Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MANIP SHLDR JOINT,UNDER ANESTH

Facility

$13,711.90

Service Code	HCPCS 23700
Hospital Charge Code	16000545
Hospital Revenue Code	360
Min. Negotiated Rate	$389.42
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,565.09
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,056.78
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$433.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$389.42

MANIP SHLDR JOINT,UNDER ANESTH

Facility

$13,711.90

Service Code	HCPCS 23700
Hospital Charge Code	16000545
Hospital Revenue Code	360
Min. Negotiated Rate	$2,056.78
Max. Negotiated Rate	$2,056.78
Rate for Payer: Qualcare PPO/HMO/WC	$2,056.78

MANIPULATE ANKLE UNDER GEN AN

Facility

$14,501.75

Service Code	HCPCS 27860
Hospital Charge Code	16000630
Hospital Revenue Code	360
Min. Negotiated Rate	$2,175.26
Max. Negotiated Rate	$2,175.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.26

MANIPULATE ANKLE UNDER GEN AN

Facility

$14,501.75

Service Code	HCPCS 27860
Hospital Charge Code	16000630
Hospital Revenue Code	360
Min. Negotiated Rate	$411.85
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,770.45
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.26
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$458.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$411.85

MANIPULATE FINGER W/ANESTH

Facility

$6,331.60

Service Code	HCPCS 26340
Hospital Charge Code	16000475
Hospital Revenue Code	360
Min. Negotiated Rate	$179.82
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,646.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$949.74
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$200.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$179.82

MANIPULATE FINGER W/ANESTH

Facility

$6,331.60

Service Code	HCPCS 26340
Hospital Charge Code	16000475
Hospital Revenue Code	360
Min. Negotiated Rate	$949.74
Max. Negotiated Rate	$949.74
Rate for Payer: Qualcare PPO/HMO/WC	$949.74

MANIPULATE KNEE JNT UNDR ANES

Facility

$32,127.31

Service Code	HCPCS 27570
Hospital Charge Code	16000215
Hospital Revenue Code	360
Min. Negotiated Rate	$4,819.10
Max. Negotiated Rate	$4,819.10
Rate for Payer: Qualcare PPO/HMO/WC	$4,819.10

MANIPULATE KNEE JNT UNDR ANES

Facility

$32,127.31

Service Code	HCPCS 27570
Hospital Charge Code	16000215
Hospital Revenue Code	360
Min. Negotiated Rate	$1,015.22
Max. Negotiated Rate	$8,353.10
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,353.10
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,819.10
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$1,015.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,402.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4,316.43

MANIPULATE WST W ANESTH LT

Facility

$19,424.35

Service Code	HCPCS 25259
Hospital Charge Code	16000394
Hospital Revenue Code	360
Min. Negotiated Rate	$613.81
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,050.33
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,913.65
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$613.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,404.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4,318.43

MANIPULATE WST W ANESTH LT

Facility

$19,424.35

Service Code	HCPCS 25259
Hospital Charge Code	16000394
Hospital Revenue Code	360
Min. Negotiated Rate	$2,913.65
Max. Negotiated Rate	$2,913.65
Rate for Payer: Qualcare PPO/HMO/WC	$2,913.65

MANIPULATOR HUMI UTERINE 6003

Facility

$326.77

Hospital Charge Code	270600266
Hospital Revenue Code	272
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$163.38
Rate for Payer: Aetna Commercial	$124.17
Rate for Payer: Aetna Medicare Advantage	$98.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.33
Rate for Payer: Cigna Commercial	$163.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.96
Rate for Payer: Oxford Commercial	$65.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.02
Rate for Payer: UnitedHealthcare Commercial	$65.35
Rate for Payer: UnitedHealthcare Community & State	$10.33
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

MANIPULATOR HUMI UTERINE 6003

Facility

$326.77

Hospital Charge Code	270600266
Hospital Revenue Code	272
Min. Negotiated Rate	$49.02
Max. Negotiated Rate	$49.02
Rate for Payer: Qualcare PPO/HMO/WC	$49.02

MANIPULATOR UTERINE 4.5MM

Facility

$129.83

Hospital Charge Code	270649443
Hospital Revenue Code	272
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$64.92
Rate for Payer: Aetna Commercial	$49.34
Rate for Payer: Aetna Medicare Advantage	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.11
Rate for Payer: Cigna Commercial	$64.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.76
Rate for Payer: Oxford Commercial	$25.97
Rate for Payer: Qualcare PPO/HMO/WC	$19.47
Rate for Payer: UnitedHealthcare Commercial	$25.97
Rate for Payer: UnitedHealthcare Community & State	$4.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

MANIPULATOR UTERINE 4.5MM

Facility

$129.83

Hospital Charge Code	270649443
Hospital Revenue Code	272
Min. Negotiated Rate	$19.47
Max. Negotiated Rate	$19.47
Rate for Payer: Qualcare PPO/HMO/WC	$19.47

