Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	303511106
Hospital Revenue Code	510
Min. Negotiated Rate	$276.21
Max. Negotiated Rate	$276.21
Rate for Payer: Qualcare PPO/HMO/WC	$276.21

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	450211106
Hospital Revenue Code	761
Min. Negotiated Rate	$276.21
Max. Negotiated Rate	$276.21
Rate for Payer: Qualcare PPO/HMO/WC	$276.21

INCISIONAL BX SKIN 1ST LESION

Facility

$1,841.39

Service Code	HCPCS 11106
Hospital Charge Code	412311106
Hospital Revenue Code	361
Min. Negotiated Rate	$52.30
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,388.27
Rate for Payer: Aetna Medicare Advantage	$2,844.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,185.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,185.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$878.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,185.09
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: Cigna Medicare Advantage	$878.04
Rate for Payer: Clover Medicare Advantage	$834.14
Rate for Payer: EmblemHealth Commercial	$2,634.12
Rate for Payer: Humana Medicare Advantage	$904.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$878.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$478.76
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$276.21
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$58.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$878.04
Rate for Payer: Wellcare Medicare Advantage	$878.04
Rate for Payer: Wellpoint Medicaid Managed Care	$52.30

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	395011107
Hospital Revenue Code	761
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	395011107
Hospital Revenue Code	761
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$460.35
Rate for Payer: Aetna Commercial	$349.86
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.78
Rate for Payer: Cigna Commercial	$460.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Oxford Commercial	$184.14
Rate for Payer: Qualcare PPO/HMO/WC	$138.10
Rate for Payer: UnitedHealthcare Commercial	$184.14
Rate for Payer: UnitedHealthcare Community & State	$29.09
Rate for Payer: Wellpoint Medicaid Managed Care	$26.15

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	303511107
Hospital Revenue Code	510
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$460.35
Rate for Payer: Aetna Commercial	$349.86
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.78
Rate for Payer: Cigna Commercial	$460.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Qualcare PPO/HMO/WC	$138.10
Rate for Payer: UnitedHealthcare Community & State	$29.09
Rate for Payer: Wellpoint Medicaid Managed Care	$26.15

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	450211107
Hospital Revenue Code	761
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	450211107
Hospital Revenue Code	761
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$460.35
Rate for Payer: Aetna Commercial	$349.86
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.78
Rate for Payer: Cigna Commercial	$460.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Oxford Commercial	$184.14
Rate for Payer: Qualcare PPO/HMO/WC	$138.10
Rate for Payer: UnitedHealthcare Commercial	$184.14
Rate for Payer: UnitedHealthcare Community & State	$29.09
Rate for Payer: Wellpoint Medicaid Managed Care	$26.15

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	412311107
Hospital Revenue Code	361
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	412311107
Hospital Revenue Code	361
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$349.86
Rate for Payer: Aetna Medicare Advantage	$276.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.78
Rate for Payer: Cigna Commercial	$460.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.38
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.10
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$29.09
Rate for Payer: Wellpoint Medicaid Managed Care	$26.15

INCISIONAL BX SKIN EA ADD LES

Facility

$920.69

Service Code	HCPCS 11107
Hospital Charge Code	303511107
Hospital Revenue Code	510
Min. Negotiated Rate	$138.10
Max. Negotiated Rate	$138.10
Rate for Payer: Qualcare PPO/HMO/WC	$138.10

INCISION DEEP TISS ABSCESS

Facility

$3,473.00

Service Code	HCPCS 20005
Hospital Charge Code	5780020
Hospital Revenue Code	450
Min. Negotiated Rate	$98.63
Max. Negotiated Rate	$1,736.50
Rate for Payer: Aetna Commercial	$1,319.74
Rate for Payer: Aetna Medicare Advantage	$1,041.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$885.62
Rate for Payer: Cigna Commercial	$1,736.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$902.98
Rate for Payer: Qualcare PPO/HMO/WC	$520.95
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$98.63

INCISION DEEP TISS ABSCESS

Facility

$3,473.00

Service Code	HCPCS 20005
Hospital Charge Code	5780020
Hospital Revenue Code	450
Min. Negotiated Rate	$520.95
Max. Negotiated Rate	$520.95
Rate for Payer: Qualcare PPO/HMO/WC	$520.95

