DRILL BIT

Facility

$750.00

Hospital Charge Code	270681046
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HEMI DRILL BIT

Facility

$750.00

Hospital Charge Code	270681046
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HEMI W/SHAPED BONE BLOCKS 10MM

Facility

$16,715.00

Service Code	HCPCS C1776
Hospital Charge Code	270673449
Hospital Revenue Code	278
Min. Negotiated Rate	$474.71
Max. Negotiated Rate	$8,357.50
Rate for Payer: Aetna Commercial	$6,351.70
Rate for Payer: Aetna Medicare Advantage	$5,014.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,262.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,262.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,343.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,262.32
Rate for Payer: Cigna Commercial	$8,357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,045.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,507.25
Rate for Payer: UnitedHealthcare Community & State	$528.19
Rate for Payer: Wellpoint Medicaid Managed Care	$474.71

HEMI W/SHAPED BONE BLOCKS 10MM

Facility

$16,715.00

Service Code	HCPCS C1776
Hospital Charge Code	270673449
Hospital Revenue Code	278
Min. Negotiated Rate	$2,507.25
Max. Negotiated Rate	$4,045.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,343.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,045.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,507.25

HEMOCLIP LIGATION TA MEDIUM

Facility

$210.00

Hospital Charge Code	270695604
Hospital Revenue Code	272
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$6.64
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

HEMOCLIP LIGATION TA MEDIUM

Facility

$210.00

Hospital Charge Code	270695604
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

HEMODIALYSIS IP

Facility

$2,800.00

Hospital Charge Code	8200024
Hospital Revenue Code	801
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$728.00
Rate for Payer: Oxford Commercial	$560.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$560.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

HEMODIALYSIS IP

Facility

$2,800.00

Hospital Charge Code	8200024
Hospital Revenue Code	801
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

HEMODIALYSIS OP ESRD

Facility

$2,800.00

Service Code	HCPCS 90999
Hospital Charge Code	8200040
Hospital Revenue Code	821
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$4,468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$728.00
Rate for Payer: Oxford Commercial	$3,933.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$4,468.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

HEMODIALYSIS OP ESRD

Facility

$2,800.00

Service Code	HCPCS 90999
Hospital Charge Code	8200040
Hospital Revenue Code	821
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

HEMODIALYSIS OP NONPAT/ER

Facility

$2,800.00

Service Code	HCPCS 90935
Hospital Charge Code	8200521
Hospital Revenue Code	829
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

HEMODIALYSIS OP NONPAT/ER

Facility

$2,800.00

Service Code	HCPCS 90935
Hospital Charge Code	8200521
Hospital Revenue Code	829
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$4,468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,957.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,957.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$815.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,957.72
Rate for Payer: Cigna Commercial	$1,634.39
Rate for Payer: Clover Medicare Advantage	$774.59
Rate for Payer: EmblemHealth Commercial	$2,446.08
Rate for Payer: Humana Medicare Advantage	$839.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$815.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$728.00
Rate for Payer: Oxford Commercial	$3,933.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$4,468.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$815.36
Rate for Payer: Wellcare Medicare Advantage	$815.36
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

HEMOGLOB ELECTROPHORESIS

Facility

$406.00

Service Code	HCPCS 83020
Hospital Charge Code	38479437
Hospital Revenue Code	301
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$203.00
Rate for Payer: Aetna Commercial	$35.01
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.69
Rate for Payer: Cigna Commercial	$203.00
Rate for Payer: Cigna Medicare Advantage	$12.87
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Medicare Advantage	$12.87
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

HEMOGLOB ELECTROPHORESIS

Facility

$406.00

Service Code	HCPCS 83020
Hospital Charge Code	38479437
Hospital Revenue Code	301
Min. Negotiated Rate	$60.90
Max. Negotiated Rate	$60.90
Rate for Payer: Qualcare PPO/HMO/WC	$60.90

HEMOGLOBIN A1C

Facility

$616.31

Service Code	HCPCS 83036
Hospital Charge Code	39888001
Hospital Revenue Code	301
Min. Negotiated Rate	$92.45
Max. Negotiated Rate	$92.45
Rate for Payer: Qualcare PPO/HMO/WC	$92.45

HEMOGLOBIN A1C

Facility

$616.31

Service Code	HCPCS 83036
Hospital Charge Code	39888001
Hospital Revenue Code	301
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$308.15
Rate for Payer: Aetna Commercial	$26.41
Rate for Payer: Aetna Medicare Advantage	$31.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.22
Rate for Payer: Cigna Commercial	$308.15
Rate for Payer: Cigna Medicare Advantage	$9.71
Rate for Payer: Clover Medicare Advantage	$9.22
Rate for Payer: EmblemHealth Commercial	$29.13
Rate for Payer: Humana Medicare Advantage	$10.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.71
Rate for Payer: Wellcare Medicare Advantage	$9.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.50

HEMOGLOBIN A1C

Facility

$66.70

Service Code	HCPCS 83036
Hospital Charge Code	39900092
Hospital Revenue Code	301
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$26.41
Rate for Payer: Aetna Medicare Advantage	$31.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.22
Rate for Payer: Cigna Commercial	$33.35
Rate for Payer: Cigna Medicare Advantage	$9.71
Rate for Payer: Clover Medicare Advantage	$9.22
Rate for Payer: EmblemHealth Commercial	$29.13
Rate for Payer: Humana Medicare Advantage	$10.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.01
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.71
Rate for Payer: Wellcare Medicare Advantage	$9.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

HEMOGLOBIN A1C

Facility

$66.70

Service Code	HCPCS 83036
Hospital Charge Code	39900092
Hospital Revenue Code	301
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$10.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.01

HEMOGLOBIN A2

Facility

$3,255.00

Service Code	HCPCS 83020
Hospital Charge Code	38472398
Hospital Revenue Code	301
Min. Negotiated Rate	$488.25
Max. Negotiated Rate	$488.25
Rate for Payer: Qualcare PPO/HMO/WC	$488.25

HEMOGLOBIN A2

Facility

$3,255.00

Service Code	HCPCS 83020
Hospital Charge Code	38472398
Hospital Revenue Code	301
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$1,627.50
Rate for Payer: Aetna Commercial	$35.01
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.69
Rate for Payer: Cigna Commercial	$1,627.50
Rate for Payer: Cigna Medicare Advantage	$12.87
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$846.30
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$488.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Medicare Advantage	$12.87
Rate for Payer: Wellpoint Medicaid Managed Care	$92.44

Know your out-of-pocket cost for care.

All Charges