MANNICAL REPAIR DEVICE

Facility

$4,785.00

Hospital Charge Code	270661102
Hospital Revenue Code	270
Min. Negotiated Rate	$135.89
Max. Negotiated Rate	$2,392.50
Rate for Payer: Aetna Commercial	$1,818.30
Rate for Payer: Aetna Medicare Advantage	$1,435.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,220.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,220.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,220.17
Rate for Payer: Cigna Commercial	$2,392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,244.10
Rate for Payer: Oxford Commercial	$957.00
Rate for Payer: Qualcare PPO/HMO/WC	$717.75
Rate for Payer: UnitedHealthcare Commercial	$957.00
Rate for Payer: UnitedHealthcare Community & State	$151.21
Rate for Payer: Wellpoint Medicaid Managed Care	$135.89

MANNICAL REPAIR DEVICE

Facility

$4,785.00

Hospital Charge Code	270661102
Hospital Revenue Code	270
Min. Negotiated Rate	$717.75
Max. Negotiated Rate	$717.75
Rate for Payer: Qualcare PPO/HMO/WC	$717.75

MANNITOL 12.5 GM/50 ML INJ

Facility

$13.53

Service Code	HCPCS J2151
Hospital Charge Code	6010144
Hospital Revenue Code	636
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$3.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.03

MANNITOL 12.5 GM/50 ML INJ

Facility

$13.53

Service Code	HCPCS J2151
Hospital Charge Code	6010144
Hospital Revenue Code	636
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$6.76
Rate for Payer: Aetna Commercial	$5.14
Rate for Payer: Aetna Medicare Advantage	$4.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.45
Rate for Payer: Cigna Commercial	$6.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.03
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.38

MANNITOL 500 ML SOL

Facility

$129.24

Service Code	NDC 264757810
Hospital Charge Code	60627971
Hospital Revenue Code	250
Min. Negotiated Rate	$19.39
Max. Negotiated Rate	$19.39
Rate for Payer: Qualcare PPO/HMO/WC	$19.39

MANNITOL 500 ML SOL

Facility

$129.24

Service Code	NDC 264757810
Hospital Charge Code	60627971
Hospital Revenue Code	250
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$64.62
Rate for Payer: Aetna Commercial	$49.11
Rate for Payer: Aetna Medicare Advantage	$38.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.96
Rate for Payer: Cigna Commercial	$64.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.60
Rate for Payer: Oxford Commercial	$25.85
Rate for Payer: Qualcare PPO/HMO/WC	$19.39
Rate for Payer: UnitedHealthcare Commercial	$25.85
Rate for Payer: UnitedHealthcare Community & State	$4.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.67

MANNITOL 50 ML SOL

Facility

$10.10

Hospital Charge Code	6010144R
Hospital Revenue Code	250
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.51

MANNITOL 50 ML SOL

Facility

$10.10

Hospital Charge Code	6010144R
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.05
Rate for Payer: Aetna Commercial	$3.84
Rate for Payer: Aetna Medicare Advantage	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.58
Rate for Payer: Cigna Commercial	$5.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.63
Rate for Payer: Oxford Commercial	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.51
Rate for Payer: UnitedHealthcare Commercial	$2.02
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

Mannitol/Sorbitol 3000ml

Facility

$105.32

Service Code	NDC 990798108
Hospital Charge Code	606361019
Hospital Revenue Code	250
Min. Negotiated Rate	$15.80
Max. Negotiated Rate	$15.80
Rate for Payer: Qualcare PPO/HMO/WC	$15.80

Mannitol/Sorbitol 3000ml

Facility

$105.32

Service Code	NDC 990798108
Hospital Charge Code	606361019
Hospital Revenue Code	250
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$52.66
Rate for Payer: Aetna Commercial	$40.02
Rate for Payer: Aetna Medicare Advantage	$31.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.86
Rate for Payer: Cigna Commercial	$52.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.38
Rate for Payer: Oxford Commercial	$21.06
Rate for Payer: Qualcare PPO/HMO/WC	$15.80
Rate for Payer: UnitedHealthcare Commercial	$21.06
Rate for Payer: UnitedHealthcare Community & State	$3.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.99

MANOMETER FOR CUFF

Facility

$167.00

Hospital Charge Code	270665164
Hospital Revenue Code	270
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$83.50
Rate for Payer: Aetna Commercial	$63.46
Rate for Payer: Aetna Medicare Advantage	$50.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.59
Rate for Payer: Cigna Commercial	$83.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.42
Rate for Payer: Oxford Commercial	$33.40
Rate for Payer: Qualcare PPO/HMO/WC	$25.05
Rate for Payer: UnitedHealthcare Commercial	$33.40
Rate for Payer: UnitedHealthcare Community & State	$5.28
Rate for Payer: Wellpoint Medicaid Managed Care	$4.74

Know your out-of-pocket cost for care.

All Charges