Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HEPARIN 1000U/ML INJ 10ML DIAL

Facility

$60.90

Service Code	HCPCS J1644
Hospital Charge Code	60627509
Hospital Revenue Code	636
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$14.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.74
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

HEPARIN 1000U/ML INJ 10ML DIAL

Facility

$60.90

Service Code	HCPCS J1644
Hospital Charge Code	60627509
Hospital Revenue Code	636
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$30.45
Rate for Payer: Aetna Commercial	$23.14
Rate for Payer: Aetna Medicare Advantage	$18.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.53
Rate for Payer: Cigna Commercial	$30.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.74
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Community & State	$1.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.73

HEPARIN 1,000 UNITS/500 ML NS

Facility

$32.23

Service Code	HCPCS J1644
Hospital Charge Code	60627508
Hospital Revenue Code	636
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$7.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.83

HEPARIN 1,000 UNITS/500 ML NS

Facility

$32.23

Service Code	HCPCS J1644
Hospital Charge Code	60627508
Hospital Revenue Code	636
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.11
Rate for Payer: Aetna Commercial	$12.25
Rate for Payer: Aetna Medicare Advantage	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.22
Rate for Payer: Cigna Commercial	$16.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.83
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

HEPARIN 100 UNITS/ML INJ

Facility

$45.36

Service Code	NDC 409128031
Hospital Charge Code	60627507
Hospital Revenue Code	250
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$22.68
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.57
Rate for Payer: Cigna Commercial	$22.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.79
Rate for Payer: Oxford Commercial	$9.07
Rate for Payer: Qualcare PPO/HMO/WC	$6.80
Rate for Payer: UnitedHealthcare Commercial	$9.07
Rate for Payer: UnitedHealthcare Community & State	$1.43
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

HEPARIN 100 UNITS/ML INJ

Facility

$45.36

Service Code	NDC 409128031
Hospital Charge Code	60627507
Hospital Revenue Code	250
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.80

HEPARIN 10 UNITS/ML (5 ML)

Facility

$1.70

Hospital Charge Code	60630233
Hospital Revenue Code	636
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Qualcare PPO/HMO/WC	$0.26

HEPARIN 10 UNITS/ML (5 ML)

Facility

$1.70

Hospital Charge Code	60630233
Hospital Revenue Code	636
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.85
Rate for Payer: Aetna Commercial	$0.65
Rate for Payer: Aetna Medicare Advantage	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.43
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Qualcare PPO/HMO/WC	$0.26
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

HEPARIN 25000U/250ML BAGS

Facility

$59.23

Service Code	HCPCS J1644
Hospital Charge Code	60635054
Hospital Revenue Code	636
Min. Negotiated Rate	$8.88
Max. Negotiated Rate	$14.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.88

HEPARIN 25000U/250ML BAGS

Facility

$59.23

Service Code	HCPCS J1644
Hospital Charge Code	60635054
Hospital Revenue Code	636
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$29.61
Rate for Payer: Aetna Commercial	$22.51
Rate for Payer: Aetna Medicare Advantage	$17.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.10
Rate for Payer: Cigna Commercial	$29.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.88
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

HEPARIN 5000 UNITS/ML INJ

Facility

$6.70

Service Code	HCPCS J1644
Hospital Charge Code	60627511
Hospital Revenue Code	636
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.35
Rate for Payer: Aetna Commercial	$2.55
Rate for Payer: Aetna Medicare Advantage	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.71
Rate for Payer: Cigna Commercial	$3.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

HEPARIN 5000 UNITS/ML INJ

Facility

$6.70

Service Code	HCPCS J1644
Hospital Charge Code	60627511
Hospital Revenue Code	636
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

Heparin, Anti-Xa

Facility

$480.85

Service Code	HCPCS 85520
Hospital Charge Code	401085520
Hospital Revenue Code	305
Min. Negotiated Rate	$72.13
Max. Negotiated Rate	$72.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.13

