Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

H-GENIN CRUSH MIX 5CC

Facility

$9,790.55

Hospital Charge Code	270700316
Hospital Revenue Code	278
Min. Negotiated Rate	$278.05
Max. Negotiated Rate	$4,895.27
Rate for Payer: Aetna Commercial	$3,720.41
Rate for Payer: Aetna Medicare Advantage	$2,937.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,958.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,496.59
Rate for Payer: Cigna Commercial	$4,895.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,369.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,468.58
Rate for Payer: UnitedHealthcare Community & State	$309.38
Rate for Payer: Wellpoint Medicaid Managed Care	$278.05

H-GENIN PUTTY 10CC

Facility

$9,975.00

Hospital Charge Code	270337859
Hospital Revenue Code	278
Min. Negotiated Rate	$283.29
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$315.21
Rate for Payer: Wellpoint Medicaid Managed Care	$283.29

H-GENIN PUTTY 10CC

Facility

$9,975.00

Hospital Charge Code	270337859
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

HIB-HEMOPHILUS INFLUENZ B

Facility

$66.26

Service Code	HCPCS 90648
Hospital Charge Code	83652611
Hospital Revenue Code	636
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$33.13
Rate for Payer: Aetna Commercial	$25.18
Rate for Payer: Aetna Medicare Advantage	$19.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.90
Rate for Payer: Cigna Commercial	$33.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.94
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

HIB-HEMOPHILUS INFLUENZ B

Facility

$66.26

Service Code	HCPCS 90648
Hospital Charge Code	83652611
Hospital Revenue Code	636
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$16.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.94

HIBICLENS 4% LOT

Facility

$25.39

Service Code	NDC 234057504
Hospital Charge Code	60635807
Hospital Revenue Code	250
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$12.70
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$7.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.47
Rate for Payer: Cigna Commercial	$12.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.60
Rate for Payer: Oxford Commercial	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.81
Rate for Payer: UnitedHealthcare Commercial	$5.08
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

HIBICLENS 4% LOT

Facility

$25.39

Service Code	NDC 234057504
Hospital Charge Code	60635807
Hospital Revenue Code	250
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.81

HICKMAN CATHETER

Facility

$378.00

Hospital Charge Code	270335412
Hospital Revenue Code	278
Min. Negotiated Rate	$56.70
Max. Negotiated Rate	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.48
Rate for Payer: Qualcare PPO/HMO/WC	$56.70

HICKMAN CATHETER

Facility

$378.00

Hospital Charge Code	270335412
Hospital Revenue Code	278
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$189.00
Rate for Payer: Aetna Commercial	$143.64
Rate for Payer: Aetna Medicare Advantage	$113.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.39
Rate for Payer: Cigna Commercial	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.48
Rate for Payer: Qualcare PPO/HMO/WC	$56.70
Rate for Payer: UnitedHealthcare Community & State	$11.94
Rate for Payer: Wellpoint Medicaid Managed Care	$10.74

HIGH DENSITY LIPOPROTEIN-DIR

Facility

$294.00

Service Code	HCPCS 83718
Hospital Charge Code	38472365
Hospital Revenue Code	301
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$44.10
Rate for Payer: Qualcare PPO/HMO/WC	$44.10

HIGH DENSITY LIPOPROTEIN-DIR

Facility

$294.00

Service Code	HCPCS 83718
Hospital Charge Code	38472365
Hospital Revenue Code	301
Min. Negotiated Rate	$6.55
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	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.71
Rate for Payer: Cigna Commercial	$147.00
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	$76.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.10
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	$8.35

HIGH FLOW CARTRIDGE LOW FLOW

Facility

$42,030.00

Hospital Charge Code	270664888
Hospital Revenue Code	270
Min. Negotiated Rate	$1,193.65
Max. Negotiated Rate	$21,015.00
Rate for Payer: Aetna Commercial	$15,971.40
Rate for Payer: Aetna Medicare Advantage	$12,609.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,717.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,717.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,717.65
Rate for Payer: Cigna Commercial	$21,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,927.80
Rate for Payer: Oxford Commercial	$8,406.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,304.50
Rate for Payer: UnitedHealthcare Commercial	$8,406.00
Rate for Payer: UnitedHealthcare Community & State	$1,328.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1,193.65

HIGH FLOW CARTRIDGE LOW FLOW

Facility

$42,030.00

Hospital Charge Code	270664888
Hospital Revenue Code	270
Min. Negotiated Rate	$6,304.50
Max. Negotiated Rate	$6,304.50
Rate for Payer: Qualcare PPO/HMO/WC	$6,304.50

HIGH FLOW CATHETER 5FR X 100CM

Facility

$146.00

Hospital Charge Code	270332314
Hospital Revenue Code	272
Min. Negotiated Rate	$21.90
Max. Negotiated Rate	$21.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.90

