Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

INS TUNNELED CV CATH AGE 5/>

Facility

$29,451.76

Service Code	HCPCS 36558
Hospital Charge Code	16000735
Hospital Revenue Code	360
Min. Negotiated Rate	$836.43
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,657.46
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,417.76
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$930.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$836.43

INSUFFLATOR BULB & TUBE W/TIP

Facility

$44.00

Hospital Charge Code	270332342
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

INSUFFLATOR BULB & TUBE W/TIP

Facility

$44.00

Hospital Charge Code	270332342
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

INSUFFLATOR HIGH FLOW PNEUMO

Facility

$213.29

Hospital Charge Code	270667863
Hospital Revenue Code	272
Min. Negotiated Rate	$31.99
Max. Negotiated Rate	$31.99
Rate for Payer: Qualcare PPO/HMO/WC	$31.99

INSUFFLATOR HIGH FLOW PNEUMO

Facility

$213.29

Hospital Charge Code	270667863
Hospital Revenue Code	272
Min. Negotiated Rate	$6.06
Max. Negotiated Rate	$106.64
Rate for Payer: Aetna Commercial	$81.05
Rate for Payer: Aetna Medicare Advantage	$63.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.39
Rate for Payer: Cigna Commercial	$106.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.46
Rate for Payer: Oxford Commercial	$42.66
Rate for Payer: Qualcare PPO/HMO/WC	$31.99
Rate for Payer: UnitedHealthcare Commercial	$42.66
Rate for Payer: UnitedHealthcare Community & State	$6.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.06

INSUFFLATOR PNEUMO SURE XL

Facility

$24,250.00

Hospital Charge Code	270676435
Hospital Revenue Code	272
Min. Negotiated Rate	$688.70
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$9,215.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,305.00
Rate for Payer: Oxford Commercial	$4,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50
Rate for Payer: UnitedHealthcare Commercial	$4,850.00
Rate for Payer: UnitedHealthcare Community & State	$766.30
Rate for Payer: Wellpoint Medicaid Managed Care	$688.70

INSUFFLATOR PNEUMO SURE XL

Facility

$24,250.00

Hospital Charge Code	270676435
Hospital Revenue Code	272
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

INSULATED SUCTION CAUTRY TUBE

Facility

$2,428.25

Hospital Charge Code	270662644
Hospital Revenue Code	272
Min. Negotiated Rate	$68.96
Max. Negotiated Rate	$1,214.12
Rate for Payer: Aetna Commercial	$922.74
Rate for Payer: Aetna Medicare Advantage	$728.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.20
Rate for Payer: Cigna Commercial	$1,214.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.35
Rate for Payer: Oxford Commercial	$485.65
Rate for Payer: Qualcare PPO/HMO/WC	$364.24
Rate for Payer: UnitedHealthcare Commercial	$485.65
Rate for Payer: UnitedHealthcare Community & State	$76.73
Rate for Payer: Wellpoint Medicaid Managed Care	$68.96

INSULATED SUCTION CAUTRY TUBE

Facility

$2,428.25

Hospital Charge Code	270662644
Hospital Revenue Code	272
Min. Negotiated Rate	$364.24
Max. Negotiated Rate	$364.24
Rate for Payer: Qualcare PPO/HMO/WC	$364.24

INSULIN AB

Facility

$410.00

Service Code	HCPCS 86337
Hospital Charge Code	38476019
Hospital Revenue Code	302
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$58.24
Rate for Payer: Aetna Medicare Advantage	$69.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.66
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: Cigna Medicare Advantage	$21.41
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.41
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	$17.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Medicare Advantage	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$11.64

INSULIN AB

Facility

$410.00

Service Code	HCPCS 86337
Hospital Charge Code	38476019
Hospital Revenue Code	302
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

INSULIN AB, RIA

Facility

$147.15

Service Code	HCPCS 86337
Hospital Charge Code	39900217
Hospital Revenue Code	302
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$58.24
Rate for Payer: Aetna Medicare Advantage	$69.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.66
Rate for Payer: Cigna Commercial	$73.58
Rate for Payer: Cigna Medicare Advantage	$21.41
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.07
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$17.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Medicare Advantage	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$4.18

INSULIN AB, RIA

Facility

$147.15

Service Code	HCPCS 86337
Hospital Charge Code	39900217
Hospital Revenue Code	302
Min. Negotiated Rate	$22.07
Max. Negotiated Rate	$22.07
Rate for Payer: Qualcare PPO/HMO/WC	$22.07

