Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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	$862.14
Max. Negotiated Rate	$15,178.45
Rate for Payer: Aetna Commercial	$11,535.62
Rate for Payer: Aetna Medicare Advantage	$9,107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,741.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,741.01
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	$7,741.01
Rate for Payer: Cigna Commercial	$15,178.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,892.79
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,553.53
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$959.28
Rate for Payer: Wellpoint Medicaid Managed Care	$862.14

IR LIGATION OF COMMON ILIAC VE

Facility

$30,356.90

Service Code	HCPCS 37660
Hospital Charge Code	2680190
Hospital Revenue Code	361
Min. Negotiated Rate	$862.14
Max. Negotiated Rate	$15,178.45
Rate for Payer: Aetna Commercial	$11,535.62
Rate for Payer: Aetna Medicare Advantage	$9,107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,741.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,741.01
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	$7,741.01
Rate for Payer: Cigna Commercial	$15,178.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,892.79
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,553.53
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$959.28
Rate for Payer: Wellpoint Medicaid Managed Care	$862.14

IR LIGATION OF COMMON ILIAC VE

Facility

$30,356.90

Service Code	HCPCS 37660
Hospital Charge Code	2680190
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

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	321062270
Hospital Revenue Code	361
Min. Negotiated Rate	$99.59
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$911.70
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.98
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$110.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$99.59

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	2670210
Hospital Revenue Code	361
Min. Negotiated Rate	$525.98
Max. Negotiated Rate	$525.98
Rate for Payer: Qualcare PPO/HMO/WC	$525.98

IR-LUMBAR PUNC FOR DX

Facility

$1,587.00

Service Code	HCPCS 62270
Hospital Charge Code	7411650
Hospital Revenue Code	361
Min. Negotiated Rate	$45.07
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.62
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$238.05
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$50.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$45.07

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	321062270
Hospital Revenue Code	361
Min. Negotiated Rate	$525.98
Max. Negotiated Rate	$525.98
Rate for Payer: Qualcare PPO/HMO/WC	$525.98

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	2670210
Hospital Revenue Code	361
Min. Negotiated Rate	$99.59
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$911.70
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.98
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$110.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$99.59

IR-LUMBAR PUNC FOR DX

Facility

$1,587.00

Service Code	HCPCS 62270
Hospital Charge Code	7411650
Hospital Revenue Code	361
Min. Negotiated Rate	$238.05
Max. Negotiated Rate	$238.05
Rate for Payer: Qualcare PPO/HMO/WC	$238.05

IR-LYMPH NODE-SUPER-BI

Facility

$9,303.00

Service Code	HCPCS 3850550
Hospital Charge Code	2009145
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

IR-LYMPH NODE-SUPER-BI

Facility

$9,303.00

Service Code	HCPCS 3850550
Hospital Charge Code	2009145
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-LYMPH NODE-SUPER-LT

Facility

$6,202.00

Service Code	HCPCS 38505LT
Hospital Charge Code	2009200
Hospital Revenue Code	361
Min. Negotiated Rate	$930.30
Max. Negotiated Rate	$930.30
Rate for Payer: Qualcare PPO/HMO/WC	$930.30

IR-LYMPH NODE-SUPER-LT

Facility

$6,202.00

Service Code	HCPCS 38505LT
Hospital Charge Code	2009200
Hospital Revenue Code	361
Min. Negotiated Rate	$176.14
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,356.76
Rate for Payer: Aetna Medicare Advantage	$1,860.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,581.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,581.51
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	$1,581.51
Rate for Payer: Cigna Commercial	$3,101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.52
Rate for Payer: Qualcare PPO/HMO/WC	$930.30
Rate for Payer: UnitedHealthcare Community & State	$195.98
Rate for Payer: Wellpoint Medicaid Managed Care	$176.14

IR-LYMPH NODE-SUPER-RT

Facility

$6,202.00

Service Code	HCPCS 38505RT
Hospital Charge Code	2009205
Hospital Revenue Code	361
Min. Negotiated Rate	$930.30
Max. Negotiated Rate	$930.30
Rate for Payer: Qualcare PPO/HMO/WC	$930.30

IR-LYMPH NODE-SUPER-RT

Facility

$6,202.00

Service Code	HCPCS 38505RT
Hospital Charge Code	2009205
Hospital Revenue Code	361
Min. Negotiated Rate	$176.14
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,356.76
Rate for Payer: Aetna Medicare Advantage	$1,860.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,581.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,581.51
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	$1,581.51
Rate for Payer: Cigna Commercial	$3,101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.52
Rate for Payer: Qualcare PPO/HMO/WC	$930.30
Rate for Payer: UnitedHealthcare Community & State	$195.98
Rate for Payer: Wellpoint Medicaid Managed Care	$176.14

