Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NUT BUTTRESS COMPRESSION

Facility

$3,229.65

Service Code	HCPCS A4649
Hospital Charge Code	270697682
Hospital Revenue Code	270
Min. Negotiated Rate	$484.45
Max. Negotiated Rate	$484.45
Rate for Payer: Qualcare PPO/HMO/WC	$484.45

NUT OUTER MNTR H/H X-CONN

Facility

$785.00

Hospital Charge Code	270663779
Hospital Revenue Code	272
Min. Negotiated Rate	$117.75
Max. Negotiated Rate	$117.75
Rate for Payer: Qualcare PPO/HMO/WC	$117.75

NUT OUTER MNTR H/H X-CONN

Facility

$785.00

Hospital Charge Code	270663779
Hospital Revenue Code	272
Min. Negotiated Rate	$22.29
Max. Negotiated Rate	$392.50
Rate for Payer: Aetna Commercial	$298.30
Rate for Payer: Aetna Medicare Advantage	$235.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.18
Rate for Payer: Cigna Commercial	$392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.10
Rate for Payer: Oxford Commercial	$157.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.75
Rate for Payer: UnitedHealthcare Commercial	$157.00
Rate for Payer: UnitedHealthcare Community & State	$24.81
Rate for Payer: Wellpoint Medicaid Managed Care	$22.29

NUT RETAINING

Facility

$276.00

Hospital Charge Code	270693551
Hospital Revenue Code	278
Min. Negotiated Rate	$41.40
Max. Negotiated Rate	$66.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.79
Rate for Payer: Qualcare PPO/HMO/WC	$41.40

NUT RETAINING

Facility

$276.00

Hospital Charge Code	270693551
Hospital Revenue Code	278
Min. Negotiated Rate	$7.84
Max. Negotiated Rate	$138.00
Rate for Payer: Aetna Commercial	$104.88
Rate for Payer: Aetna Medicare Advantage	$82.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.38
Rate for Payer: Cigna Commercial	$138.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.79
Rate for Payer: Qualcare PPO/HMO/WC	$41.40
Rate for Payer: UnitedHealthcare Community & State	$8.72
Rate for Payer: Wellpoint Medicaid Managed Care	$7.84

NUTRIT COUNSEL 30 MIN

Facility

$209.00

Service Code	HCPCS 99402
Hospital Charge Code	9200034
Hospital Revenue Code	519
Min. Negotiated Rate	$31.35
Max. Negotiated Rate	$31.35
Rate for Payer: Qualcare PPO/HMO/WC	$31.35

NUTRIT COUNSEL 30 MIN

Facility

$209.00

Service Code	HCPCS 99402
Hospital Charge Code	9200034
Hospital Revenue Code	519
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$104.50
Rate for Payer: Aetna Commercial	$79.42
Rate for Payer: Aetna Medicare Advantage	$62.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.30
Rate for Payer: Cigna Commercial	$104.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.34
Rate for Payer: Qualcare PPO/HMO/WC	$31.35
Rate for Payer: UnitedHealthcare Community & State	$6.60
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

NUTRIT COUNSEL 45 MIN

Facility

$299.00

Service Code	HCPCS 99403
Hospital Charge Code	9200035
Hospital Revenue Code	519
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$44.85
Rate for Payer: Qualcare PPO/HMO/WC	$44.85

NUTRIT COUNSEL 45 MIN

Facility

$299.00

Service Code	HCPCS 99403
Hospital Charge Code	9200035
Hospital Revenue Code	519
Min. Negotiated Rate	$8.49
Max. Negotiated Rate	$149.50
Rate for Payer: Aetna Commercial	$113.62
Rate for Payer: Aetna Medicare Advantage	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$149.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.74
Rate for Payer: Qualcare PPO/HMO/WC	$44.85
Rate for Payer: UnitedHealthcare Community & State	$9.45
Rate for Payer: Wellpoint Medicaid Managed Care	$8.49

NUTRIT COUNSEL 60 MIN

Facility

$359.00

Service Code	HCPCS 99404
Hospital Charge Code	9200036
Hospital Revenue Code	519
Min. Negotiated Rate	$53.85
Max. Negotiated Rate	$53.85
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

NUTRIT COUNSEL 60 MIN

Facility

$359.00

Service Code	HCPCS 99404
Hospital Charge Code	9200036
Hospital Revenue Code	519
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$179.50
Rate for Payer: Aetna Commercial	$136.42
Rate for Payer: Aetna Medicare Advantage	$107.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.55
Rate for Payer: Cigna Commercial	$179.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.34
Rate for Payer: Qualcare PPO/HMO/WC	$53.85
Rate for Payer: UnitedHealthcare Community & State	$11.34
Rate for Payer: Wellpoint Medicaid Managed Care	$10.20

