Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MAGNESIUM RBC

Facility

$87.00

Service Code	HCPCS 83735
Hospital Charge Code	38472473
Hospital Revenue Code	301
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$18.22
Rate for Payer: Aetna Medicare Advantage	$21.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.30
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: Cigna Medicare Advantage	$6.70
Rate for Payer: Clover Medicare Advantage	$6.37
Rate for Payer: EmblemHealth Commercial	$20.10
Rate for Payer: Humana Medicare Advantage	$6.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.62
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.70
Rate for Payer: Wellcare Medicare Advantage	$6.70
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

MAGNESIUM RBC

Facility

$87.00

Service Code	HCPCS 83735
Hospital Charge Code	38472473
Hospital Revenue Code	301
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

MAGNESIUM, SERUM

Facility

$659.50

Service Code	HCPCS 83735
Hospital Charge Code	3001872
Hospital Revenue Code	301
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$329.75
Rate for Payer: Aetna Commercial	$18.22
Rate for Payer: Aetna Medicare Advantage	$21.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.30
Rate for Payer: Cigna Commercial	$329.75
Rate for Payer: Cigna Medicare Advantage	$6.70
Rate for Payer: Clover Medicare Advantage	$6.37
Rate for Payer: EmblemHealth Commercial	$20.10
Rate for Payer: Humana Medicare Advantage	$6.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.47
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.92
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.70
Rate for Payer: Wellcare Medicare Advantage	$6.70
Rate for Payer: Wellpoint Medicaid Managed Care	$18.73

MAGNESIUM, SERUM

Facility

$659.50

Service Code	HCPCS 83735
Hospital Charge Code	3001872
Hospital Revenue Code	301
Min. Negotiated Rate	$98.92
Max. Negotiated Rate	$98.92
Rate for Payer: Qualcare PPO/HMO/WC	$98.92

MAGNESIUMSULFATE 1GM/100ML D5W

Facility

$50.38

Service Code	HCPCS J3475
Hospital Charge Code	60628639
Hospital Revenue Code	636
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$25.19
Rate for Payer: Aetna Commercial	$19.14
Rate for Payer: Aetna Medicare Advantage	$15.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.85
Rate for Payer: Cigna Commercial	$25.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$7.56
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.43

MAGNESIUMSULFATE 1GM/100ML D5W

Facility

$50.38

Service Code	HCPCS J3475
Hospital Charge Code	60628639
Hospital Revenue Code	636
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$12.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$7.56

MAGNESIUM SULFATE 2G 50ML PREM

Facility

$93.53

Service Code	NDC 409523960
Hospital Charge Code	606351016
Hospital Revenue Code	250
Min. Negotiated Rate	$14.03
Max. Negotiated Rate	$14.03
Rate for Payer: Qualcare PPO/HMO/WC	$14.03

MAGNESIUM SULFATE 2G 50ML PREM

Facility

$93.53

Service Code	NDC 409523960
Hospital Charge Code	606351016
Hospital Revenue Code	250
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$46.77
Rate for Payer: Aetna Commercial	$35.54
Rate for Payer: Aetna Medicare Advantage	$28.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.85
Rate for Payer: Cigna Commercial	$46.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.32
Rate for Payer: Oxford Commercial	$18.71
Rate for Payer: Qualcare PPO/HMO/WC	$14.03
Rate for Payer: UnitedHealthcare Commercial	$18.71
Rate for Payer: UnitedHealthcare Community & State	$2.96
Rate for Payer: Wellpoint Medicaid Managed Care	$2.66

MAGNESIUM SULFATE 2 GM/50 ML

Facility

$49.59

Hospital Charge Code	606380007
Hospital Revenue Code	636
Min. Negotiated Rate	$7.44
Max. Negotiated Rate	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.44

MAGNESIUM SULFATE 2 GM/50 ML

Facility

$49.59

Hospital Charge Code	606380007
Hospital Revenue Code	636
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.80
Rate for Payer: Aetna Commercial	$18.84
Rate for Payer: Aetna Medicare Advantage	$14.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.65
Rate for Payer: Cigna Commercial	$24.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.44
Rate for Payer: UnitedHealthcare Community & State	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

MAGNESIUM SULFATE 4.00GM

Facility

$54.67

Service Code	HCPCS J3475
Hospital Charge Code	60635440
Hospital Revenue Code	636
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$13.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.23
Rate for Payer: Qualcare PPO/HMO/WC	$8.20

