Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE TUOHY 17GX6 INCH 1401

Facility

$131.60

Hospital Charge Code	270637210
Hospital Revenue Code	272
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$65.80
Rate for Payer: Aetna Commercial	$50.01
Rate for Payer: Aetna Medicare Advantage	$39.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.56
Rate for Payer: Cigna Commercial	$65.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.22
Rate for Payer: Oxford Commercial	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$19.74
Rate for Payer: UnitedHealthcare Commercial	$26.32
Rate for Payer: UnitedHealthcare Community & State	$4.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.74

NEEDLE TUOHY 17GX6 INCH 1401

Facility

$131.60

Hospital Charge Code	270637210
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$19.74
Rate for Payer: Qualcare PPO/HMO/WC	$19.74

NEEDLE TUOHY 20G 3-1/2 405028

Facility

$18.64

Hospital Charge Code	270604862
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$9.32
Rate for Payer: Aetna Commercial	$7.08
Rate for Payer: Aetna Medicare Advantage	$5.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.75
Rate for Payer: Cigna Commercial	$9.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.85
Rate for Payer: Oxford Commercial	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$3.73
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

NEEDLE TUOHY 20G 3-1/2 405028

Facility

$18.64

Hospital Charge Code	270604862
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

NEEDLE VARIABLE INJ 23G LDV123

Facility

$405.00

Hospital Charge Code	270626206
Hospital Revenue Code	272
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Commercial	$81.00
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

NEEDLE VARIABLE INJ 23G LDV123

Facility

$405.00

Hospital Charge Code	270626206
Hospital Revenue Code	272
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

NEEDLE VARIJECT INJECT #1125

Facility

$231.25

Hospital Charge Code	270603945
Hospital Revenue Code	272
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

NEEDLE VARIJECT INJECT #1125

Facility

$231.25

Hospital Charge Code	270603945
Hospital Revenue Code	272
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$87.88
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.12
Rate for Payer: Oxford Commercial	$46.25
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$46.25
Rate for Payer: UnitedHealthcare Community & State	$7.31
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

NEEDLE VERESS 12MM

Facility

$224.83

Hospital Charge Code	270658414
Hospital Revenue Code	272
Min. Negotiated Rate	$33.72
Max. Negotiated Rate	$33.72
Rate for Payer: Qualcare PPO/HMO/WC	$33.72

NEEDLE VERESS 12MM

Facility

$224.83

Hospital Charge Code	270658414
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.42
Rate for Payer: Aetna Commercial	$85.44
Rate for Payer: Aetna Medicare Advantage	$67.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.33
Rate for Payer: Cigna Commercial	$112.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.46
Rate for Payer: Oxford Commercial	$44.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.72
Rate for Payer: UnitedHealthcare Commercial	$44.97
Rate for Payer: UnitedHealthcare Community & State	$7.10
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

NEEDLE VERRES 120MM DISP STR

Facility

$66.30

Hospital Charge Code	270651810
Hospital Revenue Code	272
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$9.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.95

NEEDLE VERRES 120MM DISP STR

Facility

$66.30

Hospital Charge Code	270651810
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$33.15
Rate for Payer: Aetna Commercial	$25.19
Rate for Payer: Aetna Medicare Advantage	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.91
Rate for Payer: Cigna Commercial	$33.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Oxford Commercial	$13.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.95
Rate for Payer: UnitedHealthcare Commercial	$13.26
Rate for Payer: UnitedHealthcare Community & State	$2.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

NEEDLE VERRES 150MM DISP STR

Facility

$217.18

Hospital Charge Code	270600055
Hospital Revenue Code	272
Min. Negotiated Rate	$32.58
Max. Negotiated Rate	$32.58
Rate for Payer: Qualcare PPO/HMO/WC	$32.58

NEEDLE VERRES 150MM DISP STR

Facility

$217.18

Hospital Charge Code	270600055
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$108.59
Rate for Payer: Aetna Commercial	$82.53
Rate for Payer: Aetna Medicare Advantage	$65.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.38
Rate for Payer: Cigna Commercial	$108.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.47
Rate for Payer: Oxford Commercial	$43.44
Rate for Payer: Qualcare PPO/HMO/WC	$32.58
Rate for Payer: UnitedHealthcare Commercial	$43.44
Rate for Payer: UnitedHealthcare Community & State	$6.86
Rate for Payer: Wellpoint Medicaid Managed Care	$6.17

