Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR-INTRO CTH-EXT ARTERY

Facility

$1,443.00

Service Code	HCPCS 3614050
Hospital Charge Code	411036140B
Hospital Revenue Code	361
Min. Negotiated Rate	$40.98
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$548.34
Rate for Payer: Aetna Medicare Advantage	$432.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.96
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	$367.96
Rate for Payer: Cigna Commercial	$721.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.18
Rate for Payer: Qualcare PPO/HMO/WC	$216.45
Rate for Payer: UnitedHealthcare Community & State	$45.60
Rate for Payer: Wellpoint Medicaid Managed Care	$40.98

IR-INTRO CTH-EXT ARTERY

Facility

$1,443.00

Service Code	HCPCS 3614050
Hospital Charge Code	2670190
Hospital Revenue Code	361
Min. Negotiated Rate	$216.45
Max. Negotiated Rate	$216.45
Rate for Payer: Qualcare PPO/HMO/WC	$216.45

IR-INTRO CTH-EXT ARTERY

Facility

$1,443.00

Service Code	HCPCS 3614050
Hospital Charge Code	2670190
Hospital Revenue Code	361
Min. Negotiated Rate	$40.98
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$548.34
Rate for Payer: Aetna Medicare Advantage	$432.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.96
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	$367.96
Rate for Payer: Cigna Commercial	$721.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.18
Rate for Payer: Qualcare PPO/HMO/WC	$216.45
Rate for Payer: UnitedHealthcare Community & State	$45.60
Rate for Payer: Wellpoint Medicaid Managed Care	$40.98

IR-INTRO CTH-EXT ARTERY

Facility

$1,443.00

Service Code	HCPCS 3614050
Hospital Charge Code	3668361405
Hospital Revenue Code	361
Min. Negotiated Rate	$40.98
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$548.34
Rate for Payer: Aetna Medicare Advantage	$432.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.96
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	$367.96
Rate for Payer: Cigna Commercial	$721.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.18
Rate for Payer: Qualcare PPO/HMO/WC	$216.45
Rate for Payer: UnitedHealthcare Community & State	$45.60
Rate for Payer: Wellpoint Medicaid Managed Care	$40.98

IR-INTRO CTH-EXT ARTERY

Facility

$1,443.00

Service Code	HCPCS 3614050
Hospital Charge Code	3668361405
Hospital Revenue Code	361
Min. Negotiated Rate	$216.45
Max. Negotiated Rate	$216.45
Rate for Payer: Qualcare PPO/HMO/WC	$216.45

IR-INTRO CTH-EXT ARTERY

Facility

$1,443.00

Service Code	HCPCS 3614050
Hospital Charge Code	321036140B
Hospital Revenue Code	361
Min. Negotiated Rate	$40.98
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$548.34
Rate for Payer: Aetna Medicare Advantage	$432.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.96
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	$367.96
Rate for Payer: Cigna Commercial	$721.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.18
Rate for Payer: Qualcare PPO/HMO/WC	$216.45
Rate for Payer: UnitedHealthcare Community & State	$45.60
Rate for Payer: Wellpoint Medicaid Managed Care	$40.98

IR-INTRO CTH-EXT ARTERY

Facility

$1,443.00

Service Code	HCPCS 3614050
Hospital Charge Code	321036140B
Hospital Revenue Code	361
Min. Negotiated Rate	$216.45
Max. Negotiated Rate	$216.45
Rate for Payer: Qualcare PPO/HMO/WC	$216.45

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	2004190
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	321036140
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	321036140
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	411036140
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	2004190
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	411036140
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	366836140
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR INTRO NDL/CATH EXTR ART

Facility

$414.45

Service Code	HCPCS 36140
Hospital Charge Code	366836140
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

IR INTRO NDLE/CATH AV SNT INIT

Facility

$960.00

Service Code	HCPCS 36147
Hospital Charge Code	7411423
Hospital Revenue Code	361
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

IR INTRO NDLE/CATH AV SNT INIT

Facility

$960.00

Service Code	HCPCS 36147
Hospital Charge Code	5600191
Hospital Revenue Code	361
Min. Negotiated Rate	$27.26
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$364.80
Rate for Payer: Aetna Medicare Advantage	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.80
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	$244.80
Rate for Payer: Cigna Commercial	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.60
Rate for Payer: Qualcare PPO/HMO/WC	$144.00
Rate for Payer: UnitedHealthcare Community & State	$30.34
Rate for Payer: Wellpoint Medicaid Managed Care	$27.26

IR INTRO NDLE/CATH AV SNT INIT

Facility

$960.00

Service Code	HCPCS 36147
Hospital Charge Code	7411423
Hospital Revenue Code	361
Min. Negotiated Rate	$27.26
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$364.80
Rate for Payer: Aetna Medicare Advantage	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.80
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	$244.80
Rate for Payer: Cigna Commercial	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.60
Rate for Payer: Qualcare PPO/HMO/WC	$144.00
Rate for Payer: UnitedHealthcare Community & State	$30.34
Rate for Payer: Wellpoint Medicaid Managed Care	$27.26

IR INTRO NDLE/CATH AV SNT INIT

Facility

$960.00

Service Code	HCPCS 36147
Hospital Charge Code	5600191
Hospital Revenue Code	361
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$414.45

Service Code	HCPCS 36160
Hospital Charge Code	321036160
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$1,780.85

Service Code	HCPCS 36160
Hospital Charge Code	411036160
Hospital Revenue Code	361
Min. Negotiated Rate	$50.58
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$676.72
Rate for Payer: Aetna Medicare Advantage	$534.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$454.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$454.12
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	$454.12
Rate for Payer: Cigna Commercial	$890.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.02
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$56.27
Rate for Payer: Wellpoint Medicaid Managed Care	$50.58

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$414.45

Service Code	HCPCS 36160
Hospital Charge Code	2001345
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$1,780.85

Service Code	HCPCS 36160
Hospital Charge Code	366836160
Hospital Revenue Code	361
Min. Negotiated Rate	$267.13
Max. Negotiated Rate	$267.13
Rate for Payer: Qualcare PPO/HMO/WC	$267.13

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$1,780.85

Service Code	HCPCS 36160
Hospital Charge Code	366836160
Hospital Revenue Code	361
Min. Negotiated Rate	$50.58
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$676.72
Rate for Payer: Aetna Medicare Advantage	$534.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$454.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$454.12
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	$454.12
Rate for Payer: Cigna Commercial	$890.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.02
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$56.27
Rate for Payer: Wellpoint Medicaid Managed Care	$50.58

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$414.45

Service Code	HCPCS 36160
Hospital Charge Code	321036160
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

Know your out-of-pocket cost for care.

All Charges