Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NITINOL STAPLE KIT 12X12MM

Facility

$5,515.00

Hospital Charge Code	270699042
Hospital Revenue Code	278
Min. Negotiated Rate	$827.25
Max. Negotiated Rate	$1,334.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,103.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,334.63
Rate for Payer: Qualcare PPO/HMO/WC	$827.25

NITINOL STAPLE KIT 12X12MM

Facility

$5,515.00

Hospital Charge Code	270699042
Hospital Revenue Code	278
Min. Negotiated Rate	$156.63
Max. Negotiated Rate	$2,757.50
Rate for Payer: Aetna Commercial	$2,095.70
Rate for Payer: Aetna Medicare Advantage	$1,654.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,406.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,406.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,103.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,406.33
Rate for Payer: Cigna Commercial	$2,757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,334.63
Rate for Payer: Qualcare PPO/HMO/WC	$827.25
Rate for Payer: UnitedHealthcare Community & State	$174.27
Rate for Payer: Wellpoint Medicaid Managed Care	$156.63

NITINOL WIRES

Facility

$1,404.00

Hospital Charge Code	270704178
Hospital Revenue Code	279
Min. Negotiated Rate	$210.60
Max. Negotiated Rate	$210.60
Rate for Payer: Qualcare PPO/HMO/WC	$210.60

NITINOL WIRES

Facility

$1,404.00

Hospital Charge Code	270704178
Hospital Revenue Code	279
Min. Negotiated Rate	$39.87
Max. Negotiated Rate	$702.00
Rate for Payer: Aetna Commercial	$533.52
Rate for Payer: Aetna Medicare Advantage	$421.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.02
Rate for Payer: Cigna Commercial	$702.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$365.04
Rate for Payer: Oxford Commercial	$280.80
Rate for Payer: Qualcare PPO/HMO/WC	$210.60
Rate for Payer: UnitedHealthcare Commercial	$280.80
Rate for Payer: UnitedHealthcare Community & State	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

NITRAZINE PAPER W/DISPENS

Facility

$266.53

Service Code	NDC 3052620
Hospital Charge Code	60633527
Hospital Revenue Code	250
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$133.26
Rate for Payer: Aetna Commercial	$101.28
Rate for Payer: Aetna Medicare Advantage	$79.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.97
Rate for Payer: Cigna Commercial	$133.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.30
Rate for Payer: Oxford Commercial	$53.31
Rate for Payer: Qualcare PPO/HMO/WC	$39.98
Rate for Payer: UnitedHealthcare Commercial	$53.31
Rate for Payer: UnitedHealthcare Community & State	$8.42
Rate for Payer: Wellpoint Medicaid Managed Care	$7.57

NITRAZINE PAPER W/DISPENS

Facility

$266.53

Service Code	NDC 3052620
Hospital Charge Code	60633527
Hospital Revenue Code	250
Min. Negotiated Rate	$39.98
Max. Negotiated Rate	$39.98
Rate for Payer: Qualcare PPO/HMO/WC	$39.98

NITRIC OXIDE PER HOUR

Facility

$1,288.05

Hospital Charge Code	31701001
Hospital Revenue Code	270
Min. Negotiated Rate	$36.58
Max. Negotiated Rate	$644.02
Rate for Payer: Aetna Commercial	$489.46
Rate for Payer: Aetna Medicare Advantage	$386.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$328.45
Rate for Payer: Cigna Commercial	$644.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.89
Rate for Payer: Oxford Commercial	$257.61
Rate for Payer: Qualcare PPO/HMO/WC	$193.21
Rate for Payer: UnitedHealthcare Commercial	$257.61
Rate for Payer: UnitedHealthcare Community & State	$40.70
Rate for Payer: Wellpoint Medicaid Managed Care	$36.58

NITRIC OXIDE PER HOUR

Facility

$1,288.05

Hospital Charge Code	31701001
Hospital Revenue Code	270
Min. Negotiated Rate	$193.21
Max. Negotiated Rate	$193.21
Rate for Payer: Qualcare PPO/HMO/WC	$193.21

NITRODUR PATCH .2MG/1HR

Facility

$17.42

Service Code	NDC 47781029703
Hospital Charge Code	6006613
Hospital Revenue Code	250
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.71
Rate for Payer: Aetna Commercial	$6.62
Rate for Payer: Aetna Medicare Advantage	$5.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.44
Rate for Payer: Cigna Commercial	$8.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.53
Rate for Payer: Oxford Commercial	$3.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.61
Rate for Payer: UnitedHealthcare Commercial	$3.48
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

NITRODUR PATCH .2MG/1HR

Facility

$17.42

Service Code	NDC 47781029703
Hospital Charge Code	6006613
Hospital Revenue Code	250
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$2.61
Rate for Payer: Qualcare PPO/HMO/WC	$2.61

NITROFURANTOIN 25MG/5ML SUSP

Facility

$106.40

Service Code	NDC 66993047173
Hospital Charge Code	6063943149
Hospital Revenue Code	250
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$53.20
Rate for Payer: Aetna Commercial	$40.43
Rate for Payer: Aetna Medicare Advantage	$31.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.13
Rate for Payer: Cigna Commercial	$53.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.66
Rate for Payer: Oxford Commercial	$21.28
Rate for Payer: Qualcare PPO/HMO/WC	$15.96
Rate for Payer: UnitedHealthcare Commercial	$21.28
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

