Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PROCAINAMIDE & NAPA

Facility

$115.15

Service Code	HCPCS 80192
Hospital Charge Code	39900009
Hospital Revenue Code	301
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$45.56
Rate for Payer: Aetna Medicare Advantage	$54.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.76
Rate for Payer: Cigna Commercial	$57.58
Rate for Payer: Cigna Medicare Advantage	$16.75
Rate for Payer: Clover Medicare Advantage	$15.91
Rate for Payer: EmblemHealth Commercial	$50.25
Rate for Payer: Humana Medicare Advantage	$17.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.94
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.27
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.75
Rate for Payer: Wellcare Medicare Advantage	$16.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

PROCAINAMIDE & NAPA

Facility

$115.15

Service Code	HCPCS 80192
Hospital Charge Code	39900009
Hospital Revenue Code	301
Min. Negotiated Rate	$17.27
Max. Negotiated Rate	$17.27
Rate for Payer: Qualcare PPO/HMO/WC	$17.27

PROCAINAMIDE (PRONESTYL)

Facility

$217.00

Service Code	HCPCS 80192
Hospital Charge Code	38472560
Hospital Revenue Code	301
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$45.56
Rate for Payer: Aetna Medicare Advantage	$54.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.76
Rate for Payer: Cigna Commercial	$108.50
Rate for Payer: Cigna Medicare Advantage	$16.75
Rate for Payer: Clover Medicare Advantage	$15.91
Rate for Payer: EmblemHealth Commercial	$50.25
Rate for Payer: Humana Medicare Advantage	$17.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.42
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.55
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.75
Rate for Payer: Wellcare Medicare Advantage	$16.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.16

PROCAINAMIDE (PRONESTYL)

Facility

$217.00

Service Code	HCPCS 80192
Hospital Charge Code	38472560
Hospital Revenue Code	301
Min. Negotiated Rate	$32.55
Max. Negotiated Rate	$32.55
Rate for Payer: Qualcare PPO/HMO/WC	$32.55

PROCALCITONIN

Facility

$184.10

Service Code	HCPCS 84145
Hospital Charge Code	39900123
Hospital Revenue Code	301
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$74.04
Rate for Payer: Aetna Medicare Advantage	$88.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.74
Rate for Payer: Cigna Commercial	$92.05
Rate for Payer: Cigna Medicare Advantage	$27.22
Rate for Payer: Clover Medicare Advantage	$25.86
Rate for Payer: EmblemHealth Commercial	$81.66
Rate for Payer: Humana Medicare Advantage	$28.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.87
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.61
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.22
Rate for Payer: Wellcare Medicare Advantage	$27.22
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

PROCALCITONIN

Facility

$184.10

Service Code	HCPCS 84145
Hospital Charge Code	39900123
Hospital Revenue Code	301
Min. Negotiated Rate	$27.61
Max. Negotiated Rate	$27.61
Rate for Payer: Qualcare PPO/HMO/WC	$27.61

PROCALCITONIN

Facility

$188.00

Service Code	HCPCS 84145
Hospital Charge Code	38472078
Hospital Revenue Code	301
Min. Negotiated Rate	$28.20
Max. Negotiated Rate	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$28.20

PROCALCITONIN

Facility

$188.00

Service Code	HCPCS 84145
Hospital Charge Code	38472078
Hospital Revenue Code	301
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$74.04
Rate for Payer: Aetna Medicare Advantage	$88.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.74
Rate for Payer: Cigna Commercial	$94.00
Rate for Payer: Cigna Medicare Advantage	$27.22
Rate for Payer: Clover Medicare Advantage	$25.86
Rate for Payer: EmblemHealth Commercial	$81.66
Rate for Payer: Humana Medicare Advantage	$28.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.22
Rate for Payer: Wellcare Medicare Advantage	$27.22
Rate for Payer: Wellpoint Medicaid Managed Care	$5.34

PROCALCITONIN IN HOUSE TEST

Facility

$377.00

Service Code	HCPCS 84145
Hospital Charge Code	401116223
Hospital Revenue Code	301
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$188.50
Rate for Payer: Aetna Commercial	$74.04
Rate for Payer: Aetna Medicare Advantage	$88.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.74
Rate for Payer: Cigna Commercial	$188.50
Rate for Payer: Cigna Medicare Advantage	$27.22
Rate for Payer: Clover Medicare Advantage	$25.86
Rate for Payer: EmblemHealth Commercial	$81.66
Rate for Payer: Humana Medicare Advantage	$28.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.55
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.22
Rate for Payer: Wellcare Medicare Advantage	$27.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10.71

PROCALCITONIN IN HOUSE TEST

Facility

$377.00

Service Code	HCPCS 84145
Hospital Charge Code	401116223
Hospital Revenue Code	301
Min. Negotiated Rate	$56.55
Max. Negotiated Rate	$56.55
Rate for Payer: Qualcare PPO/HMO/WC	$56.55

