Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	411036014
Hospital Revenue Code	361
Min. Negotiated Rate	$13.10
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

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	366836014
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	366836014
Hospital Revenue Code	361
Min. Negotiated Rate	$13.10
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

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	2004497
Hospital Revenue Code	361
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$62.10
Rate for Payer: Qualcare PPO/HMO/WC	$62.10

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	2004497
Hospital Revenue Code	361
Min. Negotiated Rate	$13.08
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.32
Rate for Payer: Aetna Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.57
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	$105.57
Rate for Payer: Cigna Commercial	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.64
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.10
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.08

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	7411418
Hospital Revenue Code	361
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$62.10
Rate for Payer: Qualcare PPO/HMO/WC	$62.10

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	7411418
Hospital Revenue Code	361
Min. Negotiated Rate	$13.08
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.32
Rate for Payer: Aetna Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.57
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	$105.57
Rate for Payer: Cigna Commercial	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.64
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.10
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.08

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	411036014
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	321036014
Hospital Revenue Code	361
Min. Negotiated Rate	$13.08
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.32
Rate for Payer: Aetna Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.57
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	$105.57
Rate for Payer: Cigna Commercial	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.64
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.10
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$13.08

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	321036014
Hospital Revenue Code	361
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$62.10
Rate for Payer: Qualcare PPO/HMO/WC	$62.10

IR PULMONARY ARTERY SEGMENTSEL

Facility

$414.45

Service Code	HCPCS 36015
Hospital Charge Code	2004513
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 PULMONARY ARTERY SEGMENTSEL

Facility

$414.45

Service Code	HCPCS 36015
Hospital Charge Code	2004513
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,839.20

Service Code	HCPCS 10160
Hospital Charge Code	321010160
Hospital Revenue Code	361
Min. Negotiated Rate	$275.88
Max. Negotiated Rate	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$275.88

IR PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,839.20

Service Code	HCPCS 10160
Hospital Charge Code	321010160
Hospital Revenue Code	361
Min. Negotiated Rate	$58.12
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	$478.19
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$275.88
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$58.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

IR PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,141.35

Service Code	HCPCS 10160
Hospital Charge Code	7411336
Hospital Revenue Code	361
Min. Negotiated Rate	$171.20
Max. Negotiated Rate	$171.20
Rate for Payer: Qualcare PPO/HMO/WC	$171.20

IR PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,141.35

Service Code	HCPCS 10160
Hospital Charge Code	7411336
Hospital Revenue Code	361
Min. Negotiated Rate	$36.07
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	$296.75
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.20
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$36.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

IR PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,839.20

Service Code	HCPCS 10160
Hospital Charge Code	2670055
Hospital Revenue Code	361
Min. Negotiated Rate	$58.12
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	$478.19
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$275.88
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$58.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

IR PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,839.20

Service Code	HCPCS 10160
Hospital Charge Code	2670055
Hospital Revenue Code	361
Min. Negotiated Rate	$275.88
Max. Negotiated Rate	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$275.88

IRRADIATION OF BLD OR BLD PROD

Facility

$182.00

Service Code	HCPCS 86945
Hospital Charge Code	38471079
Hospital Revenue Code	302
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$160.95
Rate for Payer: Aetna Commercial	$120.69
Rate for Payer: Aetna Medicare Advantage	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.95
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$44.37
Rate for Payer: Clover Medicare Advantage	$42.15
Rate for Payer: EmblemHealth Commercial	$133.11
Rate for Payer: Humana Medicare Advantage	$45.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$8.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.37
Rate for Payer: Wellcare Medicare Advantage	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

IRRADIATION OF BLD OR BLD PROD

Facility

$182.00

Service Code	HCPCS 86945
Hospital Charge Code	38471079
Hospital Revenue Code	302
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$27.30
Rate for Payer: Qualcare PPO/HMO/WC	$27.30

IR-REM INT URET STENT-BI

Facility

$14,912.20

Service Code	HCPCS 5038450
Hospital Charge Code	321050384B
Hospital Revenue Code	361
Min. Negotiated Rate	$423.51
Max. Negotiated Rate	$7,456.10
Rate for Payer: Aetna Commercial	$5,666.64
Rate for Payer: Aetna Medicare Advantage	$4,473.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,802.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,802.61
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	$3,802.61
Rate for Payer: Cigna Commercial	$7,456.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,877.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,236.83
Rate for Payer: UnitedHealthcare Community & State	$471.23
Rate for Payer: Wellpoint Medicaid Managed Care	$423.51

IR-REM INT URET STENT-BI

Facility

$14,912.20

Service Code	HCPCS 5038450
Hospital Charge Code	2690615
Hospital Revenue Code	361
Min. Negotiated Rate	$2,236.83
Max. Negotiated Rate	$2,236.83
Rate for Payer: Qualcare PPO/HMO/WC	$2,236.83

IR-REM INT URET STENT-BI

Facility

$14,912.20

Service Code	HCPCS 5038450
Hospital Charge Code	2690615
Hospital Revenue Code	361
Min. Negotiated Rate	$423.51
Max. Negotiated Rate	$7,456.10
Rate for Payer: Aetna Commercial	$5,666.64
Rate for Payer: Aetna Medicare Advantage	$4,473.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,802.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,802.61
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	$3,802.61
Rate for Payer: Cigna Commercial	$7,456.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,877.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,236.83
Rate for Payer: UnitedHealthcare Community & State	$471.23
Rate for Payer: Wellpoint Medicaid Managed Care	$423.51

IR-REM INT URET STENT-BI

Facility

$14,912.20

Service Code	HCPCS 5038450
Hospital Charge Code	321050384B
Hospital Revenue Code	361
Min. Negotiated Rate	$2,236.83
Max. Negotiated Rate	$2,236.83
Rate for Payer: Qualcare PPO/HMO/WC	$2,236.83

IR-REM INT URET STENT-LT

Facility

$10,187.80

Service Code	HCPCS 50384LT
Hospital Charge Code	2691560
Hospital Revenue Code	361
Min. Negotiated Rate	$289.33
Max. Negotiated Rate	$5,093.90
Rate for Payer: Aetna Commercial	$3,871.36
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$5,093.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,648.83
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Community & State	$321.93
Rate for Payer: Wellpoint Medicaid Managed Care	$289.33

Know your out-of-pocket cost for care.

All Charges