Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PUNCH BX SKIN EA SEP/ADDL

Facility

$368.14

Service Code	HCPCS 11105
Hospital Charge Code	1600000510
Hospital Revenue Code	360
Min. Negotiated Rate	$55.22
Max. Negotiated Rate	$55.22
Rate for Payer: Qualcare PPO/HMO/WC	$55.22

PUNCH BX SKIN SINGLE LESION

Facility

$2,160.92

Service Code	HCPCS 11104
Hospital Charge Code	16000346
Hospital Revenue Code	360
Min. Negotiated Rate	$61.37
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.84
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.14
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$68.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$61.37

PUNCH BX SKIN SINGLE LESION

Facility

$2,160.92

Service Code	HCPCS 11104
Hospital Charge Code	16000346
Hospital Revenue Code	360
Min. Negotiated Rate	$324.14
Max. Negotiated Rate	$324.14
Rate for Payer: Qualcare PPO/HMO/WC	$324.14

PUNCH CORNEA 8.5 MM

Facility

$315.00

Hospital Charge Code	270657589
Hospital Revenue Code	270
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$157.50
Rate for Payer: Aetna Commercial	$119.70
Rate for Payer: Aetna Medicare Advantage	$94.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.33
Rate for Payer: Cigna Commercial	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.90
Rate for Payer: Oxford Commercial	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Commercial	$63.00
Rate for Payer: UnitedHealthcare Community & State	$9.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.95

PUNCH CORNEA 8.5 MM

Facility

$315.00

Hospital Charge Code	270657589
Hospital Revenue Code	270
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$47.25
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

PUNCH CORNEA DON 8.0MM

Facility

$345.00

Hospital Charge Code	270600223
Hospital Revenue Code	272
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$51.75
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

PUNCH CORNEA DON 8.0MM

Facility

$345.00

Hospital Charge Code	270600223
Hospital Revenue Code	272
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$172.50
Rate for Payer: Aetna Commercial	$131.10
Rate for Payer: Aetna Medicare Advantage	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.97
Rate for Payer: Cigna Commercial	$172.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.70
Rate for Payer: Oxford Commercial	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.75
Rate for Payer: UnitedHealthcare Commercial	$69.00
Rate for Payer: UnitedHealthcare Community & State	$10.90
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

PUNCH CORNEA DONO 7.5MM

Facility

$360.00

Hospital Charge Code	270600215
Hospital Revenue Code	272
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

PUNCH CORNEA DONO 7.5MM

Facility

$360.00

Hospital Charge Code	270600215
Hospital Revenue Code	272
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$136.80
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.60
Rate for Payer: Oxford Commercial	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00
Rate for Payer: UnitedHealthcare Commercial	$72.00
Rate for Payer: UnitedHealthcare Community & State	$11.38
Rate for Payer: Wellpoint Medicaid Managed Care	$10.22

PUNCH DISP CRKSDRW SWVLK ANCHS

Facility

$375.00

Hospital Charge Code	270656550
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

PUNCH DISP CRKSDRW SWVLK ANCHS

Facility

$375.00

Hospital Charge Code	270656550
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

PUNCH FOR 3.9MM SWIVELOCK

Facility

$950.00

Hospital Charge Code	270687859
Hospital Revenue Code	272
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

PUNCH FOR 3.9MM SWIVELOCK

Facility

$950.00

Hospital Charge Code	270687859
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PUNCH KOFLER HAJEK

Facility

$4,211.00

Hospital Charge Code	270689937
Hospital Revenue Code	272
Min. Negotiated Rate	$119.59
Max. Negotiated Rate	$2,105.50
Rate for Payer: Aetna Commercial	$1,600.18
Rate for Payer: Aetna Medicare Advantage	$1,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,073.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,073.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,073.81
Rate for Payer: Cigna Commercial	$2,105.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,094.86
Rate for Payer: Oxford Commercial	$842.20
Rate for Payer: Qualcare PPO/HMO/WC	$631.65
Rate for Payer: UnitedHealthcare Commercial	$842.20
Rate for Payer: UnitedHealthcare Community & State	$133.07
Rate for Payer: Wellpoint Medicaid Managed Care	$119.59

PUNCH KOFLER HAJEK

Facility

$4,211.00

Hospital Charge Code	270689937
Hospital Revenue Code	272
Min. Negotiated Rate	$631.65
Max. Negotiated Rate	$631.65
Rate for Payer: Qualcare PPO/HMO/WC	$631.65

