Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NUCLEAR MOLECULAR DX ENZY DIG2

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476792
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX ENZY DIG3

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476793
Hospital Revenue Code	301
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

NUCLEAR MOLECULAR DX ENZY DIG3

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476793
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX ENZY DIG4

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476794
Hospital Revenue Code	301
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

NUCLEAR MOLECULAR DX ENZY DIG4

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476794
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX SEPARATIO

Facility

$44.00

Service Code	HCPCS 83894
Hospital Charge Code	38476242
Hospital Revenue Code	301
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

NUCLEAR MOLECULAR DX SEPARATIO

Facility

$44.00

Service Code	HCPCS 83894
Hospital Charge Code	38476242
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECUL DX PROBE W/AMP

Facility

$293.00

Service Code	HCPCS 83898
Hospital Charge Code	38476244
Hospital Revenue Code	301
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$111.34
Rate for Payer: Aetna Medicare Advantage	$87.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.72
Rate for Payer: Cigna Commercial	$146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.26
Rate for Payer: Wellpoint Medicaid Managed Care	$8.32

NUCLEAR MOLECUL DX PROBE W/AMP

Facility

$293.00

Service Code	HCPCS 83898
Hospital Charge Code	38476244
Hospital Revenue Code	301
Min. Negotiated Rate	$43.95
Max. Negotiated Rate	$43.95
Rate for Payer: Qualcare PPO/HMO/WC	$43.95

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	321079445
Hospital Revenue Code	340
Min. Negotiated Rate	$39.71
Max. Negotiated Rate	$4,820.00
Rate for Payer: Aetna Commercial	$754.01
Rate for Payer: Aetna Medicare Advantage	$898.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,005.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,005.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$277.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,005.58
Rate for Payer: Cigna Commercial	$555.67
Rate for Payer: Cigna Medicare Advantage	$194.05
Rate for Payer: Clover Medicare Advantage	$263.35
Rate for Payer: EmblemHealth Commercial	$831.63
Rate for Payer: Humana Medicare Advantage	$285.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$277.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.52
Rate for Payer: Oxford Commercial	$4,820.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.72
Rate for Payer: UnitedHealthcare Commercial	$4,748.00
Rate for Payer: UnitedHealthcare Community & State	$44.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$277.21
Rate for Payer: Wellcare Medicare Advantage	$277.21
Rate for Payer: Wellpoint Medicaid Managed Care	$39.71

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	321079445
Hospital Revenue Code	340
Min. Negotiated Rate	$209.72
Max. Negotiated Rate	$209.72
Rate for Payer: Qualcare PPO/HMO/WC	$209.72

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	4501005
Hospital Revenue Code	340
Min. Negotiated Rate	$39.71
Max. Negotiated Rate	$4,820.00
Rate for Payer: Aetna Commercial	$754.01
Rate for Payer: Aetna Medicare Advantage	$898.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,005.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,005.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$277.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,005.58
Rate for Payer: Cigna Commercial	$555.67
Rate for Payer: Cigna Medicare Advantage	$194.05
Rate for Payer: Clover Medicare Advantage	$263.35
Rate for Payer: EmblemHealth Commercial	$831.63
Rate for Payer: Humana Medicare Advantage	$285.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$277.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.52
Rate for Payer: Oxford Commercial	$4,820.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.72
Rate for Payer: UnitedHealthcare Commercial	$4,748.00
Rate for Payer: UnitedHealthcare Community & State	$44.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$277.21
Rate for Payer: Wellcare Medicare Advantage	$277.21
Rate for Payer: Wellpoint Medicaid Managed Care	$39.71

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	4501005
Hospital Revenue Code	340
Min. Negotiated Rate	$209.72
Max. Negotiated Rate	$209.72
Rate for Payer: Qualcare PPO/HMO/WC	$209.72

NUCLEIC ACID PROBE EA

Facility

$28.00

Service Code	HCPCS 83896
Hospital Charge Code	38478086
Hospital Revenue Code	301
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

NUCLEIC ACID PROBE EA

Facility

$28.00

Service Code	HCPCS 83896
Hospital Charge Code	38478086
Hospital Revenue Code	301
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

NUCLEID ACID PROBE EA

Facility

$28.00

Service Code	HCPCS 83896
Hospital Charge Code	38479452
Hospital Revenue Code	301
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

NUCLEID ACID PROBE EA

Facility

$28.00

Service Code	HCPCS 83896
Hospital Charge Code	38479452
Hospital Revenue Code	301
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