NUTRIT COUNSEL GROUP 30 MIN

Facility

$79.00

Service Code	HCPCS 99411
Hospital Charge Code	9200037
Hospital Revenue Code	519
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

NUTRIT COUNSEL GROUP 30 MIN

Facility

$79.00

Service Code	HCPCS 99411
Hospital Charge Code	9200037
Hospital Revenue Code	519
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$39.50
Rate for Payer: Aetna Commercial	$30.02
Rate for Payer: Aetna Medicare Advantage	$23.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.14
Rate for Payer: Cigna Commercial	$39.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.54
Rate for Payer: Qualcare PPO/HMO/WC	$11.85
Rate for Payer: UnitedHealthcare Community & State	$2.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2.24

NUTRIT COUNSEL GROUP 60 MIN

Facility

$118.00

Service Code	HCPCS 99412
Hospital Charge Code	9200038
Hospital Revenue Code	519
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

NUTRIT COUNSEL GROUP 60 MIN

Facility

$118.00

Service Code	HCPCS 99412
Hospital Charge Code	9200038
Hospital Revenue Code	519
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$59.00
Rate for Payer: Aetna Commercial	$44.84
Rate for Payer: Aetna Medicare Advantage	$35.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.09
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.68
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Community & State	$3.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.35

NUTRIT INITIAL ASSESS EACH 15

Facility

$164.00

Service Code	HCPCS 97802
Hospital Charge Code	9200041
Hospital Revenue Code	942
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$1,203.00
Rate for Payer: Aetna Commercial	$62.32
Rate for Payer: Aetna Medicare Advantage	$49.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.82
Rate for Payer: Cigna Commercial	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.64
Rate for Payer: Oxford Commercial	$1,060.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.60
Rate for Payer: UnitedHealthcare Commercial	$1,203.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.66

NUTRIT INITIAL ASSESS EACH 15

Facility

$164.00

Service Code	HCPCS 97802
Hospital Charge Code	9200041
Hospital Revenue Code	942
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

NUTRIT REASSES EACH 15 MINUTES

Facility

$164.00

Service Code	HCPCS 97803
Hospital Charge Code	9200042
Hospital Revenue Code	942
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$1,203.00
Rate for Payer: Aetna Commercial	$62.32
Rate for Payer: Aetna Medicare Advantage	$49.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.82
Rate for Payer: Cigna Commercial	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.64
Rate for Payer: Oxford Commercial	$1,060.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.60
Rate for Payer: UnitedHealthcare Commercial	$1,203.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.66

NUTRIT REASSES EACH 15 MINUTES

Facility

$164.00

Service Code	HCPCS 97803
Hospital Charge Code	9200042
Hospital Revenue Code	942
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

NUT SALVATION

Facility

$115.00

Hospital Charge Code	270684461
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

NUT SALVATION

Facility

$115.00

Hospital Charge Code	270684461
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

NUTS ORTHO BONE

Facility

$208.15

Hospital Charge Code	270691903
Hospital Revenue Code	272
Min. Negotiated Rate	$31.22
Max. Negotiated Rate	$31.22
Rate for Payer: Qualcare PPO/HMO/WC	$31.22

NUTS ORTHO BONE

Facility

$208.15

Hospital Charge Code	270691903
Hospital Revenue Code	272
Min. Negotiated Rate	$5.91
Max. Negotiated Rate	$104.08
Rate for Payer: Aetna Commercial	$79.10
Rate for Payer: Aetna Medicare Advantage	$62.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.08
Rate for Payer: Cigna Commercial	$104.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.12
Rate for Payer: Oxford Commercial	$41.63
Rate for Payer: Qualcare PPO/HMO/WC	$31.22
Rate for Payer: UnitedHealthcare Commercial	$41.63
Rate for Payer: UnitedHealthcare Community & State	$6.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.91

NUT SPEED

Facility

$704.50

Hospital Charge Code	270678088
Hospital Revenue Code	278
Min. Negotiated Rate	$20.01
Max. Negotiated Rate	$352.25
Rate for Payer: Aetna Commercial	$267.71
Rate for Payer: Aetna Medicare Advantage	$211.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.65
Rate for Payer: Cigna Commercial	$352.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.49
Rate for Payer: Qualcare PPO/HMO/WC	$105.67
Rate for Payer: UnitedHealthcare Community & State	$22.26
Rate for Payer: Wellpoint Medicaid Managed Care	$20.01

NUT SPEED

Facility

$704.50

Hospital Charge Code	270678088
Hospital Revenue Code	278
Min. Negotiated Rate	$105.67
Max. Negotiated Rate	$170.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.49
Rate for Payer: Qualcare PPO/HMO/WC	$105.67

Know your out-of-pocket cost for care.

All Charges