NEEDLE VERRES 150MM PN150

Facility

$123.50

Hospital Charge Code	270608758
Hospital Revenue Code	272
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$18.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.52

NEEDLE VERRES 150MM PN150

Facility

$123.50

Hospital Charge Code	270608758
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$61.75
Rate for Payer: Aetna Commercial	$46.93
Rate for Payer: Aetna Medicare Advantage	$37.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.49
Rate for Payer: Cigna Commercial	$61.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.11
Rate for Payer: Oxford Commercial	$24.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.52
Rate for Payer: UnitedHealthcare Commercial	$24.70
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

NEEDLE VIZISHOT EBUS-TBNA

Facility

$575.18

Hospital Charge Code	270675838
Hospital Revenue Code	272
Min. Negotiated Rate	$16.34
Max. Negotiated Rate	$287.59
Rate for Payer: Aetna Commercial	$218.57
Rate for Payer: Aetna Medicare Advantage	$172.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.67
Rate for Payer: Cigna Commercial	$287.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.55
Rate for Payer: Oxford Commercial	$115.04
Rate for Payer: Qualcare PPO/HMO/WC	$86.28
Rate for Payer: UnitedHealthcare Commercial	$115.04
Rate for Payer: UnitedHealthcare Community & State	$18.18
Rate for Payer: Wellpoint Medicaid Managed Care	$16.34

NEEDLE VIZISHOT EBUS-TBNA

Facility

$575.18

Hospital Charge Code	270675838
Hospital Revenue Code	272
Min. Negotiated Rate	$86.28
Max. Negotiated Rate	$86.28
Rate for Payer: Qualcare PPO/HMO/WC	$86.28

NEEDLE XBRAID S VMO-6

Facility

$225.00

Service Code	HCPCS C1714
Hospital Charge Code	270701809
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

NEEDLE XBRAID S VMO-6

Facility

$225.00

Service Code	HCPCS C1714
Hospital Charge Code	270701809
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

NEFAZODONE 100MG TAB

Facility

$32.16

Service Code	NDC 93102406
Hospital Charge Code	6063943146
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$16.08
Rate for Payer: Aetna Commercial	$12.22
Rate for Payer: Aetna Medicare Advantage	$9.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.20
Rate for Payer: Cigna Commercial	$16.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.36
Rate for Payer: Oxford Commercial	$6.43
Rate for Payer: Qualcare PPO/HMO/WC	$4.82
Rate for Payer: UnitedHealthcare Commercial	$6.43
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

NEFAZODONE 100MG TAB

Facility

$32.16

Service Code	NDC 93102406
Hospital Charge Code	6063943146
Hospital Revenue Code	250
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$4.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.82

NEG PRESS WND TX </=50 SQ CM

Facility

$1,471.38

Service Code	HCPCS 97607
Hospital Charge Code	1600000771
Hospital Revenue Code	360
Min. Negotiated Rate	$41.79
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.56
Rate for Payer: Qualcare PPO/HMO/WC	$220.71
Rate for Payer: UnitedHealthcare Community & State	$46.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$41.79

NEG PRESS WND TX </=50 SQ CM

Facility

$1,471.38

Service Code	HCPCS 97607
Hospital Charge Code	1600000771
Hospital Revenue Code	360
Min. Negotiated Rate	$220.71
Max. Negotiated Rate	$220.71
Rate for Payer: Qualcare PPO/HMO/WC	$220.71

NEG PRESS WOUND TX<=50CN

Facility

$826.36

Service Code	HCPCS 97605
Hospital Charge Code	1600000699
Hospital Revenue Code	360
Min. Negotiated Rate	$23.47
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
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	$864.65
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.85
Rate for Payer: Qualcare PPO/HMO/WC	$123.95
Rate for Payer: UnitedHealthcare Community & State	$26.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$23.47

Know your out-of-pocket cost for care.

All Charges