INCISION&DRN; PERIANAL ABSCESS

Facility

$6,258.84

Service Code	HCPCS 46050
Hospital Charge Code	1600000611
Hospital Revenue Code	360
Min. Negotiated Rate	$938.83
Max. Negotiated Rate	$938.83
Rate for Payer: Qualcare PPO/HMO/WC	$938.83

INCISION&DRN; PERIANAL ABSCESS

Facility

$6,258.84

Service Code	HCPCS 46050
Hospital Charge Code	1600000611
Hospital Revenue Code	360
Min. Negotiated Rate	$177.75
Max. Negotiated Rate	$4,007.70
Rate for Payer: Aetna Commercial	$3,005.08
Rate for Payer: Aetna Medicare Advantage	$3,579.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,007.70
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: Cigna Medicare Advantage	$1,104.81
Rate for Payer: Clover Medicare Advantage	$1,049.57
Rate for Payer: EmblemHealth Commercial	$3,314.43
Rate for Payer: Humana Medicare Advantage	$1,137.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,104.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,627.30
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$938.83
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$197.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,104.81
Rate for Payer: Wellcare Medicare Advantage	$1,104.81
Rate for Payer: Wellpoint Medicaid Managed Care	$177.75

INCISION OF FIBULA LT

Facility

$30,595.00

Service Code	HCPCS 27707
Hospital Charge Code	16000899
Hospital Revenue Code	360
Min. Negotiated Rate	$868.90
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,954.70
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$966.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$868.90

INCISION OF FIBULA LT

Facility

$30,595.00

Service Code	HCPCS 27707
Hospital Charge Code	16000899
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

INCISION OF FINGER TENDON

Facility

$9,423.70

Service Code	HCPCS 26060
Hospital Charge Code	1600000584
Hospital Revenue Code	360
Min. Negotiated Rate	$267.63
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,450.16
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$297.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$267.63

INCISION OF FINGER TENDON

Facility

$9,423.70

Service Code	HCPCS 26060
Hospital Charge Code	1600000584
Hospital Revenue Code	360
Min. Negotiated Rate	$1,413.56
Max. Negotiated Rate	$1,413.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

INCISION OF METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28308
Hospital Charge Code	16000203
Hospital Revenue Code	360
Min. Negotiated Rate	$567.96
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,199.64
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$631.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$567.96

INCISION OF METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28308
Hospital Charge Code	16000203
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

INCISION OF RECTAL ABCESS

Facility

$25,493.40

Service Code	HCPCS 46060
Hospital Charge Code	1600000361
Hospital Revenue Code	360
Min. Negotiated Rate	$724.01
Max. Negotiated Rate	$11,961.90
Rate for Payer: Aetna Commercial	$8,969.36
Rate for Payer: Aetna Medicare Advantage	$10,684.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,961.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,297.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,961.90
Rate for Payer: Cigna Commercial	$6,609.93
Rate for Payer: Cigna Medicare Advantage	$3,297.56
Rate for Payer: Clover Medicare Advantage	$3,132.68
Rate for Payer: EmblemHealth Commercial	$9,892.68
Rate for Payer: Humana Medicare Advantage	$3,396.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,297.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,628.28
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,824.01
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$805.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,297.56
Rate for Payer: Wellcare Medicare Advantage	$3,297.56
Rate for Payer: Wellpoint Medicaid Managed Care	$724.01

INCISION OF RECTAL ABCESS

Facility

$25,493.40

Service Code	HCPCS 46060
Hospital Charge Code	1600000361
Hospital Revenue Code	360
Min. Negotiated Rate	$3,824.01
Max. Negotiated Rate	$3,824.01
Rate for Payer: Qualcare PPO/HMO/WC	$3,824.01

INCISION OF THIGH TENDON

Facility

$15,284.00

Service Code	HCPCS 27307
Hospital Charge Code	1600000535
Hospital Revenue Code	360
Min. Negotiated Rate	$2,292.60
Max. Negotiated Rate	$2,292.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.60

INCISION OF THIGH TENDON

Facility

$15,284.00

Service Code	HCPCS 27307
Hospital Charge Code	1600000535
Hospital Revenue Code	360
Min. Negotiated Rate	$434.07
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,973.84
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.60
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$482.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$434.07

Know your out-of-pocket cost for care.

All Charges