Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PUTTY OSTEOSTRUX

Facility

$17,675.00

Hospital Charge Code	270674945
Hospital Revenue Code	278
Min. Negotiated Rate	$501.97
Max. Negotiated Rate	$8,837.50
Rate for Payer: Aetna Commercial	$6,716.50
Rate for Payer: Aetna Medicare Advantage	$5,302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,507.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,507.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,535.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,507.12
Rate for Payer: Cigna Commercial	$8,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,277.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,651.25
Rate for Payer: UnitedHealthcare Community & State	$558.53
Rate for Payer: Wellpoint Medicaid Managed Care	$501.97

PUTTY OSTEROSURGE 300 10CC

Facility

$10,530.00

Service Code	HCPCS C1713
Hospital Charge Code	270694257
Hospital Revenue Code	278
Min. Negotiated Rate	$1,579.50
Max. Negotiated Rate	$2,548.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,106.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,548.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,579.50

PUTTY OSTEROSURGE 300 10CC

Facility

$10,530.00

Service Code	HCPCS C1713
Hospital Charge Code	270694257
Hospital Revenue Code	278
Min. Negotiated Rate	$299.05
Max. Negotiated Rate	$5,265.00
Rate for Payer: Aetna Commercial	$4,001.40
Rate for Payer: Aetna Medicare Advantage	$3,159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,685.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,685.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,685.15
Rate for Payer: Cigna Commercial	$5,265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,548.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,579.50
Rate for Payer: UnitedHealthcare Community & State	$332.75
Rate for Payer: Wellpoint Medicaid Managed Care	$299.05

PUTTY OTPIMUM 5CC

Facility

$3,307.55

Service Code	HCPCS C9359
Hospital Charge Code	270667892
Hospital Revenue Code	278
Min. Negotiated Rate	$496.13
Max. Negotiated Rate	$800.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$661.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$800.43
Rate for Payer: Qualcare PPO/HMO/WC	$496.13

PUTTY OTPIMUM 5CC

Facility

$3,307.55

Service Code	HCPCS C9359
Hospital Charge Code	270667892
Hospital Revenue Code	278
Min. Negotiated Rate	$93.93
Max. Negotiated Rate	$1,653.78
Rate for Payer: Aetna Commercial	$1,256.87
Rate for Payer: Aetna Medicare Advantage	$992.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$843.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$843.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$661.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$843.43
Rate for Payer: Cigna Commercial	$1,653.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$800.43
Rate for Payer: Qualcare PPO/HMO/WC	$496.13
Rate for Payer: UnitedHealthcare Community & State	$104.52
Rate for Payer: Wellpoint Medicaid Managed Care	$93.93

PUTTY STIMBLAST

Facility

$4,000.00

Service Code	HCPCS C9359
Hospital Charge Code	270664775
Hospital Revenue Code	278
Min. Negotiated Rate	$113.60
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Community & State	$126.40
Rate for Payer: Wellpoint Medicaid Managed Care	$113.60

PUTTY STIMBLAST

Facility

$4,000.00

Service Code	HCPCS C9359
Hospital Charge Code	270664775
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

PUTTY STIMBLAST 2.5CC

Facility

$2,200.00

Hospital Charge Code	270677565
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

PUTTY STIMBLAST 2.5CC

Facility

$2,200.00

Hospital Charge Code	270677565
Hospital Revenue Code	278
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

PUTTY STIMUBLAST 1CC

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270674925
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

PUTTY STIMUBLAST 1CC

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270674925
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

PUTTY STIMUBLAST 2.5CC

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270674926
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

PUTTY STIMUBLAST 2.5CC

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270674926
Hospital Revenue Code	278
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

PUTTY STIMUBLAST DBM 5CC

Facility

$4,000.00

Service Code	HCPCS C1765
Hospital Charge Code	27060927
Hospital Revenue Code	278
Min. Negotiated Rate	$113.60
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Community & State	$126.40
Rate for Payer: Wellpoint Medicaid Managed Care	$113.60

PUTTY STIMUBLAST DBM 5CC

Facility

$4,000.00

Service Code	HCPCS C1765
Hospital Charge Code	27060927
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

PUTTY STYLOS BA 2 CC

Facility

$5,840.00

Hospital Charge Code	270701999
Hospital Revenue Code	278
Min. Negotiated Rate	$876.00
Max. Negotiated Rate	$1,413.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,413.28
Rate for Payer: Qualcare PPO/HMO/WC	$876.00

PUTTY STYLOS BA 2 CC

Facility

$5,840.00

Hospital Charge Code	270701999
Hospital Revenue Code	278
Min. Negotiated Rate	$165.86
Max. Negotiated Rate	$2,920.00
Rate for Payer: Aetna Commercial	$2,219.20
Rate for Payer: Aetna Medicare Advantage	$1,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,489.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,489.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,489.20
Rate for Payer: Cigna Commercial	$2,920.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,413.28
Rate for Payer: Qualcare PPO/HMO/WC	$876.00
Rate for Payer: UnitedHealthcare Community & State	$184.54
Rate for Payer: Wellpoint Medicaid Managed Care	$165.86

PUTTY STYLOS BA 5 CC

Facility

$10,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270701998
Hospital Revenue Code	278
Min. Negotiated Rate	$309.56
Max. Negotiated Rate	$5,450.00
Rate for Payer: Aetna Commercial	$4,142.00
Rate for Payer: Aetna Medicare Advantage	$3,270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,779.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,779.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,779.50
Rate for Payer: Cigna Commercial	$5,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,637.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.00
Rate for Payer: UnitedHealthcare Community & State	$344.44
Rate for Payer: Wellpoint Medicaid Managed Care	$309.56

PUTTY STYLOS BA 5 CC

Facility

$10,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270701998
Hospital Revenue Code	278
Min. Negotiated Rate	$1,635.00
Max. Negotiated Rate	$2,637.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,637.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.00

PVR SEGMEN PRESS W/STRESS

Facility

$5,100.00

Service Code	HCPCS 93924
Hospital Charge Code	2692040
Hospital Revenue Code	920
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

PVR SEGMEN PRESS W/STRESS

Facility

$5,100.00

Service Code	HCPCS 93924
Hospital Charge Code	2692040
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

PYRAZINAMIDE

Facility

$309.00

Service Code	HCPCS 80299
Hospital Charge Code	3009821
Hospital Revenue Code	301
Min. Negotiated Rate	$46.35
Max. Negotiated Rate	$46.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.35

PYRAZINAMIDE

Facility

$309.00

Service Code	HCPCS 80299
Hospital Charge Code	3009821
Hospital Revenue Code	301
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$60.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.62
Rate for Payer: Cigna Commercial	$154.50
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Medicare Advantage	$18.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.78

PYRAZINAMIDE 500 MG TAB

Facility

$42.28

Service Code	NDC 61748001206
Hospital Charge Code	60628693
Hospital Revenue Code	250
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$21.14
Rate for Payer: Aetna Commercial	$16.07
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.78
Rate for Payer: Cigna Commercial	$21.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.99
Rate for Payer: Oxford Commercial	$8.46
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.46
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.20

PYRAZINAMIDE 500 MG TAB

Facility

$42.28

Service Code	NDC 61748001206
Hospital Charge Code	60628693
Hospital Revenue Code	250
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

Know your out-of-pocket cost for care.

All Charges