Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR ANGIOGRAM INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	7411701
Hospital Revenue Code	323
Min. Negotiated Rate	$2,082.33
Max. Negotiated Rate	$2,082.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.33

IR ANGIOGRAM INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	7411701
Hospital Revenue Code	323
Min. Negotiated Rate	$114.76
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	$114.76
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	$2,625.82
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	$3,609.37
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.33
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$438.68
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	$394.25

IR ANGIOGRAM PELVIS

Facility

$12,031.00

Service Code	HCPCS 75736
Hospital Charge Code	7411697
Hospital Revenue Code	323
Min. Negotiated Rate	$249.48
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$4,627.53
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,128.06
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$380.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$341.68

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 7573626
Hospital Charge Code	321075736
Hospital Revenue Code	323
Min. Negotiated Rate	$710.13
Max. Negotiated Rate	$12,502.30
Rate for Payer: Aetna Commercial	$9,501.75
Rate for Payer: Aetna Medicare Advantage	$7,501.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,376.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,376.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,376.17
Rate for Payer: Cigna Commercial	$12,502.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,501.20
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$790.15
Rate for Payer: Wellpoint Medicaid Managed Care	$710.13

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 7573626
Hospital Charge Code	321075736
Hospital Revenue Code	323
Min. Negotiated Rate	$3,750.69
Max. Negotiated Rate	$3,750.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	2600030
Hospital Revenue Code	323
Min. Negotiated Rate	$3,750.69
Max. Negotiated Rate	$3,750.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69

IR ANGIOGRAM PELVIS

Facility

$12,031.00

Service Code	HCPCS 75736
Hospital Charge Code	7411697
Hospital Revenue Code	323
Min. Negotiated Rate	$1,804.65
Max. Negotiated Rate	$1,804.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	366875736
Hospital Revenue Code	323
Min. Negotiated Rate	$3,750.69
Max. Negotiated Rate	$3,750.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	366875736
Hospital Revenue Code	323
Min. Negotiated Rate	$249.48
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$4,627.53
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,501.20
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$790.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$710.13

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	2600030
Hospital Revenue Code	323
Min. Negotiated Rate	$249.48
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$4,627.53
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,501.20
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$790.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$710.13

IR ANGIOGRAM SPINE SELECTIVE

Facility

$12,031.00

Service Code	HCPCS 75705
Hospital Charge Code	7411689
Hospital Revenue Code	323
Min. Negotiated Rate	$293.87
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$4,627.53
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,128.06
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$380.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$341.68

IR ANGIOGRAM SPINE SELECTIVE

Facility

$12,031.00

Service Code	HCPCS 75705
Hospital Charge Code	7411689
Hospital Revenue Code	323
Min. Negotiated Rate	$1,804.65
Max. Negotiated Rate	$1,804.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65

IR ANGIOGRAM SPINE SELECTIVE

Facility

$12,031.00

Service Code	HCPCS 75705
Hospital Charge Code	2600038
Hospital Revenue Code	323
Min. Negotiated Rate	$1,804.65
Max. Negotiated Rate	$1,804.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65

IR ANGIOGRAM SPINE SELECTIVE

Facility

$12,031.00

Service Code	HCPCS 75705
Hospital Charge Code	2600038
Hospital Revenue Code	323
Min. Negotiated Rate	$293.87
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$4,627.53
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,128.06
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$380.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$341.68

IR ANGIOGRAPHY BRACHIAL RETRO

Facility

$12,031.00

Service Code	HCPCS 75658
Hospital Charge Code	2000719
Hospital Revenue Code	323
Min. Negotiated Rate	$1,804.65
Max. Negotiated Rate	$1,804.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65

IR ANGIOGRAPHY BRACHIAL RETRO

Facility

$12,031.00

Service Code	HCPCS 75658
Hospital Charge Code	7411688
Hospital Revenue Code	323
Min. Negotiated Rate	$1,804.65
Max. Negotiated Rate	$1,804.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65

