Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR FEM/POPL REVAS W/ATHER

Facility

$47,711.75

Service Code	HCPCS 37225
Hospital Charge Code	7412046
Hospital Revenue Code	361
Min. Negotiated Rate	$1,355.01
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$18,130.47
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
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	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,405.06
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,507.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1,355.01

IR FEM/POPL REVAS W/ATHER

Facility

$52,548.60

Service Code	HCPCS 37225
Hospital Charge Code	366837225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,492.38
Max. Negotiated Rate	$26,274.30
Rate for Payer: Aetna Commercial	$19,968.47
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$26,274.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,662.64
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,660.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1,492.38

IR FEM/POPL REVAS W/ATHER

Facility

$52,548.60

Service Code	HCPCS 37271
Hospital Charge Code	411037225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,492.38
Max. Negotiated Rate	$79,001.40
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79,001.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79,001.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
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	$79,001.40
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,662.64
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29
Rate for Payer: UnitedHealthcare Community & State	$1,660.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1,492.38

IR FEM/POPL REVAS W/ATHER

Facility

$52,548.60

Service Code	HCPCS 37225
Hospital Charge Code	366837225
Hospital Revenue Code	361
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

IR FEM/POPL REVAS W/ATHER

Facility

$56,620.95

Service Code	HCPCS 37225
Hospital Charge Code	5600206
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

IR FEM/POPL REVAS W/ATHER

Facility

$56,620.95

Service Code	HCPCS 37225
Hospital Charge Code	321037225
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

IR FEM/POPL REVAS W/ATHER

Facility

$56,620.95

Service Code	HCPCS 37225
Hospital Charge Code	5600206
Hospital Revenue Code	361
Min. Negotiated Rate	$1,608.03
Max. Negotiated Rate	$28,310.47
Rate for Payer: Aetna Commercial	$21,515.96
Rate for Payer: Aetna Medicare Advantage	$16,986.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,438.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,438.34
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	$14,438.34
Rate for Payer: Cigna Commercial	$28,310.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,721.45
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,789.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,608.03

IR FEM/POPL REVAS W/ATHER

Facility

$52,548.60

Service Code	HCPCS 37271
Hospital Charge Code	411037225
Hospital Revenue Code	361
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

IR FEM/POPL REVAS W/TLA

Facility

$27,397.00

Service Code	HCPCS 37224
Hospital Charge Code	5600205
Hospital Revenue Code	361
Min. Negotiated Rate	$4,109.55
Max. Negotiated Rate	$4,109.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

IR FEM/POPL REVAS W/TLA

Facility

$22,441.00

Service Code	HCPCS 37224
Hospital Charge Code	7411514
Hospital Revenue Code	361
Min. Negotiated Rate	$637.32
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$8,527.58
Rate for Payer: Aetna Medicare Advantage	$6,732.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,722.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,722.45
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	$5,722.45
Rate for Payer: Cigna Commercial	$11,220.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,834.66
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,366.15
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$709.14
Rate for Payer: Wellpoint Medicaid Managed Care	$637.32

IR FEM/POPL REVAS W/TLA

Facility

$27,397.00

Service Code	HCPCS 37224
Hospital Charge Code	5600205
Hospital Revenue Code	361
Min. Negotiated Rate	$778.07
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$10,410.86
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
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	$6,986.23
Rate for Payer: Cigna Commercial	$13,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,123.22
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$865.75
Rate for Payer: Wellpoint Medicaid Managed Care	$778.07

IR FEM/POPL REVAS W/TLA

Facility

$25,423.30

Service Code	HCPCS 37263
Hospital Charge Code	411037224
Hospital Revenue Code	361
Min. Negotiated Rate	$722.02
Max. Negotiated Rate	$24,528.18
Rate for Payer: Aetna Commercial	$18,391.91
Rate for Payer: Aetna Medicare Advantage	$21,908.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,528.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,528.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,761.73
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	$24,528.18
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: Cigna Medicare Advantage	$6,761.73
Rate for Payer: Clover Medicare Advantage	$6,423.64
Rate for Payer: EmblemHealth Commercial	$20,285.19
Rate for Payer: Humana Medicare Advantage	$6,964.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,761.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,610.06
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49
Rate for Payer: UnitedHealthcare Community & State	$803.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,761.73
Rate for Payer: Wellcare Medicare Advantage	$6,761.73
Rate for Payer: Wellpoint Medicaid Managed Care	$722.02

IR FEM/POPL REVAS W/TLA

Facility

$27,397.00

Service Code	HCPCS 37224
Hospital Charge Code	321037224
Hospital Revenue Code	361
Min. Negotiated Rate	$778.07
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$10,410.86
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
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	$6,986.23
Rate for Payer: Cigna Commercial	$13,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,123.22
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$865.75
Rate for Payer: Wellpoint Medicaid Managed Care	$778.07

