Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LIGATE/STP LONG LEG VEIN LT

Facility

$25,406.80

Service Code	HCPCS 37722
Hospital Charge Code	16000738
Hospital Revenue Code	360
Min. Negotiated Rate	$3,811.02
Max. Negotiated Rate	$3,811.02
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02

LIGATION ARTIERIES AND VEIN

Facility

$19,137.00

Service Code	HCPCS 37600
Hospital Charge Code	160003431
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,975.62
Rate for Payer: Qualcare PPO/HMO/WC	$2,870.55
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$543.49

LIGATION ARTIERIES AND VEIN

Facility

$19,137.00

Service Code	HCPCS 37600
Hospital Charge Code	160003431
Hospital Revenue Code	450
Min. Negotiated Rate	$2,870.55
Max. Negotiated Rate	$2,870.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,870.55

LIGATION / BIOPSY TEMPORAL ART

Facility

$16,853.95

Service Code	HCPCS 37609
Hospital Charge Code	16000343
Hospital Revenue Code	360
Min. Negotiated Rate	$2,528.09
Max. Negotiated Rate	$2,528.09
Rate for Payer: Qualcare PPO/HMO/WC	$2,528.09

LIGATION / BIOPSY TEMPORAL ART

Facility

$16,853.95

Service Code	HCPCS 37609
Hospital Charge Code	16000343
Hospital Revenue Code	360
Min. Negotiated Rate	$478.65
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,382.03
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,528.09
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$532.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$478.65

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	16000955
Hospital Revenue Code	360
Min. Negotiated Rate	$1,117.89
Max. Negotiated Rate	$1,117.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	5792298
Hospital Revenue Code	450
Min. Negotiated Rate	$1,117.89
Max. Negotiated Rate	$1,117.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	16000955
Hospital Revenue Code	360
Min. Negotiated Rate	$211.65
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$2,831.98
Rate for Payer: Aetna Medicare Advantage	$2,235.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,900.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,900.41
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	$1,900.41
Rate for Payer: Cigna Commercial	$3,726.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,937.67
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$235.50
Rate for Payer: Wellpoint Medicaid Managed Care	$211.65

LIGATION MAJOR ARTERY; EXTREMI

Facility

$7,452.59

Service Code	HCPCS 37618
Hospital Charge Code	5792298
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$3,726.30
Rate for Payer: Aetna Commercial	$2,831.98
Rate for Payer: Aetna Medicare Advantage	$2,235.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,900.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,900.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,900.41
Rate for Payer: Cigna Commercial	$3,726.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,937.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.89
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$211.65

LIGATION MAJOR ARTERY NECK

Facility

$17,869.95

Service Code	HCPCS 37615
Hospital Charge Code	323037615
Hospital Revenue Code	450
Min. Negotiated Rate	$2,680.49
Max. Negotiated Rate	$2,680.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49

LIGATION MAJOR ARTERY NECK

Facility

$17,869.95

Service Code	HCPCS 37615
Hospital Charge Code	323037615
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,646.19
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$507.51

LIGATION OF HEMORRHOID(S)

Facility

$5,616.30

Service Code	HCPCS 46221
Hospital Charge Code	1600000281
Hospital Revenue Code	360
Min. Negotiated Rate	$159.50
Max. Negotiated Rate	$4,007.70
Rate for Payer: Aetna Commercial	$3,005.08
Rate for Payer: Aetna Medicare Advantage	$3,579.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,104.81
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	$4,007.70
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: Cigna Medicare Advantage	$1,104.81
Rate for Payer: Clover Medicare Advantage	$1,049.57
Rate for Payer: EmblemHealth Commercial	$3,314.43
Rate for Payer: Humana Medicare Advantage	$1,137.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,104.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,460.24
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$842.45
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$177.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,104.81
Rate for Payer: Wellcare Medicare Advantage	$1,104.81
Rate for Payer: Wellpoint Medicaid Managed Care	$159.50

LIGATION OF HEMORRHOID(S)

Facility

$5,616.30

Service Code	HCPCS 46221
Hospital Charge Code	1600000281
Hospital Revenue Code	360
Min. Negotiated Rate	$842.45
Max. Negotiated Rate	$842.45
Rate for Payer: Qualcare PPO/HMO/WC	$842.45

LIGATOR BAND SUPERVIEW SUPE

Facility

$731.39

Hospital Charge Code	270631111
Hospital Revenue Code	272
Min. Negotiated Rate	$20.77
Max. Negotiated Rate	$365.69
Rate for Payer: Aetna Commercial	$277.93
Rate for Payer: Aetna Medicare Advantage	$219.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.50
Rate for Payer: Cigna Commercial	$365.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.16
Rate for Payer: Oxford Commercial	$146.28
Rate for Payer: Qualcare PPO/HMO/WC	$109.71
Rate for Payer: UnitedHealthcare Commercial	$146.28
Rate for Payer: UnitedHealthcare Community & State	$23.11
Rate for Payer: Wellpoint Medicaid Managed Care	$20.77

