Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PARASITE IDENTIFICATION

Facility

$29.35

Service Code	HCPCS 87169
Hospital Charge Code	39900275
Hospital Revenue Code	309
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.40

PARASITE IDENTIFICATION

Facility

$29.35

Service Code	HCPCS 87169
Hospital Charge Code	39900275
Hospital Revenue Code	309
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$11.72
Rate for Payer: Aetna Medicare Advantage	$13.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.63
Rate for Payer: Cigna Commercial	$14.68
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$4.09
Rate for Payer: EmblemHealth Commercial	$12.93
Rate for Payer: Humana Medicare Advantage	$4.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.63
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.31
Rate for Payer: Wellcare Medicare Advantage	$4.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.83

PARASITE ID, WORM MISC

Facility

$390.00

Service Code	HCPCS 87169
Hospital Charge Code	401387169
Hospital Revenue Code	306
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$11.72
Rate for Payer: Aetna Medicare Advantage	$13.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.63
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$4.09
Rate for Payer: EmblemHealth Commercial	$12.93
Rate for Payer: Humana Medicare Advantage	$4.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.31
Rate for Payer: Wellcare Medicare Advantage	$4.31
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

PARASITE ID, WORM MISC

Facility

$390.00

Service Code	HCPCS 87169
Hospital Charge Code	401387169
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PARATHYROID HORMONE

Facility

$1,997.80

Service Code	HCPCS 83970
Hospital Charge Code	38472524
Hospital Revenue Code	301
Min. Negotiated Rate	$299.67
Max. Negotiated Rate	$299.67
Rate for Payer: Qualcare PPO/HMO/WC	$299.67

PARATHYROID HORMONE

Facility

$1,997.80

Service Code	HCPCS 83970
Hospital Charge Code	38472524
Hospital Revenue Code	301
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$998.90
Rate for Payer: Aetna Commercial	$112.28
Rate for Payer: Aetna Medicare Advantage	$133.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.74
Rate for Payer: Cigna Commercial	$998.90
Rate for Payer: Cigna Medicare Advantage	$41.28
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$519.43
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$299.67
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Medicare Advantage	$41.28
Rate for Payer: Wellpoint Medicaid Managed Care	$56.74

Parathyroid Hormone (PTH), Int

Facility

$283.70

Service Code	HCPCS 83970
Hospital Charge Code	39888011
Hospital Revenue Code	301
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$42.55
Rate for Payer: Qualcare PPO/HMO/WC	$42.55

Parathyroid Hormone (PTH), Int

Facility

$283.70

Service Code	HCPCS 83970
Hospital Charge Code	39888011
Hospital Revenue Code	301
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$112.28
Rate for Payer: Aetna Medicare Advantage	$133.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.74
Rate for Payer: Cigna Commercial	$141.85
Rate for Payer: Cigna Medicare Advantage	$41.28
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.55
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Medicare Advantage	$41.28
Rate for Payer: Wellpoint Medicaid Managed Care	$8.06

PARATROOPER PLANTR PLT WEIL KT

Facility

$4,725.00

Hospital Charge Code	270700501
Hospital Revenue Code	272
Min. Negotiated Rate	$134.19
Max. Negotiated Rate	$2,362.50
Rate for Payer: Aetna Commercial	$1,795.50
Rate for Payer: Aetna Medicare Advantage	$1,417.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,204.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,204.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,204.88
Rate for Payer: Cigna Commercial	$2,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.50
Rate for Payer: Oxford Commercial	$945.00
Rate for Payer: Qualcare PPO/HMO/WC	$708.75
Rate for Payer: UnitedHealthcare Commercial	$945.00
Rate for Payer: UnitedHealthcare Community & State	$149.31
Rate for Payer: Wellpoint Medicaid Managed Care	$134.19

PARATROOPER PLANTR PLT WEIL KT

Facility

$4,725.00

Hospital Charge Code	270700501
Hospital Revenue Code	272
Min. Negotiated Rate	$708.75
Max. Negotiated Rate	$708.75
Rate for Payer: Qualcare PPO/HMO/WC	$708.75

PARAVERTEBRAL BLK THOR SINGLE

Facility

$4,077.75

Hospital Charge Code	1650122
Hospital Revenue Code	361
Min. Negotiated Rate	$115.81
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,549.55
Rate for Payer: Aetna Medicare Advantage	$1,223.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,039.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,039.83
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	$1,039.83
Rate for Payer: Cigna Commercial	$2,038.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,060.21
Rate for Payer: Qualcare PPO/HMO/WC	$611.66
Rate for Payer: UnitedHealthcare Community & State	$128.86
Rate for Payer: Wellpoint Medicaid Managed Care	$115.81

PARAVERTEBRAL BLK THOR SINGLE

Facility

$4,077.75

Hospital Charge Code	1650122
Hospital Revenue Code	361
Min. Negotiated Rate	$611.66
Max. Negotiated Rate	$611.66
Rate for Payer: Qualcare PPO/HMO/WC	$611.66

