Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NACL 0.9% 50ML

Facility

$5.12

Hospital Charge Code	270040205
Hospital Revenue Code	258
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$2.56
Rate for Payer: Aetna Commercial	$1.95
Rate for Payer: Aetna Medicare Advantage	$1.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.31
Rate for Payer: Cigna Commercial	$2.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.33
Rate for Payer: Oxford Commercial	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$1.02
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

NACL 0.9% INJ 1000ML 7983-02

Facility

$4.40

Service Code	HCPCS J7030
Hospital Charge Code	270649314
Hospital Revenue Code	258
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Qualcare PPO/HMO/WC	$0.66

NACL 0.9% INJ 1000ML 7983-02

Facility

$4.40

Service Code	HCPCS J7030
Hospital Charge Code	270649314
Hospital Revenue Code	258
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.20
Rate for Payer: Aetna Commercial	$1.67
Rate for Payer: Aetna Medicare Advantage	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.12
Rate for Payer: Cigna Commercial	$2.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.14
Rate for Payer: Oxford Commercial	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.66
Rate for Payer: UnitedHealthcare Commercial	$0.88
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

NACL 0.9% INJ 100ml

Facility

$8.50

Hospital Charge Code	270649318
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.25
Rate for Payer: Aetna Commercial	$3.23
Rate for Payer: Aetna Medicare Advantage	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.17
Rate for Payer: Cigna Commercial	$4.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$1.70
Rate for Payer: Qualcare PPO/HMO/WC	$1.27
Rate for Payer: UnitedHealthcare Commercial	$1.70
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

NACL 0.9% INJ 100ml

Facility

$8.50

Hospital Charge Code	270649318
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Qualcare PPO/HMO/WC	$1.27

NACL 0.9% INJ 250ML 7983-02

Facility

$3.89

Hospital Charge Code	270649313
Hospital Revenue Code	258
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

NACL 0.9% INJ 250ML 7983-02

Facility

$3.89

Hospital Charge Code	270649313
Hospital Revenue Code	258
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$1.95
Rate for Payer: Aetna Commercial	$1.48
Rate for Payer: Aetna Medicare Advantage	$1.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.99
Rate for Payer: Cigna Commercial	$1.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.01
Rate for Payer: Oxford Commercial	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$0.78
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NACL 0.9% INJ 500ML 7983-03

Facility

$4.70

Service Code	HCPCS J7040
Hospital Charge Code	270649315
Hospital Revenue Code	258
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.35
Rate for Payer: Aetna Commercial	$1.79
Rate for Payer: Aetna Medicare Advantage	$1.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.20
Rate for Payer: Cigna Commercial	$2.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.22
Rate for Payer: Oxford Commercial	$0.94
Rate for Payer: Qualcare PPO/HMO/WC	$0.71
Rate for Payer: UnitedHealthcare Commercial	$0.94
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

NACL 0.9% INJ 500ML 7983-03

Facility

$4.70

Service Code	HCPCS J7040
Hospital Charge Code	270649315
Hospital Revenue Code	258
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Qualcare PPO/HMO/WC	$0.71

NACL .45% 1000cc

Facility

$15.95

Hospital Charge Code	270650119
Hospital Revenue Code	258
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.97
Rate for Payer: Aetna Commercial	$6.06
Rate for Payer: Aetna Medicare Advantage	$4.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.07
Rate for Payer: Cigna Commercial	$7.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.15
Rate for Payer: Oxford Commercial	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$2.39
Rate for Payer: UnitedHealthcare Commercial	$3.19
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

NACL .45% 1000cc

Facility

$15.95

Hospital Charge Code	270650119
Hospital Revenue Code	258
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$2.39
Rate for Payer: Qualcare PPO/HMO/WC	$2.39

NACL .45% 1000ML

Facility

$22.50

Hospital Charge Code	270649311S
Hospital Revenue Code	258
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$3.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.38

NACL .45% 1000ML

Facility

$22.50

Hospital Charge Code	270649311S
Hospital Revenue Code	258
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.25
Rate for Payer: Aetna Commercial	$8.55
Rate for Payer: Aetna Medicare Advantage	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.74
Rate for Payer: Cigna Commercial	$11.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.85
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.38
Rate for Payer: UnitedHealthcare Commercial	$4.50
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

