Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

QCKFIX SCREW TI CANN ST 4.0x22

Facility

$825.00

Service Code	HCPCS C1713
Hospital Charge Code	270688390
Hospital Revenue Code	278
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$199.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

Q FEVER ANTIBODY

Facility

$85.00

Service Code	HCPCS 86638
Hospital Charge Code	38476245
Hospital Revenue Code	302
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

Q FEVER ANTIBODY

Facility

$558.45

Service Code	HCPCS 86638
Hospital Charge Code	3032273
Hospital Revenue Code	302
Min. Negotiated Rate	$83.77
Max. Negotiated Rate	$83.77
Rate for Payer: Qualcare PPO/HMO/WC	$83.77

Q FEVER ANTIBODY

Facility

$85.00

Service Code	HCPCS 86638
Hospital Charge Code	38476245
Hospital Revenue Code	302
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$32.97
Rate for Payer: Aetna Medicare Advantage	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.97
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: Cigna Medicare Advantage	$12.12
Rate for Payer: Clover Medicare Advantage	$11.51
Rate for Payer: EmblemHealth Commercial	$36.36
Rate for Payer: Humana Medicare Advantage	$12.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.12
Rate for Payer: Wellcare Medicare Advantage	$12.12
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

Q FEVER ANTIBODY

Facility

$558.45

Service Code	HCPCS 86638
Hospital Charge Code	3032273
Hospital Revenue Code	302
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$279.23
Rate for Payer: Aetna Commercial	$32.97
Rate for Payer: Aetna Medicare Advantage	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.97
Rate for Payer: Cigna Commercial	$279.23
Rate for Payer: Cigna Medicare Advantage	$12.12
Rate for Payer: Clover Medicare Advantage	$11.51
Rate for Payer: EmblemHealth Commercial	$36.36
Rate for Payer: Humana Medicare Advantage	$12.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.77
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.12
Rate for Payer: Wellcare Medicare Advantage	$12.12
Rate for Payer: Wellpoint Medicaid Managed Care	$15.86

QFIX 1.8 MINI SUTURE ANCHOR KI

Facility

$3,415.00

Hospital Charge Code	2707229012
Hospital Revenue Code	272
Min. Negotiated Rate	$96.99
Max. Negotiated Rate	$1,707.50
Rate for Payer: Aetna Commercial	$1,297.70
Rate for Payer: Aetna Medicare Advantage	$1,024.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.83
Rate for Payer: Cigna Commercial	$1,707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.90
Rate for Payer: Oxford Commercial	$683.00
Rate for Payer: Qualcare PPO/HMO/WC	$512.25
Rate for Payer: UnitedHealthcare Commercial	$683.00
Rate for Payer: UnitedHealthcare Community & State	$107.91
Rate for Payer: Wellpoint Medicaid Managed Care	$96.99

QFIX 1.8 MINI SUTURE ANCHOR KI

Facility

$3,415.00

Hospital Charge Code	2707229012
Hospital Revenue Code	272
Min. Negotiated Rate	$512.25
Max. Negotiated Rate	$512.25
Rate for Payer: Qualcare PPO/HMO/WC	$512.25

Q-INFLUENZA A&B ANTIGEN ASSAY

Facility

$246.24

Service Code	HCPCS 87804
Hospital Charge Code	4013878042
Hospital Revenue Code	306
Min. Negotiated Rate	$36.94
Max. Negotiated Rate	$36.94
Rate for Payer: Qualcare PPO/HMO/WC	$36.94

Q-INFLUENZA A&B ANTIGEN ASSAY

Facility

$246.24

Service Code	HCPCS 87804
Hospital Charge Code	4013878042
Hospital Revenue Code	306
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$45.02
Rate for Payer: Aetna Medicare Advantage	$53.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.04
Rate for Payer: Cigna Commercial	$123.12
Rate for Payer: Cigna Medicare Advantage	$16.55
Rate for Payer: Clover Medicare Advantage	$15.72
Rate for Payer: EmblemHealth Commercial	$49.65
Rate for Payer: Humana Medicare Advantage	$17.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.94
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.55
Rate for Payer: Wellcare Medicare Advantage	$16.55
Rate for Payer: Wellpoint Medicaid Managed Care	$6.99

