Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NAIL VALOR 10x150MM LEFT

Facility

$12,710.00

Service Code	HCPCS C1713
Hospital Charge Code	270677448
Hospital Revenue Code	278
Min. Negotiated Rate	$360.96
Max. Negotiated Rate	$6,355.00
Rate for Payer: Aetna Commercial	$4,829.80
Rate for Payer: Aetna Medicare Advantage	$3,813.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,241.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,241.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,542.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,241.05
Rate for Payer: Cigna Commercial	$6,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,075.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,906.50
Rate for Payer: UnitedHealthcare Community & State	$401.64
Rate for Payer: Wellpoint Medicaid Managed Care	$360.96

NAIL VALOR 10x150MM LEFT

Facility

$12,710.00

Service Code	HCPCS C1713
Hospital Charge Code	270677448
Hospital Revenue Code	278
Min. Negotiated Rate	$1,906.50
Max. Negotiated Rate	$3,075.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,542.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,075.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,906.50

NAIL VALOR LG RT 10MMX250MM

Facility

$13,895.00

Hospital Charge Code	270702748
Hospital Revenue Code	278
Min. Negotiated Rate	$2,084.25
Max. Negotiated Rate	$3,362.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,779.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,362.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,084.25

NAIL VALOR LG RT 10MMX250MM

Facility

$13,895.00

Hospital Charge Code	270702748
Hospital Revenue Code	278
Min. Negotiated Rate	$394.62
Max. Negotiated Rate	$6,947.50
Rate for Payer: Aetna Commercial	$5,280.10
Rate for Payer: Aetna Medicare Advantage	$4,168.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,543.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,543.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,543.22
Rate for Payer: Cigna Commercial	$6,947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,362.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,084.25
Rate for Payer: UnitedHealthcare Community & State	$439.08
Rate for Payer: Wellpoint Medicaid Managed Care	$394.62

NAIL VALOR RT SMALL 10X150MM

Facility

$25,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270694904
Hospital Revenue Code	278
Min. Negotiated Rate	$3,846.00
Max. Negotiated Rate	$6,204.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,204.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,846.00

NAIL VALOR RT SMALL 10X150MM

Facility

$25,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270694904
Hospital Revenue Code	278
Min. Negotiated Rate	$728.18
Max. Negotiated Rate	$12,820.00
Rate for Payer: Aetna Commercial	$9,743.20
Rate for Payer: Aetna Medicare Advantage	$7,692.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,538.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,538.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,128.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,538.20
Rate for Payer: Cigna Commercial	$12,820.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,204.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,846.00
Rate for Payer: UnitedHealthcare Community & State	$810.22
Rate for Payer: Wellpoint Medicaid Managed Care	$728.18

NAIL VALOR SM RT 11.5X150MM

Facility

$16,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270699263
Hospital Revenue Code	278
Min. Negotiated Rate	$2,430.75
Max. Negotiated Rate	$3,921.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,921.61
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.75

NAIL VALOR SM RT 11.5X150MM

Facility

$16,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270699263
Hospital Revenue Code	278
Min. Negotiated Rate	$460.22
Max. Negotiated Rate	$8,102.50
Rate for Payer: Aetna Commercial	$6,157.90
Rate for Payer: Aetna Medicare Advantage	$4,861.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,132.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,132.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,132.27
Rate for Payer: Cigna Commercial	$8,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,921.61
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.75
Rate for Payer: UnitedHealthcare Community & State	$512.08
Rate for Payer: Wellpoint Medicaid Managed Care	$460.22

NALBUPHINE 10MG/ML AMPUL

Facility

$26.40

Service Code	HCPCS J2300
Hospital Charge Code	60631804
Hospital Revenue Code	636
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.20
Rate for Payer: Aetna Commercial	$10.03
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.96
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

NALBUPHINE 10MG/ML AMPUL

Facility

$26.40

Service Code	HCPCS J2300
Hospital Charge Code	60631804
Hospital Revenue Code	636
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$6.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

Nalbuphine 20mg/ml (1ml) amp

Facility

$35.56

Hospital Charge Code	606361044
Hospital Revenue Code	636
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$8.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

Nalbuphine 20mg/ml (1ml) amp

Facility

$35.56

Hospital Charge Code	606361044
Hospital Revenue Code	636
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$17.78
Rate for Payer: Aetna Commercial	$13.51
Rate for Payer: Aetna Medicare Advantage	$10.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.07
Rate for Payer: Cigna Commercial	$17.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

NALBUPHINE 20 MG/ML AMP

Facility

$32.32

Hospital Charge Code	606380008
Hospital Revenue Code	636
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.16
Rate for Payer: Aetna Commercial	$12.28
Rate for Payer: Aetna Medicare Advantage	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.24
Rate for Payer: Cigna Commercial	$16.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.85
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

