Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR-TRANS BALLN ANG TIB-LT

Facility

$61,616.39

Service Code	HCPCS 37228LT
Hospital Charge Code	7411934
Hospital Revenue Code	361
Min. Negotiated Rate	$1,749.91
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,020.26
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,947.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,749.91

IR-TRANS BALLN ANG TIB-LT

Facility

$61,616.39

Service Code	HCPCS 37228LT
Hospital Charge Code	7411934
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	366837228R
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	366837228R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,749.91
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,020.26
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,947.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,749.91

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	2691415
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	2691415
Hospital Revenue Code	361
Min. Negotiated Rate	$1,749.91
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,020.26
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,947.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,749.91

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	7411935
Hospital Revenue Code	361
Min. Negotiated Rate	$1,749.91
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,020.26
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,947.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,749.91

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	7411935
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	321037228R
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-TRANS BALLN ANG TIB-RT

Facility

$61,616.39

Service Code	HCPCS 37228RT
Hospital Charge Code	321037228R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,749.91
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,020.26
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,947.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,749.91

IR TRANSCATH OCCLUS OR EMOBIL

Facility

$37,914.00

Hospital Charge Code	2011163
Hospital Revenue Code	361
Min. Negotiated Rate	$5,687.10
Max. Negotiated Rate	$5,687.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,687.10

IR TRANSCATH OCCLUS OR EMOBIL

Facility

$37,914.00

Hospital Charge Code	2011163
Hospital Revenue Code	361
Min. Negotiated Rate	$1,076.76
Max. Negotiated Rate	$18,957.00
Rate for Payer: Aetna Commercial	$14,407.32
Rate for Payer: Aetna Medicare Advantage	$11,374.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,668.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,668.07
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	$9,668.07
Rate for Payer: Cigna Commercial	$18,957.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,857.64
Rate for Payer: Qualcare PPO/HMO/WC	$5,687.10
Rate for Payer: UnitedHealthcare Community & State	$1,198.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,076.76

IR TRANSCATH STENT CCA W/EPS

Facility

$15,435.00

Service Code	HCPCS 37215
Hospital Charge Code	321037215
Hospital Revenue Code	361
Min. Negotiated Rate	$438.35
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$5,865.30
Rate for Payer: Aetna Medicare Advantage	$4,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,935.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,935.93
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	$3,935.93
Rate for Payer: Cigna Commercial	$7,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,013.10
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$487.75
Rate for Payer: Wellpoint Medicaid Managed Care	$438.35

IR TRANSCATH STENT CCA W/EPS

Facility

$15,435.00

Service Code	HCPCS 37215
Hospital Charge Code	321037215
Hospital Revenue Code	361
Min. Negotiated Rate	$2,315.25
Max. Negotiated Rate	$2,315.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25

IR TRANSCATH STENT CCA W/EPS

Facility

$15,435.00

Service Code	HCPCS 37215
Hospital Charge Code	2600147
Hospital Revenue Code	361
Min. Negotiated Rate	$438.35
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$5,865.30
Rate for Payer: Aetna Medicare Advantage	$4,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,935.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,935.93
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	$3,935.93
Rate for Payer: Cigna Commercial	$7,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,013.10
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$487.75
Rate for Payer: Wellpoint Medicaid Managed Care	$438.35

IR TRANSCATH STENT CCA W/EPS

Facility

$15,435.00

Service Code	HCPCS 37215
Hospital Charge Code	2600147
Hospital Revenue Code	361
Min. Negotiated Rate	$2,315.25
Max. Negotiated Rate	$2,315.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25

IR TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	411037215
Hospital Revenue Code	361
Min. Negotiated Rate	$3,761.45
Max. Negotiated Rate	$3,761.45
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45

IR TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	411037215
Hospital Revenue Code	361
Min. Negotiated Rate	$712.17
Max. Negotiated Rate	$12,538.15
Rate for Payer: Aetna Commercial	$9,528.99
Rate for Payer: Aetna Medicare Advantage	$7,522.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,394.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,394.46
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	$6,394.46
Rate for Payer: Cigna Commercial	$12,538.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,519.84
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$792.41
Rate for Payer: Wellpoint Medicaid Managed Care	$712.17

IR TRANSCATH STENT CCA W/O EPS

Facility

$15,435.00

Service Code	HCPCS 37216
Hospital Charge Code	2600152
Hospital Revenue Code	361
Min. Negotiated Rate	$438.35
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$5,865.30
Rate for Payer: Aetna Medicare Advantage	$4,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,935.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,935.93
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	$3,935.93
Rate for Payer: Cigna Commercial	$7,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,013.10
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$487.75
Rate for Payer: Wellpoint Medicaid Managed Care	$438.35

IR TRANSCATH STENT CCA W/O EPS

Facility

$15,435.00

Service Code	HCPCS 37216
Hospital Charge Code	411037216
Hospital Revenue Code	361
Min. Negotiated Rate	$2,315.25
Max. Negotiated Rate	$2,315.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25

IR TRANSCATH STENT CCA W/O EPS

Facility

$15,435.00

Service Code	HCPCS 37216
Hospital Charge Code	411037216
Hospital Revenue Code	361
Min. Negotiated Rate	$438.35
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$5,865.30
Rate for Payer: Aetna Medicare Advantage	$4,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,935.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,935.93
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	$3,935.93
Rate for Payer: Cigna Commercial	$7,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,013.10
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$487.75
Rate for Payer: Wellpoint Medicaid Managed Care	$438.35

IR TRANSCATH STENT CCA W/O EPS

Facility

$15,435.00

Service Code	HCPCS 37216
Hospital Charge Code	2600152
Hospital Revenue Code	361
Min. Negotiated Rate	$2,315.25
Max. Negotiated Rate	$2,315.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25

IR TRANSCATH STENT CCA W/O EPS

Facility

$15,435.00

Service Code	HCPCS 37216
Hospital Charge Code	7411509
Hospital Revenue Code	361
Min. Negotiated Rate	$438.35
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$5,865.30
Rate for Payer: Aetna Medicare Advantage	$4,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,935.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,935.93
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	$3,935.93
Rate for Payer: Cigna Commercial	$7,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,013.10
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$487.75
Rate for Payer: Wellpoint Medicaid Managed Care	$438.35

IR TRANSCATH STENT CCA W/O EPS

Facility

$15,435.00

Service Code	HCPCS 37216
Hospital Charge Code	7411509
Hospital Revenue Code	361
Min. Negotiated Rate	$2,315.25
Max. Negotiated Rate	$2,315.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25

IR TRANSCERVICAL CATH FALLOPTU

Facility

$808.00

Service Code	HCPCS 74742
Hospital Charge Code	2680315
Hospital Revenue Code	320
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$307.04
Rate for Payer: Aetna Medicare Advantage	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.04
Rate for Payer: Cigna Commercial	$404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.08
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.20
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$25.53
Rate for Payer: Wellpoint Medicaid Managed Care	$22.95

Know your out-of-pocket cost for care.

All Charges