Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LEAD US MARKET

Facility

$4,680.00

Hospital Charge Code	270663724
Hospital Revenue Code	278
Min. Negotiated Rate	$132.91
Max. Negotiated Rate	$2,340.00
Rate for Payer: Aetna Commercial	$1,778.40
Rate for Payer: Aetna Medicare Advantage	$1,404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,193.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,193.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,193.40
Rate for Payer: Cigna Commercial	$2,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,132.56
Rate for Payer: Qualcare PPO/HMO/WC	$702.00
Rate for Payer: UnitedHealthcare Community & State	$147.89
Rate for Payer: Wellpoint Medicaid Managed Care	$132.91

LEAD US MARKET

Facility

$4,680.00

Hospital Charge Code	270663724
Hospital Revenue Code	278
Min. Negotiated Rate	$702.00
Max. Negotiated Rate	$1,132.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$936.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,132.56
Rate for Payer: Qualcare PPO/HMO/WC	$702.00

LEAVE OF ABSENCE

Facility

$0.01

Hospital Charge Code	10008
Hospital Revenue Code	180
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

LECT STIM-UNATTENDED NOT WC

Facility

$206.00

Service Code	HCPCS 97014GO
Hospital Charge Code	74203027
Hospital Revenue Code	430
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$78.28
Rate for Payer: Aetna Medicare Advantage	$61.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.53
Rate for Payer: Cigna Commercial	$103.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.56
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.90
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$6.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5.85

LECT STIM-UNATTENDED NOT WC

Facility

$206.00

Service Code	HCPCS 97014GO
Hospital Charge Code	74203027
Hospital Revenue Code	430
Min. Negotiated Rate	$30.90
Max. Negotiated Rate	$30.90
Rate for Payer: Qualcare PPO/HMO/WC	$30.90

LEFT FIBULA PLATE

Facility

$17,952.90

Service Code	HCPCS C1713
Hospital Charge Code	270704756
Hospital Revenue Code	278
Min. Negotiated Rate	$509.86
Max. Negotiated Rate	$8,976.45
Rate for Payer: Aetna Commercial	$6,822.10
Rate for Payer: Aetna Medicare Advantage	$5,385.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,577.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,577.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,590.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,577.99
Rate for Payer: Cigna Commercial	$8,976.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,344.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,692.93
Rate for Payer: UnitedHealthcare Community & State	$567.31
Rate for Payer: Wellpoint Medicaid Managed Care	$509.86

LEFT FIBULA PLATE

Facility

$17,952.90

Service Code	HCPCS C1713
Hospital Charge Code	270704756
Hospital Revenue Code	278
Min. Negotiated Rate	$2,692.93
Max. Negotiated Rate	$4,344.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,590.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,344.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,692.93

LEFT HEART CATH

Facility

$25,737.16

Service Code	HCPCS 93458
Hospital Charge Code	7411235
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$730.94

LEFT HEART CATH

Facility

$25,737.16

Service Code	HCPCS 93458
Hospital Charge Code	7411235
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

LEFT HEART CATH

Facility

$25,737.16

Service Code	HCPCS 93458
Hospital Charge Code	366893458
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$730.94

LEFT HEART CATH

Facility

$25,737.16

Service Code	HCPCS 93458
Hospital Charge Code	366893458
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

LEFT HEART CATH PERC RETRO

Facility

$25,737.16

Service Code	HCPCS 93452
Hospital Charge Code	74110021
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$730.94

LEFT HEART CATH PERC RETRO

Facility

$25,737.16

Service Code	HCPCS 93452
Hospital Charge Code	366893452
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$730.94

LEFT HEART CATH PERC RETRO

Facility

$25,737.16

Service Code	HCPCS 93452
Hospital Charge Code	5100193
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$730.94

LEFT HEART CATH PERC RETRO

Facility

$25,737.16

Service Code	HCPCS 93452
Hospital Charge Code	366893452
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

