Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PTHYBRID GLEN POST REGENEREX

Facility

$2,875.00

Service Code	HCPCS C1776
Hospital Charge Code	270687347
Hospital Revenue Code	278
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

PTHYBRID GLEN POST REGENEREX

Facility

$2,875.00

Service Code	HCPCS C1776
Hospital Charge Code	270687347
Hospital Revenue Code	278
Min. Negotiated Rate	$81.65
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Community & State	$90.85
Rate for Payer: Wellpoint Medicaid Managed Care	$81.65

PT HYDROTHERAPY EA 15 MIN

Facility

$96.00

Service Code	HCPCS 97036GP
Hospital Charge Code	422597036
Hospital Revenue Code	420
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

PT HYDROTHERAPY EA 15 MIN

Facility

$96.00

Service Code	HCPCS 97036GP
Hospital Charge Code	422597036
Hospital Revenue Code	420
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$36.48
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
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	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.96
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$3.03
Rate for Payer: Wellpoint Medicaid Managed Care	$2.73

PT INFRARED THRPY

Facility

$102.50

Service Code	HCPCS 97026GP
Hospital Charge Code	422597026
Hospital Revenue Code	420
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$38.95
Rate for Payer: Aetna Medicare Advantage	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.14
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	$26.14
Rate for Payer: Cigna Commercial	$51.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.65
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.38
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$3.24
Rate for Payer: Wellpoint Medicaid Managed Care	$2.91

PT INFRARED THRPY

Facility

$102.50

Service Code	HCPCS 97026GP
Hospital Charge Code	422597026
Hospital Revenue Code	420
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$15.38

PT INSERT NEEDLE 1 OR 2 MUSCLE

Facility

$152.09

Service Code	HCPCS 20560GP
Hospital Charge Code	422520560
Hospital Revenue Code	420
Min. Negotiated Rate	$22.81
Max. Negotiated Rate	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$22.81

PT INSERT NEEDLE 1 OR 2 MUSCLE

Facility

$152.09

Service Code	HCPCS 20560GP
Hospital Charge Code	422520560
Hospital Revenue Code	420
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$57.79
Rate for Payer: Aetna Medicare Advantage	$45.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.78
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	$38.78
Rate for Payer: Cigna Commercial	$76.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.54
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.81
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$4.81
Rate for Payer: Wellpoint Medicaid Managed Care	$4.32

PT INSERT NEEDLE 3+ MUSCLE(S)

Facility

$152.08

Service Code	HCPCS 20561GP
Hospital Charge Code	422520561
Hospital Revenue Code	420
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$57.79
Rate for Payer: Aetna Medicare Advantage	$45.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.78
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	$38.78
Rate for Payer: Cigna Commercial	$76.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.54
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.81
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$4.81
Rate for Payer: Wellpoint Medicaid Managed Care	$4.32

PT INSERT NEEDLE 3+ MUSCLE(S)

Facility

$152.08

Service Code	HCPCS 20561GP
Hospital Charge Code	422520561
Hospital Revenue Code	420
Min. Negotiated Rate	$22.81
Max. Negotiated Rate	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$22.81

PT INSTRUCT/HOME PROGRAM EA 15

Facility

$384.00

Service Code	HCPCS 97535GO
Hospital Charge Code	1008325
Hospital Revenue Code	430
Min. Negotiated Rate	$10.91
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$145.92
Rate for Payer: Aetna Medicare Advantage	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.92
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	$97.92
Rate for Payer: Cigna Commercial	$192.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.84
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.60
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$12.13
Rate for Payer: Wellpoint Medicaid Managed Care	$10.91

PT INSTRUCT/HOME PROGRAM EA 15

Facility

$384.00

Service Code	HCPCS 97535GO
Hospital Charge Code	1008325
Hospital Revenue Code	430
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$57.60
Rate for Payer: Qualcare PPO/HMO/WC	$57.60

PT INSTRUCTION/HOME PROG 15 MI

Facility

$508.00

Service Code	HCPCS 97535GP
Hospital Charge Code	1008335
Hospital Revenue Code	420
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$193.04
Rate for Payer: Aetna Medicare Advantage	$152.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.54
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	$129.54
Rate for Payer: Cigna Commercial	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.08
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.20
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$16.05
Rate for Payer: Wellpoint Medicaid Managed Care	$14.43

