Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MUMPS VIRUS AB

Facility

$602.00

Service Code	HCPCS 86375
Hospital Charge Code	38476029
Hospital Revenue Code	302
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$301.00
Rate for Payer: Aetna Commercial	$228.76
Rate for Payer: Aetna Medicare Advantage	$180.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.51
Rate for Payer: Cigna Commercial	$301.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$19.02
Rate for Payer: Wellpoint Medicaid Managed Care	$17.10

MUMPS VIRUS AB

Facility

$602.00

Service Code	HCPCS 86375
Hospital Charge Code	38476029
Hospital Revenue Code	302
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$90.30
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

MUPIROCIN 2 % CREAM

Facility

$380.76

Service Code	NDC 29152725
Hospital Charge Code	60628763
Hospital Revenue Code	250
Min. Negotiated Rate	$57.11
Max. Negotiated Rate	$57.11
Rate for Payer: Qualcare PPO/HMO/WC	$57.11

MUPIROCIN 2 % CREAM

Facility

$380.76

Service Code	NDC 29152725
Hospital Charge Code	60628763
Hospital Revenue Code	250
Min. Negotiated Rate	$10.81
Max. Negotiated Rate	$190.38
Rate for Payer: Aetna Commercial	$144.69
Rate for Payer: Aetna Medicare Advantage	$114.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.09
Rate for Payer: Cigna Commercial	$190.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$76.15
Rate for Payer: Qualcare PPO/HMO/WC	$57.11
Rate for Payer: UnitedHealthcare Commercial	$76.15
Rate for Payer: UnitedHealthcare Community & State	$12.03
Rate for Payer: Wellpoint Medicaid Managed Care	$10.81

MUPIROCIN 2 % OINTMENT

Facility

$80.40

Service Code	NDC 29152544
Hospital Charge Code	60628327
Hospital Revenue Code	250
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$40.20
Rate for Payer: Aetna Commercial	$30.55
Rate for Payer: Aetna Medicare Advantage	$24.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.50
Rate for Payer: Cigna Commercial	$40.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.90
Rate for Payer: Oxford Commercial	$16.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.06
Rate for Payer: UnitedHealthcare Commercial	$16.08
Rate for Payer: UnitedHealthcare Community & State	$2.54
Rate for Payer: Wellpoint Medicaid Managed Care	$2.28

MUPIROCIN 2 % OINTMENT

Facility

$80.40

Service Code	NDC 29152544
Hospital Charge Code	60628327
Hospital Revenue Code	250
Min. Negotiated Rate	$12.06
Max. Negotiated Rate	$12.06
Rate for Payer: Qualcare PPO/HMO/WC	$12.06

MUPIROCIN OINT 2% 1GM EA

Facility

$34.37

Service Code	NDC 50268057260
Hospital Charge Code	606390194
Hospital Revenue Code	250
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$17.18
Rate for Payer: Aetna Commercial	$13.06
Rate for Payer: Aetna Medicare Advantage	$10.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.76
Rate for Payer: Cigna Commercial	$17.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.94
Rate for Payer: Oxford Commercial	$6.87
Rate for Payer: Qualcare PPO/HMO/WC	$5.16
Rate for Payer: UnitedHealthcare Commercial	$6.87
Rate for Payer: UnitedHealthcare Community & State	$1.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

MUPIROCIN OINT 2% 1GM EA

Facility

$34.37

Service Code	NDC 50268057260
Hospital Charge Code	606390194
Hospital Revenue Code	250
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$5.16
Rate for Payer: Qualcare PPO/HMO/WC	$5.16

MURO 128 2% OPTH DROP15ML

Facility

$115.58

Service Code	NDC 24208027615
Hospital Charge Code	60635474
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$57.79
Rate for Payer: Aetna Commercial	$43.92
Rate for Payer: Aetna Medicare Advantage	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.47
Rate for Payer: Cigna Commercial	$57.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.05
Rate for Payer: Oxford Commercial	$23.12
Rate for Payer: Qualcare PPO/HMO/WC	$17.34
Rate for Payer: UnitedHealthcare Commercial	$23.12
Rate for Payer: UnitedHealthcare Community & State	$3.65
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

MURO 128 2% OPTH DROP15ML

Facility

$115.58

Service Code	NDC 24208027615
Hospital Charge Code	60635474
Hospital Revenue Code	250
Min. Negotiated Rate	$17.34
Max. Negotiated Rate	$17.34
Rate for Payer: Qualcare PPO/HMO/WC	$17.34

MURO 128 5% OPHTH/15ML

Facility

$121.67

Service Code	NDC 24208027715
Hospital Charge Code	60633467
Hospital Revenue Code	250
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

MURO 128 5% OPHTH/15ML

Facility

$121.67

Service Code	NDC 24208027715
Hospital Charge Code	60633467
Hospital Revenue Code	250
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$60.84
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.03
Rate for Payer: Cigna Commercial	$60.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.63
Rate for Payer: Oxford Commercial	$24.33
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$24.33
Rate for Payer: UnitedHealthcare Community & State	$3.84
Rate for Payer: Wellpoint Medicaid Managed Care	$3.46

