Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PRQ CARDI STENT W/ANGIO ADDL

Facility

$35,998.44

Service Code	HCPCS 92928
Hospital Charge Code	5100791
Hospital Revenue Code	481
Min. Negotiated Rate	$1,022.36
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,359.59
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,137.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,022.36

PRQ CARD REVASC CHRONIC 1 VSL

Facility

$58,023.05

Service Code	HCPCS 92943
Hospital Charge Code	74110090
Hospital Revenue Code	481
Min. Negotiated Rate	$1,647.85
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,085.99
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,703.46
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,833.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,647.85

PRQ CARD REVASC CHRONIC 1 VSL

Facility

$58,023.05

Service Code	HCPCS 92943
Hospital Charge Code	74110090
Hospital Revenue Code	481
Min. Negotiated Rate	$8,703.46
Max. Negotiated Rate	$8,703.46
Rate for Payer: Qualcare PPO/HMO/WC	$8,703.46

PRQ CARD REVASC MI 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92941
Hospital Charge Code	366892941
Hospital Revenue Code	481
Min. Negotiated Rate	$1,022.36
Max. Negotiated Rate	$17,999.22
Rate for Payer: Aetna Commercial	$13,679.41
Rate for Payer: Aetna Medicare Advantage	$10,799.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,179.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,179.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,179.60
Rate for Payer: Cigna Commercial	$17,999.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,359.59
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,137.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,022.36

PRQ CARD REVASC MI 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92941
Hospital Charge Code	366892941
Hospital Revenue Code	481
Min. Negotiated Rate	$5,399.77
Max. Negotiated Rate	$5,399.77
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77

PRQ CORONARY MECH THROMBECT

Facility

$20,106.54

Service Code	HCPCS 92973
Hospital Charge Code	74110107
Hospital Revenue Code	481
Min. Negotiated Rate	$571.03
Max. Negotiated Rate	$10,053.27
Rate for Payer: Aetna Commercial	$7,640.49
Rate for Payer: Aetna Medicare Advantage	$6,031.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,127.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,127.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,127.17
Rate for Payer: Cigna Commercial	$10,053.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,227.70
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.98
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$635.37
Rate for Payer: Wellpoint Medicaid Managed Care	$571.03

PRQ CORONARY MECH THROMBECT

Facility

$20,106.54

Service Code	HCPCS 92973
Hospital Charge Code	74110107
Hospital Revenue Code	481
Min. Negotiated Rate	$3,015.98
Max. Negotiated Rate	$3,015.98
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.98

PRQ CORONARY MECH THROMBECT

Facility

$20,106.54

Service Code	HCPCS 92973
Hospital Charge Code	5100814
Hospital Revenue Code	481
Min. Negotiated Rate	$571.03
Max. Negotiated Rate	$10,053.27
Rate for Payer: Aetna Commercial	$7,640.49
Rate for Payer: Aetna Medicare Advantage	$6,031.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,127.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,127.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,127.17
Rate for Payer: Cigna Commercial	$10,053.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,227.70
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.98
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$635.37
Rate for Payer: Wellpoint Medicaid Managed Care	$571.03

PRQ CORONARY MECH THROMBECT

Facility

$20,106.54

Service Code	HCPCS 92973
Hospital Charge Code	5100814
Hospital Revenue Code	481
Min. Negotiated Rate	$3,015.98
Max. Negotiated Rate	$3,015.98
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.98

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	5100805
Hospital Revenue Code	480
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	5100805
Hospital Revenue Code	480
Min. Negotiated Rate	$2,441.00
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$35,691.25
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,420.33
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$2,968.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2,667.45

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	3668C9606
Hospital Revenue Code	361
Min. Negotiated Rate	$2,667.45
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$35,691.25
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
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	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,420.33
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$2,968.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2,667.45

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	3668C9606
Hospital Revenue Code	361
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	411039606
Hospital Revenue Code	361
Min. Negotiated Rate	$2,667.45
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$35,691.25
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
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	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,420.33
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$2,968.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2,667.45

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	411039606
Hospital Revenue Code	361
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ DRUG-EL COR STENT BRAN

Facility

$45,735.22

Service Code	HCPCS C9601
Hospital Charge Code	5100800
Hospital Revenue Code	481
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ DRUG-EL COR STENT BRAN

Facility

$45,735.22

Service Code	HCPCS C9601
Hospital Charge Code	5100800
Hospital Revenue Code	481
Min. Negotiated Rate	$1,298.88
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$17,379.38
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,891.16
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$1,445.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1,298.88

PRQ SKL FXTN CRPL/MTCL FX THMB

Facility

$23,899.60

Service Code	HCPCS 26650
Hospital Charge Code	16000557
Hospital Revenue Code	360
Min. Negotiated Rate	$678.75
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,213.90
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$755.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$678.75

PRQ SKL FXTN CRPL/MTCL FX THMB

Facility

$23,899.60

Service Code	HCPCS 26650
Hospital Charge Code	16000557
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

PRSHEATH INTRO4FR 11CM .035X50

Facility

$46.50

Service Code	HCPCS C1766
Hospital Charge Code	270658188S
Hospital Revenue Code	278
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

PRSHEATH INTRO4FR 11CM .035X50

Facility

$46.50

Service Code	HCPCS C1766
Hospital Charge Code	270658188S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.25
Rate for Payer: Aetna Commercial	$17.67
Rate for Payer: Aetna Medicare Advantage	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.86
Rate for Payer: Cigna Commercial	$23.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.97
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

PRSHEATH INTRO4FR 11CM .035X50

Facility

$46.50

Service Code	HCPCS C1766
Hospital Charge Code	270658188
Hospital Revenue Code	278
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.25
Rate for Payer: Aetna Commercial	$17.67
Rate for Payer: Aetna Medicare Advantage	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.86
Rate for Payer: Cigna Commercial	$23.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.97
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

PRSHEATH INTRO4FR 11CM .035X50

Facility

$9.30

Service Code	HCPCS C1766
Hospital Charge Code	270658188N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$4.65
Rate for Payer: Aetna Commercial	$3.53
Rate for Payer: Aetna Medicare Advantage	$2.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.37
Rate for Payer: Cigna Commercial	$4.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

PRSHEATH INTRO4FR 11CM .035X50

Facility

$9.30

Service Code	HCPCS C1766
Hospital Charge Code	270658188N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.40

PRSHEATH INTRO4FR 11CM .035X50

Facility

$46.50

Service Code	HCPCS C1766
Hospital Charge Code	270658188
Hospital Revenue Code	278
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

Know your out-of-pocket cost for care.

All Charges