LEFT HEART CATH PERC RETRO

Facility

$25,737.16

Service Code	HCPCS 93452
Hospital Charge Code	74110021
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

LEFT HEART CATH PERC RETRO

Facility

$25,737.16

Service Code	HCPCS 93452
Hospital Charge Code	5100193
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

LEFT STANDARD VDR PLATE

Facility

$5,920.00

Hospital Charge Code	270665465
Hospital Revenue Code	278
Min. Negotiated Rate	$168.13
Max. Negotiated Rate	$2,960.00
Rate for Payer: Aetna Commercial	$2,249.60
Rate for Payer: Aetna Medicare Advantage	$1,776.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,509.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,509.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,509.60
Rate for Payer: Cigna Commercial	$2,960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,432.64
Rate for Payer: Qualcare PPO/HMO/WC	$888.00
Rate for Payer: UnitedHealthcare Community & State	$187.07
Rate for Payer: Wellpoint Medicaid Managed Care	$168.13

LEFT STANDARD VDR PLATE

Facility

$5,920.00

Hospital Charge Code	270665465
Hospital Revenue Code	278
Min. Negotiated Rate	$888.00
Max. Negotiated Rate	$1,432.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,432.64
Rate for Payer: Qualcare PPO/HMO/WC	$888.00

LEGATO PROBE MONO BALL TIP

Facility

$1,310.00

Hospital Charge Code	270694697
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$655.00
Rate for Payer: Aetna Commercial	$497.80
Rate for Payer: Aetna Medicare Advantage	$393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.05
Rate for Payer: Cigna Commercial	$655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.60
Rate for Payer: Oxford Commercial	$262.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.50
Rate for Payer: UnitedHealthcare Commercial	$262.00
Rate for Payer: UnitedHealthcare Community & State	$41.40
Rate for Payer: Wellpoint Medicaid Managed Care	$37.20

LEGATO PROBE MONO BALL TIP

Facility

$1,310.00

Hospital Charge Code	270694697
Hospital Revenue Code	272
Min. Negotiated Rate	$196.50
Max. Negotiated Rate	$196.50
Rate for Payer: Qualcare PPO/HMO/WC	$196.50

LEGEND 14CM, 5MM BALL DIAMO

Facility

$878.85

Hospital Charge Code	270658945
Hospital Revenue Code	272
Min. Negotiated Rate	$131.83
Max. Negotiated Rate	$131.83
Rate for Payer: Qualcare PPO/HMO/WC	$131.83

LEGEND 14CM, 5MM BALL DIAMO

Facility

$878.85

Hospital Charge Code	270658945
Hospital Revenue Code	272
Min. Negotiated Rate	$24.96
Max. Negotiated Rate	$439.43
Rate for Payer: Aetna Commercial	$333.96
Rate for Payer: Aetna Medicare Advantage	$263.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.11
Rate for Payer: Cigna Commercial	$439.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.50
Rate for Payer: Oxford Commercial	$175.77
Rate for Payer: Qualcare PPO/HMO/WC	$131.83
Rate for Payer: UnitedHealthcare Commercial	$175.77
Rate for Payer: UnitedHealthcare Community & State	$27.77
Rate for Payer: Wellpoint Medicaid Managed Care	$24.96

LEGIONELLA AB

Facility

$168.00

Service Code	HCPCS 86713
Hospital Charge Code	38476020
Hospital Revenue Code	302
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$41.62
Rate for Payer: Aetna Medicare Advantage	$49.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.50
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: Cigna Medicare Advantage	$15.30
Rate for Payer: Clover Medicare Advantage	$14.54
Rate for Payer: EmblemHealth Commercial	$45.90
Rate for Payer: Humana Medicare Advantage	$15.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$12.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.30
Rate for Payer: Wellcare Medicare Advantage	$15.30
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

LEGIONELLA AB

Facility

$168.00

Service Code	HCPCS 86713
Hospital Charge Code	38476020
Hospital Revenue Code	302
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

Know your out-of-pocket cost for care.

All Charges