Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ANABOLIC STEROID 1 OR 2

Facility

$190.45

Service Code	HCPCS 80327
Hospital Charge Code	39990211
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

ANABOLIC STEROID 1 OR 2

Facility

$190.45

Service Code	HCPCS 80327
Hospital Charge Code	39990211
Hospital Revenue Code	301
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.66
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

ANABOLIC STEROID 1 OR 2

Facility

$190.45

Service Code	HCPCS 80327
Hospital Charge Code	38430011
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

ANABOLIC STEROID 1 OR 2

Facility

$190.45

Service Code	HCPCS 80327
Hospital Charge Code	38430011
Hospital Revenue Code	301
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.66
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

ANABOLIC STEROID 3 OR MORE

Facility

$190.45

Service Code	HCPCS 80328
Hospital Charge Code	39990212
Hospital Revenue Code	301
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.48
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

ANABOLIC STEROID 3 OR MORE

Facility

$190.45

Service Code	HCPCS 80328
Hospital Charge Code	3039012
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

ANABOLIC STEROID 3 OR MORE

Facility

$190.45

Service Code	HCPCS 80328
Hospital Charge Code	38430012
Hospital Revenue Code	301
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.48
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

ANABOLIC STEROID 3 OR MORE

Facility

$190.45

Service Code	HCPCS 80328
Hospital Charge Code	3039012
Hospital Revenue Code	301
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.48
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

ANABOLIC STEROID 3 OR MORE

Facility

$190.45

Service Code	HCPCS 80328
Hospital Charge Code	39990212
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

ANABOLIC STEROID 3 OR MORE

Facility

$190.45

Service Code	HCPCS 80328
Hospital Charge Code	38430012
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

ANABOLIC STEROIDS 1 OR 2

Facility

$190.45

Service Code	HCPCS 80327
Hospital Charge Code	3039011
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

ANABOLIC STEROIDS 1 OR 2

Facility

$190.45

Service Code	HCPCS 80327
Hospital Charge Code	3039011
Hospital Revenue Code	301
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.66
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

ANABOLIC STEROIDS (URINE)

Facility

$153.65

Service Code	HCPCS 80300
Hospital Charge Code	3031564
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

ANABOLIC STEROIDS (URINE)

Facility

$153.65

Service Code	HCPCS 80300
Hospital Charge Code	3031564
Hospital Revenue Code	301
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$58.39
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.95
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.86
Rate for Payer: Wellpoint Medicaid Managed Care	$4.36

ANAEROBIC CULT/GRAM

Facility

$410.00

Service Code	HCPCS 87075
Hospital Charge Code	38479069
Hospital Revenue Code	309
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

ANAEROBIC CULT/GRAM

Facility

$410.00

Service Code	HCPCS 87075
Hospital Charge Code	38479069
Hospital Revenue Code	309
Min. Negotiated Rate	$7.58
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$25.76
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.35
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: Cigna Medicare Advantage	$9.47
Rate for Payer: Clover Medicare Advantage	$9.00
Rate for Payer: EmblemHealth Commercial	$28.41
Rate for Payer: Humana Medicare Advantage	$9.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.60
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.47
Rate for Payer: Wellcare Medicare Advantage	$9.47
Rate for Payer: Wellpoint Medicaid Managed Care	$11.64

ANAEROBIC CULTURE

Facility

$410.00

Service Code	HCPCS 87075
Hospital Charge Code	38475071
Hospital Revenue Code	309
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

ANAEROBIC CULTURE

Facility

$410.00

Service Code	HCPCS 87075
Hospital Charge Code	38475071
Hospital Revenue Code	309
Min. Negotiated Rate	$7.58
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$25.76
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.35
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: Cigna Medicare Advantage	$9.47
Rate for Payer: Clover Medicare Advantage	$9.00
Rate for Payer: EmblemHealth Commercial	$28.41
Rate for Payer: Humana Medicare Advantage	$9.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.60
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.47
Rate for Payer: Wellcare Medicare Advantage	$9.47
Rate for Payer: Wellpoint Medicaid Managed Care	$11.64

