Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$1,780.85

Service Code	HCPCS 36160
Hospital Charge Code	411036160
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

$414.45

Service Code	HCPCS 36160
Hospital Charge Code	2001345
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 NEEDLE/INTRACATH VEIN

Facility

$622.00

Service Code	HCPCS 36000
Hospital Charge Code	7411411
Hospital Revenue Code	361
Min. Negotiated Rate	$17.66
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$236.36
Rate for Payer: Aetna Medicare Advantage	$186.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.61
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	$158.61
Rate for Payer: Cigna Commercial	$311.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.72
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.30
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$19.66
Rate for Payer: Wellpoint Medicaid Managed Care	$17.66

IR INTRO NEEDLE/INTRACATH VEIN

Facility

$622.00

Service Code	HCPCS 36000
Hospital Charge Code	7411411
Hospital Revenue Code	361
Min. Negotiated Rate	$93.30
Max. Negotiated Rate	$93.30
Rate for Payer: Qualcare PPO/HMO/WC	$93.30

IR INTRO NEEDLE/INTRACATH VEIN

Facility

$622.00

Service Code	HCPCS 36000
Hospital Charge Code	2004687
Hospital Revenue Code	361
Min. Negotiated Rate	$17.66
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$236.36
Rate for Payer: Aetna Medicare Advantage	$186.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.61
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	$158.61
Rate for Payer: Cigna Commercial	$311.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.72
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.30
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$19.66
Rate for Payer: Wellpoint Medicaid Managed Care	$17.66

IR INTRO NEEDLE/INTRACATH VEIN

Facility

$622.00

Service Code	HCPCS 36000
Hospital Charge Code	2004687
Hospital Revenue Code	361
Min. Negotiated Rate	$93.30
Max. Negotiated Rate	$93.30
Rate for Payer: Qualcare PPO/HMO/WC	$93.30

IR INTRO NEPHROST TUBE CHANGE

Facility

$6,672.00

Hospital Charge Code	2004414
Hospital Revenue Code	361
Min. Negotiated Rate	$189.48
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,535.36
Rate for Payer: Aetna Medicare Advantage	$2,001.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,701.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,701.36
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	$1,701.36
Rate for Payer: Cigna Commercial	$3,336.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,734.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.80
Rate for Payer: UnitedHealthcare Community & State	$210.84
Rate for Payer: Wellpoint Medicaid Managed Care	$189.48

IR INTRO NEPHROST TUBE CHANGE

Facility

$6,672.00

Hospital Charge Code	2004414
Hospital Revenue Code	361
Min. Negotiated Rate	$1,000.80
Max. Negotiated Rate	$1,000.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.80

IR INTRO OF PERC TRANS CATH

Facility

$12,976.00

Hospital Charge Code	2000937
Hospital Revenue Code	361
Min. Negotiated Rate	$368.52
Max. Negotiated Rate	$6,488.00
Rate for Payer: Aetna Commercial	$4,930.88
Rate for Payer: Aetna Medicare Advantage	$3,892.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,308.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,308.88
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	$3,308.88
Rate for Payer: Cigna Commercial	$6,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,373.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.40
Rate for Payer: UnitedHealthcare Community & State	$410.04
Rate for Payer: Wellpoint Medicaid Managed Care	$368.52

IR INTRO OF PERC TRANS CATH

Facility

$12,976.00

Hospital Charge Code	2000937
Hospital Revenue Code	361
Min. Negotiated Rate	$1,946.40
Max. Negotiated Rate	$1,946.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,946.40

IR INT URET CTH OR STNT TO URE

Facility

$10,767.00

Hospital Charge Code	2004522
Hospital Revenue Code	361
Min. Negotiated Rate	$1,615.05
Max. Negotiated Rate	$1,615.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,615.05

IR INT URET CTH OR STNT TO URE

Facility

$10,767.00

Hospital Charge Code	2004522
Hospital Revenue Code	361
Min. Negotiated Rate	$305.78
Max. Negotiated Rate	$5,383.50
Rate for Payer: Aetna Commercial	$4,091.46
Rate for Payer: Aetna Medicare Advantage	$3,230.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,745.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,745.59
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	$2,745.59
Rate for Payer: Cigna Commercial	$5,383.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,799.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,615.05
Rate for Payer: UnitedHealthcare Community & State	$340.24
Rate for Payer: Wellpoint Medicaid Managed Care	$305.78

