Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IMMUNOHIST 1ST STAIN/SPEC

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061051
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$86.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

IMMUNOHIST 1ST STAIN/SPEC

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061051
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

IMMUNOHISTO AB SLIDE EA ADD

Facility

$1,082.30

Service Code	HCPCS 88341
Hospital Charge Code	397061381
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$541.15
Rate for Payer: Aetna Commercial	$411.27
Rate for Payer: Aetna Medicare Advantage	$324.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.99
Rate for Payer: Cigna Commercial	$541.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$73.96
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

IMMUNOHISTO AB SLIDE EA ADD

Facility

$1,082.30

Service Code	HCPCS 88341
Hospital Charge Code	397061382
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

IMMUNOHISTO AB SLIDE EA ADD

Facility

$1,082.30

Service Code	HCPCS 88341
Hospital Charge Code	397061381
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

IMMUNOHISTO AB SLIDE EA ADD

Facility

$1,082.30

Service Code	HCPCS 88341
Hospital Charge Code	397080021
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$541.15
Rate for Payer: Aetna Commercial	$411.27
Rate for Payer: Aetna Medicare Advantage	$324.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.99
Rate for Payer: Cigna Commercial	$541.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$73.96
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

IMMUNOHISTO AB SLIDE EA ADD

Facility

$1,082.30

Service Code	HCPCS 88341
Hospital Charge Code	397061382
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$541.15
Rate for Payer: Aetna Commercial	$411.27
Rate for Payer: Aetna Medicare Advantage	$324.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.99
Rate for Payer: Cigna Commercial	$541.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$73.96
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

IMMUNOHISTO AB SLIDE EA ADD

Facility

$1,082.30

Service Code	HCPCS 88341
Hospital Charge Code	397080021
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

IMMUNOPEROXIDASE 1 BK,ANT 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061050
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

IMMUNOPEROXIDASE 1 BK,ANT 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061050
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$86.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

IMMUNOPEROXIDASE STAIN 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	38474067
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$86.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

IMMUNOPEROXIDASE STAIN 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	38474067
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

IMMUNOTYPING BONE MARROW 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	3005105
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

IMMUNOTYPING BONE MARROW 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	3005105
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$86.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

IMMU OTHER-INFECTIOUS AB OR AG

Facility

$77.00

Service Code	HCPCS 83516
Hospital Charge Code	38478112
Hospital Revenue Code	301
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.36
Rate for Payer: Aetna Medicare Advantage	$37.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
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	$41.83
Rate for Payer: Cigna Commercial	$38.50
Rate for Payer: Cigna Medicare Advantage	$11.53
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.55
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Medicare Advantage	$11.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

IMMU OTHER-INFECTIOUS AB OR AG

Facility

$77.00

Service Code	HCPCS 83516
Hospital Charge Code	38478112
Hospital Revenue Code	301
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$11.55

IMN INST SYSTEM

Facility

$1,757.80

Hospital Charge Code	270703691
Hospital Revenue Code	272
Min. Negotiated Rate	$49.92
Max. Negotiated Rate	$878.90
Rate for Payer: Aetna Commercial	$667.96
Rate for Payer: Aetna Medicare Advantage	$527.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.24
Rate for Payer: Cigna Commercial	$878.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.03
Rate for Payer: Oxford Commercial	$351.56
Rate for Payer: Qualcare PPO/HMO/WC	$263.67
Rate for Payer: UnitedHealthcare Commercial	$351.56
Rate for Payer: UnitedHealthcare Community & State	$55.55
Rate for Payer: Wellpoint Medicaid Managed Care	$49.92

IMN INST SYSTEM

Facility

$1,757.80

Hospital Charge Code	270703691
Hospital Revenue Code	272
Min. Negotiated Rate	$263.67
Max. Negotiated Rate	$263.67
Rate for Payer: Qualcare PPO/HMO/WC	$263.67

IMN SCREW 5X52.5MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705683
Hospital Revenue Code	278
Min. Negotiated Rate	$46.06
Max. Negotiated Rate	$810.98
Rate for Payer: Aetna Commercial	$616.34
Rate for Payer: Aetna Medicare Advantage	$486.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.60
Rate for Payer: Cigna Commercial	$810.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29
Rate for Payer: UnitedHealthcare Community & State	$51.25
Rate for Payer: Wellpoint Medicaid Managed Care	$46.06

IMN SCREW 5X52.5MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705683
Hospital Revenue Code	278
Min. Negotiated Rate	$243.29
Max. Negotiated Rate	$392.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29

IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$193,843.92

Service Code	APR-DRG 1611
Min. Negotiated Rate	$190,043.06
Max. Negotiated Rate	$193,843.92
Rate for Payer: UnitedHealthcare Community & State	$190,043.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$193,843.92
Rate for Payer: Wellpoint Medicaid Managed Care	$190,043.06

IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$335,371.87

Service Code	APR-DRG 1614
Min. Negotiated Rate	$328,795.95
Max. Negotiated Rate	$335,371.87
Rate for Payer: UnitedHealthcare Community & State	$328,795.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$335,371.87
Rate for Payer: Wellpoint Medicaid Managed Care	$328,795.95

IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$203,800.96

Service Code	APR-DRG 1612
Min. Negotiated Rate	$199,804.86
Max. Negotiated Rate	$203,800.96
Rate for Payer: UnitedHealthcare Community & State	$199,804.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$203,800.96
Rate for Payer: Wellpoint Medicaid Managed Care	$199,804.86

IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$254,134.04

Service Code	APR-DRG 1613
Min. Negotiated Rate	$249,151.02
Max. Negotiated Rate	$254,134.04
Rate for Payer: UnitedHealthcare Community & State	$249,151.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$254,134.04
Rate for Payer: Wellpoint Medicaid Managed Care	$249,151.02

IMPLANTABLE SPINE FUSION STIMU

Facility

$11,591.00

Hospital Charge Code	270335738
Hospital Revenue Code	278
Min. Negotiated Rate	$1,738.65
Max. Negotiated Rate	$2,805.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,318.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,805.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,738.65

Know your out-of-pocket cost for care.

All Charges