LIGATOR BAND SUPERVIEW SUPE

Facility

$731.39

Hospital Charge Code	270631111
Hospital Revenue Code	272
Min. Negotiated Rate	$109.71
Max. Negotiated Rate	$109.71
Rate for Payer: Qualcare PPO/HMO/WC	$109.71

LIGATOR BAND SUPERVIW 7 422540

Facility

$731.39

Hospital Charge Code	270633712
Hospital Revenue Code	272
Min. Negotiated Rate	$109.71
Max. Negotiated Rate	$109.71
Rate for Payer: Qualcare PPO/HMO/WC	$109.71

LIGATOR BAND SUPERVIW 7 422540

Facility

$731.39

Hospital Charge Code	270633712
Hospital Revenue Code	272
Min. Negotiated Rate	$20.77
Max. Negotiated Rate	$365.69
Rate for Payer: Aetna Commercial	$277.93
Rate for Payer: Aetna Medicare Advantage	$219.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.50
Rate for Payer: Cigna Commercial	$365.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.16
Rate for Payer: Oxford Commercial	$146.28
Rate for Payer: Qualcare PPO/HMO/WC	$109.71
Rate for Payer: UnitedHealthcare Commercial	$146.28
Rate for Payer: UnitedHealthcare Community & State	$23.11
Rate for Payer: Wellpoint Medicaid Managed Care	$20.77

LIGATOR DDV

Facility

$2,148.00

Hospital Charge Code	270335225
Hospital Revenue Code	272
Min. Negotiated Rate	$322.20
Max. Negotiated Rate	$322.20
Rate for Payer: Qualcare PPO/HMO/WC	$322.20

LIGATOR DDV

Facility

$2,148.00

Hospital Charge Code	270335225
Hospital Revenue Code	272
Min. Negotiated Rate	$61.00
Max. Negotiated Rate	$1,074.00
Rate for Payer: Aetna Commercial	$816.24
Rate for Payer: Aetna Medicare Advantage	$644.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$547.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$547.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$547.74
Rate for Payer: Cigna Commercial	$1,074.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.48
Rate for Payer: Oxford Commercial	$429.60
Rate for Payer: Qualcare PPO/HMO/WC	$322.20
Rate for Payer: UnitedHealthcare Commercial	$429.60
Rate for Payer: UnitedHealthcare Community & State	$67.88
Rate for Payer: Wellpoint Medicaid Managed Care	$61.00

LIGHTENING BOLT 6XTX ASP CATH

Facility

$38,600.00

Hospital Charge Code	270703465
Hospital Revenue Code	272
Min. Negotiated Rate	$5,790.00
Max. Negotiated Rate	$5,790.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,790.00

LIGHTENING BOLT 6XTX ASP CATH

Facility

$38,600.00

Hospital Charge Code	270703465
Hospital Revenue Code	272
Min. Negotiated Rate	$1,096.24
Max. Negotiated Rate	$19,300.00
Rate for Payer: Aetna Commercial	$14,668.00
Rate for Payer: Aetna Medicare Advantage	$11,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,843.00
Rate for Payer: Cigna Commercial	$19,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,036.00
Rate for Payer: Oxford Commercial	$7,720.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,790.00
Rate for Payer: UnitedHealthcare Commercial	$7,720.00
Rate for Payer: UnitedHealthcare Community & State	$1,219.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,096.24

LIGHT FIBER LOW PROFILE 7MM

Facility

$7,945.00

Hospital Charge Code	270665840
Hospital Revenue Code	270
Min. Negotiated Rate	$1,191.75
Max. Negotiated Rate	$1,191.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75

LIGHT FIBER LOW PROFILE 7MM

Facility

$7,945.00

Hospital Charge Code	270665840
Hospital Revenue Code	270
Min. Negotiated Rate	$225.64
Max. Negotiated Rate	$3,972.50
Rate for Payer: Aetna Commercial	$3,019.10
Rate for Payer: Aetna Medicare Advantage	$2,383.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,025.97
Rate for Payer: Cigna Commercial	$3,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,065.70
Rate for Payer: Oxford Commercial	$1,589.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75
Rate for Payer: UnitedHealthcare Commercial	$1,589.00
Rate for Payer: UnitedHealthcare Community & State	$251.06
Rate for Payer: Wellpoint Medicaid Managed Care	$225.64

LIGHT STRIP STERILE

Facility

$2,900.00

Hospital Charge Code	270656686
Hospital Revenue Code	272
Min. Negotiated Rate	$82.36
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$754.00
Rate for Payer: Oxford Commercial	$580.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Commercial	$580.00
Rate for Payer: UnitedHealthcare Community & State	$91.64
Rate for Payer: Wellpoint Medicaid Managed Care	$82.36

LIGHT STRIP STERILE

Facility

$2,900.00

Hospital Charge Code	270656686
Hospital Revenue Code	272
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

Know your out-of-pocket cost for care.

All Charges