IR FEM/POPL REVAS W/TLA

Facility

$27,397.00

Service Code	HCPCS 37224
Hospital Charge Code	321037224
Hospital Revenue Code	361
Min. Negotiated Rate	$4,109.55
Max. Negotiated Rate	$4,109.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

IR FEM/POPL REVAS W/TLA

Facility

$25,423.30

Service Code	HCPCS 37224
Hospital Charge Code	366837224
Hospital Revenue Code	361
Min. Negotiated Rate	$722.02
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$9,660.85
Rate for Payer: Aetna Medicare Advantage	$7,626.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,482.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,482.94
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	$6,482.94
Rate for Payer: Cigna Commercial	$12,711.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,610.06
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$803.38
Rate for Payer: Wellpoint Medicaid Managed Care	$722.02

IR FEM/POPL REVAS W/TLA

Facility

$25,423.30

Service Code	HCPCS 37263
Hospital Charge Code	411037224
Hospital Revenue Code	361
Min. Negotiated Rate	$3,813.49
Max. Negotiated Rate	$3,813.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49

IR FEM/POPL REVAS W/TLA

Facility

$22,441.00

Service Code	HCPCS 37224
Hospital Charge Code	7411514
Hospital Revenue Code	361
Min. Negotiated Rate	$3,366.15
Max. Negotiated Rate	$3,366.15
Rate for Payer: Qualcare PPO/HMO/WC	$3,366.15

IR FEM/POPL REVAS W/TLA

Facility

$25,423.30

Service Code	HCPCS 37224
Hospital Charge Code	366837224
Hospital Revenue Code	361
Min. Negotiated Rate	$3,813.49
Max. Negotiated Rate	$3,813.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49

IR FINE NEEDLE ASPIRATION

Facility

$2,403.20

Service Code	HCPCS 10022
Hospital Charge Code	7411331
Hospital Revenue Code	361
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$913.22
Rate for Payer: Aetna Medicare Advantage	$720.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.82
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	$612.82
Rate for Payer: Cigna Commercial	$1,201.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.83
Rate for Payer: Qualcare PPO/HMO/WC	$360.48
Rate for Payer: UnitedHealthcare Community & State	$75.94
Rate for Payer: Wellpoint Medicaid Managed Care	$68.25

IR FINE NEEDLE ASPIRATION

Facility

$2,403.20

Service Code	HCPCS 10022
Hospital Charge Code	7411331
Hospital Revenue Code	361
Min. Negotiated Rate	$360.48
Max. Negotiated Rate	$360.48
Rate for Payer: Qualcare PPO/HMO/WC	$360.48

IR FINE NEEDLE ASPIRATION

Facility

$2,403.20

Service Code	HCPCS 10022
Hospital Charge Code	2670010
Hospital Revenue Code	361
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$913.22
Rate for Payer: Aetna Medicare Advantage	$720.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.82
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	$612.82
Rate for Payer: Cigna Commercial	$1,201.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.83
Rate for Payer: Qualcare PPO/HMO/WC	$360.48
Rate for Payer: UnitedHealthcare Community & State	$75.94
Rate for Payer: Wellpoint Medicaid Managed Care	$68.25

IR FINE NEEDLE ASPIRATION

Facility

$2,403.20

Service Code	HCPCS 10022
Hospital Charge Code	2670010
Hospital Revenue Code	361
Min. Negotiated Rate	$360.48
Max. Negotiated Rate	$360.48
Rate for Payer: Qualcare PPO/HMO/WC	$360.48

IR FINE NEEDLE W/O IMAGNG GUID

Facility

$642.00

Service Code	HCPCS 10021
Hospital Charge Code	2670235
Hospital Revenue Code	361
Min. Negotiated Rate	$96.30
Max. Negotiated Rate	$96.30
Rate for Payer: Qualcare PPO/HMO/WC	$96.30

IR FINE NEEDLE W/O IMAGNG GUID

Facility

$642.00

Service Code	HCPCS 10021
Hospital Charge Code	7411330
Hospital Revenue Code	361
Min. Negotiated Rate	$18.23
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.92
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.30
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$20.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$18.23

IR FINE NEEDLE W/O IMAGNG GUID

Facility

$642.00

Service Code	HCPCS 10021
Hospital Charge Code	7411330
Hospital Revenue Code	361
Min. Negotiated Rate	$96.30
Max. Negotiated Rate	$96.30
Rate for Payer: Qualcare PPO/HMO/WC	$96.30

Know your out-of-pocket cost for care.

All Charges