MUSCLE BX,DEEP

Facility

$13,615.50

Service Code	HCPCS 20205
Hospital Charge Code	16000538
Hospital Revenue Code	360
Min. Negotiated Rate	$386.68
Max. Negotiated Rate	$12,518.07
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
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	$12,518.07
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,540.03
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$430.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$386.68

MUSCLE BX,DEEP

Facility

$13,615.50

Service Code	HCPCS 20205
Hospital Charge Code	16000538
Hospital Revenue Code	360
Min. Negotiated Rate	$2,042.33
Max. Negotiated Rate	$2,042.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33

MUSCLE BX; PERC NDL

Facility

$7,367.00

Service Code	HCPCS 20206
Hospital Charge Code	16000468
Hospital Revenue Code	360
Min. Negotiated Rate	$209.22
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,915.42
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,105.05
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$232.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$209.22

MUSCLE BX; PERC NDL

Facility

$7,367.00

Service Code	HCPCS 20206
Hospital Charge Code	16000468
Hospital Revenue Code	360
Min. Negotiated Rate	$1,105.05
Max. Negotiated Rate	$1,105.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,105.05

MUSCLE FLAP,LOWER EXTREMITY

Facility

$26,848.40

Service Code	HCPCS 15738
Hospital Charge Code	16000660
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

MUSCLE FLAP,LOWER EXTREMITY

Facility

$26,848.40

Service Code	HCPCS 15738
Hospital Charge Code	16000660
Hospital Revenue Code	360
Min. Negotiated Rate	$762.49
Max. Negotiated Rate	$15,271.92
Rate for Payer: Aetna Commercial	$11,451.31
Rate for Payer: Aetna Medicare Advantage	$13,640.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,271.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,271.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,210.04
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	$15,271.92
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: Cigna Medicare Advantage	$4,210.04
Rate for Payer: Clover Medicare Advantage	$3,999.54
Rate for Payer: EmblemHealth Commercial	$12,630.12
Rate for Payer: Humana Medicare Advantage	$4,336.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,210.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,980.58
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$848.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,210.04
Rate for Payer: Wellcare Medicare Advantage	$4,210.04
Rate for Payer: Wellpoint Medicaid Managed Care	$762.49

MUSCLE FLAP,TRUNK

Facility

$26,848.40

Service Code	HCPCS 15734
Hospital Charge Code	16000599
Hospital Revenue Code	360
Min. Negotiated Rate	$762.49
Max. Negotiated Rate	$15,271.92
Rate for Payer: Aetna Commercial	$11,451.31
Rate for Payer: Aetna Medicare Advantage	$13,640.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,271.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,271.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,210.04
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	$15,271.92
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: Cigna Medicare Advantage	$4,210.04
Rate for Payer: Clover Medicare Advantage	$3,999.54
Rate for Payer: EmblemHealth Commercial	$12,630.12
Rate for Payer: Humana Medicare Advantage	$4,336.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,210.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,980.58
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$848.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,210.04
Rate for Payer: Wellcare Medicare Advantage	$4,210.04
Rate for Payer: Wellpoint Medicaid Managed Care	$762.49

MUSCLE FLAP,TRUNK

Facility

$26,848.40

Service Code	HCPCS 15734
Hospital Charge Code	16000599
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

MUSCLE TEST 2 LIMBS

Facility

$470.30

Service Code	HCPCS 95861
Hospital Charge Code	1600000476
Hospital Revenue Code	360
Min. Negotiated Rate	$70.55
Max. Negotiated Rate	$70.55
Rate for Payer: Qualcare PPO/HMO/WC	$70.55

MUSCLE TEST 2 LIMBS

Facility

$470.30

Service Code	HCPCS 95861
Hospital Charge Code	1600000476
Hospital Revenue Code	360
Min. Negotiated Rate	$13.36
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
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	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.28
Rate for Payer: Qualcare PPO/HMO/WC	$70.55
Rate for Payer: UnitedHealthcare Community & State	$14.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$13.36

MUSC/TDN TRANSFER UPR A/E 1

Facility

$33,092.48

Service Code	HCPCS 24301
Hospital Charge Code	1600000820
Hospital Revenue Code	360
Min. Negotiated Rate	$4,963.87
Max. Negotiated Rate	$4,963.87
Rate for Payer: Qualcare PPO/HMO/WC	$4,963.87

MUSC/TDN TRANSFER UPR A/E 1

Facility

$33,092.48

Service Code	HCPCS 24301
Hospital Charge Code	1600000820
Hospital Revenue Code	360
Min. Negotiated Rate	$939.83
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,604.04
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,963.87
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,045.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$939.83

MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$45,685.92

Service Code	APR-DRG 9123
Min. Negotiated Rate	$44,790.12
Max. Negotiated Rate	$45,685.92
Rate for Payer: UnitedHealthcare Community & State	$44,790.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$45,685.92
Rate for Payer: Wellpoint Medicaid Managed Care	$44,790.12

Know your out-of-pocket cost for care.

All Charges