ANAL AND PERINEAL PROCEDURES

Facility

$13,423.08

Service Code	APR-DRG 2262
Min. Negotiated Rate	$13,159.88
Max. Negotiated Rate	$13,423.08
Rate for Payer: UnitedHealthcare Community & State	$13,159.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,423.08
Rate for Payer: Wellpoint Medicaid Managed Care	$13,159.88

ANAL AND PERINEAL PROCEDURES

Facility

$20,207.67

Service Code	APR-DRG 2263
Min. Negotiated Rate	$19,811.44
Max. Negotiated Rate	$20,207.67
Rate for Payer: UnitedHealthcare Community & State	$19,811.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,207.67
Rate for Payer: Wellpoint Medicaid Managed Care	$19,811.44

ANAL AND PERINEAL PROCEDURES

Facility

$36,512.53

Service Code	APR-DRG 2264
Min. Negotiated Rate	$35,796.60
Max. Negotiated Rate	$36,512.53
Rate for Payer: UnitedHealthcare Community & State	$35,796.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$36,512.53
Rate for Payer: Wellpoint Medicaid Managed Care	$35,796.60

ANAL AND PERINEAL PROCEDURES

Facility

$10,645.18

Service Code	APR-DRG 2261
Min. Negotiated Rate	$10,436.45
Max. Negotiated Rate	$10,645.18
Rate for Payer: UnitedHealthcare Community & State	$10,436.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,645.18
Rate for Payer: Wellpoint Medicaid Managed Care	$10,436.45

ANAL AND STOMAL PROCEDURES WITH CC

Facility

$60,814.26

Service Code	MSDRG 348
Min. Negotiated Rate	$18,517.16
Max. Negotiated Rate	$60,814.26
Rate for Payer: Aetna Commercial	$45,171.13
Rate for Payer: Aetna Medicare Advantage	$60,814.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,016.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,016.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,491.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,016.50
Rate for Payer: Cigna Commercial	$29,177.08
Rate for Payer: Cigna Medicare Advantage	$19,491.75
Rate for Payer: Clover Medicare Advantage	$18,517.16
Rate for Payer: EmblemHealth Commercial	$58,475.25
Rate for Payer: Humana Medicare Advantage	$20,076.50
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,491.75
Rate for Payer: Oxford Commercial	$23,061.06
Rate for Payer: UnitedHealthcare Commercial	$30,868.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,491.75
Rate for Payer: Wellcare Medicare Advantage	$19,491.75

ANAL AND STOMAL PROCEDURES WITH MCC

Facility

$91,990.86

Service Code	MSDRG 347
Min. Negotiated Rate	$28,010.04
Max. Negotiated Rate	$91,990.86
Rate for Payer: Aetna Commercial	$67,375.45
Rate for Payer: Aetna Medicare Advantage	$91,990.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70,647.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70,647.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29,484.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70,647.75
Rate for Payer: Cigna Commercial	$51,175.81
Rate for Payer: Cigna Medicare Advantage	$29,484.25
Rate for Payer: Clover Medicare Advantage	$28,010.04
Rate for Payer: EmblemHealth Commercial	$88,452.75
Rate for Payer: Humana Medicare Advantage	$30,368.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29,484.25
Rate for Payer: Oxford Commercial	$40,448.47
Rate for Payer: UnitedHealthcare Commercial	$54,141.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$29,484.25
Rate for Payer: Wellcare Medicare Advantage	$29,484.25

ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC

Facility

$46,969.95

Service Code	MSDRG 349
Min. Negotiated Rate	$14,301.75
Max. Negotiated Rate	$46,969.95
Rate for Payer: Aetna Commercial	$35,311.05
Rate for Payer: Aetna Medicare Advantage	$46,969.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,150.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,150.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,054.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,150.90
Rate for Payer: Cigna Commercial	$19,408.29
Rate for Payer: Cigna Medicare Advantage	$15,054.47
Rate for Payer: Clover Medicare Advantage	$14,301.75
Rate for Payer: EmblemHealth Commercial	$45,163.41
Rate for Payer: Humana Medicare Advantage	$15,506.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,054.47
Rate for Payer: Oxford Commercial	$15,339.97
Rate for Payer: UnitedHealthcare Commercial	$20,533.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,054.47
Rate for Payer: Wellcare Medicare Advantage	$15,054.47

Know your out-of-pocket cost for care.

All Charges