Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RABIES IG 300 IU/ML (5ML)

Facility

$17,268.25

Service Code	HCPCS 90375
Hospital Charge Code	606390186
Hospital Revenue Code	636
Min. Negotiated Rate	$2,590.24
Max. Negotiated Rate	$4,178.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,178.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,590.24

RABIES IG 300 IU/ML (5ML)

Facility

$17,268.25

Service Code	HCPCS 90375
Hospital Charge Code	606390186
Hospital Revenue Code	636
Min. Negotiated Rate	$261.42
Max. Negotiated Rate	$4,178.92
Rate for Payer: Aetna Commercial	$748.49
Rate for Payer: Aetna Medicare Advantage	$891.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$275.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$998.22
Rate for Payer: Cigna Medicare Advantage	$275.18
Rate for Payer: Clover Medicare Advantage	$261.42
Rate for Payer: EmblemHealth Commercial	$825.54
Rate for Payer: Humana Medicare Advantage	$283.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$275.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,178.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,590.24
Rate for Payer: UnitedHealthcare Community & State	$545.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$275.18
Rate for Payer: Wellcare Medicare Advantage	$275.18
Rate for Payer: Wellpoint Medicaid Managed Care	$490.42

RABIES IMMUNE GLOBULIN 2 ML

Facility

$4,825.54

Service Code	HCPCS 90375
Hospital Charge Code	606350973
Hospital Revenue Code	636
Min. Negotiated Rate	$723.83
Max. Negotiated Rate	$1,167.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,167.78
Rate for Payer: Qualcare PPO/HMO/WC	$723.83

RABIES IMMUNE GLOBULIN 2 ML

Facility

$4,825.54

Service Code	HCPCS 90375
Hospital Charge Code	606350973
Hospital Revenue Code	636
Min. Negotiated Rate	$137.05
Max. Negotiated Rate	$1,167.78
Rate for Payer: Aetna Commercial	$748.49
Rate for Payer: Aetna Medicare Advantage	$891.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$998.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$275.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$998.22
Rate for Payer: Cigna Medicare Advantage	$275.18
Rate for Payer: Clover Medicare Advantage	$261.42
Rate for Payer: EmblemHealth Commercial	$825.54
Rate for Payer: Humana Medicare Advantage	$283.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$275.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,167.78
Rate for Payer: Qualcare PPO/HMO/WC	$723.83
Rate for Payer: UnitedHealthcare Community & State	$152.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$275.18
Rate for Payer: Wellcare Medicare Advantage	$275.18
Rate for Payer: Wellpoint Medicaid Managed Care	$137.05

RABIES VACCINE 2.5 IU PDR

Facility

$1,191.00

Service Code	HCPCS 90675
Hospital Charge Code	60630111
Hospital Revenue Code	636
Min. Negotiated Rate	$33.82
Max. Negotiated Rate	$1,143.46
Rate for Payer: Aetna Commercial	$857.40
Rate for Payer: Aetna Medicare Advantage	$1,021.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,143.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,143.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$315.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$334.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,143.46
Rate for Payer: Cigna Medicare Advantage	$315.22
Rate for Payer: Clover Medicare Advantage	$299.46
Rate for Payer: EmblemHealth Commercial	$945.66
Rate for Payer: Humana Medicare Advantage	$324.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$315.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.22
Rate for Payer: Qualcare PPO/HMO/WC	$178.65
Rate for Payer: UnitedHealthcare Community & State	$37.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$315.22
Rate for Payer: Wellcare Medicare Advantage	$315.22
Rate for Payer: Wellpoint Medicaid Managed Care	$33.82

RABIES VACCINE 2.5 IU PDR

Facility

$1,191.00

Service Code	HCPCS 90675
Hospital Charge Code	60630111
Hospital Revenue Code	636
Min. Negotiated Rate	$178.65
Max. Negotiated Rate	$288.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.22
Rate for Payer: Qualcare PPO/HMO/WC	$178.65

RABIES VACCINE (RABAVERT)

