Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ASPIRATE PLEURA W IMAGINIG

Facility

$2,429.50

Service Code	HCPCS 32555
Hospital Charge Code	366832555
Hospital Revenue Code	361
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

ASPIRATE PLEURA W IMAGINIG

Facility

$2,429.50

Service Code	HCPCS 32555
Hospital Charge Code	366832555
Hospital Revenue Code	361
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
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	$2,703.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.67
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.43
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$76.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$69.00

ASPIRATE PLEURA W/O IMAGING

Facility

$2,873.16

Service Code	HCPCS 32554
Hospital Charge Code	16000639
Hospital Revenue Code	360
Min. Negotiated Rate	$430.97
Max. Negotiated Rate	$430.97
Rate for Payer: Qualcare PPO/HMO/WC	$430.97

ASPIRATE PLEURA W/O IMAGING

Facility

$2,873.16

Service Code	HCPCS 32554
Hospital Charge Code	16000639
Hospital Revenue Code	360
Min. Negotiated Rate	$81.60
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
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	$2,703.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.02
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$430.97
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$90.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$81.60

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,275.00

Service Code	HCPCS 32554
Hospital Charge Code	5701000
Hospital Revenue Code	450
Min. Negotiated Rate	$64.61
Max. Negotiated Rate	$2,703.39
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$364.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,703.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.50
Rate for Payer: Qualcare PPO/HMO/WC	$341.25
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$64.61

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,275.00

Service Code	HCPCS 32554
Hospital Charge Code	5701000
Hospital Revenue Code	450
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,275.00

Service Code	HCPCS 32554
Hospital Charge Code	7411380
Hospital Revenue Code	361
Min. Negotiated Rate	$64.61
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
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	$2,703.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.50
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$341.25
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$71.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$64.61

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,275.00

Service Code	HCPCS 32554
Hospital Charge Code	7411380
Hospital Revenue Code	361
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,275.00

Service Code	HCPCS 32554
Hospital Charge Code	5700312
Hospital Revenue Code	361
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

ASPIRATE PLEURA W/O IMAGINIG

Facility

$2,275.00

Service Code	HCPCS 32554
Hospital Charge Code	5700312
Hospital Revenue Code	361
Min. Negotiated Rate	$64.61
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
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	$2,703.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.50
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$341.25
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$71.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$64.61

ASPIRATING KIT

Facility

$1,085.00

Hospital Charge Code	270683741
Hospital Revenue Code	272
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$162.75
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

ASPIRATING KIT

Facility

$1,085.00

Hospital Charge Code	270683741
Hospital Revenue Code	272
Min. Negotiated Rate	$30.81
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$412.30
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.10
Rate for Payer: Oxford Commercial	$217.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Commercial	$217.00
Rate for Payer: UnitedHealthcare Community & State	$34.29
Rate for Payer: Wellpoint Medicaid Managed Care	$30.81

Aspirating Reservoir (Cell SAV

Facility

$335.50

Hospital Charge Code	270661374
Hospital Revenue Code	272
Min. Negotiated Rate	$50.33
Max. Negotiated Rate	$50.33
Rate for Payer: Qualcare PPO/HMO/WC	$50.33

Aspirating Reservoir (Cell SAV

Facility

$335.50

Hospital Charge Code	270661374
Hospital Revenue Code	272
Min. Negotiated Rate	$9.53
Max. Negotiated Rate	$167.75
Rate for Payer: Aetna Commercial	$127.49
Rate for Payer: Aetna Medicare Advantage	$100.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.55
Rate for Payer: Cigna Commercial	$167.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.23
Rate for Payer: Oxford Commercial	$67.10
Rate for Payer: Qualcare PPO/HMO/WC	$50.33
Rate for Payer: UnitedHealthcare Commercial	$67.10
Rate for Payer: UnitedHealthcare Community & State	$10.60
Rate for Payer: Wellpoint Medicaid Managed Care	$9.53

ASPIRATING TUBING

Facility

$96.00

Hospital Charge Code	270335496
Hospital Revenue Code	272
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

ASPIRATING TUBING

Facility

$96.00

Hospital Charge Code	270335496
Hospital Revenue Code	272
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$48.00
Rate for Payer: Aetna Commercial	$36.48
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.96
Rate for Payer: Oxford Commercial	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$19.20
Rate for Payer: UnitedHealthcare Community & State	$3.03
Rate for Payer: Wellpoint Medicaid Managed Care	$2.73

ASPIRATION ASSEMBLY A&A SOR100

Facility

$148.75

Hospital Charge Code	270616336
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.38
Rate for Payer: Aetna Commercial	$56.52
Rate for Payer: Aetna Medicare Advantage	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.93
Rate for Payer: Cigna Commercial	$74.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.67
Rate for Payer: Oxford Commercial	$29.75
Rate for Payer: Qualcare PPO/HMO/WC	$22.31
Rate for Payer: UnitedHealthcare Commercial	$29.75
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

ASPIRATION ASSEMBLY A&A SOR100

Facility

$148.75

Hospital Charge Code	270616336
Hospital Revenue Code	272
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$22.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.31

ASPIRATION ASSEMBLY HAE208

Facility

$145.50

Hospital Charge Code	270605800
Hospital Revenue Code	272
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$72.75
Rate for Payer: Aetna Commercial	$55.29
Rate for Payer: Aetna Medicare Advantage	$43.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.10
Rate for Payer: Cigna Commercial	$72.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.83
Rate for Payer: Oxford Commercial	$29.10
Rate for Payer: Qualcare PPO/HMO/WC	$21.82
Rate for Payer: UnitedHealthcare Commercial	$29.10
Rate for Payer: UnitedHealthcare Community & State	$4.60
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

ASPIRATION ASSEMBLY HAE208

Facility

$145.50

Hospital Charge Code	270605800
Hospital Revenue Code	272
Min. Negotiated Rate	$21.82
Max. Negotiated Rate	$21.82
Rate for Payer: Qualcare PPO/HMO/WC	$21.82

ASPIRATION KIT SMALL VOLUME

Facility

$750.00

Hospital Charge Code	270691941
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

ASPIRATION KIT SMALL VOLUME

Facility

$750.00

Hospital Charge Code	270691941
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

ASPIRATOR KIT 3H 4 NEEDLE

Facility

$1,085.00

Hospital Charge Code	270659844
Hospital Revenue Code	272
Min. Negotiated Rate	$30.81
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$412.30
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.10
Rate for Payer: Oxford Commercial	$217.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Commercial	$217.00
Rate for Payer: UnitedHealthcare Community & State	$34.29
Rate for Payer: Wellpoint Medicaid Managed Care	$30.81

ASPIRATOR KIT 3H 4 NEEDLE

Facility

$1,085.00

Hospital Charge Code	270659844
Hospital Revenue Code	272
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$162.75
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

ASPIRIN 300 MG SUPP

Facility

$9.78

Service Code	NDC 574703412
Hospital Charge Code	60627675
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Qualcare PPO/HMO/WC	$1.47

Know your out-of-pocket cost for care.

All Charges