Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR BIOPSY TRANSCATHETER

Facility

$5,100.00

Service Code	HCPCS 75970
Hospital Charge Code	2600051
Hospital Revenue Code	320
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

IR BIOPSY TRANSCATHETER

Facility

$5,100.00

Service Code	HCPCS 75970
Hospital Charge Code	2600051
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR BIOPSY TRANSCATHETER

Facility

$2,664.00

Service Code	HCPCS 75970
Hospital Charge Code	7411741
Hospital Revenue Code	320
Min. Negotiated Rate	$399.60
Max. Negotiated Rate	$399.60
Rate for Payer: Qualcare PPO/HMO/WC	$399.60

IR BLRY DRAIN TRSHP PERC W/CNT

Facility

$2,517.00

Hospital Charge Code	2600049
Hospital Revenue Code	320
Min. Negotiated Rate	$377.55
Max. Negotiated Rate	$377.55
Rate for Payer: Qualcare PPO/HMO/WC	$377.55

IR BLRY DRAIN TRSHP PERC W/CNT

Facility

$2,517.00

Hospital Charge Code	2600049
Hospital Revenue Code	320
Min. Negotiated Rate	$71.48
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$956.46
Rate for Payer: Aetna Medicare Advantage	$755.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$641.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$641.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$641.84
Rate for Payer: Cigna Commercial	$1,258.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.42
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$377.55
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$79.54
Rate for Payer: Wellpoint Medicaid Managed Care	$71.48

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	2680195
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	7411543
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	2680195
Hospital Revenue Code	361
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.54
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$48.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$43.42

IR BONE MARROW,BX,NEEDLE-TROCA

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	7411543
Hospital Revenue Code	361
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.54
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$48.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$43.42

IR BRACHIAL CATH INTRO RETRO

Facility

$533.00

Service Code	HCPCS 36120
Hospital Charge Code	7411421
Hospital Revenue Code	361
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$79.95
Rate for Payer: Qualcare PPO/HMO/WC	$79.95

IR BRACHIAL CATH INTRO RETRO

Facility

$533.00

Service Code	HCPCS 36120
Hospital Charge Code	7411067A
Hospital Revenue Code	361
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$79.95
Rate for Payer: Qualcare PPO/HMO/WC	$79.95

IR BRACHIAL CATH INTRO RETRO

Facility

$533.00

Service Code	HCPCS 36120
Hospital Charge Code	2004331
Hospital Revenue Code	361
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$202.54
Rate for Payer: Aetna Medicare Advantage	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.91
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	$135.91
Rate for Payer: Cigna Commercial	$266.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.58
Rate for Payer: Qualcare PPO/HMO/WC	$79.95
Rate for Payer: UnitedHealthcare Community & State	$16.84
Rate for Payer: Wellpoint Medicaid Managed Care	$15.14

IR BRACHIAL CATH INTRO RETRO

Facility

$533.00

Service Code	HCPCS 36120
Hospital Charge Code	2004331
Hospital Revenue Code	361
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$79.95
Rate for Payer: Qualcare PPO/HMO/WC	$79.95

IR BRACHIAL CATH INTRO RETRO

Facility

$533.00

Service Code	HCPCS 36120
Hospital Charge Code	7411067A
Hospital Revenue Code	361
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$202.54
Rate for Payer: Aetna Medicare Advantage	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.91
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	$135.91
Rate for Payer: Cigna Commercial	$266.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.58
Rate for Payer: Qualcare PPO/HMO/WC	$79.95
Rate for Payer: UnitedHealthcare Community & State	$16.84
Rate for Payer: Wellpoint Medicaid Managed Care	$15.14

IR BRACHIAL CATH INTRO RETRO

Facility

$533.00

Service Code	HCPCS 36120
Hospital Charge Code	7411421
Hospital Revenue Code	361
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$202.54
Rate for Payer: Aetna Medicare Advantage	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.91
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	$135.91
Rate for Payer: Cigna Commercial	$266.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.58
Rate for Payer: Qualcare PPO/HMO/WC	$79.95
Rate for Payer: UnitedHealthcare Community & State	$16.84
Rate for Payer: Wellpoint Medicaid Managed Care	$15.14

