Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PLACE CATHETER IN VEIN

Facility

$242.00

Service Code	HCPCS 36011
Hospital Charge Code	366836011
Hospital Revenue Code	361
Min. Negotiated Rate	$36.30
Max. Negotiated Rate	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$36.30

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	411036228
Hospital Revenue Code	361
Min. Negotiated Rate	$82.90
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,109.22
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$1,459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$758.94
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.85
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$92.24
Rate for Payer: Wellpoint Medicaid Managed Care	$82.90

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	366836228
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	366836228
Hospital Revenue Code	361
Min. Negotiated Rate	$82.90
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,109.22
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$1,459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$758.94
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.85
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$92.24
Rate for Payer: Wellpoint Medicaid Managed Care	$82.90

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	411036228
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	7412047
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	27009017
Hospital Revenue Code	361
Min. Negotiated Rate	$165.78
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,218.14
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,517.67
Rate for Payer: Qualcare PPO/HMO/WC	$875.58
Rate for Payer: UnitedHealthcare Community & State	$184.46
Rate for Payer: Wellpoint Medicaid Managed Care	$165.78

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	27009017
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	7412047
Hospital Revenue Code	361
Min. Negotiated Rate	$165.78
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,218.14
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,517.67
Rate for Payer: Qualcare PPO/HMO/WC	$875.58
Rate for Payer: UnitedHealthcare Community & State	$184.46
Rate for Payer: Wellpoint Medicaid Managed Care	$165.78

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	2709017
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	2709017
Hospital Revenue Code	361
Min. Negotiated Rate	$165.78
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,218.14
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,517.67
Rate for Payer: Qualcare PPO/HMO/WC	$875.58
Rate for Payer: UnitedHealthcare Community & State	$184.46
Rate for Payer: Wellpoint Medicaid Managed Care	$165.78

PLACE CATH SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	411036225
Hospital Revenue Code	361
Min. Negotiated Rate	$371.40
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,400.18
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$413.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$371.40

PLACE CATH SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	5100812
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	5100812
Hospital Revenue Code	361
Min. Negotiated Rate	$371.40
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,400.18
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$413.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$371.40

PLACE CATH SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	411036225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	366836225
Hospital Revenue Code	361
Min. Negotiated Rate	$371.40
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,400.18
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$413.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$371.40

PLACE CATH SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	366836225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	5600225
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 36225
Hospital Charge Code	366836225B
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 36225
Hospital Charge Code	366836225B
Hospital Revenue Code	361
Min. Negotiated Rate	$658.96
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,032.71
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$733.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$658.96

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	5600225
Hospital Revenue Code	361
Min. Negotiated Rate	$658.96
Max. Negotiated Rate	$11,601.36
Rate for Payer: Aetna Commercial	$8,817.03
Rate for Payer: Aetna Medicare Advantage	$6,960.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,916.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,916.69
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	$5,916.69
Rate for Payer: Cigna Commercial	$11,601.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,032.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41
Rate for Payer: UnitedHealthcare Community & State	$733.21
Rate for Payer: Wellpoint Medicaid Managed Care	$658.96

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	411036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$658.96
Max. Negotiated Rate	$11,601.36
Rate for Payer: Aetna Commercial	$8,817.03
Rate for Payer: Aetna Medicare Advantage	$6,960.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,916.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,916.69
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	$5,916.69
Rate for Payer: Cigna Commercial	$11,601.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,032.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41
Rate for Payer: UnitedHealthcare Community & State	$733.21
Rate for Payer: Wellpoint Medicaid Managed Care	$658.96

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	411036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	321036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$658.96
Max. Negotiated Rate	$11,601.36
Rate for Payer: Aetna Commercial	$8,817.03
Rate for Payer: Aetna Medicare Advantage	$6,960.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,916.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,916.69
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	$5,916.69
Rate for Payer: Cigna Commercial	$11,601.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,032.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41
Rate for Payer: UnitedHealthcare Community & State	$733.21
Rate for Payer: Wellpoint Medicaid Managed Care	$658.96

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	321036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

Know your out-of-pocket cost for care.

All Charges