NACL .45% 500cc

Facility

$20.71

Hospital Charge Code	270650128
Hospital Revenue Code	258
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$3.11
Rate for Payer: Qualcare PPO/HMO/WC	$3.11

NACL .45% 500cc

Facility

$20.71

Hospital Charge Code	270650128
Hospital Revenue Code	258
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$10.36
Rate for Payer: Aetna Commercial	$7.87
Rate for Payer: Aetna Medicare Advantage	$6.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.28
Rate for Payer: Cigna Commercial	$10.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: Oxford Commercial	$4.14
Rate for Payer: Qualcare PPO/HMO/WC	$3.11
Rate for Payer: UnitedHealthcare Commercial	$4.14
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NACL .9% 1000ML

Facility

$10.35

Hospital Charge Code	270649314S
Hospital Revenue Code	258
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.17
Rate for Payer: Aetna Commercial	$3.93
Rate for Payer: Aetna Medicare Advantage	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.64
Rate for Payer: Cigna Commercial	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.69
Rate for Payer: Oxford Commercial	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$2.07
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

NACL .9% 1000ML

Facility

$10.35

Hospital Charge Code	270649314S
Hospital Revenue Code	258
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

NACL .9% 50ML

Facility

$8.50

Hospital Charge Code	270649316
Hospital Revenue Code	258
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.25
Rate for Payer: Aetna Commercial	$3.23
Rate for Payer: Aetna Medicare Advantage	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.17
Rate for Payer: Cigna Commercial	$4.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$1.70
Rate for Payer: Qualcare PPO/HMO/WC	$1.27
Rate for Payer: UnitedHealthcare Commercial	$1.70
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

NACL .9% 50ML

Facility

$8.50

Hospital Charge Code	270649316
Hospital Revenue Code	258
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Qualcare PPO/HMO/WC	$1.27

NADOLOL 20 MG TAB

Facility

$41.47

Service Code	NDC 51079081220
Hospital Charge Code	60627586
Hospital Revenue Code	250
Min. Negotiated Rate	$6.22
Max. Negotiated Rate	$6.22
Rate for Payer: Qualcare PPO/HMO/WC	$6.22

NADOLOL 20 MG TAB

Facility

$41.47

Service Code	NDC 51079081220
Hospital Charge Code	60627586
Hospital Revenue Code	250
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$20.73
Rate for Payer: Aetna Commercial	$15.76
Rate for Payer: Aetna Medicare Advantage	$12.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.57
Rate for Payer: Cigna Commercial	$20.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.78
Rate for Payer: Oxford Commercial	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$6.22
Rate for Payer: UnitedHealthcare Commercial	$8.29
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

NADOLOL 40 MG TAB

Facility

$48.44

Service Code	NDC 51079081320
Hospital Charge Code	60627587
Hospital Revenue Code	250
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$24.22
Rate for Payer: Aetna Commercial	$18.41
Rate for Payer: Aetna Medicare Advantage	$14.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.35
Rate for Payer: Cigna Commercial	$24.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.59
Rate for Payer: Oxford Commercial	$9.69
Rate for Payer: Qualcare PPO/HMO/WC	$7.27
Rate for Payer: UnitedHealthcare Commercial	$9.69
Rate for Payer: UnitedHealthcare Community & State	$1.53
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

NADOLOL 40 MG TAB

Facility

$48.44

Service Code	NDC 51079081320
Hospital Charge Code	60627587
Hospital Revenue Code	250
Min. Negotiated Rate	$7.27
Max. Negotiated Rate	$7.27
Rate for Payer: Qualcare PPO/HMO/WC	$7.27

NAFCILLIN 1 G INJ

Facility

$52.60

Service Code	NDC 703909501
Hospital Charge Code	6012884
Hospital Revenue Code	250
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$26.30
Rate for Payer: Aetna Commercial	$19.99
Rate for Payer: Aetna Medicare Advantage	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.41
Rate for Payer: Cigna Commercial	$26.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.68
Rate for Payer: Oxford Commercial	$10.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.89
Rate for Payer: UnitedHealthcare Commercial	$10.52
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: Wellpoint Medicaid Managed Care	$1.49

NAFCILLIN 1 G INJ

Facility

$52.60

Service Code	NDC 703909501
Hospital Charge Code	6012884
Hospital Revenue Code	250
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$7.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.89

Know your out-of-pocket cost for care.

All Charges