NALBUPHINE 20 MG/ML AMP

Facility

$32.32

Hospital Charge Code	606380008
Hospital Revenue Code	636
Min. Negotiated Rate	$4.85
Max. Negotiated Rate	$7.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.85

NALBUPHINE 20MG/ML AMPUL

Facility

$37.11

Hospital Charge Code	60631806
Hospital Revenue Code	636
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$18.55
Rate for Payer: Aetna Commercial	$14.10
Rate for Payer: Aetna Medicare Advantage	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.46
Rate for Payer: Cigna Commercial	$18.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Community & State	$1.17
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

NALBUPHINE 20MG/ML AMPUL

Facility

$37.11

Hospital Charge Code	60631806
Hospital Revenue Code	636
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$8.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

NALBUPHINE 20 MG/ML INJ (1 ML)

Facility

$41.81

Service Code	NDC 409146501
Hospital Charge Code	606380003
Hospital Revenue Code	250
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$20.91
Rate for Payer: Aetna Commercial	$15.89
Rate for Payer: Aetna Medicare Advantage	$12.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.66
Rate for Payer: Cigna Commercial	$20.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.87
Rate for Payer: Oxford Commercial	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$6.27
Rate for Payer: UnitedHealthcare Commercial	$8.36
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

NALBUPHINE 20 MG/ML INJ (1 ML)

Facility

$41.81

Service Code	NDC 409146501
Hospital Charge Code	606380003
Hospital Revenue Code	250
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$6.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.27

NALOXONE 0.4 MG/ML INJ

Facility

$294.80

Service Code	HCPCS 2312
Hospital Charge Code	60627734
Hospital Revenue Code	636
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$147.40
Rate for Payer: Aetna Commercial	$112.02
Rate for Payer: Aetna Medicare Advantage	$88.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.17
Rate for Payer: Cigna Commercial	$147.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.34
Rate for Payer: Qualcare PPO/HMO/WC	$44.22
Rate for Payer: UnitedHealthcare Community & State	$9.32
Rate for Payer: Wellpoint Medicaid Managed Care	$8.37

NALOXONE 0.4 MG/ML INJ

Facility

$294.80

Service Code	HCPCS 2312
Hospital Charge Code	60627734
Hospital Revenue Code	636
Min. Negotiated Rate	$44.22
Max. Negotiated Rate	$71.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.34
Rate for Payer: Qualcare PPO/HMO/WC	$44.22

NALOXONE 0.4 MG/ML INJ (ADULT)

Facility

$127.30

Service Code	HCPCS J2312
Hospital Charge Code	60627733
Hospital Revenue Code	636
Min. Negotiated Rate	$19.09
Max. Negotiated Rate	$30.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.81
Rate for Payer: Qualcare PPO/HMO/WC	$19.09

NALOXONE 0.4 MG/ML INJ (ADULT)

Facility

$127.30

Service Code	HCPCS J2312
Hospital Charge Code	60627733
Hospital Revenue Code	636
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$63.65
Rate for Payer: Aetna Commercial	$48.37
Rate for Payer: Aetna Medicare Advantage	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.46
Rate for Payer: Cigna Commercial	$63.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.81
Rate for Payer: Qualcare PPO/HMO/WC	$19.09
Rate for Payer: UnitedHealthcare Community & State	$4.02
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

NALOXONE HCL 2MG/2ML SYRUP

Facility

$132.66

Service Code	NDC 76329336901
Hospital Charge Code	6063943143
Hospital Revenue Code	250
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$66.33
Rate for Payer: Aetna Commercial	$50.41
Rate for Payer: Aetna Medicare Advantage	$39.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.83
Rate for Payer: Cigna Commercial	$66.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.49
Rate for Payer: Oxford Commercial	$26.53
Rate for Payer: Qualcare PPO/HMO/WC	$19.90
Rate for Payer: UnitedHealthcare Commercial	$26.53
Rate for Payer: UnitedHealthcare Community & State	$4.19
Rate for Payer: Wellpoint Medicaid Managed Care	$3.77

NALOXONE HCL 2MG/2ML SYRUP

Facility

$132.66

Service Code	NDC 76329336901
Hospital Charge Code	6063943143
Hospital Revenue Code	250
Min. Negotiated Rate	$19.90
Max. Negotiated Rate	$19.90
Rate for Payer: Qualcare PPO/HMO/WC	$19.90

NALTREXONE 50 MG TAB

Facility

$28.61

Service Code	NDC 16729008101
Hospital Charge Code	60628852
Hospital Revenue Code	250
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$4.29
Rate for Payer: Qualcare PPO/HMO/WC	$4.29

Know your out-of-pocket cost for care.

All Charges