Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PAP SMEAR

Facility

$147.76

Service Code	HCPCS Q0091
Hospital Charge Code	87502740
Hospital Revenue Code	770
Min. Negotiated Rate	$22.16
Max. Negotiated Rate	$22.16
Rate for Payer: Qualcare PPO/HMO/WC	$22.16

PAP SMEAR (NON-REVIEW CERVICAL

Facility

$192.00

Service Code	HCPCS 88150
Hospital Charge Code	38474022
Hospital Revenue Code	311
Min. Negotiated Rate	$5.45
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$50.43
Rate for Payer: Aetna Medicare Advantage	$60.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.25
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: Cigna Medicare Advantage	$18.54
Rate for Payer: Clover Medicare Advantage	$17.61
Rate for Payer: EmblemHealth Commercial	$55.62
Rate for Payer: Humana Medicare Advantage	$19.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.92
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.54
Rate for Payer: Wellcare Medicare Advantage	$18.54
Rate for Payer: Wellpoint Medicaid Managed Care	$5.45

PAP SMEAR (NON-REVIEW CERVICAL

Facility

$192.00

Service Code	HCPCS 88150
Hospital Charge Code	38474022
Hospital Revenue Code	311
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

PARA-AMINOBENZOIC ACID (PABA)

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472521
Hospital Revenue Code	301
Min. Negotiated Rate	$9.46
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$126.54
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.58
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.52
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

PARA-AMINOBENZOIC ACID (PABA)

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472521
Hospital Revenue Code	301
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$49.95
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868N
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868N
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

PARACENTESIS W/IMAGE

Facility

$1,693.00

Service Code	HCPCS 49083
Hospital Charge Code	93500147
Hospital Revenue Code	761
Min. Negotiated Rate	$253.95
Max. Negotiated Rate	$253.95
Rate for Payer: Qualcare PPO/HMO/WC	$253.95

PARACENTESIS W/IMAGE

Facility

$1,693.00

Service Code	HCPCS 49083
Hospital Charge Code	93500147
Hospital Revenue Code	761
Min. Negotiated Rate	$48.08
Max. Negotiated Rate	$3,908.70
Rate for Payer: Aetna Commercial	$2,930.85
Rate for Payer: Aetna Medicare Advantage	$3,491.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,077.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,908.70
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: Cigna Medicare Advantage	$1,077.52
Rate for Payer: Clover Medicare Advantage	$1,023.64
Rate for Payer: EmblemHealth Commercial	$3,232.56
Rate for Payer: Humana Medicare Advantage	$1,109.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,077.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.18
Rate for Payer: Oxford Commercial	$338.60
Rate for Payer: Qualcare PPO/HMO/WC	$253.95
Rate for Payer: UnitedHealthcare Commercial	$338.60
Rate for Payer: UnitedHealthcare Community & State	$53.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,077.52
Rate for Payer: Wellcare Medicare Advantage	$1,077.52
Rate for Payer: Wellpoint Medicaid Managed Care	$48.08

PARACENTESIS W/O IMAGING

Facility

$2,422.65

Hospital Charge Code	93500186
Hospital Revenue Code	761
Min. Negotiated Rate	$68.80
Max. Negotiated Rate	$1,211.33
Rate for Payer: Aetna Commercial	$920.61
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.78
Rate for Payer: Cigna Commercial	$1,211.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$629.89
Rate for Payer: Oxford Commercial	$484.53
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$484.53
Rate for Payer: UnitedHealthcare Community & State	$76.56
Rate for Payer: Wellpoint Medicaid Managed Care	$68.80

PARACENTESIS W/O IMAGING

Facility

$2,422.65

Hospital Charge Code	93500186
Hospital Revenue Code	761
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

PARAFFIN

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	9107015
Hospital Revenue Code	420
Min. Negotiated Rate	$39.90
Max. Negotiated Rate	$39.90
Rate for Payer: Qualcare PPO/HMO/WC	$39.90

PARAFFIN

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	9107015
Hospital Revenue Code	420
Min. Negotiated Rate	$7.55
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$101.08
Rate for Payer: Aetna Medicare Advantage	$79.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.83
Rate for Payer: Cigna Commercial	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.16
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.90
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$8.41
Rate for Payer: Wellpoint Medicaid Managed Care	$7.55

PARAFFIN CQ

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	409197018Q
Hospital Revenue Code	420
Min. Negotiated Rate	$39.90
Max. Negotiated Rate	$39.90
Rate for Payer: Qualcare PPO/HMO/WC	$39.90

PARAFFIN CQ

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	409197018Q
Hospital Revenue Code	420
Min. Negotiated Rate	$7.55
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$101.08
Rate for Payer: Aetna Medicare Advantage	$79.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.83
Rate for Payer: Cigna Commercial	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.16
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.90
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$8.41
Rate for Payer: Wellpoint Medicaid Managed Care	$7.55

PARAGARD IUD

Facility

$174.00

Service Code	HCPCS J7300
Hospital Charge Code	87502780
Hospital Revenue Code	636
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$66.12
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10
Rate for Payer: UnitedHealthcare Community & State	$5.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.94

PARAGARD IUD

Facility

$174.00

Service Code	HCPCS J7300
Hospital Charge Code	87502780
Hospital Revenue Code	636
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$42.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

PARAINFLUENZA TITER

Facility

$172.00

Service Code	HCPCS 86171
Hospital Charge Code	38476023
Hospital Revenue Code	302
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

PARAINFLUENZA TITER

Facility

$172.00

Service Code	HCPCS 86171
Hospital Charge Code	38476023
Hospital Revenue Code	302
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$27.23
Rate for Payer: Aetna Medicare Advantage	$32.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.31
Rate for Payer: Cigna Commercial	$86.00
Rate for Payer: Cigna Medicare Advantage	$10.01
Rate for Payer: Clover Medicare Advantage	$9.51
Rate for Payer: EmblemHealth Commercial	$30.03
Rate for Payer: Humana Medicare Advantage	$10.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.72
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.80
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$8.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.01
Rate for Payer: Wellcare Medicare Advantage	$10.01
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

PARALLEL GUIDE

Facility

$2,984.95

Hospital Charge Code	270654611
Hospital Revenue Code	272
Min. Negotiated Rate	$84.77
Max. Negotiated Rate	$1,492.47
Rate for Payer: Aetna Commercial	$1,134.28
Rate for Payer: Aetna Medicare Advantage	$895.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$761.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$761.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$761.16
Rate for Payer: Cigna Commercial	$1,492.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$776.09
Rate for Payer: Oxford Commercial	$596.99
Rate for Payer: Qualcare PPO/HMO/WC	$447.74
Rate for Payer: UnitedHealthcare Commercial	$596.99
Rate for Payer: UnitedHealthcare Community & State	$94.32
Rate for Payer: Wellpoint Medicaid Managed Care	$84.77

PARALLEL GUIDE

Facility

$2,984.95

Hospital Charge Code	270654611
Hospital Revenue Code	272
Min. Negotiated Rate	$447.74
Max. Negotiated Rate	$447.74
Rate for Payer: Qualcare PPO/HMO/WC	$447.74

PARANASAL SINUSES COMP

Facility

$5,100.00

Service Code	HCPCS 70220
Hospital Charge Code	94061011
Hospital Revenue Code	320
Min. Negotiated Rate	$45.38
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.05
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

PARANASAL SINUSES COMP

Facility

$5,100.00

Service Code	HCPCS 70220
Hospital Charge Code	94061011
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

Know your out-of-pocket cost for care.

All Charges