Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NASAL/SINUS ENDOSCOPY SURG

Facility

$40,761.60

Service Code	HCPCS 31287
Hospital Charge Code	1600000722
Hospital Revenue Code	360
Min. Negotiated Rate	$6,114.24
Max. Negotiated Rate	$6,114.24
Rate for Payer: Qualcare PPO/HMO/WC	$6,114.24

NASAL/SINUS ENDOSCOPY, SURGICAL, WITH FRONTAL SINUS EXPLORATION, INCLUDING REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED

Facility

$30,414.59

Service Code	CPT 31276
Hospital Revenue Code	360
Min. Negotiated Rate	$3,536.00
Max. Negotiated Rate	$30,414.59
Rate for Payer: Aetna Commercial	$22,805.70
Rate for Payer: Aetna Medicare Advantage	$27,165.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,414.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,414.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,384.45
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	$30,414.59
Rate for Payer: Cigna Commercial	$16,806.60
Rate for Payer: Cigna Medicare Advantage	$8,384.45
Rate for Payer: Clover Medicare Advantage	$7,965.23
Rate for Payer: EmblemHealth Commercial	$25,153.35
Rate for Payer: Humana Medicare Advantage	$8,635.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,384.45
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,384.45
Rate for Payer: Wellcare Medicare Advantage	$8,384.45

NASAL SPLINT BLANK 3X3 BLUSH

Facility

$33.00

Hospital Charge Code	270332219
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

NASAL SPLINT BLANK 3X3 BLUSH

Facility

$33.00

Hospital Charge Code	270332219
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$12.54
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$6.60
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

NASAL TRACHEAL TUBE 4.0MM 17FR

Facility

$99.00

Hospital Charge Code	270332014
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

NASAL TRACHEAL TUBE 4.0MM 17FR

Facility

$99.00

Hospital Charge Code	270332014
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

NASOTRACHEAL ASPIRATION

Facility

$341.10

Service Code	HCPCS 31720
Hospital Charge Code	16000230
Hospital Revenue Code	360
Min. Negotiated Rate	$51.16
Max. Negotiated Rate	$51.16
Rate for Payer: Qualcare PPO/HMO/WC	$51.16

NASOTRACHEAL ASPIRATION

Facility

$341.10

Service Code	HCPCS 31720
Hospital Charge Code	16000230
Hospital Revenue Code	360
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
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	$943.69
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.69
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.16
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$10.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$9.69

NATALIZUMAB 300MG VIAL

Facility

$24,723.00

Service Code	HCPCS J2323
Hospital Charge Code	60630029
Hospital Revenue Code	636
Min. Negotiated Rate	$3,708.45
Max. Negotiated Rate	$5,982.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,982.97
Rate for Payer: Qualcare PPO/HMO/WC	$3,708.45

NATALIZUMAB 300MG VIAL

Facility

$24,723.00

Service Code	HCPCS J2323
Hospital Charge Code	60630029
Hospital Revenue Code	636
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$5,982.97
Rate for Payer: Aetna Commercial	$66.15
Rate for Payer: Aetna Medicare Advantage	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.22
Rate for Payer: Cigna Medicare Advantage	$24.32
Rate for Payer: Clover Medicare Advantage	$23.10
Rate for Payer: EmblemHealth Commercial	$72.96
Rate for Payer: Humana Medicare Advantage	$25.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,982.97
Rate for Payer: Qualcare PPO/HMO/WC	$3,708.45
Rate for Payer: UnitedHealthcare Community & State	$781.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.32
Rate for Payer: Wellcare Medicare Advantage	$24.32
Rate for Payer: Wellpoint Medicaid Managed Care	$702.13

NATEGLINIDE 60 MG TAB

Facility

$20.90

Service Code	NDC 78035105
Hospital Charge Code	60629187
Hospital Revenue Code	250
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.13

NATEGLINIDE 60 MG TAB

Facility

$20.90

Service Code	NDC 78035105
Hospital Charge Code	60629187
Hospital Revenue Code	250
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$10.45
Rate for Payer: Aetna Commercial	$7.94
Rate for Payer: Aetna Medicare Advantage	$6.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.33
Rate for Payer: Cigna Commercial	$10.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.43
Rate for Payer: Oxford Commercial	$4.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.13
Rate for Payer: UnitedHealthcare Commercial	$4.18
Rate for Payer: UnitedHealthcare Community & State	$0.66
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

NAT KILLER CELLS,TOTAL COUNT

Facility

$265.00

Service Code	HCPCS 86357
Hospital Charge Code	38477201
Hospital Revenue Code	302
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$102.63
Rate for Payer: Aetna Medicare Advantage	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.87
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: Cigna Medicare Advantage	$37.73
Rate for Payer: Clover Medicare Advantage	$35.84
Rate for Payer: EmblemHealth Commercial	$113.19
Rate for Payer: Humana Medicare Advantage	$38.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.90
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$30.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.73
Rate for Payer: Wellcare Medicare Advantage	$37.73
Rate for Payer: Wellpoint Medicaid Managed Care	$7.53