Heparin, Anti-Xa

Facility

$480.85

Service Code	HCPCS 85520
Hospital Charge Code	401085520
Hospital Revenue Code	305
Min. Negotiated Rate	$10.47
Max. Negotiated Rate	$240.43
Rate for Payer: Aetna Commercial	$35.60
Rate for Payer: Aetna Medicare Advantage	$42.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.48
Rate for Payer: Cigna Commercial	$240.43
Rate for Payer: Cigna Medicare Advantage	$13.09
Rate for Payer: Clover Medicare Advantage	$12.44
Rate for Payer: EmblemHealth Commercial	$39.27
Rate for Payer: Humana Medicare Advantage	$13.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.13
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.09
Rate for Payer: Wellcare Medicare Advantage	$13.09
Rate for Payer: Wellpoint Medicaid Managed Care	$13.66

HEPARIN ANTI-XA

Facility

$65.45

Service Code	HCPCS 85520
Hospital Charge Code	38476001
Hospital Revenue Code	305
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.60
Rate for Payer: Aetna Medicare Advantage	$42.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.48
Rate for Payer: Cigna Commercial	$32.73
Rate for Payer: Cigna Medicare Advantage	$13.09
Rate for Payer: Clover Medicare Advantage	$12.44
Rate for Payer: EmblemHealth Commercial	$39.27
Rate for Payer: Humana Medicare Advantage	$13.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.82
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.09
Rate for Payer: Wellcare Medicare Advantage	$13.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1.86

HEPARIN ANTI-XA

Facility

$65.45

Service Code	HCPCS 85520
Hospital Charge Code	38476001
Hospital Revenue Code	305
Min. Negotiated Rate	$9.82
Max. Negotiated Rate	$9.82
Rate for Payer: Qualcare PPO/HMO/WC	$9.82

HEPARIN ASSAY

Facility

$305.00

Service Code	HCPCS 85520
Hospital Charge Code	38477112
Hospital Revenue Code	305
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$45.75
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

HEPARIN ASSAY

Facility

$305.00

Service Code	HCPCS 85520
Hospital Charge Code	38477112
Hospital Revenue Code	305
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.60
Rate for Payer: Aetna Medicare Advantage	$42.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.48
Rate for Payer: Cigna Commercial	$152.50
Rate for Payer: Cigna Medicare Advantage	$13.09
Rate for Payer: Clover Medicare Advantage	$12.44
Rate for Payer: EmblemHealth Commercial	$39.27
Rate for Payer: Humana Medicare Advantage	$13.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.30
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.09
Rate for Payer: Wellcare Medicare Advantage	$13.09
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

HEPARIN FLS 100U/1 ML INJ 3 ML

Facility

$38.12

Service Code	HCPCS J1642
Hospital Charge Code	6012595
Hospital Revenue Code	636
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$19.06
Rate for Payer: Aetna Commercial	$14.49
Rate for Payer: Aetna Medicare Advantage	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.72
Rate for Payer: Cigna Commercial	$19.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Qualcare PPO/HMO/WC	$5.72
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

HEPARIN FLS 100U/1 ML INJ 3 ML

Facility

$38.12

Service Code	HCPCS J1642
Hospital Charge Code	6012595
Hospital Revenue Code	636
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$9.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Qualcare PPO/HMO/WC	$5.72

HEPARIN-INDUCED THROM. PA I

Facility

$390.00

Service Code	HCPCS 8602291
Hospital Charge Code	39990021A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPARIN-INDUCED THROM. PA I

Facility

$390.00

Service Code	HCPCS 8602291
Hospital Charge Code	39990021A
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
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) 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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HEPARIN-INDUCED THROM. PA II

Facility

$390.00

Service Code	HCPCS 8602291
Hospital Charge Code	39990021B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEPARIN-INDUCED THROM. PA II

Facility

$390.00

Service Code	HCPCS 8602291
Hospital Charge Code	39990021B
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
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) 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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Heparin Sodium 1000units/1mL v

Facility

$45.63

Hospital Charge Code	4509074
Hospital Revenue Code	636
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$22.82
Rate for Payer: Aetna Commercial	$17.34
Rate for Payer: Aetna Medicare Advantage	$13.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.64
Rate for Payer: Cigna Commercial	$22.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.04
Rate for Payer: Qualcare PPO/HMO/WC	$6.84
Rate for Payer: UnitedHealthcare Community & State	$1.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

Know your out-of-pocket cost for care.

All Charges