Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEOSPORIN G.U. IRRIGANT

Facility

$860.95

Service Code	NDC 61570004710
Hospital Charge Code	60633525
Hospital Revenue Code	250
Min. Negotiated Rate	$129.14
Max. Negotiated Rate	$129.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.14

NEOSTIGMINE 1 1000 (1MG ML) IV

Facility

$114.24

Service Code	HCPCS J2710
Hospital Charge Code	60630060
Hospital Revenue Code	636
Min. Negotiated Rate	$17.14
Max. Negotiated Rate	$27.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.14

NEOSTIGMINE 1 1000 (1MG ML) IV

Facility

$114.24

Service Code	HCPCS J2710
Hospital Charge Code	60630060
Hospital Revenue Code	636
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$57.12
Rate for Payer: Aetna Commercial	$43.41
Rate for Payer: Aetna Medicare Advantage	$34.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.13
Rate for Payer: Cigna Commercial	$57.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.14
Rate for Payer: UnitedHealthcare Community & State	$3.61
Rate for Payer: Wellpoint Medicaid Managed Care	$3.24

NEOSTIGMINE 1MG/ML (5ML) SYR

Facility

$341.70

Service Code	HCPCS J2710
Hospital Charge Code	6063943336
Hospital Revenue Code	636
Min. Negotiated Rate	$51.26
Max. Negotiated Rate	$82.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.69
Rate for Payer: Qualcare PPO/HMO/WC	$51.26

NEOSTIGMINE 1MG/ML (5ML) SYR

Facility

$341.70

Service Code	HCPCS J2710
Hospital Charge Code	6063943336
Hospital Revenue Code	636
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$170.85
Rate for Payer: Aetna Commercial	$129.85
Rate for Payer: Aetna Medicare Advantage	$102.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.13
Rate for Payer: Cigna Commercial	$170.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.69
Rate for Payer: Qualcare PPO/HMO/WC	$51.26
Rate for Payer: UnitedHealthcare Community & State	$10.80
Rate for Payer: Wellpoint Medicaid Managed Care	$9.70

NEOSTIGMINE 2MG/2ML SYRINGE

Facility

$152.43

Service Code	HCPCS J2710
Hospital Charge Code	606380027
Hospital Revenue Code	636
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$76.22
Rate for Payer: Aetna Commercial	$57.92
Rate for Payer: Aetna Medicare Advantage	$45.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.87
Rate for Payer: Cigna Commercial	$76.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.86
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$4.33

NEOSTIGMINE 2MG/2ML SYRINGE

Facility

$152.43

Service Code	HCPCS J2710
Hospital Charge Code	606380027
Hospital Revenue Code	636
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$36.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.86

NEOSTIGMINE 3MG/3ML SYRINGE

Facility

$221.10

Service Code	HCPCS J2710
Hospital Charge Code	6063943361
Hospital Revenue Code	636
Min. Negotiated Rate	$6.28
Max. Negotiated Rate	$110.55
Rate for Payer: Aetna Commercial	$84.02
Rate for Payer: Aetna Medicare Advantage	$66.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.38
Rate for Payer: Cigna Commercial	$110.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.16
Rate for Payer: UnitedHealthcare Community & State	$6.99
Rate for Payer: Wellpoint Medicaid Managed Care	$6.28

NEOSTIGMINE 3MG/3ML SYRINGE

Facility

$221.10

Service Code	HCPCS J2710
Hospital Charge Code	6063943361
Hospital Revenue Code	636
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$53.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.16

NEOSTIGMINE 3MG/3ML VIAL

Facility

$68.68

Service Code	HCPCS J2710
Hospital Charge Code	606390265
Hospital Revenue Code	636
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$34.34
Rate for Payer: Aetna Commercial	$26.10
Rate for Payer: Aetna Medicare Advantage	$20.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.51
Rate for Payer: Cigna Commercial	$34.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.30
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

NEOSTIGMINE 3MG/3ML VIAL

Facility

$68.68

Service Code	HCPCS J2710
Hospital Charge Code	606390265
Hospital Revenue Code	636
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$16.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.30

NEO-VAC SUCTION CATHETER 3.5

Facility

$75.00

Hospital Charge Code	270332273
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

NEO-VAC SUCTION CATHETER 3.5

Facility

$75.00

Hospital Charge Code	270332273
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

NEPHELOMETRY, EACH, ANALYTE 1

Facility

$450.27

Service Code	HCPCS 83883
Hospital Charge Code	3000401A
Hospital Revenue Code	301
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$225.13
Rate for Payer: Aetna Commercial	$36.99
Rate for Payer: Aetna Medicare Advantage	$44.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.33
Rate for Payer: Cigna Commercial	$225.13
Rate for Payer: Cigna Medicare Advantage	$13.60
Rate for Payer: Clover Medicare Advantage	$12.92
Rate for Payer: EmblemHealth Commercial	$40.80
Rate for Payer: Humana Medicare Advantage	$14.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.07
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.54
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.60
Rate for Payer: Wellcare Medicare Advantage	$13.60
Rate for Payer: Wellpoint Medicaid Managed Care	$12.79