NAT KILLER CELLS,TOTAL COUNT

Facility

$265.00

Service Code	HCPCS 86357
Hospital Charge Code	38477201
Hospital Revenue Code	302
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$39.75
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

NATURA DRAINABLE PUCH INVISICL

Facility

$13.99

Hospital Charge Code	270683664
Hospital Revenue Code	270
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$2.80
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

NATURA DRAINABLE PUCH INVISICL

Facility

$13.99

Hospital Charge Code	270683664
Hospital Revenue Code	270
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

NA,URINE RANDOM

Facility

$117.00

Service Code	HCPCS 84300
Hospital Charge Code	38479039
Hospital Revenue Code	301
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$13.76
Rate for Payer: Aetna Medicare Advantage	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: Cigna Medicare Advantage	$5.06
Rate for Payer: Clover Medicare Advantage	$4.81
Rate for Payer: EmblemHealth Commercial	$15.18
Rate for Payer: Humana Medicare Advantage	$5.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.42
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.55
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.06
Rate for Payer: Wellcare Medicare Advantage	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$3.32

NA,URINE RANDOM

Facility

$117.00

Service Code	HCPCS 84300
Hospital Charge Code	38479039
Hospital Revenue Code	301
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$17.55
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

NAVIFLEX RX DELIVERY SYS 10FR

Facility

$404.90

Hospital Charge Code	270675437
Hospital Revenue Code	272
Min. Negotiated Rate	$60.73
Max. Negotiated Rate	$60.73
Rate for Payer: Qualcare PPO/HMO/WC	$60.73

NAVIFLEX RX DELIVERY SYS 10FR

Facility

$404.90

Hospital Charge Code	270675437
Hospital Revenue Code	272
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.45
Rate for Payer: Aetna Commercial	$153.86
Rate for Payer: Aetna Medicare Advantage	$121.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.25
Rate for Payer: Cigna Commercial	$202.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: Oxford Commercial	$80.98
Rate for Payer: Qualcare PPO/HMO/WC	$60.73
Rate for Payer: UnitedHealthcare Commercial	$80.98
Rate for Payer: UnitedHealthcare Community & State	$12.79
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

NAVI FLEX RX DELIVERY SYST10FR

Facility

$405.90

Hospital Charge Code	270659233
Hospital Revenue Code	272
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$202.95
Rate for Payer: Aetna Commercial	$154.24
Rate for Payer: Aetna Medicare Advantage	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.50
Rate for Payer: Cigna Commercial	$202.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.53
Rate for Payer: Oxford Commercial	$81.18
Rate for Payer: Qualcare PPO/HMO/WC	$60.88
Rate for Payer: UnitedHealthcare Commercial	$81.18
Rate for Payer: UnitedHealthcare Community & State	$12.83
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

NAVI FLEX RX DELIVERY SYST10FR

Facility

$405.90

Hospital Charge Code	270659233
Hospital Revenue Code	272
Min. Negotiated Rate	$60.88
Max. Negotiated Rate	$60.88
Rate for Payer: Qualcare PPO/HMO/WC	$60.88

NAVIFLEX RX DELIVERY SYSTEM

Facility

$405.90

Hospital Charge Code	270675172
Hospital Revenue Code	272
Min. Negotiated Rate	$60.88
Max. Negotiated Rate	$60.88
Rate for Payer: Qualcare PPO/HMO/WC	$60.88

NAVIFLEX RX DELIVERY SYSTEM

Facility

$405.90

Hospital Charge Code	270675172
Hospital Revenue Code	272
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$202.95
Rate for Payer: Aetna Commercial	$154.24
Rate for Payer: Aetna Medicare Advantage	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.50
Rate for Payer: Cigna Commercial	$202.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.53
Rate for Payer: Oxford Commercial	$81.18
Rate for Payer: Qualcare PPO/HMO/WC	$60.88
Rate for Payer: UnitedHealthcare Commercial	$81.18
Rate for Payer: UnitedHealthcare Community & State	$12.83
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

NAVIFLEX RX DELIVERY SYSTM 7FR

Facility

$405.90

Hospital Charge Code	270659227
Hospital Revenue Code	272
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$202.95
Rate for Payer: Aetna Commercial	$154.24
Rate for Payer: Aetna Medicare Advantage	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.50
Rate for Payer: Cigna Commercial	$202.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.53
Rate for Payer: Oxford Commercial	$81.18
Rate for Payer: Qualcare PPO/HMO/WC	$60.88
Rate for Payer: UnitedHealthcare Commercial	$81.18
Rate for Payer: UnitedHealthcare Community & State	$12.83
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

Know your out-of-pocket cost for care.

All Charges