NUCLEOTOME3.5 PROBE KIT(US SUR

Facility

$3,503.00

Hospital Charge Code	270335426
Hospital Revenue Code	272
Min. Negotiated Rate	$99.49
Max. Negotiated Rate	$1,751.50
Rate for Payer: Aetna Commercial	$1,331.14
Rate for Payer: Aetna Medicare Advantage	$1,050.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$893.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$893.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$893.26
Rate for Payer: Cigna Commercial	$1,751.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.78
Rate for Payer: Oxford Commercial	$700.60
Rate for Payer: Qualcare PPO/HMO/WC	$525.45
Rate for Payer: UnitedHealthcare Commercial	$700.60
Rate for Payer: UnitedHealthcare Community & State	$110.69
Rate for Payer: Wellpoint Medicaid Managed Care	$99.49

NUCLEOTOME3.5 PROBE KIT(US SUR

Facility

$3,503.00

Hospital Charge Code	270335426
Hospital Revenue Code	272
Min. Negotiated Rate	$525.45
Max. Negotiated Rate	$525.45
Rate for Payer: Qualcare PPO/HMO/WC	$525.45

NUR CIRCUMCISION BY CLAMP

Facility

$5,823.00

Service Code	HCPCS 54150
Hospital Charge Code	73092010
Hospital Revenue Code	361
Min. Negotiated Rate	$873.45
Max. Negotiated Rate	$873.45
Rate for Payer: Qualcare PPO/HMO/WC	$873.45

NUR CIRCUMCISION BY CLAMP

Facility

$10,847.54

Service Code	HCPCS 54150
Hospital Charge Code	93082065
Hospital Revenue Code	361
Min. Negotiated Rate	$1,627.13
Max. Negotiated Rate	$1,627.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.13

NUR CIRCUMCISION BY CLAMP

Facility

$10,847.54

Service Code	HCPCS 54150
Hospital Charge Code	93082065
Hospital Revenue Code	361
Min. Negotiated Rate	$308.07
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,820.36
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.13
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$342.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$308.07

NUR CIRCUMCISION BY CLAMP

Facility

$5,823.00

Service Code	HCPCS 54150
Hospital Charge Code	73092010
Hospital Revenue Code	361
Min. Negotiated Rate	$165.37
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,513.98
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$873.45
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$184.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$165.37

NUR CIRCUMCISION BY SLIT

Facility

$1,727.00

Service Code	HCPCS 54160
Hospital Charge Code	93082070
Hospital Revenue Code	361
Min. Negotiated Rate	$49.05
Max. Negotiated Rate	$8,192.00
Rate for Payer: Aetna Commercial	$2,253.28
Rate for Payer: Aetna Medicare Advantage	$2,684.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,005.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,005.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$828.41
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	$3,005.06
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: Cigna Medicare Advantage	$828.41
Rate for Payer: Clover Medicare Advantage	$786.99
Rate for Payer: EmblemHealth Commercial	$2,485.23
Rate for Payer: Humana Medicare Advantage	$853.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$828.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$449.02
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$259.05
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$54.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$828.41
Rate for Payer: Wellcare Medicare Advantage	$828.41
Rate for Payer: Wellpoint Medicaid Managed Care	$49.05

NUR CIRCUMCISION BY SLIT

Facility

$5,823.00

Service Code	HCPCS 54160
Hospital Charge Code	73092015
Hospital Revenue Code	723
Min. Negotiated Rate	$77.00
Max. Negotiated Rate	$3,005.06
Rate for Payer: Aetna Commercial	$2,253.28
Rate for Payer: Aetna Medicare Advantage	$2,684.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,005.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,005.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$828.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,005.06
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: Cigna Medicare Advantage	$828.41
Rate for Payer: Clover Medicare Advantage	$786.99
Rate for Payer: EmblemHealth Commercial	$2,485.23
Rate for Payer: Humana Medicare Advantage	$853.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$828.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,513.98
Rate for Payer: Oxford Commercial	$1,164.60
Rate for Payer: Qualcare PPO/HMO/WC	$873.45
Rate for Payer: UnitedHealthcare Commercial	$1,164.60
Rate for Payer: UnitedHealthcare Community & State	$184.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$828.41
Rate for Payer: Wellcare Medicare Advantage	$828.41
Rate for Payer: Wellpoint Medicaid Managed Care	$165.37

Know your out-of-pocket cost for care.

All Charges