IR ANGIOGRAPHY BRACHIAL RETRO

Facility

$12,031.00

Service Code	HCPCS 75658
Hospital Charge Code	7411688
Hospital Revenue Code	323
Min. Negotiated Rate	$341.68
Max. Negotiated Rate	$6,015.50
Rate for Payer: Aetna Commercial	$4,571.78
Rate for Payer: Aetna Medicare Advantage	$3,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,067.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,067.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,067.91
Rate for Payer: Cigna Commercial	$6,015.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,128.06
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$380.18
Rate for Payer: Wellpoint Medicaid Managed Care	$341.68

IR ANGIOGRAPHY BRACHIAL RETRO

Facility

$12,031.00

Service Code	HCPCS 75658
Hospital Charge Code	2000719
Hospital Revenue Code	323
Min. Negotiated Rate	$341.68
Max. Negotiated Rate	$6,015.50
Rate for Payer: Aetna Commercial	$4,571.78
Rate for Payer: Aetna Medicare Advantage	$3,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,067.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,067.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,067.91
Rate for Payer: Cigna Commercial	$6,015.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,128.06
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,804.65
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$380.18
Rate for Payer: Wellpoint Medicaid Managed Care	$341.68

IR ANGIO HEPATIC SELECTIVE

Facility

$3,958.00

Service Code	HCPCS 75774
Hospital Charge Code	7411702
Hospital Revenue Code	323
Min. Negotiated Rate	$112.41
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,504.04
Rate for Payer: Aetna Medicare Advantage	$1,187.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,009.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,009.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,009.29
Rate for Payer: Cigna Commercial	$1,979.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.08
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$593.70
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$125.07
Rate for Payer: Wellpoint Medicaid Managed Care	$112.41

IR ANGIO HEPATIC SELECTIVE

Facility

$3,958.15

Service Code	HCPCS 75774
Hospital Charge Code	366875774
Hospital Revenue Code	323
Min. Negotiated Rate	$112.41
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,504.10
Rate for Payer: Aetna Medicare Advantage	$1,187.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,009.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,009.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,009.33
Rate for Payer: Cigna Commercial	$1,979.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.12
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$593.72
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$125.08
Rate for Payer: Wellpoint Medicaid Managed Care	$112.41

IR ANGIO HEPATIC SELECTIVE

Facility

$3,958.15

Service Code	HCPCS 75774
Hospital Charge Code	366875774
Hospital Revenue Code	323
Min. Negotiated Rate	$593.72
Max. Negotiated Rate	$593.72
Rate for Payer: Qualcare PPO/HMO/WC	$593.72

IR ANGIO HEPATIC SELECTIVE

Facility

$3,958.15

Service Code	HCPCS 75774
Hospital Charge Code	411075774
Hospital Revenue Code	323
Min. Negotiated Rate	$112.41
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,504.10
Rate for Payer: Aetna Medicare Advantage	$1,187.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,009.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,009.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,009.33
Rate for Payer: Cigna Commercial	$1,979.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.12
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$593.72
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$125.08
Rate for Payer: Wellpoint Medicaid Managed Care	$112.41

IR ANGIO HEPATIC SELECTIVE

Facility

$3,054.00

Service Code	HCPCS 75774
Hospital Charge Code	2001246
Hospital Revenue Code	323
Min. Negotiated Rate	$458.10
Max. Negotiated Rate	$458.10
Rate for Payer: Qualcare PPO/HMO/WC	$458.10

IR ANGIO HEPATIC SELECTIVE

Facility

$3,958.00

Service Code	HCPCS 75774
Hospital Charge Code	7411702
Hospital Revenue Code	323
Min. Negotiated Rate	$593.70
Max. Negotiated Rate	$593.70
Rate for Payer: Qualcare PPO/HMO/WC	$593.70

IR ANGIO HEPATIC SELECTIVE

Facility

$3,054.00

Service Code	HCPCS 75774
Hospital Charge Code	2001246
Hospital Revenue Code	323
Min. Negotiated Rate	$86.73
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,160.52
Rate for Payer: Aetna Medicare Advantage	$916.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$778.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$778.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$778.77
Rate for Payer: Cigna Commercial	$1,527.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$794.04
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$458.10
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$96.51
Rate for Payer: Wellpoint Medicaid Managed Care	$86.73

Know your out-of-pocket cost for care.

All Charges