Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MT TO SHORTEN,1ST MT - RT

Facility

$57,534.50

Hospital Charge Code	16000153
Hospital Revenue Code	360
Min. Negotiated Rate	$1,633.98
Max. Negotiated Rate	$28,767.25
Rate for Payer: Aetna Commercial	$21,863.11
Rate for Payer: Aetna Medicare Advantage	$17,260.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,671.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,671.30
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	$14,671.30
Rate for Payer: Cigna Commercial	$28,767.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,958.97
Rate for Payer: Qualcare PPO/HMO/WC	$8,630.17
Rate for Payer: UnitedHealthcare Community & State	$1,818.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1,633.98

MUCIN TEST

Facility

$44.00

Service Code	HCPCS 83872
Hospital Charge Code	38475098
Hospital Revenue Code	301
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$15.94
Rate for Payer: Aetna Medicare Advantage	$18.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.26
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: Cigna Medicare Advantage	$5.86
Rate for Payer: Clover Medicare Advantage	$5.57
Rate for Payer: EmblemHealth Commercial	$17.58
Rate for Payer: Humana Medicare Advantage	$6.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.86
Rate for Payer: Wellcare Medicare Advantage	$5.86
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

MUCIN TEST

Facility

$44.00

Service Code	HCPCS 83872
Hospital Charge Code	38475098
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

MUCOMYST 10% 30ML VIAL

Facility

$76.11

Service Code	NDC 409330703
Hospital Charge Code	6063943283
Hospital Revenue Code	250
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$38.05
Rate for Payer: Aetna Commercial	$28.92
Rate for Payer: Aetna Medicare Advantage	$22.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.41
Rate for Payer: Cigna Commercial	$38.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.79
Rate for Payer: Oxford Commercial	$15.22
Rate for Payer: Qualcare PPO/HMO/WC	$11.42
Rate for Payer: UnitedHealthcare Commercial	$15.22
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

MUCOMYST 10% 30ML VIAL

Facility

$76.11

Service Code	NDC 409330703
Hospital Charge Code	6063943283
Hospital Revenue Code	250
Min. Negotiated Rate	$11.42
Max. Negotiated Rate	$11.42
Rate for Payer: Qualcare PPO/HMO/WC	$11.42

MUILTILOC CAP

Facility

$2,085.00

Hospital Charge Code	270687780
Hospital Revenue Code	272
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$312.75
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

MUILTILOC CAP

Facility

$2,085.00

Hospital Charge Code	270687780
Hospital Revenue Code	272
Min. Negotiated Rate	$59.21
Max. Negotiated Rate	$1,042.50
Rate for Payer: Aetna Commercial	$792.30
Rate for Payer: Aetna Medicare Advantage	$625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.67
Rate for Payer: Cigna Commercial	$1,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$542.10
Rate for Payer: Oxford Commercial	$417.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.75
Rate for Payer: UnitedHealthcare Commercial	$417.00
Rate for Payer: UnitedHealthcare Community & State	$65.89
Rate for Payer: Wellpoint Medicaid Managed Care	$59.21

MULTFX S-ULRA5.5MM KNTLS ANCHR

Facility

$5,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270681094
Hospital Revenue Code	278
Min. Negotiated Rate	$160.46
Max. Negotiated Rate	$2,825.00
Rate for Payer: Aetna Commercial	$2,147.00
Rate for Payer: Aetna Medicare Advantage	$1,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,440.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,440.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,440.75
Rate for Payer: Cigna Commercial	$2,825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,367.30
Rate for Payer: Qualcare PPO/HMO/WC	$847.50
Rate for Payer: UnitedHealthcare Community & State	$178.54
Rate for Payer: Wellpoint Medicaid Managed Care	$160.46

MULTFX S-ULRA5.5MM KNTLS ANCHR

Facility

$5,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270681094
Hospital Revenue Code	278
Min. Negotiated Rate	$847.50
Max. Negotiated Rate	$1,367.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,367.30
Rate for Payer: Qualcare PPO/HMO/WC	$847.50

MULTI ABSORBER MEDISORB EF

Facility

$78.80

Hospital Charge Code	270666032
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$39.40
Rate for Payer: Aetna Commercial	$29.94
Rate for Payer: Aetna Medicare Advantage	$23.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.09
Rate for Payer: Cigna Commercial	$39.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.49
Rate for Payer: Oxford Commercial	$15.76
Rate for Payer: Qualcare PPO/HMO/WC	$11.82
Rate for Payer: UnitedHealthcare Commercial	$15.76
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.24

MULTI ABSORBER MEDISORB EF

Facility

$78.80

Hospital Charge Code	270666032
Hospital Revenue Code	272
Min. Negotiated Rate	$11.82
Max. Negotiated Rate	$11.82
Rate for Payer: Qualcare PPO/HMO/WC	$11.82

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84511025
Hospital Revenue Code	912
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45
Rate for Payer: UnitedHealthcare Community & State	$10.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.55

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84517025
Hospital Revenue Code	913
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45
Rate for Payer: UnitedHealthcare Community & State	$10.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.55

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84517025
Hospital Revenue Code	913
Min. Negotiated Rate	$50.45
Max. Negotiated Rate	$50.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84509025
Hospital Revenue Code	912
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45
Rate for Payer: UnitedHealthcare Community & State	$10.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.55

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84509025
Hospital Revenue Code	912
Min. Negotiated Rate	$50.45
Max. Negotiated Rate	$50.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84518025
Hospital Revenue Code	912
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45
Rate for Payer: UnitedHealthcare Community & State	$10.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.55

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84518025
Hospital Revenue Code	912
Min. Negotiated Rate	$50.45
Max. Negotiated Rate	$50.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI-FAMILY

Facility

$336.35

Service Code	HCPCS 90849
Hospital Charge Code	84511025
Hospital Revenue Code	912
Min. Negotiated Rate	$50.45
Max. Negotiated Rate	$50.45
Rate for Payer: Qualcare PPO/HMO/WC	$50.45

MULTI FAMILY GROUP TX ADULT

Facility

$750.00

Service Code	HCPCS 90849
Hospital Charge Code	4509518
Hospital Revenue Code	915
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

MULTI FAMILY GROUP TX ADULT

Facility

$750.00

Service Code	HCPCS 90849
Hospital Charge Code	4502518
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MULTI FAMILY GROUP TX ADULT

Facility

$750.00

Service Code	HCPCS 90849
Hospital Charge Code	4832518
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MULTI FAMILY GROUP TX ADULT

Facility

$750.00

Service Code	HCPCS 90849
Hospital Charge Code	4502518
Hospital Revenue Code	915
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

MULTI FAMILY GROUP TX ADULT

Facility

$750.00

Service Code	HCPCS 90849
Hospital Charge Code	4818518
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MULTI FAMILY GROUP TX ADULT

Facility

$750.00

Service Code	HCPCS 90849
Hospital Charge Code	4822518
Hospital Revenue Code	915
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges