Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE JAMSHIDI 74066-15M

Facility

$1,000.00

Hospital Charge Code	270698049
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

NEEDLE JAMSHIDI 74066-15M

Facility

$1,000.00

Hospital Charge Code	270698049
Hospital Revenue Code	272
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

NEEDLE JAMSHIDI 8 G X 15CM

Facility

$300.00

Hospital Charge Code	270692303
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

NEEDLE JAMSHIDI 8 G X 15CM

Facility

$300.00

Hospital Charge Code	270692303
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

NEEDLE JAMSHIDIE FR

Facility

$750.00

Hospital Charge Code	270691514
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

NEEDLE JAMSHIDIE FR

Facility

$750.00

Hospital Charge Code	270691514
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

NEEDLE KNIFE XL 4584

Facility

$939.05

Hospital Charge Code	270627937
Hospital Revenue Code	272
Min. Negotiated Rate	$140.86
Max. Negotiated Rate	$140.86
Rate for Payer: Qualcare PPO/HMO/WC	$140.86

NEEDLE KNIFE XL 4584

Facility

$939.05

Hospital Charge Code	270627937
Hospital Revenue Code	272
Min. Negotiated Rate	$26.67
Max. Negotiated Rate	$469.52
Rate for Payer: Aetna Commercial	$356.84
Rate for Payer: Aetna Medicare Advantage	$281.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.46
Rate for Payer: Cigna Commercial	$469.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.15
Rate for Payer: Oxford Commercial	$187.81
Rate for Payer: Qualcare PPO/HMO/WC	$140.86
Rate for Payer: UnitedHealthcare Commercial	$187.81
Rate for Payer: UnitedHealthcare Community & State	$29.67
Rate for Payer: Wellpoint Medicaid Managed Care	$26.67

NEEDLE LIFEGUARD 20G 1 1/2

Facility

$32.50

Hospital Charge Code	270674984
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.88

NEEDLE LIFEGUARD 20G 1 1/2

Facility

$32.50

Hospital Charge Code	270674984
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.25
Rate for Payer: Aetna Commercial	$12.35
Rate for Payer: Aetna Medicare Advantage	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.29
Rate for Payer: Cigna Commercial	$16.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.88
Rate for Payer: UnitedHealthcare Commercial	$6.50
Rate for Payer: UnitedHealthcare Community & State	$1.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

NEEDLELOC MAMMO GD ADD LES BIL

Facility

$828.90

Service Code	HCPCS 1928250
Hospital Charge Code	94064011
Hospital Revenue Code	361
Min. Negotiated Rate	$23.54
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$314.98
Rate for Payer: Aetna Medicare Advantage	$248.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.37
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	$211.37
Rate for Payer: Cigna Commercial	$414.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.51
Rate for Payer: Qualcare PPO/HMO/WC	$124.33
Rate for Payer: UnitedHealthcare Community & State	$26.19
Rate for Payer: Wellpoint Medicaid Managed Care	$23.54

NEEDLELOC MAMMO GD ADD LES BIL

Facility

$828.90

Service Code	HCPCS 1928250
Hospital Charge Code	94064011
Hospital Revenue Code	361
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$124.33
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

NEEDLELOC MAMMO GDE 1ST LES BI

Facility

$1,992.50

Service Code	HCPCS 1928150
Hospital Charge Code	94064009
Hospital Revenue Code	361
Min. Negotiated Rate	$56.59
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$757.15
Rate for Payer: Aetna Medicare Advantage	$597.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.09
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	$508.09
Rate for Payer: Cigna Commercial	$996.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$518.05
Rate for Payer: Qualcare PPO/HMO/WC	$298.88
Rate for Payer: UnitedHealthcare Community & State	$62.96
Rate for Payer: Wellpoint Medicaid Managed Care	$56.59

NEEDLELOC MAMMO GDE 1ST LES BI

Facility

$1,992.50

Service Code	HCPCS 1928150
Hospital Charge Code	94064009
Hospital Revenue Code	361
Min. Negotiated Rate	$298.88
Max. Negotiated Rate	$298.88
Rate for Payer: Qualcare PPO/HMO/WC	$298.88

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281LT
Hospital Charge Code	94064009L
Hospital Revenue Code	361
Min. Negotiated Rate	$28.29
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$378.57
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
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	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.02
Rate for Payer: Qualcare PPO/HMO/WC	$149.44
Rate for Payer: UnitedHealthcare Community & State	$31.48
Rate for Payer: Wellpoint Medicaid Managed Care	$28.29

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281LT
Hospital Charge Code	94064009L
Hospital Revenue Code	361
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$149.44
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281RT
Hospital Charge Code	94064009R
Hospital Revenue Code	361
Min. Negotiated Rate	$28.29
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$378.57
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
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	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.02
Rate for Payer: Qualcare PPO/HMO/WC	$149.44
Rate for Payer: UnitedHealthcare Community & State	$31.48
Rate for Payer: Wellpoint Medicaid Managed Care	$28.29

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281RT
Hospital Charge Code	94064009R
Hospital Revenue Code	361
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$149.44
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

NEEDLELOC MAMMO GUIDE ADD LES

Facility

$414.45

Service Code	HCPCS 19282LT
Hospital Charge Code	94064011L
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

NEEDLELOC MAMMO GUIDE ADD LES

Facility

$414.45

Service Code	HCPCS 19282RT
Hospital Charge Code	94064011R
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

NEEDLELOC MAMMO GUIDE ADD LES

Facility

$414.45

Service Code	HCPCS 19282RT
Hospital Charge Code	94064011R
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

NEEDLELOC MAMMO GUIDE ADD LES

Facility

$414.45

Service Code	HCPCS 19282LT
Hospital Charge Code	94064011L
Hospital Revenue Code	361
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.76
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Community & State	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

NEEDLE LOC MRI GUIDE 1STLESION

Facility

$13,500.00

Service Code	HCPCS 1928750
Hospital Charge Code	94064021
Hospital Revenue Code	610
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

NEEDLE LOC MRI GUIDE 1STLESION

Facility

$13,500.00

Service Code	HCPCS 19287LT
Hospital Charge Code	94064021L
Hospital Revenue Code	610
Min. Negotiated Rate	$383.40
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,510.00
Rate for Payer: Oxford Commercial	$5,427.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Commercial	$6,130.00
Rate for Payer: UnitedHealthcare Community & State	$426.60
Rate for Payer: Wellpoint Medicaid Managed Care	$383.40

NEEDLE LOC MRI GUIDE 1STLESION

Facility

$13,500.00

Service Code	HCPCS 19287RT
Hospital Charge Code	94064021R
Hospital Revenue Code	610
Min. Negotiated Rate	$383.40
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,510.00
Rate for Payer: Oxford Commercial	$5,427.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Commercial	$6,130.00
Rate for Payer: UnitedHealthcare Community & State	$426.60
Rate for Payer: Wellpoint Medicaid Managed Care	$383.40

Know your out-of-pocket cost for care.

All Charges