Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ARGON

Facility

$1,151.90

Hospital Charge Code	270658112
Hospital Revenue Code	272
Min. Negotiated Rate	$32.71
Max. Negotiated Rate	$575.95
Rate for Payer: Aetna Commercial	$437.72
Rate for Payer: Aetna Medicare Advantage	$345.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.73
Rate for Payer: Cigna Commercial	$575.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.49
Rate for Payer: Oxford Commercial	$230.38
Rate for Payer: Qualcare PPO/HMO/WC	$172.78
Rate for Payer: UnitedHealthcare Commercial	$230.38
Rate for Payer: UnitedHealthcare Community & State	$36.40
Rate for Payer: Wellpoint Medicaid Managed Care	$32.71

ARGON

Facility

$1,151.90

Hospital Charge Code	270658112
Hospital Revenue Code	272
Min. Negotiated Rate	$172.78
Max. Negotiated Rate	$172.78
Rate for Payer: Qualcare PPO/HMO/WC	$172.78

ARH SOLUTIONS HEAD 22MM RIGHT

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270686225
Hospital Revenue Code	278
Min. Negotiated Rate	$2,799.00
Max. Negotiated Rate	$4,515.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00

ARH SOLUTIONS HEAD 22MM RIGHT

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270686225
Hospital Revenue Code	278
Min. Negotiated Rate	$529.94
Max. Negotiated Rate	$9,330.00
Rate for Payer: Aetna Commercial	$7,090.80
Rate for Payer: Aetna Medicare Advantage	$5,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,758.30
Rate for Payer: Cigna Commercial	$9,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00
Rate for Payer: UnitedHealthcare Community & State	$589.66
Rate for Payer: Wellpoint Medicaid Managed Care	$529.94

ARIPIPRAZOLE 10 MG TAB

Facility

$239.06

Service Code	NDC 59148000813
Hospital Charge Code	60629312
Hospital Revenue Code	250
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$119.53
Rate for Payer: Aetna Commercial	$90.84
Rate for Payer: Aetna Medicare Advantage	$71.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.96
Rate for Payer: Cigna Commercial	$119.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.16
Rate for Payer: Oxford Commercial	$47.81
Rate for Payer: Qualcare PPO/HMO/WC	$35.86
Rate for Payer: UnitedHealthcare Commercial	$47.81
Rate for Payer: UnitedHealthcare Community & State	$7.55
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

ARIPIPRAZOLE 10 MG TAB

Facility

$239.06

Service Code	NDC 59148000813
Hospital Charge Code	60629312
Hospital Revenue Code	250
Min. Negotiated Rate	$35.86
Max. Negotiated Rate	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$35.86

ARIPIPRAZOLE 15 MG TAB

Facility

$239.06

Service Code	NDC 59148000913
Hospital Charge Code	60629294
Hospital Revenue Code	250
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$119.53
Rate for Payer: Aetna Commercial	$90.84
Rate for Payer: Aetna Medicare Advantage	$71.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.96
Rate for Payer: Cigna Commercial	$119.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.16
Rate for Payer: Oxford Commercial	$47.81
Rate for Payer: Qualcare PPO/HMO/WC	$35.86
Rate for Payer: UnitedHealthcare Commercial	$47.81
Rate for Payer: UnitedHealthcare Community & State	$7.55
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

ARIPIPRAZOLE 15 MG TAB

Facility

$239.06

Service Code	NDC 59148000913
Hospital Charge Code	60629294
Hospital Revenue Code	250
Min. Negotiated Rate	$35.86
Max. Negotiated Rate	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$35.86

ARIPIPRAZOLE 2MG TAB

Facility

$239.06

Service Code	NDC 59148000613
Hospital Charge Code	60632227
Hospital Revenue Code	250
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$119.53
Rate for Payer: Aetna Commercial	$90.84
Rate for Payer: Aetna Medicare Advantage	$71.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.96
Rate for Payer: Cigna Commercial	$119.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.16
Rate for Payer: Oxford Commercial	$47.81
Rate for Payer: Qualcare PPO/HMO/WC	$35.86
Rate for Payer: UnitedHealthcare Commercial	$47.81
Rate for Payer: UnitedHealthcare Community & State	$7.55
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

ARIPIPRAZOLE 2MG TAB

Facility

$239.06

Service Code	NDC 59148000613
Hospital Charge Code	60632227
Hospital Revenue Code	250
Min. Negotiated Rate	$35.86
Max. Negotiated Rate	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$35.86

ARIPIPRAZOLE 5MG TAB

Facility

$239.06

Service Code	NDC 59148000713
Hospital Charge Code	60630004
Hospital Revenue Code	250
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$119.53
Rate for Payer: Aetna Commercial	$90.84
Rate for Payer: Aetna Medicare Advantage	$71.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.96
Rate for Payer: Cigna Commercial	$119.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.16
Rate for Payer: Oxford Commercial	$47.81
Rate for Payer: Qualcare PPO/HMO/WC	$35.86
Rate for Payer: UnitedHealthcare Commercial	$47.81
Rate for Payer: UnitedHealthcare Community & State	$7.55
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

ARIPIPRAZOLE 5MG TAB

Facility

$239.06

Service Code	NDC 59148000713
Hospital Charge Code	60630004
Hospital Revenue Code	250
Min. Negotiated Rate	$35.86
Max. Negotiated Rate	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$35.86

ARISTADA 1064MG

Facility

$29,090.80

Service Code	HCPCS J1944
Hospital Charge Code	606390218
Hospital Revenue Code	636
Min. Negotiated Rate	$4,363.62
Max. Negotiated Rate	$7,039.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,039.97
Rate for Payer: Qualcare PPO/HMO/WC	$4,363.62