NEPHELOMETRY, EACH, ANALYTE 1

Facility

$450.27

Service Code	HCPCS 83883
Hospital Charge Code	3000401A
Hospital Revenue Code	301
Min. Negotiated Rate	$67.54
Max. Negotiated Rate	$67.54
Rate for Payer: Qualcare PPO/HMO/WC	$67.54

NEPHELOMETRY, EACH, ANALYTE 2

Facility

$450.27

Service Code	HCPCS 83883
Hospital Charge Code	3000401B
Hospital Revenue Code	301
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$225.13
Rate for Payer: Aetna Commercial	$36.99
Rate for Payer: Aetna Medicare Advantage	$44.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.33
Rate for Payer: Cigna Commercial	$225.13
Rate for Payer: Cigna Medicare Advantage	$13.60
Rate for Payer: Clover Medicare Advantage	$12.92
Rate for Payer: EmblemHealth Commercial	$40.80
Rate for Payer: Humana Medicare Advantage	$14.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.07
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.54
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.60
Rate for Payer: Wellcare Medicare Advantage	$13.60
Rate for Payer: Wellpoint Medicaid Managed Care	$12.79

NEPHELOMETRY, EACH, ANALYTE 2

Facility

$450.27

Service Code	HCPCS 83883
Hospital Charge Code	3000401B
Hospital Revenue Code	301
Min. Negotiated Rate	$67.54
Max. Negotiated Rate	$67.54
Rate for Payer: Qualcare PPO/HMO/WC	$67.54

NEPHRITIS AND NEPHROSIS

Facility

$8,558.27

Service Code	APR-DRG 4622
Min. Negotiated Rate	$8,390.46
Max. Negotiated Rate	$8,558.27
Rate for Payer: UnitedHealthcare Community & State	$8,390.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,558.27
Rate for Payer: Wellpoint Medicaid Managed Care	$8,390.46

NEPHRITIS AND NEPHROSIS

Facility

$15,641.98

Service Code	APR-DRG 4623
Min. Negotiated Rate	$15,335.27
Max. Negotiated Rate	$15,641.98
Rate for Payer: UnitedHealthcare Community & State	$15,335.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,641.98
Rate for Payer: Wellpoint Medicaid Managed Care	$15,335.27

NEPHRITIS AND NEPHROSIS

Facility

$5,887.16

Service Code	APR-DRG 4621
Min. Negotiated Rate	$5,771.73
Max. Negotiated Rate	$5,887.16
Rate for Payer: UnitedHealthcare Community & State	$5,771.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,887.16
Rate for Payer: Wellpoint Medicaid Managed Care	$5,771.73

NEPHRITIS AND NEPHROSIS

Facility

$30,170.31

Service Code	APR-DRG 4624
Min. Negotiated Rate	$29,578.74
Max. Negotiated Rate	$30,170.31
Rate for Payer: UnitedHealthcare Community & State	$29,578.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,170.31
Rate for Payer: Wellpoint Medicaid Managed Care	$29,578.74

NEPHRO BALLOON ULTRAXXCATH 6CM

Facility

$1,370.25

Service Code	HCPCS C1729
Hospital Charge Code	270693483
Hospital Revenue Code	278
Min. Negotiated Rate	$38.92
Max. Negotiated Rate	$685.12
Rate for Payer: Aetna Commercial	$520.70
Rate for Payer: Aetna Medicare Advantage	$411.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.41
Rate for Payer: Cigna Commercial	$685.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.60
Rate for Payer: Qualcare PPO/HMO/WC	$205.54
Rate for Payer: UnitedHealthcare Community & State	$43.30
Rate for Payer: Wellpoint Medicaid Managed Care	$38.92

NEPHRO BALLOON ULTRAXXCATH 6CM

Facility

$1,370.25

Service Code	HCPCS C1729
Hospital Charge Code	270693483
Hospital Revenue Code	278
Min. Negotiated Rate	$205.54
Max. Negotiated Rate	$331.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.60
Rate for Payer: Qualcare PPO/HMO/WC	$205.54

NEPHROGENOUS CYCLIC AMP

Facility

$391.00

Service Code	HCPCS 82030
Hospital Charge Code	38476219
Hospital Revenue Code	307
Min. Negotiated Rate	$58.65
Max. Negotiated Rate	$58.65
Rate for Payer: Qualcare PPO/HMO/WC	$58.65

NEPHROGENOUS CYCLIC AMP

Facility

$391.00

Service Code	HCPCS 82030
Hospital Charge Code	38476219
Hospital Revenue Code	307
Min. Negotiated Rate	$11.10
Max. Negotiated Rate	$195.50
Rate for Payer: Aetna Commercial	$70.18
Rate for Payer: Aetna Medicare Advantage	$83.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.59
Rate for Payer: Cigna Commercial	$195.50
Rate for Payer: Cigna Medicare Advantage	$25.80
Rate for Payer: Clover Medicare Advantage	$24.51
Rate for Payer: EmblemHealth Commercial	$77.40
Rate for Payer: Humana Medicare Advantage	$26.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.80
Rate for Payer: Wellcare Medicare Advantage	$25.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.10

Know your out-of-pocket cost for care.

All Charges