Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE BIOPSY 22X15 G01278

Facility

$126.70

Hospital Charge Code	270661640
Hospital Revenue Code	272
Min. Negotiated Rate	$19.00
Max. Negotiated Rate	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.00

NEEDLE BIOPSY CHIBA 18G X 10CM

Facility

$59.50

Hospital Charge Code	270624259
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE BIOPSY CHIBA 18G X 10CM

Facility

$59.50

Hospital Charge Code	270624259
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$22.61
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$11.90
Rate for Payer: UnitedHealthcare Community & State	$1.88
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

NEEDLE BIOPSY CHIBA 18G X 15CM

Facility

$59.50

Hospital Charge Code	270624257N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE BIOPSY CHIBA 18G X 15CM

Facility

$59.50

Hospital Charge Code	270624257N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$22.61
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$11.90
Rate for Payer: UnitedHealthcare Community & State	$1.88
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

NEEDLE BIOPSY CHIBA 18G X 15CM

Facility

$54.60

Hospital Charge Code	270624257
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$27.30
Rate for Payer: Aetna Commercial	$20.75
Rate for Payer: Aetna Medicare Advantage	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.92
Rate for Payer: Cigna Commercial	$27.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.20
Rate for Payer: Oxford Commercial	$10.92
Rate for Payer: Qualcare PPO/HMO/WC	$8.19
Rate for Payer: UnitedHealthcare Commercial	$10.92
Rate for Payer: UnitedHealthcare Community & State	$1.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

NEEDLE BIOPSY CHIBA 18G X 15CM

Facility

$54.60

Hospital Charge Code	270624257
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$8.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.19

NEEDLE BIOPSY CHIBA 18G X 20CM

Facility

$59.50

Hospital Charge Code	270624258N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE BIOPSY CHIBA 18G X 20CM

Facility

$54.60

Hospital Charge Code	270624258
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$8.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.19

NEEDLE BIOPSY CHIBA 18G X 20CM

Facility

$54.60

Hospital Charge Code	270624258
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$27.30
Rate for Payer: Aetna Commercial	$20.75
Rate for Payer: Aetna Medicare Advantage	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.92
Rate for Payer: Cigna Commercial	$27.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.20
Rate for Payer: Oxford Commercial	$10.92
Rate for Payer: Qualcare PPO/HMO/WC	$8.19
Rate for Payer: UnitedHealthcare Commercial	$10.92
Rate for Payer: UnitedHealthcare Community & State	$1.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

NEEDLE BIOPSY CHIBA 18G X 20CM

Facility

$59.50

Hospital Charge Code	270624258N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$22.61
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$11.90
Rate for Payer: UnitedHealthcare Community & State	$1.88
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

NEEDLE BIOPSY CHIBA 18G X 5CM

Facility

$59.50

Hospital Charge Code	270669580
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$22.61
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$11.90
Rate for Payer: UnitedHealthcare Community & State	$1.88
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

NEEDLE BIOPSY CHIBA 18G X 5CM

Facility

$59.50

Hospital Charge Code	270669580
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$65.00

Hospital Charge Code	270661639
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$24.70
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.90
Rate for Payer: Oxford Commercial	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$13.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$57.50

Hospital Charge Code	270661639N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$57.50

Hospital Charge Code	270661639N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.50
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

NEEDLE BIOPSY CHIBA 22GA 15CM

Facility

$65.00

Hospital Charge Code	270661639
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

NEEDLE, BIOPSY COAXIAL

Facility

$314.00

Hospital Charge Code	2008140
Hospital Revenue Code	272
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$47.10
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

NEEDLE, BIOPSY COAXIAL

Facility

$314.00

Hospital Charge Code	2008140
Hospital Revenue Code	272
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$157.00
Rate for Payer: Aetna Commercial	$119.32
Rate for Payer: Aetna Medicare Advantage	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.07
Rate for Payer: Cigna Commercial	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.64
Rate for Payer: Oxford Commercial	$62.80
Rate for Payer: Qualcare PPO/HMO/WC	$47.10
Rate for Payer: UnitedHealthcare Commercial	$62.80
Rate for Payer: UnitedHealthcare Community & State	$9.92
Rate for Payer: Wellpoint Medicaid Managed Care	$8.92

NEEDLE BIOPSY MUSCLE PERC

Facility

$9,500.00

Service Code	HCPCS 20206
Hospital Charge Code	2250454
Hospital Revenue Code	361
Min. Negotiated Rate	$269.80
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	$2,470.00
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
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	$269.80

NEEDLE BIOPSY MUSCLE PERC

Facility

$9,500.00

Service Code	HCPCS 20206
Hospital Charge Code	2250454
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

NEEDLE BIOPSY PERCUCUT 21G 10C

Facility

$301.00

Hospital Charge Code	270331269
Hospital Revenue Code	272
Min. Negotiated Rate	$45.15
Max. Negotiated Rate	$45.15
Rate for Payer: Qualcare PPO/HMO/WC	$45.15

NEEDLE BIOPSY PERCUCUT 21G 10C

Facility

$301.00

Hospital Charge Code	270331269
Hospital Revenue Code	272
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$150.50
Rate for Payer: Aetna Commercial	$114.38
Rate for Payer: Aetna Medicare Advantage	$90.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.75
Rate for Payer: Cigna Commercial	$150.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.26
Rate for Payer: Oxford Commercial	$60.20
Rate for Payer: Qualcare PPO/HMO/WC	$45.15
Rate for Payer: UnitedHealthcare Commercial	$60.20
Rate for Payer: UnitedHealthcare Community & State	$9.51
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

NEEDLE BIOPSYS KIT PASSIVE

Facility

$4,240.00

Hospital Charge Code	270703106
Hospital Revenue Code	270
Min. Negotiated Rate	$120.42
Max. Negotiated Rate	$2,120.00
Rate for Payer: Aetna Commercial	$1,611.20
Rate for Payer: Aetna Medicare Advantage	$1,272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,081.20
Rate for Payer: Cigna Commercial	$2,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,102.40
Rate for Payer: Oxford Commercial	$848.00
Rate for Payer: Qualcare PPO/HMO/WC	$636.00
Rate for Payer: UnitedHealthcare Commercial	$848.00
Rate for Payer: UnitedHealthcare Community & State	$133.98
Rate for Payer: Wellpoint Medicaid Managed Care	$120.42

NEEDLE BIOPSYS KIT PASSIVE

Facility

$4,240.00

Hospital Charge Code	270703106
Hospital Revenue Code	270
Min. Negotiated Rate	$636.00
Max. Negotiated Rate	$636.00
Rate for Payer: Qualcare PPO/HMO/WC	$636.00

Know your out-of-pocket cost for care.

All Charges