IR BREAST BIOPSY

Facility

$3,327.00

Hospital Charge Code	2680010
Hospital Revenue Code	361
Min. Negotiated Rate	$499.05
Max. Negotiated Rate	$499.05
Rate for Payer: Qualcare PPO/HMO/WC	$499.05

IR BREAST BIOPSY

Facility

$3,327.00

Hospital Charge Code	2680010
Hospital Revenue Code	361
Min. Negotiated Rate	$94.49
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,264.26
Rate for Payer: Aetna Medicare Advantage	$998.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$848.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$848.38
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	$848.38
Rate for Payer: Cigna Commercial	$1,663.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.02
Rate for Payer: Qualcare PPO/HMO/WC	$499.05
Rate for Payer: UnitedHealthcare Community & State	$105.13
Rate for Payer: Wellpoint Medicaid Managed Care	$94.49

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$341.00

Service Code	HCPCS 31625
Hospital Charge Code	7411374
Hospital Revenue Code	361
Min. Negotiated Rate	$51.15
Max. Negotiated Rate	$51.15
Rate for Payer: Qualcare PPO/HMO/WC	$51.15

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$341.00

Service Code	HCPCS 31625
Hospital Charge Code	7411374
Hospital Revenue Code	361
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$7,670.60
Rate for Payer: Aetna Commercial	$5,751.63
Rate for Payer: Aetna Medicare Advantage	$6,851.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,114.57
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	$7,670.60
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: Cigna Medicare Advantage	$2,114.57
Rate for Payer: Clover Medicare Advantage	$2,008.84
Rate for Payer: EmblemHealth Commercial	$6,343.71
Rate for Payer: Humana Medicare Advantage	$2,178.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,114.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.66
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.15
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$10.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,114.57
Rate for Payer: Wellcare Medicare Advantage	$2,114.57
Rate for Payer: Wellpoint Medicaid Managed Care	$9.68

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$341.00

Service Code	HCPCS 31625
Hospital Charge Code	2680110
Hospital Revenue Code	361
Min. Negotiated Rate	$51.15
Max. Negotiated Rate	$51.15
Rate for Payer: Qualcare PPO/HMO/WC	$51.15

IR BRONCHOSCOPY FLUOROSCOPIC W

Facility

$341.00

Service Code	HCPCS 31625
Hospital Charge Code	2680110
Hospital Revenue Code	361
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$7,670.60
Rate for Payer: Aetna Commercial	$5,751.63
Rate for Payer: Aetna Medicare Advantage	$6,851.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,114.57
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	$7,670.60
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: Cigna Medicare Advantage	$2,114.57
Rate for Payer: Clover Medicare Advantage	$2,008.84
Rate for Payer: EmblemHealth Commercial	$6,343.71
Rate for Payer: Humana Medicare Advantage	$2,178.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,114.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.66
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.15
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$10.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,114.57
Rate for Payer: Wellcare Medicare Advantage	$2,114.57
Rate for Payer: Wellpoint Medicaid Managed Care	$9.68

IR BX LYMPH NODE BI

Facility

$9,500.00

Service Code	HCPCS 3850550
Hospital Charge Code	23001107
Hospital Revenue Code	361
Min. Negotiated Rate	$269.80
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

IR BX LYMPH NODE BI

Facility

$9,500.00

Service Code	HCPCS 3850550
Hospital Charge Code	23001107
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

IR BX LYMPH NODE BI

Facility

$9,303.00

Service Code	HCPCS 3850550
Hospital Charge Code	2250432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,395.45
Max. Negotiated Rate	$1,395.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.45

IR BX LYMPH NODE BI

Facility

$9,303.00

Service Code	HCPCS 3850550
Hospital Charge Code	2250432
Hospital Revenue Code	361
Min. Negotiated Rate	$264.21
Max. Negotiated Rate	$4,651.50
Rate for Payer: Aetna Commercial	$3,535.14
Rate for Payer: Aetna Medicare Advantage	$2,790.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,372.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,372.26
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	$2,372.26
Rate for Payer: Cigna Commercial	$4,651.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,418.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.45
Rate for Payer: UnitedHealthcare Community & State	$293.97
Rate for Payer: Wellpoint Medicaid Managed Care	$264.21

Know your out-of-pocket cost for care.

All Charges