QLASE LASER FIBER USED

Facility

$3,975.00

Hospital Charge Code	270677530
Hospital Revenue Code	272
Min. Negotiated Rate	$112.89
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,510.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.50
Rate for Payer: Oxford Commercial	$795.00
Rate for Payer: Qualcare PPO/HMO/WC	$596.25
Rate for Payer: UnitedHealthcare Commercial	$795.00
Rate for Payer: UnitedHealthcare Community & State	$125.61
Rate for Payer: Wellpoint Medicaid Managed Care	$112.89

QLASE LASER FIBER USED

Facility

$3,975.00

Hospital Charge Code	270677530
Hospital Revenue Code	272
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$596.25
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

QNS HPV HIGH RISK

Facility

$241.20

Service Code	HCPCS 87624
Hospital Charge Code	39900304
Hospital Revenue Code	306
Min. Negotiated Rate	$6.85
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.29
Rate for Payer: Cigna Commercial	$120.60
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.71
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.18
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$6.85

QNS HPV HIGH RISK

Facility

$241.20

Service Code	HCPCS 87624
Hospital Charge Code	39900304
Hospital Revenue Code	306
Min. Negotiated Rate	$36.18
Max. Negotiated Rate	$36.18
Rate for Payer: Qualcare PPO/HMO/WC	$36.18

Q-RSV ASSAY W/OPTICAL OBSERVAT

Facility

$120.03

Service Code	HCPCS 87807
Hospital Charge Code	401387807
Hospital Revenue Code	306
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.63
Rate for Payer: Aetna Medicare Advantage	$42.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.52
Rate for Payer: Cigna Commercial	$60.02
Rate for Payer: Cigna Medicare Advantage	$13.10
Rate for Payer: Clover Medicare Advantage	$12.45
Rate for Payer: EmblemHealth Commercial	$39.30
Rate for Payer: Humana Medicare Advantage	$13.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.21
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.10
Rate for Payer: Wellcare Medicare Advantage	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

Q-RSV ASSAY W/OPTICAL OBSERVAT

Facility

$120.03

Service Code	HCPCS 87807
Hospital Charge Code	401387807
Hospital Revenue Code	306
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

QT INFLIXIMAB W RFX AB/INFLIX

Facility

$1,222.50

Service Code	HCPCS 80299
Hospital Charge Code	3038549
Hospital Revenue Code	301
Min. Negotiated Rate	$183.38
Max. Negotiated Rate	$183.38
Rate for Payer: Qualcare PPO/HMO/WC	$183.38

QT INFLIXIMAB W RFX AB/INFLIX

Facility

$1,222.50

Service Code	HCPCS 80299
Hospital Charge Code	3038549
Hospital Revenue Code	301
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$611.25
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	$611.25
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	$317.85
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.38
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	$34.72

QUACEPSPLASTY

Facility

$44,916.00

Service Code	HCPCS 27430
Hospital Charge Code	16000886
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

QUACEPSPLASTY

Facility

$44,916.00

Service Code	HCPCS 27430
Hospital Charge Code	16000886
Hospital Revenue Code	360
Min. Negotiated Rate	$1,275.61
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,678.16
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,419.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,275.61

QUADLINK IMPLANT 11MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695228
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT 11MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695228
Hospital Revenue Code	278
Min. Negotiated Rate	$308.85
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$4,132.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25
Rate for Payer: UnitedHealthcare Community & State	$343.65
Rate for Payer: Wellpoint Medicaid Managed Care	$308.85

QUADLINK IMPLANT 8MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695230
Hospital Revenue Code	278
Min. Negotiated Rate	$308.85
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$4,132.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25
Rate for Payer: UnitedHealthcare Community & State	$343.65
Rate for Payer: Wellpoint Medicaid Managed Care	$308.85

QUADLINK IMPLANT 8MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695230
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT SYSTEM 9MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270696481
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT SYSTEM 9MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270696481
Hospital Revenue Code	278
Min. Negotiated Rate	$308.85
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$4,132.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25
Rate for Payer: UnitedHealthcare Community & State	$343.65
Rate for Payer: Wellpoint Medicaid Managed Care	$308.85

Know your out-of-pocket cost for care.

All Charges