Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR-EXCHANGE ARTERIAL CATH

Facility

$3,724.00

Hospital Charge Code	2690110
Hospital Revenue Code	361
Min. Negotiated Rate	$558.60
Max. Negotiated Rate	$558.60
Rate for Payer: Qualcare PPO/HMO/WC	$558.60

IR-EXCHANGE ARTERIAL CATH

Facility

$3,724.00

Hospital Charge Code	2690110
Hospital Revenue Code	361
Min. Negotiated Rate	$105.76
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,415.12
Rate for Payer: Aetna Medicare Advantage	$1,117.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$949.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$949.62
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	$949.62
Rate for Payer: Cigna Commercial	$1,862.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.24
Rate for Payer: Qualcare PPO/HMO/WC	$558.60
Rate for Payer: UnitedHealthcare Community & State	$117.68
Rate for Payer: Wellpoint Medicaid Managed Care	$105.76

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	366837213
Hospital Revenue Code	361
Min. Negotiated Rate	$649.20
Max. Negotiated Rate	$649.20
Rate for Payer: Qualcare PPO/HMO/WC	$649.20

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	411037213
Hospital Revenue Code	361
Min. Negotiated Rate	$649.20
Max. Negotiated Rate	$649.20
Rate for Payer: Qualcare PPO/HMO/WC	$649.20

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	411037213
Hospital Revenue Code	361
Min. Negotiated Rate	$122.92
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	$1,125.28
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$649.20
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$136.76
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	$122.92

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	366837213
Hospital Revenue Code	361
Min. Negotiated Rate	$122.92
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	$1,125.28
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$649.20
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$136.76
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	$122.92

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	7411505
Hospital Revenue Code	361
Min. Negotiated Rate	$649.20
Max. Negotiated Rate	$649.20
Rate for Payer: Qualcare PPO/HMO/WC	$649.20

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	7411505
Hospital Revenue Code	361
Min. Negotiated Rate	$122.92
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	$1,125.28
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$649.20
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$136.76
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	$122.92

IR-EXT CANN DECLOTING/W @ CATH

Facility

$14,346.00

Service Code	HCPCS 36861
Hospital Charge Code	2670180
Hospital Revenue Code	361
Min. Negotiated Rate	$2,151.90
Max. Negotiated Rate	$2,151.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,151.90

IR-EXT CANN DECLOTING/W @ CATH

Facility

$14,346.00

Service Code	HCPCS 36861
Hospital Charge Code	2670180
Hospital Revenue Code	361
Min. Negotiated Rate	$407.43
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	$3,536.00
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	$6,610.76
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	$3,729.96
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,151.90
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$453.33
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	$407.43

IR-EXT CANN DECLOTING/W @ CATH

Facility

$14,346.00

Service Code	HCPCS 36861
Hospital Charge Code	7411489
Hospital Revenue Code	361
Min. Negotiated Rate	$2,151.90
Max. Negotiated Rate	$2,151.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,151.90

IR-EXT CANN DECLOTING/W @ CATH

Facility

$14,346.00

Service Code	HCPCS 36861
Hospital Charge Code	7411489
Hospital Revenue Code	361
Min. Negotiated Rate	$407.43
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	$3,536.00
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	$6,610.76
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	$3,729.96
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,151.90
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$453.33
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	$407.43

IR-EXT VENOGRAPHY INJ-BI

Facility

$523.00

Service Code	HCPCS 3600550
Hospital Charge Code	321036005B
Hospital Revenue Code	361
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$198.74
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Qualcare PPO/HMO/WC	$78.45
Rate for Payer: UnitedHealthcare Community & State	$16.53
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

IR-EXT VENOGRAPHY INJ-BI

Facility

$523.00

Service Code	HCPCS 3600550
Hospital Charge Code	2690425
Hospital Revenue Code	361
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$78.45
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR-EXT VENOGRAPHY INJ-BI

Facility

$523.00

Service Code	HCPCS 3600550
Hospital Charge Code	2690425
Hospital Revenue Code	361
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$198.74
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Qualcare PPO/HMO/WC	$78.45
Rate for Payer: UnitedHealthcare Community & State	$16.53
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

IR-EXT VENOGRAPHY INJ-BI

Facility

$523.00

Service Code	HCPCS 3600550
Hospital Charge Code	321036005B
Hospital Revenue Code	361
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$78.45
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36005LT
Hospital Charge Code	321036005L
Hospital Revenue Code	361
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$198.74
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Qualcare PPO/HMO/WC	$78.45
Rate for Payer: UnitedHealthcare Community & State	$16.53
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36005LT
Hospital Charge Code	321036005L
Hospital Revenue Code	361
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$78.45
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36500LT
Hospital Charge Code	411036005L
Hospital Revenue Code	361
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$198.74
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Qualcare PPO/HMO/WC	$78.45
Rate for Payer: UnitedHealthcare Community & State	$16.53
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36500LT
Hospital Charge Code	411036005L
Hospital Revenue Code	361
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$78.45
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36500LT
Hospital Charge Code	366836500L
Hospital Revenue Code	361
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$198.74
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Qualcare PPO/HMO/WC	$78.45
Rate for Payer: UnitedHealthcare Community & State	$16.53
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36500LT
Hospital Charge Code	366836500L
Hospital Revenue Code	361
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$78.45
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36005LT
Hospital Charge Code	2691145
Hospital Revenue Code	361
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$198.74
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Qualcare PPO/HMO/WC	$78.45
Rate for Payer: UnitedHealthcare Community & State	$16.53
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

IR-EXT VENOGRAPHY INJ-LT

Facility

$523.00

Service Code	HCPCS 36005LT
Hospital Charge Code	2691145
Hospital Revenue Code	361
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$78.45
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR-EXT VENOGRAPHY INJ-RT

Facility

$523.00

Service Code	HCPCS 36005RT
Hospital Charge Code	321036005R
Hospital Revenue Code	361
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$198.74
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Qualcare PPO/HMO/WC	$78.45
Rate for Payer: UnitedHealthcare Community & State	$16.53
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

Know your out-of-pocket cost for care.

All Charges