Insulin Autoantibody

Facility

$390.00

Service Code	HCPCS 86337
Hospital Charge Code	401186337
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$58.24
Rate for Payer: Aetna Medicare Advantage	$69.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.66
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$21.41
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.41
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	$17.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Medicare Advantage	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Insulin Autoantibody

Facility

$390.00

Service Code	HCPCS 86337
Hospital Charge Code	401186337
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

INSULINE GLARGINE-YFGB INJ 100

Facility

$506.25

Service Code	NDC 83257001111
Hospital Charge Code	606390579
Hospital Revenue Code	250
Min. Negotiated Rate	$75.94
Max. Negotiated Rate	$75.94
Rate for Payer: Qualcare PPO/HMO/WC	$75.94

INSULINE GLARGINE-YFGB INJ 100

Facility

$506.25

Service Code	NDC 83257001111
Hospital Charge Code	606390579
Hospital Revenue Code	250
Min. Negotiated Rate	$14.38
Max. Negotiated Rate	$253.12
Rate for Payer: Aetna Commercial	$192.38
Rate for Payer: Aetna Medicare Advantage	$151.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.09
Rate for Payer: Cigna Commercial	$253.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.62
Rate for Payer: Oxford Commercial	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$75.94
Rate for Payer: UnitedHealthcare Commercial	$101.25
Rate for Payer: UnitedHealthcare Community & State	$16.00
Rate for Payer: Wellpoint Medicaid Managed Care	$14.38

INSULIN FREE BIOACTIVE

Facility

$390.00

Service Code	HCPCS 83527
Hospital Charge Code	38477111
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

INSULIN FREE BIOACTIVE

Facility

$390.00

Service Code	HCPCS 83527
Hospital Charge Code	38477111
Hospital Revenue Code	301
Min. Negotiated Rate	$10.36
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.22
Rate for Payer: Aetna Medicare Advantage	$41.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.98
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.95
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.95
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	$10.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Medicare Advantage	$12.95
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

INSULIN GLARGINE 100 UNIT ML

Facility

$774.92

Service Code	NDC 88221905
Hospital Charge Code	6063943390
Hospital Revenue Code	250
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.46
Rate for Payer: Aetna Commercial	$294.47
Rate for Payer: Aetna Medicare Advantage	$232.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.60
Rate for Payer: Cigna Commercial	$387.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.48
Rate for Payer: Oxford Commercial	$154.98
Rate for Payer: Qualcare PPO/HMO/WC	$116.24
Rate for Payer: UnitedHealthcare Commercial	$154.98
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

INSULIN GLARGINE 100 UNIT ML

Facility

$774.92

Service Code	NDC 88221905
Hospital Charge Code	6063943390
Hospital Revenue Code	250
Min. Negotiated Rate	$116.24
Max. Negotiated Rate	$116.24
Rate for Payer: Qualcare PPO/HMO/WC	$116.24

INSULIN GLARGINE YFGN 100ML

Facility

$739.68

Service Code	NDC 83257001532
Hospital Charge Code	6063943378
Hospital Revenue Code	250
Min. Negotiated Rate	$21.01
Max. Negotiated Rate	$369.84
Rate for Payer: Aetna Commercial	$281.08
Rate for Payer: Aetna Medicare Advantage	$221.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.62
Rate for Payer: Cigna Commercial	$369.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.32
Rate for Payer: Oxford Commercial	$147.94
Rate for Payer: Qualcare PPO/HMO/WC	$110.95
Rate for Payer: UnitedHealthcare Commercial	$147.94
Rate for Payer: UnitedHealthcare Community & State	$23.37
Rate for Payer: Wellpoint Medicaid Managed Care	$21.01

INSULIN GLARGINE YFGN 100ML

Facility

$739.68

Service Code	NDC 83257001532
Hospital Charge Code	6063943378
Hospital Revenue Code	250
Min. Negotiated Rate	$110.95
Max. Negotiated Rate	$110.95
Rate for Payer: Qualcare PPO/HMO/WC	$110.95

INSULIN INSTRUCT F/U PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200020
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

INSULIN INSTRUCT F/U PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200020
Hospital Revenue Code	942
Min. Negotiated Rate	$17.74
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.00
Rate for Payer: Oxford Commercial	$1,060.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$1,203.00
Rate for Payer: UnitedHealthcare Community & State	$85.32
Rate for Payer: Wellpoint Medicaid Managed Care	$76.68

Know your out-of-pocket cost for care.

All Charges