HIGH FLOW CATHETER 5FR X 100CM

Facility

$146.00

Hospital Charge Code	270332314
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$73.00
Rate for Payer: Aetna Commercial	$55.48
Rate for Payer: Aetna Medicare Advantage	$43.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.23
Rate for Payer: Cigna Commercial	$73.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.96
Rate for Payer: Oxford Commercial	$29.20
Rate for Payer: Qualcare PPO/HMO/WC	$21.90
Rate for Payer: UnitedHealthcare Commercial	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.61
Rate for Payer: Wellpoint Medicaid Managed Care	$4.15

HIGH-FLOW NASAL CANNULA TX

Facility

$1,205.70

Service Code	HCPCS 94660
Hospital Charge Code	317094660A
Hospital Revenue Code	410
Min. Negotiated Rate	$180.85
Max. Negotiated Rate	$180.85
Rate for Payer: Qualcare PPO/HMO/WC	$180.85

HIGH-FLOW NASAL CANNULA TX

Facility

$1,205.70

Service Code	HCPCS 94660
Hospital Charge Code	317094660A
Hospital Revenue Code	410
Min. Negotiated Rate	$34.24
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	$60.50
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	$313.48
Rate for Payer: Oxford Commercial	$1,367.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.85
Rate for Payer: UnitedHealthcare Commercial	$1,440.00
Rate for Payer: UnitedHealthcare Community & State	$38.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$34.24

HIGH INTENSITY ARC LAMP

Facility

$579.00

Hospital Charge Code	270332550
Hospital Revenue Code	272
Min. Negotiated Rate	$16.44
Max. Negotiated Rate	$289.50
Rate for Payer: Aetna Commercial	$220.02
Rate for Payer: Aetna Medicare Advantage	$173.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.65
Rate for Payer: Cigna Commercial	$289.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.54
Rate for Payer: Oxford Commercial	$115.80
Rate for Payer: Qualcare PPO/HMO/WC	$86.85
Rate for Payer: UnitedHealthcare Commercial	$115.80
Rate for Payer: UnitedHealthcare Community & State	$18.30
Rate for Payer: Wellpoint Medicaid Managed Care	$16.44

HIGH INTENSITY ARC LAMP

Facility

$579.00

Hospital Charge Code	270332550
Hospital Revenue Code	272
Min. Negotiated Rate	$86.85
Max. Negotiated Rate	$86.85
Rate for Payer: Qualcare PPO/HMO/WC	$86.85

HIGHTOP WALKER LARGE

Facility

$1,007.00

Hospital Charge Code	270332312
Hospital Revenue Code	272
Min. Negotiated Rate	$151.05
Max. Negotiated Rate	$151.05
Rate for Payer: Qualcare PPO/HMO/WC	$151.05

HIGHTOP WALKER LARGE

Facility

$1,007.00

Hospital Charge Code	270332312
Hospital Revenue Code	272
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$503.50
Rate for Payer: Aetna Commercial	$382.66
Rate for Payer: Aetna Medicare Advantage	$302.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.79
Rate for Payer: Cigna Commercial	$503.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.82
Rate for Payer: Oxford Commercial	$201.40
Rate for Payer: Qualcare PPO/HMO/WC	$151.05
Rate for Payer: UnitedHealthcare Commercial	$201.40
Rate for Payer: UnitedHealthcare Community & State	$31.82
Rate for Payer: Wellpoint Medicaid Managed Care	$28.60

HIGHTOP WALKER SMALL

Facility

$997.00

Hospital Charge Code	270332313
Hospital Revenue Code	272
Min. Negotiated Rate	$149.55
Max. Negotiated Rate	$149.55
Rate for Payer: Qualcare PPO/HMO/WC	$149.55

HIGHTOP WALKER SMALL

Facility

$997.00

Hospital Charge Code	270332313
Hospital Revenue Code	272
Min. Negotiated Rate	$28.31
Max. Negotiated Rate	$498.50
Rate for Payer: Aetna Commercial	$378.86
Rate for Payer: Aetna Medicare Advantage	$299.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.24
Rate for Payer: Cigna Commercial	$498.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.22
Rate for Payer: Oxford Commercial	$199.40
Rate for Payer: Qualcare PPO/HMO/WC	$149.55
Rate for Payer: UnitedHealthcare Commercial	$199.40
Rate for Payer: UnitedHealthcare Community & State	$31.51
Rate for Payer: Wellpoint Medicaid Managed Care	$28.31

HIGH WALL G7 36MM E

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270691146
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

HIGH WALL G7 36MM E

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270691146
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

Know your out-of-pocket cost for care.

All Charges