PARAVERTEBRAL BLOCK (PVB) (PARASPINOUS BLOCK), THORACIC; SINGLE INJECTION SITE (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)

Facility

$3,629.00

Service Code	CPT 64461
Hospital Revenue Code	361
Min. Negotiated Rate	$796.68
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61

PARAVERTEBRL BLK THOR CONT INF

Facility

$690.18

Hospital Charge Code	1650124
Hospital Revenue Code	361
Min. Negotiated Rate	$103.53
Max. Negotiated Rate	$103.53
Rate for Payer: Qualcare PPO/HMO/WC	$103.53

PARAVERTEBRL BLK THOR CONT INF

Facility

$690.18

Hospital Charge Code	1650124
Hospital Revenue Code	361
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$262.27
Rate for Payer: Aetna Medicare Advantage	$207.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.00
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	$176.00
Rate for Payer: Cigna Commercial	$345.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.45
Rate for Payer: Qualcare PPO/HMO/WC	$103.53
Rate for Payer: UnitedHealthcare Community & State	$21.81
Rate for Payer: Wellpoint Medicaid Managed Care	$19.60

PARIADEX MESH 20 CM

Facility

$1,596.00

Hospital Charge Code	270339121
Hospital Revenue Code	278
Min. Negotiated Rate	$239.40
Max. Negotiated Rate	$386.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.23
Rate for Payer: Qualcare PPO/HMO/WC	$239.40

PARIADEX MESH 20 CM

Facility

$1,596.00

Hospital Charge Code	270339121
Hospital Revenue Code	278
Min. Negotiated Rate	$45.33
Max. Negotiated Rate	$798.00
Rate for Payer: Aetna Commercial	$606.48
Rate for Payer: Aetna Medicare Advantage	$478.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.98
Rate for Payer: Cigna Commercial	$798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.23
Rate for Payer: Qualcare PPO/HMO/WC	$239.40
Rate for Payer: UnitedHealthcare Community & State	$50.43
Rate for Payer: Wellpoint Medicaid Managed Care	$45.33

PARIADEX MESH 20 X 15 CM

Facility

$1,330.00

Hospital Charge Code	270339120
Hospital Revenue Code	278
Min. Negotiated Rate	$37.77
Max. Negotiated Rate	$665.00
Rate for Payer: Aetna Commercial	$505.40
Rate for Payer: Aetna Medicare Advantage	$399.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.15
Rate for Payer: Cigna Commercial	$665.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: Qualcare PPO/HMO/WC	$199.50
Rate for Payer: UnitedHealthcare Community & State	$42.03
Rate for Payer: Wellpoint Medicaid Managed Care	$37.77

PARIADEX MESH 20 X 15 CM

Facility

$1,330.00

Hospital Charge Code	270339120
Hospital Revenue Code	278
Min. Negotiated Rate	$199.50
Max. Negotiated Rate	$321.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: Qualcare PPO/HMO/WC	$199.50

PARIATEX MESH 12 CM

Facility

$829.00

Hospital Charge Code	270339118
Hospital Revenue Code	278
Min. Negotiated Rate	$23.54
Max. Negotiated Rate	$414.50
Rate for Payer: Aetna Commercial	$315.02
Rate for Payer: Aetna Medicare Advantage	$248.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.40
Rate for Payer: Cigna Commercial	$414.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.62
Rate for Payer: Qualcare PPO/HMO/WC	$124.35
Rate for Payer: UnitedHealthcare Community & State	$26.20
Rate for Payer: Wellpoint Medicaid Managed Care	$23.54

PARIATEX MESH 12 CM

Facility

$829.00

Hospital Charge Code	270339118
Hospital Revenue Code	278
Min. Negotiated Rate	$124.35
Max. Negotiated Rate	$200.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.62
Rate for Payer: Qualcare PPO/HMO/WC	$124.35

PARIATEX MESH 15 CM

Facility

$1,086.00

Hospital Charge Code	270339119
Hospital Revenue Code	278
Min. Negotiated Rate	$30.84
Max. Negotiated Rate	$543.00
Rate for Payer: Aetna Commercial	$412.68
Rate for Payer: Aetna Medicare Advantage	$325.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.93
Rate for Payer: Cigna Commercial	$543.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.81
Rate for Payer: Qualcare PPO/HMO/WC	$162.90
Rate for Payer: UnitedHealthcare Community & State	$34.32
Rate for Payer: Wellpoint Medicaid Managed Care	$30.84

PARIATEX MESH 15 CM

Facility

$1,086.00

Hospital Charge Code	270339119
Hospital Revenue Code	278
Min. Negotiated Rate	$162.90
Max. Negotiated Rate	$262.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.81
Rate for Payer: Qualcare PPO/HMO/WC	$162.90

PARIATEX MESH 9 CM

Facility

$615.00

Hospital Charge Code	270339117
Hospital Revenue Code	278
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Community & State	$19.43
Rate for Payer: Wellpoint Medicaid Managed Care	$17.47

PARIATEX MESH 9 CM

Facility

$615.00

Hospital Charge Code	270339117
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

Know your out-of-pocket cost for care.

All Charges