IR MYELOGRAM 2 OR MORE REGIONS

Facility

$3,939.00

Service Code	HCPCS 62305
Hospital Charge Code	7411657
Hospital Revenue Code	361
Min. Negotiated Rate	$590.85
Max. Negotiated Rate	$590.85
Rate for Payer: Qualcare PPO/HMO/WC	$590.85

IR MYELOGRAM 2 OR MORE REGIONS

Facility

$3,939.00

Service Code	HCPCS 62305
Hospital Charge Code	7411657
Hospital Revenue Code	361
Min. Negotiated Rate	$111.87
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,533.19
Rate for Payer: Aetna Medicare Advantage	$3,017.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$931.32
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	$3,378.36
Rate for Payer: Cigna Commercial	$1,866.82
Rate for Payer: Cigna Medicare Advantage	$931.32
Rate for Payer: Clover Medicare Advantage	$884.75
Rate for Payer: EmblemHealth Commercial	$2,793.96
Rate for Payer: Humana Medicare Advantage	$959.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$931.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.14
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$590.85
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$124.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$931.32
Rate for Payer: Wellcare Medicare Advantage	$931.32
Rate for Payer: Wellpoint Medicaid Managed Care	$111.87

IR MYELOGRAM 2 OR MORE REGIONS

Facility

$3,939.00

Hospital Charge Code	2692126
Hospital Revenue Code	361
Min. Negotiated Rate	$590.85
Max. Negotiated Rate	$590.85
Rate for Payer: Qualcare PPO/HMO/WC	$590.85

IR MYELOGRAM 2 OR MORE REGIONS

Facility

$3,939.00

Hospital Charge Code	2692126
Hospital Revenue Code	361
Min. Negotiated Rate	$111.87
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,496.82
Rate for Payer: Aetna Medicare Advantage	$1,181.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,004.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,004.45
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	$1,004.45
Rate for Payer: Cigna Commercial	$1,969.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.14
Rate for Payer: Qualcare PPO/HMO/WC	$590.85
Rate for Payer: UnitedHealthcare Community & State	$124.47
Rate for Payer: Wellpoint Medicaid Managed Care	$111.87

IR MYELOGRAM CERVICAL

Facility

$3,939.00

Hospital Charge Code	2692122
Hospital Revenue Code	361
Min. Negotiated Rate	$590.85
Max. Negotiated Rate	$590.85
Rate for Payer: Qualcare PPO/HMO/WC	$590.85

IR MYELOGRAM CERVICAL

Facility

$3,939.00

Hospital Charge Code	2692122
Hospital Revenue Code	361
Min. Negotiated Rate	$111.87
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,496.82
Rate for Payer: Aetna Medicare Advantage	$1,181.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,004.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,004.45
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	$1,004.45
Rate for Payer: Cigna Commercial	$1,969.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.14
Rate for Payer: Qualcare PPO/HMO/WC	$590.85
Rate for Payer: UnitedHealthcare Community & State	$124.47
Rate for Payer: Wellpoint Medicaid Managed Care	$111.87

IR MYELOGRAM CERVICAL

Facility

$3,939.00

Service Code	HCPCS 62302
Hospital Charge Code	7411654
Hospital Revenue Code	361
Min. Negotiated Rate	$111.87
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,533.19
Rate for Payer: Aetna Medicare Advantage	$3,017.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$931.32
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	$3,378.36
Rate for Payer: Cigna Commercial	$1,866.82
Rate for Payer: Cigna Medicare Advantage	$931.32
Rate for Payer: Clover Medicare Advantage	$884.75
Rate for Payer: EmblemHealth Commercial	$2,793.96
Rate for Payer: Humana Medicare Advantage	$959.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$931.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.14
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$590.85
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$124.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$931.32
Rate for Payer: Wellcare Medicare Advantage	$931.32
Rate for Payer: Wellpoint Medicaid Managed Care	$111.87

IR MYELOGRAM CERVICAL

Facility

$3,939.00

Service Code	HCPCS 62302
Hospital Charge Code	7411654
Hospital Revenue Code	361
Min. Negotiated Rate	$590.85
Max. Negotiated Rate	$590.85
Rate for Payer: Qualcare PPO/HMO/WC	$590.85

IR-MYELOGRAM INJECTION

Facility

$678.00

Service Code	HCPCS 62284
Hospital Charge Code	7411652
Hospital Revenue Code	361
Min. Negotiated Rate	$101.70
Max. Negotiated Rate	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$101.70

IR-MYELOGRAM INJECTION

Facility

$678.00

Service Code	HCPCS 62284
Hospital Charge Code	2670220
Hospital Revenue Code	361
Min. Negotiated Rate	$21.42
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$257.64
Rate for Payer: Aetna Medicare Advantage	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.89
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	$172.89
Rate for Payer: Cigna Commercial	$339.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.28
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.70
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$21.42

Know your out-of-pocket cost for care.

All Charges