Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ARM SLING MED

Facility

$7.35

Hospital Charge Code	270649358S
Hospital Revenue Code	271
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.10

ARM SLING MED

Facility

$7.35

Hospital Charge Code	270649358S
Hospital Revenue Code	271
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.67
Rate for Payer: Aetna Commercial	$2.79
Rate for Payer: Aetna Medicare Advantage	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.87
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Oxford Commercial	$1.47
Rate for Payer: Qualcare PPO/HMO/WC	$1.10
Rate for Payer: UnitedHealthcare Commercial	$1.47
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

ARROW PERCUTANEOUS 7FR SHEAT

Facility

$180.00

Hospital Charge Code	270331903
Hospital Revenue Code	278
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

ARROW PERCUTANEOUS 7FR SHEAT

Facility

$180.00

Hospital Charge Code	270331903
Hospital Revenue Code	278
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

ARROW RADIAL ARTERY CATHETER

Facility

$49.00

Service Code	HCPCS C1751
Hospital Charge Code	270332008
Hospital Revenue Code	278
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$18.62
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Community & State	$1.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1.39

ARROW RADIAL ARTERY CATHETER

Facility

$49.00

Service Code	HCPCS C1751
Hospital Charge Code	270332008
Hospital Revenue Code	278
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

ARSCOV2 &INFO A&B AMPPRB

Facility

$1,400.00

Service Code	HCPCS 87636
Hospital Charge Code	4013878043
Hospital Revenue Code	306
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

ARSCOV2 &INFO A&B AMPPRB

Facility

$1,400.00

Service Code	HCPCS 87636
Hospital Charge Code	4013878043
Hospital Revenue Code	306
Min. Negotiated Rate	$39.76
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$387.95
Rate for Payer: Aetna Medicare Advantage	$462.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$142.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.39
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: Cigna Medicare Advantage	$142.63
Rate for Payer: Clover Medicare Advantage	$135.50
Rate for Payer: EmblemHealth Commercial	$427.89
Rate for Payer: Humana Medicare Advantage	$146.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$142.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$114.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$142.63
Rate for Payer: Wellcare Medicare Advantage	$142.63
Rate for Payer: Wellpoint Medicaid Managed Care	$39.76

A/R SCREW DRILL

Facility

$1,656.00

Hospital Charge Code	270656706
Hospital Revenue Code	272
Min. Negotiated Rate	$47.03
Max. Negotiated Rate	$828.00
Rate for Payer: Aetna Commercial	$629.28
Rate for Payer: Aetna Medicare Advantage	$496.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.28
Rate for Payer: Cigna Commercial	$828.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$430.56
Rate for Payer: Oxford Commercial	$331.20
Rate for Payer: Qualcare PPO/HMO/WC	$248.40
Rate for Payer: UnitedHealthcare Commercial	$331.20
Rate for Payer: UnitedHealthcare Community & State	$52.33
Rate for Payer: Wellpoint Medicaid Managed Care	$47.03

A/R SCREW DRILL

Facility

$1,656.00

Hospital Charge Code	270656706
Hospital Revenue Code	272
Min. Negotiated Rate	$248.40
Max. Negotiated Rate	$248.40
Rate for Payer: Qualcare PPO/HMO/WC	$248.40

A/R SCREW DRILL

Facility

$1,800.00

Hospital Charge Code	270690292
Hospital Revenue Code	272
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$56.88
Rate for Payer: Wellpoint Medicaid Managed Care	$51.12

A/R SCREW DRILL

Facility

$1,800.00

Hospital Charge Code	270690292
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

ARSENIC

Facility

$260.00

Service Code	HCPCS 82175
Hospital Charge Code	38479440
Hospital Revenue Code	301
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

ARSENIC

Facility

$129.20

Hospital Charge Code	39990166A
Hospital Revenue Code	301
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.38

ARSENIC

Facility

$260.00

Service Code	HCPCS 82175
Hospital Charge Code	38479440
Hospital Revenue Code	301
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.81
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.60
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$7.38

ARSENIC

Facility

$390.00

Service Code	HCPCS 82175
Hospital Charge Code	401083018A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.81
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
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	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ARSENIC

Facility

$390.00

Service Code	HCPCS 82175
Hospital Charge Code	401083018A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ARSENIC

Facility

$129.20

Hospital Charge Code	39990166A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$49.10
Rate for Payer: Aetna Medicare Advantage	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.95
Rate for Payer: Cigna Commercial	$64.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.59
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.38
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.67

ARSENIC BLOOD

Facility

$218.00

Service Code	HCPCS 82175
Hospital Charge Code	38479442
Hospital Revenue Code	301
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

ARSENIC BLOOD

Facility

$218.00

Service Code	HCPCS 82175
Hospital Charge Code	38479442
Hospital Revenue Code	301
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.81
Rate for Payer: Cigna Commercial	$109.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$6.19

ARSENIC,BLOOD

Facility

$218.00

Service Code	HCPCS 82175
Hospital Charge Code	38472122
Hospital Revenue Code	301
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.81
Rate for Payer: Cigna Commercial	$109.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$6.19

ARSENIC,BLOOD

Facility

$218.00

Service Code	HCPCS 82175
Hospital Charge Code	38472122
Hospital Revenue Code	301
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

ARSENIC,BLOOD

Facility

$390.00

Service Code	HCPCS 82175
Hospital Charge Code	39900045
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.81
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
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	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ARSENIC,BLOOD

Facility

$390.00

Service Code	HCPCS 82175
Hospital Charge Code	39900045
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ART BMC PLUS KIT

Facility

$8,500.00

Hospital Charge Code	270691940
Hospital Revenue Code	272
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$1,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

Know your out-of-pocket cost for care.

All Charges