PT INSTRUCTION/HOME PROG 15 MI

Facility

$508.00

Service Code	HCPCS 97535GP
Hospital Charge Code	1008335
Hospital Revenue Code	420
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$76.20
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

PT IONTOPHOPRESIS EA 15 MIN

Facility

$233.00

Service Code	HCPCS 97033GP
Hospital Charge Code	9000423
Hospital Revenue Code	420
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$34.95
Rate for Payer: Qualcare PPO/HMO/WC	$34.95

PT IONTOPHOPRESIS EA 15 MIN

Facility

$233.00

Service Code	HCPCS 97033GP
Hospital Charge Code	9000423
Hospital Revenue Code	420
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$88.54
Rate for Payer: Aetna Medicare Advantage	$69.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.41
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	$59.41
Rate for Payer: Cigna Commercial	$116.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.58
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.95
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$7.36
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

PT IONTOPHORESIS EA 15 MIN

Facility

$373.00

Service Code	HCPCS 97033GP
Hospital Charge Code	422597033
Hospital Revenue Code	420
Min. Negotiated Rate	$10.59
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$141.74
Rate for Payer: Aetna Medicare Advantage	$111.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.11
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	$95.11
Rate for Payer: Cigna Commercial	$186.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.98
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.95
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$11.79
Rate for Payer: Wellpoint Medicaid Managed Care	$10.59

PT IONTOPHORESIS EA 15 MIN

Facility

$373.00

Service Code	HCPCS 97033GP
Hospital Charge Code	422597033
Hospital Revenue Code	420
Min. Negotiated Rate	$55.95
Max. Negotiated Rate	$55.95
Rate for Payer: Qualcare PPO/HMO/WC	$55.95

PT JOINT MOBILIZATION EA 15 MI

Facility

$159.00

Service Code	HCPCS 97140GP
Hospital Charge Code	9100070
Hospital Revenue Code	420
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$60.42
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
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	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.34
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$5.02
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

PT JOINT MOBILIZATION EA 15 MI

Facility

$193.00

Service Code	HCPCS 97140
Hospital Charge Code	409297140
Hospital Revenue Code	420
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$73.34
Rate for Payer: Aetna Medicare Advantage	$57.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.22
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	$49.22
Rate for Payer: Cigna Commercial	$96.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.18
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.95
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$6.10
Rate for Payer: Wellpoint Medicaid Managed Care	$5.48

PT JOINT MOBILIZATION EA 15 MI

Facility

$159.00

Service Code	HCPCS 97140GP
Hospital Charge Code	9100070
Hospital Revenue Code	420
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$23.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

PT JOINT MOBILIZATION EA 15 MI

Facility

$193.00

Service Code	HCPCS 97140
Hospital Charge Code	409297140
Hospital Revenue Code	420
Min. Negotiated Rate	$28.95
Max. Negotiated Rate	$28.95
Rate for Payer: Qualcare PPO/HMO/WC	$28.95

PT LASER TREATMENT

Facility

$133.00

Service Code	HCPCS 97039GP
Hospital Charge Code	422597039
Hospital Revenue Code	420
Min. Negotiated Rate	$19.95
Max. Negotiated Rate	$19.95
Rate for Payer: Qualcare PPO/HMO/WC	$19.95

PT LASER TREATMENT

Facility

$133.00

Service Code	HCPCS 97039GP
Hospital Charge Code	422597039
Hospital Revenue Code	420
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$50.54
Rate for Payer: Aetna Medicare Advantage	$39.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.91
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	$33.91
Rate for Payer: Cigna Commercial	$66.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.58
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.95
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$4.20
Rate for Payer: Wellpoint Medicaid Managed Care	$3.78

PT LOW FREQ NON CONT/THERM PER

Facility

$1,105.55

Service Code	HCPCS 97610GP
Hospital Charge Code	422597610
Hospital Revenue Code	420
Min. Negotiated Rate	$31.40
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$420.11
Rate for Payer: Aetna Medicare Advantage	$331.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.92
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	$281.92
Rate for Payer: Cigna Commercial	$552.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.44
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.83
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$34.94
Rate for Payer: Wellpoint Medicaid Managed Care	$31.40

Know your out-of-pocket cost for care.

All Charges