PROCALCITONIN-QUEST

Facility

$200.00

Service Code	HCPCS 84145
Hospital Charge Code	401384145
Hospital Revenue Code	301
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$74.04
Rate for Payer: Aetna Medicare Advantage	$88.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.74
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: Cigna Medicare Advantage	$27.22
Rate for Payer: Clover Medicare Advantage	$25.86
Rate for Payer: EmblemHealth Commercial	$81.66
Rate for Payer: Humana Medicare Advantage	$28.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.22
Rate for Payer: Wellcare Medicare Advantage	$27.22
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

PROCALCITONIN-QUEST

Facility

$200.00

Service Code	HCPCS 84145
Hospital Charge Code	401384145
Hospital Revenue Code	301
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

PROCEDURE FOOT ANKLE

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270690331
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PROCEDURE FOOT ANKLE

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270690331
Hospital Revenue Code	278
Min. Negotiated Rate	$213.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Community & State	$237.00
Rate for Payer: Wellpoint Medicaid Managed Care	$213.00

PROCEDURE SCREW KIT

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270701838
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

PROCEDURE SCREW KIT

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270701838
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

PROCEDURES FOR OBESITY

Facility

$17,832.84

Service Code	APR-DRG 4032
Min. Negotiated Rate	$17,483.18
Max. Negotiated Rate	$17,832.84
Rate for Payer: UnitedHealthcare Community & State	$17,483.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,832.84
Rate for Payer: Wellpoint Medicaid Managed Care	$17,483.18

PROCEDURES FOR OBESITY

Facility

$15,542.32

Service Code	APR-DRG 4031
Min. Negotiated Rate	$15,237.57
Max. Negotiated Rate	$15,542.32
Rate for Payer: UnitedHealthcare Community & State	$15,237.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,542.32
Rate for Payer: Wellpoint Medicaid Managed Care	$15,237.57

PROCEDURES FOR OBESITY

Facility

$57,578.25

Service Code	APR-DRG 4034
Min. Negotiated Rate	$56,449.26
Max. Negotiated Rate	$57,578.25
Rate for Payer: UnitedHealthcare Community & State	$56,449.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,578.25
Rate for Payer: Wellpoint Medicaid Managed Care	$56,449.26

PROCEDURES FOR OBESITY

Facility

$26,509.12

Service Code	APR-DRG 4033
Min. Negotiated Rate	$25,989.33
Max. Negotiated Rate	$26,509.12
Rate for Payer: UnitedHealthcare Community & State	$25,989.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,509.12
Rate for Payer: Wellpoint Medicaid Managed Care	$25,989.33

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	1600000407
Hospital Revenue Code	360
Min. Negotiated Rate	$489.02
Max. Negotiated Rate	$489.02
Rate for Payer: Qualcare PPO/HMO/WC	$489.02

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	16000925
Hospital Revenue Code	360
Min. Negotiated Rate	$92.59
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.02
Rate for Payer: Aetna Medicare Advantage	$768.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$237.14
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	$860.23
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: Cigna Medicare Advantage	$237.14
Rate for Payer: Clover Medicare Advantage	$225.28
Rate for Payer: EmblemHealth Commercial	$711.42
Rate for Payer: Humana Medicare Advantage	$244.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$237.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.64
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$489.02
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$103.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$237.14
Rate for Payer: Wellcare Medicare Advantage	$237.14
Rate for Payer: Wellpoint Medicaid Managed Care	$92.59

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	16000925
Hospital Revenue Code	360
Min. Negotiated Rate	$489.02
Max. Negotiated Rate	$489.02
Rate for Payer: Qualcare PPO/HMO/WC	$489.02

PROCEDURE TRACHEA BRONCHI UNL

Facility

$3,260.14

Service Code	HCPCS 31899
Hospital Charge Code	1600000407
Hospital Revenue Code	360
Min. Negotiated Rate	$92.59
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.02
Rate for Payer: Aetna Medicare Advantage	$768.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$237.14
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	$860.23
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: Cigna Medicare Advantage	$237.14
Rate for Payer: Clover Medicare Advantage	$225.28
Rate for Payer: EmblemHealth Commercial	$711.42
Rate for Payer: Humana Medicare Advantage	$244.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$237.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.64
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$489.02
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$103.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$237.14
Rate for Payer: Wellcare Medicare Advantage	$237.14
Rate for Payer: Wellpoint Medicaid Managed Care	$92.59

PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$37,936.56

Service Code	APR-DRG 8503
Min. Negotiated Rate	$37,192.71
Max. Negotiated Rate	$37,936.56
Rate for Payer: UnitedHealthcare Community & State	$37,192.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,936.56
Rate for Payer: Wellpoint Medicaid Managed Care	$37,192.71

Know your out-of-pocket cost for care.

All Charges