PUNCH UP BITE 15 3.4 MM

Facility

$3,936.15

Hospital Charge Code	270681794
Hospital Revenue Code	272
Min. Negotiated Rate	$590.42
Max. Negotiated Rate	$590.42
Rate for Payer: Qualcare PPO/HMO/WC	$590.42

PUNCH UP BITE 15 3.4 MM

Facility

$3,936.15

Hospital Charge Code	270681794
Hospital Revenue Code	272
Min. Negotiated Rate	$111.79
Max. Negotiated Rate	$1,968.08
Rate for Payer: Aetna Commercial	$1,495.74
Rate for Payer: Aetna Medicare Advantage	$1,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,003.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,003.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,003.72
Rate for Payer: Cigna Commercial	$1,968.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.40
Rate for Payer: Oxford Commercial	$787.23
Rate for Payer: Qualcare PPO/HMO/WC	$590.42
Rate for Payer: UnitedHealthcare Commercial	$787.23
Rate for Payer: UnitedHealthcare Community & State	$124.38
Rate for Payer: Wellpoint Medicaid Managed Care	$111.79

PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,141.35

Service Code	HCPCS 10160
Hospital Charge Code	2101194
Hospital Revenue Code	361
Min. Negotiated Rate	$171.20
Max. Negotiated Rate	$171.20
Rate for Payer: Qualcare PPO/HMO/WC	$171.20

PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,141.35

Service Code	HCPCS 10160
Hospital Charge Code	2101194
Hospital Revenue Code	361
Min. Negotiated Rate	$36.07
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.75
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.20
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$36.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

PUNCT ASP - ABSC HEMAT CYST

Facility

$1,471.36

Service Code	HCPCS 10160
Hospital Charge Code	16000245
Hospital Revenue Code	360
Min. Negotiated Rate	$46.49
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.55
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$220.70
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$46.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

PUNCT ASP - ABSC HEMAT CYST

Facility

$1,471.36

Service Code	HCPCS 10160
Hospital Charge Code	16000245
Hospital Revenue Code	360
Min. Negotiated Rate	$220.70
Max. Negotiated Rate	$220.70
Rate for Payer: Qualcare PPO/HMO/WC	$220.70

PUNCTURE CLOS EXIT DEVICE DISP

Facility

$231.00

Hospital Charge Code	270600260
Hospital Revenue Code	272
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$115.50
Rate for Payer: Aetna Commercial	$87.78
Rate for Payer: Aetna Medicare Advantage	$69.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.91
Rate for Payer: Cigna Commercial	$115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.06
Rate for Payer: Oxford Commercial	$46.20
Rate for Payer: Qualcare PPO/HMO/WC	$34.65
Rate for Payer: UnitedHealthcare Commercial	$46.20
Rate for Payer: UnitedHealthcare Community & State	$7.30
Rate for Payer: Wellpoint Medicaid Managed Care	$6.56

PUNCTURE CLOS EXIT DEVICE DISP

Facility

$231.00

Hospital Charge Code	270600260
Hospital Revenue Code	272
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$34.65
Rate for Payer: Qualcare PPO/HMO/WC	$34.65

PUPIL DILATOR MORCHER

Facility

$1,239.00

Hospital Charge Code	270332598
Hospital Revenue Code	272
Min. Negotiated Rate	$185.85
Max. Negotiated Rate	$185.85
Rate for Payer: Qualcare PPO/HMO/WC	$185.85

PUPIL DILATOR MORCHER

Facility

$1,239.00

Hospital Charge Code	270332598
Hospital Revenue Code	272
Min. Negotiated Rate	$35.19
Max. Negotiated Rate	$619.50
Rate for Payer: Aetna Commercial	$470.82
Rate for Payer: Aetna Medicare Advantage	$371.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.94
Rate for Payer: Cigna Commercial	$619.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.14
Rate for Payer: Oxford Commercial	$247.80
Rate for Payer: Qualcare PPO/HMO/WC	$185.85
Rate for Payer: UnitedHealthcare Commercial	$247.80
Rate for Payer: UnitedHealthcare Community & State	$39.15
Rate for Payer: Wellpoint Medicaid Managed Care	$35.19

Know your out-of-pocket cost for care.

All Charges