NITROFURANTOIN 25MG/5ML SUSP

Facility

$106.40

Service Code	NDC 66993047173
Hospital Charge Code	6063943149
Hospital Revenue Code	250
Min. Negotiated Rate	$15.96
Max. Negotiated Rate	$15.96
Rate for Payer: Qualcare PPO/HMO/WC	$15.96

NITROFURANTOIN NITROF CAP100MG

Facility

$114.70

Service Code	NDC 52427028501
Hospital Charge Code	60627353
Hospital Revenue Code	251
Min. Negotiated Rate	$3.26
Max. Negotiated Rate	$57.35
Rate for Payer: Aetna Commercial	$43.59
Rate for Payer: Aetna Medicare Advantage	$34.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.25
Rate for Payer: Cigna Commercial	$57.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.82
Rate for Payer: Oxford Commercial	$22.94
Rate for Payer: Qualcare PPO/HMO/WC	$17.20
Rate for Payer: UnitedHealthcare Commercial	$22.94
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.26

NITROFURANTOIN NITROF CAP100MG

Facility

$114.70

Service Code	NDC 52427028501
Hospital Charge Code	60627353
Hospital Revenue Code	251
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$17.20
Rate for Payer: Qualcare PPO/HMO/WC	$17.20

NITROGEN K TANK 230 CU FT

Facility

$61.05

Hospital Charge Code	270653906
Hospital Revenue Code	272
Min. Negotiated Rate	$9.16
Max. Negotiated Rate	$9.16
Rate for Payer: Qualcare PPO/HMO/WC	$9.16

NITROGEN K TANK 230 CU FT

Facility

$61.05

Hospital Charge Code	270653906
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$30.52
Rate for Payer: Aetna Commercial	$23.20
Rate for Payer: Aetna Medicare Advantage	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.57
Rate for Payer: Cigna Commercial	$30.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.87
Rate for Payer: Oxford Commercial	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$9.16
Rate for Payer: UnitedHealthcare Commercial	$12.21
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1.73

NITROGLYCERIN 0.4 MG TAB

Facility

$4.00

Service Code	NDC 71041813
Hospital Charge Code	6013049
Hospital Revenue Code	251
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NITROGLYCERIN 0.4 MG TAB

Facility

$4.00

Service Code	NDC 71041813
Hospital Charge Code	6013049
Hospital Revenue Code	251
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NITROGLYCERIN 2.5 MG ER CAP

Facility

$4.62

Service Code	NDC 904064360
Hospital Charge Code	60627658
Hospital Revenue Code	250
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$0.69
Rate for Payer: Qualcare PPO/HMO/WC	$0.69

NITROGLYCERIN 2.5 MG ER CAP

Facility

$4.62

Service Code	NDC 904064360
Hospital Charge Code	60627658
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.31
Rate for Payer: Aetna Commercial	$1.76
Rate for Payer: Aetna Medicare Advantage	$1.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.18
Rate for Payer: Cigna Commercial	$2.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.92
Rate for Payer: Qualcare PPO/HMO/WC	$0.69
Rate for Payer: UnitedHealthcare Commercial	$0.92
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

NITROGLYCERIN 2% OINTMENT UD

Facility

$12.55

Hospital Charge Code	60627657R
Hospital Revenue Code	250
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

NITROGLYCERIN 2% OINTMENT UD

Facility

$20.30

Service Code	NDC 281032608
Hospital Charge Code	60627657
Hospital Revenue Code	250
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$10.15
Rate for Payer: Aetna Commercial	$7.71
Rate for Payer: Aetna Medicare Advantage	$6.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.18
Rate for Payer: Cigna Commercial	$10.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.28
Rate for Payer: Oxford Commercial	$4.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$4.06
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

NITROGLYCERIN 2% OINTMENT UD

Facility

$12.55

Hospital Charge Code	60627657R
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.28
Rate for Payer: Aetna Commercial	$4.77
Rate for Payer: Aetna Medicare Advantage	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.20
Rate for Payer: Cigna Commercial	$6.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.26
Rate for Payer: Oxford Commercial	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.51
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

NITROGLYCERIN 2% OINTMENT UD

Facility

$20.30

Service Code	NDC 281032608
Hospital Charge Code	60627657
Hospital Revenue Code	250
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

NITROGLYCERIN 50MG/10ML INJ

Facility

$108.88

Service Code	NDC 517481025
Hospital Charge Code	6003958
Hospital Revenue Code	250
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$54.44
Rate for Payer: Aetna Commercial	$41.37
Rate for Payer: Aetna Medicare Advantage	$32.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.76
Rate for Payer: Cigna Commercial	$54.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Oxford Commercial	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$16.33
Rate for Payer: UnitedHealthcare Commercial	$21.78
Rate for Payer: UnitedHealthcare Community & State	$3.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.09

Know your out-of-pocket cost for care.

All Charges