MAGNESIUM SULFATE 4.00GM

Facility

$54.67

Service Code	HCPCS J3475
Hospital Charge Code	60635440
Hospital Revenue Code	636
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$27.34
Rate for Payer: Aetna Commercial	$20.77
Rate for Payer: Aetna Medicare Advantage	$16.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.94
Rate for Payer: Cigna Commercial	$27.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.23
Rate for Payer: Qualcare PPO/HMO/WC	$8.20
Rate for Payer: UnitedHealthcare Community & State	$1.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

MAGNETOS 1.5CC

Facility

$2,500.00

Hospital Charge Code	270703491
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

MAGNETOS 1.5CC

Facility

$2,500.00

Hospital Charge Code	270703491
Hospital Revenue Code	278
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

MAGNET OS 2.5CC

Facility

$4,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270704883
Hospital Revenue Code	278
Min. Negotiated Rate	$115.02
Max. Negotiated Rate	$2,025.00
Rate for Payer: Aetna Commercial	$1,539.00
Rate for Payer: Aetna Medicare Advantage	$1,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,032.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,032.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,032.75
Rate for Payer: Cigna Commercial	$2,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$980.10
Rate for Payer: Qualcare PPO/HMO/WC	$607.50
Rate for Payer: UnitedHealthcare Community & State	$127.98
Rate for Payer: Wellpoint Medicaid Managed Care	$115.02

MAGNET OS 2.5CC

Facility

$4,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270704883
Hospital Revenue Code	278
Min. Negotiated Rate	$607.50
Max. Negotiated Rate	$980.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$980.10
Rate for Payer: Qualcare PPO/HMO/WC	$607.50

MAGNUM 2 KNOTLESS IMPLANT

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270668401
Hospital Revenue Code	278
Min. Negotiated Rate	$768.75
Max. Negotiated Rate	$1,240.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,240.25
Rate for Payer: Qualcare PPO/HMO/WC	$768.75

MAGNUM 2 KNOTLESS IMPLANT

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270668401
Hospital Revenue Code	278
Min. Negotiated Rate	$145.55
Max. Negotiated Rate	$2,562.50
Rate for Payer: Aetna Commercial	$1,947.50
Rate for Payer: Aetna Medicare Advantage	$1,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,306.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,306.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,306.88
Rate for Payer: Cigna Commercial	$2,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,240.25
Rate for Payer: Qualcare PPO/HMO/WC	$768.75
Rate for Payer: UnitedHealthcare Community & State	$161.95
Rate for Payer: Wellpoint Medicaid Managed Care	$145.55

MAGNUS V-CELLULAR ALLOGRFT 5CC

Facility

$13,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694686
Hospital Revenue Code	278
Min. Negotiated Rate	$396.89
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$5,310.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25
Rate for Payer: UnitedHealthcare Community & State	$441.61
Rate for Payer: Wellpoint Medicaid Managed Care	$396.89

MAGNUS V-CELLULAR ALLOGRFT 5CC

Facility

$13,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694686
Hospital Revenue Code	278
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$3,381.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

MAGSEED IMG MARKER 18G 7CM

Facility

$2,981.55

Service Code	HCPCS A4648
Hospital Charge Code	270697617
Hospital Revenue Code	278
Min. Negotiated Rate	$84.68
Max. Negotiated Rate	$1,490.78
Rate for Payer: Aetna Commercial	$1,132.99
Rate for Payer: Aetna Medicare Advantage	$894.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$760.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$760.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$596.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$760.30
Rate for Payer: Cigna Commercial	$1,490.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$721.54
Rate for Payer: Qualcare PPO/HMO/WC	$447.23
Rate for Payer: UnitedHealthcare Community & State	$94.22
Rate for Payer: Wellpoint Medicaid Managed Care	$84.68

MAGSEED IMG MARKER 18G 7CM

Facility

$2,981.55

Service Code	HCPCS A4648
Hospital Charge Code	270697617
Hospital Revenue Code	278
Min. Negotiated Rate	$447.23
Max. Negotiated Rate	$721.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$596.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$721.54
Rate for Payer: Qualcare PPO/HMO/WC	$447.23

MAG-SGPG AB (IGM)

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39900527
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$55.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.65
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$17.27
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Medicare Advantage	$17.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

MAG-SGPG AB (IGM)

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39900527
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MAG SULFATE 1GM/2ML INJ 10 ML

Facility

$13.94

Service Code	HCPCS J3475
Hospital Charge Code	60627751
Hospital Revenue Code	636
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$3.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.09

Know your out-of-pocket cost for care.

All Charges