Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEBIVOLOL 10 MG TAB

Facility

$24.86

Service Code	NDC 456141030
Hospital Charge Code	606351003
Hospital Revenue Code	250
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

NEBULIZER 28% PREFILLED BTL

Facility

$37.65

Hospital Charge Code	270604860
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

NEBULIZER 28% PREFILLED BTL

Facility

$37.65

Hospital Charge Code	270604860
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$18.82
Rate for Payer: Aetna Commercial	$14.31
Rate for Payer: Aetna Medicare Advantage	$11.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.60
Rate for Payer: Cigna Commercial	$18.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.79
Rate for Payer: Oxford Commercial	$7.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$7.53
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.07

NEBULIZER AEROCLIPSE II

Facility

$1,275.00

Hospital Charge Code	270690898
Hospital Revenue Code	271
Min. Negotiated Rate	$36.21
Max. Negotiated Rate	$637.50
Rate for Payer: Aetna Commercial	$484.50
Rate for Payer: Aetna Medicare Advantage	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.12
Rate for Payer: Cigna Commercial	$637.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.50
Rate for Payer: Oxford Commercial	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.25
Rate for Payer: UnitedHealthcare Commercial	$255.00
Rate for Payer: UnitedHealthcare Community & State	$40.29
Rate for Payer: Wellpoint Medicaid Managed Care	$36.21

NEBULIZER AEROCLIPSE II

Facility

$1,275.00

Hospital Charge Code	270690898
Hospital Revenue Code	271
Min. Negotiated Rate	$191.25
Max. Negotiated Rate	$191.25
Rate for Payer: Qualcare PPO/HMO/WC	$191.25

NEBULIZER RESPURGARD II

Facility

$25.65

Hospital Charge Code	270688898
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$3.85

NEBULIZER RESPURGARD II

Facility

$25.65

Hospital Charge Code	270688898
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$12.82
Rate for Payer: Aetna Commercial	$9.75
Rate for Payer: Aetna Medicare Advantage	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.54
Rate for Payer: Cigna Commercial	$12.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.67
Rate for Payer: Oxford Commercial	$5.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.85
Rate for Payer: UnitedHealthcare Commercial	$5.13
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

NEBU-MASK SYSTEM ADULT

Facility

$160.00

Hospital Charge Code	270648119
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

NEBU-MASK SYSTEM ADULT

Facility

$160.00

Hospital Charge Code	270648119
Hospital Revenue Code	272
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$60.80
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.60
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$32.00
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$4.54

NECK ADJUSTMENT SLEEVE STD V40

Facility

$1,089.00

Hospital Charge Code	270669748
Hospital Revenue Code	272
Min. Negotiated Rate	$30.93
Max. Negotiated Rate	$544.50
Rate for Payer: Aetna Commercial	$413.82
Rate for Payer: Aetna Medicare Advantage	$326.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.69
Rate for Payer: Cigna Commercial	$544.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.14
Rate for Payer: Oxford Commercial	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$163.35
Rate for Payer: UnitedHealthcare Commercial	$217.80
Rate for Payer: UnitedHealthcare Community & State	$34.41
Rate for Payer: Wellpoint Medicaid Managed Care	$30.93

NECK ADJUSTMENT SLEEVE STD V40

Facility

$1,089.00

Hospital Charge Code	270669748
Hospital Revenue Code	272
Min. Negotiated Rate	$163.35
Max. Negotiated Rate	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$163.35

NECK CONTOUR 24X6.5

Facility

$57.60

Hospital Charge Code	270669948
Hospital Revenue Code	272
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$28.80
Rate for Payer: Aetna Commercial	$21.89
Rate for Payer: Aetna Medicare Advantage	$17.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.69
Rate for Payer: Cigna Commercial	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.98
Rate for Payer: Oxford Commercial	$11.52
Rate for Payer: Qualcare PPO/HMO/WC	$8.64
Rate for Payer: UnitedHealthcare Commercial	$11.52
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

NECK CONTOUR 24X6.5

Facility

$57.60

Hospital Charge Code	270669948
Hospital Revenue Code	272
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$8.64

NECK SOFT TISSUES

Facility

$5,100.00

Service Code	HCPCS 70360
Hospital Charge Code	94061021
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

NECK SOFT TISSUES

Facility

$5,100.00

Service Code	HCPCS 70360
Hospital Charge Code	94061021
Hospital Revenue Code	320
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.05
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

NECK SPINE DISK SRGR DISCECTMY

Facility

$47,548.90

Service Code	HCPCS 63075
Hospital Charge Code	16001026
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.39
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	$12,362.71
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,502.55
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	$1,350.39

NECK SPINE DISK SRGR DISCECTMY

Facility

$47,548.90

Service Code	HCPCS 63075
Hospital Charge Code	16001026
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NECK SPINE DISK SRGRY DSCTMY A

Facility

$47,548.90

Service Code	HCPCS 63076
Hospital Charge Code	16001028
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.39
Max. Negotiated Rate	$23,774.45
Rate for Payer: Aetna Commercial	$18,068.58
Rate for Payer: Aetna Medicare Advantage	$14,264.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,124.97
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	$12,124.97
Rate for Payer: Cigna Commercial	$23,774.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,362.71
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$1,502.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,350.39

NECK SPINE DISK SRGRY DSCTMY A

Facility

$47,548.90

Service Code	HCPCS 63076
Hospital Charge Code	16001028
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NECK SPINE DISK SURGERY

Facility

$47,548.90

Service Code	HCPCS 63020
Hospital Charge Code	1600000863
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.39
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	$12,362.71
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,502.55
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	$1,350.39

NECK SPINE DISK SURGERY

Facility

$47,548.90

Service Code	HCPCS 63020
Hospital Charge Code	1600000863
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NEDDLE ECHOTIP ULTRA ECHO-1-22

Facility

$1,311.00

Hospital Charge Code	270633344
Hospital Revenue Code	272
Min. Negotiated Rate	$37.23
Max. Negotiated Rate	$655.50
Rate for Payer: Aetna Commercial	$498.18
Rate for Payer: Aetna Medicare Advantage	$393.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.31
Rate for Payer: Cigna Commercial	$655.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.86
Rate for Payer: Oxford Commercial	$262.20
Rate for Payer: Qualcare PPO/HMO/WC	$196.65
Rate for Payer: UnitedHealthcare Commercial	$262.20
Rate for Payer: UnitedHealthcare Community & State	$41.43
Rate for Payer: Wellpoint Medicaid Managed Care	$37.23

NEDDLE ECHOTIP ULTRA ECHO-1-22

Facility

$1,311.00

Hospital Charge Code	270633344
Hospital Revenue Code	272
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$196.65
Rate for Payer: Qualcare PPO/HMO/WC	$196.65

NEEDE DELIVERY 8G 10cm

Facility

$973.35

Hospital Charge Code	270661249
Hospital Revenue Code	272
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$486.68
Rate for Payer: Aetna Commercial	$369.87
Rate for Payer: Aetna Medicare Advantage	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.20
Rate for Payer: Cigna Commercial	$486.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.07
Rate for Payer: Oxford Commercial	$194.67
Rate for Payer: Qualcare PPO/HMO/WC	$146.00
Rate for Payer: UnitedHealthcare Commercial	$194.67
Rate for Payer: UnitedHealthcare Community & State	$30.76
Rate for Payer: Wellpoint Medicaid Managed Care	$27.64

NEEDE DELIVERY 8G 10cm

Facility

$973.35

Hospital Charge Code	270661249
Hospital Revenue Code	272
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.00

Know your out-of-pocket cost for care.

All Charges