IRIS HOOK AND LENS MANIPULATOR

Facility

$771.90

Hospital Charge Code	270678625
Hospital Revenue Code	272
Min. Negotiated Rate	$21.92
Max. Negotiated Rate	$385.95
Rate for Payer: Aetna Commercial	$293.32
Rate for Payer: Aetna Medicare Advantage	$231.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.83
Rate for Payer: Cigna Commercial	$385.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.69
Rate for Payer: Oxford Commercial	$154.38
Rate for Payer: Qualcare PPO/HMO/WC	$115.78
Rate for Payer: UnitedHealthcare Commercial	$154.38
Rate for Payer: UnitedHealthcare Community & State	$24.39
Rate for Payer: Wellpoint Medicaid Managed Care	$21.92

IRIS HOOK AND LENS MANIPULATOR

Facility

$771.90

Hospital Charge Code	270678625
Hospital Revenue Code	272
Min. Negotiated Rate	$115.78
Max. Negotiated Rate	$115.78
Rate for Payer: Qualcare PPO/HMO/WC	$115.78

IRIS RETRACTOR DISPOSABLE

Facility

$252.00

Hospital Charge Code	270338751
Hospital Revenue Code	272
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$37.80
Rate for Payer: Qualcare PPO/HMO/WC	$37.80

IRIS RETRACTOR DISPOSABLE

Facility

$252.00

Hospital Charge Code	270338751
Hospital Revenue Code	272
Min. Negotiated Rate	$7.16
Max. Negotiated Rate	$126.00
Rate for Payer: Aetna Commercial	$95.76
Rate for Payer: Aetna Medicare Advantage	$75.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.26
Rate for Payer: Cigna Commercial	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.52
Rate for Payer: Oxford Commercial	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$37.80
Rate for Payer: UnitedHealthcare Commercial	$50.40
Rate for Payer: UnitedHealthcare Community & State	$7.96
Rate for Payer: Wellpoint Medicaid Managed Care	$7.16

IRIS TRANSLIMBAL RETRACTOR

Facility

$490.00

Hospital Charge Code	270659778
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

IRIS TRANSLIMBAL RETRACTOR

Facility

$490.00

Hospital Charge Code	270659778
Hospital Revenue Code	270
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.40
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

IR IVC FLTER PLCMNT PERCUTNOUS

Facility

$5,100.00

Hospital Charge Code	2600090
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) 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 IVC FLTER PLCMNT PERCUTNOUS

Facility

$5,100.00

Hospital Charge Code	2600090
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,633.00

Service Code	HCPCS 73580
Hospital Charge Code	7411669
Hospital Revenue Code	322
Min. Negotiated Rate	$244.95
Max. Negotiated Rate	$244.95
Rate for Payer: Qualcare PPO/HMO/WC	$244.95

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,633.00

Service Code	HCPCS 73580
Hospital Charge Code	2680290
Hospital Revenue Code	322
Min. Negotiated Rate	$244.95
Max. Negotiated Rate	$244.95
Rate for Payer: Qualcare PPO/HMO/WC	$244.95

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,633.00

Service Code	HCPCS 73580
Hospital Charge Code	2680290
Hospital Revenue Code	322
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,127.36
Rate for Payer: Aetna Medicare Advantage	$1,342.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,503.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,503.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$414.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,503.49
Rate for Payer: Cigna Commercial	$830.80
Rate for Payer: Cigna Medicare Advantage	$290.13
Rate for Payer: Clover Medicare Advantage	$393.75
Rate for Payer: EmblemHealth Commercial	$1,243.41
Rate for Payer: Humana Medicare Advantage	$426.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$414.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.58
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.95
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$51.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$414.47
Rate for Payer: Wellcare Medicare Advantage	$414.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,627.00
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,633.00

Service Code	HCPCS 73580
Hospital Charge Code	7411669
Hospital Revenue Code	322
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,127.36
Rate for Payer: Aetna Medicare Advantage	$1,342.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,503.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,503.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$414.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,503.49
Rate for Payer: Cigna Commercial	$830.80
Rate for Payer: Cigna Medicare Advantage	$290.13
Rate for Payer: Clover Medicare Advantage	$393.75
Rate for Payer: EmblemHealth Commercial	$1,243.41
Rate for Payer: Humana Medicare Advantage	$426.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$414.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.58
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$244.95
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$51.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$414.47
Rate for Payer: Wellcare Medicare Advantage	$414.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,627.00
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

IR LIGATION OF COMMON ILIAC VE

Facility

$30,356.90

Service Code	HCPCS 37660
Hospital Charge Code	7411538
Hospital Revenue Code	361
Min. Negotiated Rate	$4,553.53
Max. Negotiated Rate	$4,553.53
Rate for Payer: Qualcare PPO/HMO/WC	$4,553.53

Know your out-of-pocket cost for care.

All Charges