ARISTADA 1064MG

Facility

$29,090.80

Service Code	HCPCS J1944
Hospital Charge Code	606390218
Hospital Revenue Code	636
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$7,039.97
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.04
Rate for Payer: Cigna Medicare Advantage	$3.32
Rate for Payer: Clover Medicare Advantage	$3.15
Rate for Payer: EmblemHealth Commercial	$9.96
Rate for Payer: Humana Medicare Advantage	$3.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,039.97
Rate for Payer: Qualcare PPO/HMO/WC	$4,363.62
Rate for Payer: UnitedHealthcare Community & State	$919.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.32
Rate for Payer: Wellcare Medicare Advantage	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$826.18

ARISTADA 441MG

Facility

$12,057.32

Service Code	HCPCS J1944
Hospital Charge Code	606390215
Hospital Revenue Code	636
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$2,917.87
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.04
Rate for Payer: Cigna Medicare Advantage	$3.32
Rate for Payer: Clover Medicare Advantage	$3.15
Rate for Payer: EmblemHealth Commercial	$9.96
Rate for Payer: Humana Medicare Advantage	$3.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,917.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,808.60
Rate for Payer: UnitedHealthcare Community & State	$381.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.32
Rate for Payer: Wellcare Medicare Advantage	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$342.43

ARISTADA 441MG

Facility

$12,057.32

Service Code	HCPCS J1944
Hospital Charge Code	606390215
Hospital Revenue Code	636
Min. Negotiated Rate	$1,808.60
Max. Negotiated Rate	$2,917.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,917.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,808.60

ARISTADA 662MG

Facility

$18,099.72

Service Code	HCPCS J1944
Hospital Charge Code	606390216
Hospital Revenue Code	636
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$4,380.13
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.04
Rate for Payer: Cigna Medicare Advantage	$3.32
Rate for Payer: Clover Medicare Advantage	$3.15
Rate for Payer: EmblemHealth Commercial	$9.96
Rate for Payer: Humana Medicare Advantage	$3.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,380.13
Rate for Payer: Qualcare PPO/HMO/WC	$2,714.96
Rate for Payer: UnitedHealthcare Community & State	$571.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.32
Rate for Payer: Wellcare Medicare Advantage	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$514.03

ARISTADA 662MG

Facility

$18,099.72

Service Code	HCPCS J1944
Hospital Charge Code	606390216
Hospital Revenue Code	636
Min. Negotiated Rate	$2,714.96
Max. Negotiated Rate	$4,380.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,380.13
Rate for Payer: Qualcare PPO/HMO/WC	$2,714.96

ARISTADA 882MG

Facility

$24,114.64

Service Code	HCPCS J1944
Hospital Charge Code	606390217
Hospital Revenue Code	636
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$5,835.74
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.04
Rate for Payer: Cigna Medicare Advantage	$3.32
Rate for Payer: Clover Medicare Advantage	$3.15
Rate for Payer: EmblemHealth Commercial	$9.96
Rate for Payer: Humana Medicare Advantage	$3.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,835.74
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.20
Rate for Payer: UnitedHealthcare Community & State	$762.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.32
Rate for Payer: Wellcare Medicare Advantage	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$684.86

ARISTADA 882MG

Facility

$24,114.64

Service Code	HCPCS J1944
Hospital Charge Code	606390217
Hospital Revenue Code	636
Min. Negotiated Rate	$3,617.20
Max. Negotiated Rate	$5,835.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,835.74
Rate for Payer: Qualcare PPO/HMO/WC	$3,617.20

ARISTADA INITIO 675MG

Facility

$18,455.15

Service Code	HCPCS J1943
Hospital Charge Code	606390214
Hospital Revenue Code	636
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$4,466.15
Rate for Payer: Aetna Commercial	$8.84
Rate for Payer: Aetna Medicare Advantage	$10.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.79
Rate for Payer: Cigna Medicare Advantage	$3.25
Rate for Payer: Clover Medicare Advantage	$3.09
Rate for Payer: EmblemHealth Commercial	$9.75
Rate for Payer: Humana Medicare Advantage	$3.35
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,466.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,768.27
Rate for Payer: UnitedHealthcare Community & State	$583.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.25
Rate for Payer: Wellcare Medicare Advantage	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$524.13

ARISTADA INITIO 675MG

Facility

$18,455.15

Service Code	HCPCS J1943
Hospital Charge Code	606390214
Hospital Revenue Code	636
Min. Negotiated Rate	$2,768.27
Max. Negotiated Rate	$4,466.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,466.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,768.27

ARISTA HEMOSTAT 1 GRAM

Facility

$407.50

Hospital Charge Code	270687373
Hospital Revenue Code	272
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$203.75
Rate for Payer: Aetna Commercial	$154.85
Rate for Payer: Aetna Medicare Advantage	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.91
Rate for Payer: Cigna Commercial	$203.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.95
Rate for Payer: Oxford Commercial	$81.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.12
Rate for Payer: UnitedHealthcare Commercial	$81.50
Rate for Payer: UnitedHealthcare Community & State	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$11.57

ARISTA HEMOSTAT 1 GRAM

Facility

$407.50

Hospital Charge Code	270687373
Hospital Revenue Code	272
Min. Negotiated Rate	$61.12
Max. Negotiated Rate	$61.12
Rate for Payer: Qualcare PPO/HMO/WC	$61.12

ARISTA HEMOSTAT 3 GRAM

Facility

$812.50

Hospital Charge Code	270687374
Hospital Revenue Code	272
Min. Negotiated Rate	$121.88
Max. Negotiated Rate	$121.88
Rate for Payer: Qualcare PPO/HMO/WC	$121.88

Know your out-of-pocket cost for care.

All Charges