Facility

$1,260.27

Service Code	HCPCS 90675
Hospital Charge Code	60639517
Hospital Revenue Code	636
Min. Negotiated Rate	$35.79
Max. Negotiated Rate	$1,143.46
Rate for Payer: Aetna Commercial	$857.40
Rate for Payer: Aetna Medicare Advantage	$1,021.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,143.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,143.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$315.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$334.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,143.46
Rate for Payer: Cigna Medicare Advantage	$315.22
Rate for Payer: Clover Medicare Advantage	$299.46
Rate for Payer: EmblemHealth Commercial	$945.66
Rate for Payer: Humana Medicare Advantage	$324.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$315.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.99
Rate for Payer: Qualcare PPO/HMO/WC	$189.04
Rate for Payer: UnitedHealthcare Community & State	$39.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$315.22
Rate for Payer: Wellcare Medicare Advantage	$315.22
Rate for Payer: Wellpoint Medicaid Managed Care	$35.79

RABIES VACCINE (RABAVERT)

Facility

$1,260.27

Service Code	HCPCS 90675
Hospital Charge Code	60639517
Hospital Revenue Code	636
Min. Negotiated Rate	$189.04
Max. Negotiated Rate	$304.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.99
Rate for Payer: Qualcare PPO/HMO/WC	$189.04

RABIES VACCINE (RABAVERT) EX

Facility

$2,048.26

Service Code	NDC 63851050101
Hospital Charge Code	60639517EX
Hospital Revenue Code	259
Min. Negotiated Rate	$307.24
Max. Negotiated Rate	$307.24
Rate for Payer: Qualcare PPO/HMO/WC	$307.24

RABIES VACCINE (RABAVERT) EX

Facility

$2,048.26

Service Code	NDC 63851050101
Hospital Charge Code	60639517EX
Hospital Revenue Code	259
Min. Negotiated Rate	$58.17
Max. Negotiated Rate	$1,024.13
Rate for Payer: Aetna Commercial	$778.34
Rate for Payer: Aetna Medicare Advantage	$614.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.31
Rate for Payer: Cigna Commercial	$1,024.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.55
Rate for Payer: Oxford Commercial	$409.65
Rate for Payer: Qualcare PPO/HMO/WC	$307.24
Rate for Payer: UnitedHealthcare Commercial	$409.65
Rate for Payer: UnitedHealthcare Community & State	$64.73
Rate for Payer: Wellpoint Medicaid Managed Care	$58.17

RACEMIC EPINEPH SOL 2.25% 15ML

Facility

$16.75

Service Code	NDC 487590199
Hospital Charge Code	60627447
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$8.38
Rate for Payer: Aetna Commercial	$6.37
Rate for Payer: Aetna Medicare Advantage	$5.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.27
Rate for Payer: Cigna Commercial	$8.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Oxford Commercial	$3.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.51
Rate for Payer: UnitedHealthcare Commercial	$3.35
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

RACEMIC EPINEPH SOL 2.25% 15ML

Facility

$16.75

Service Code	NDC 487590199
Hospital Charge Code	60627447
Hospital Revenue Code	250
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$2.51

RACK F/7.3MM CANN SCREW

Facility

$1,523.35

Hospital Charge Code	270677620
Hospital Revenue Code	272
Min. Negotiated Rate	$43.26
Max. Negotiated Rate	$761.67
Rate for Payer: Aetna Commercial	$578.87
Rate for Payer: Aetna Medicare Advantage	$457.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.45
Rate for Payer: Cigna Commercial	$761.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.07
Rate for Payer: Oxford Commercial	$304.67
Rate for Payer: Qualcare PPO/HMO/WC	$228.50
Rate for Payer: UnitedHealthcare Commercial	$304.67
Rate for Payer: UnitedHealthcare Community & State	$48.14
Rate for Payer: Wellpoint Medicaid Managed Care	$43.26

RACK F/7.3MM CANN SCREW

Facility

$1,523.35

Hospital Charge Code	270677620
Hospital Revenue Code	272
Min. Negotiated Rate	$228.50
Max. Negotiated Rate	$228.50
Rate for Payer: Qualcare PPO/HMO/WC	$228.50

RACK LID F/7.3MM CANN SCREW

Facility

$398.60

Hospital Charge Code	270677619
Hospital Revenue Code	272
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$199.30
Rate for Payer: Aetna Commercial	$151.47
Rate for Payer: Aetna Medicare Advantage	$119.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.64
Rate for Payer: Cigna Commercial	$199.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.64
Rate for Payer: Oxford Commercial	$79.72
Rate for Payer: Qualcare PPO/HMO/WC	$59.79
Rate for Payer: UnitedHealthcare Commercial	$79.72
Rate for Payer: UnitedHealthcare Community & State	$12.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.32

RACK LID F/7.3MM CANN SCREW

Facility

$398.60

Hospital Charge Code	270677619
Hospital Revenue Code	272
Min. Negotiated Rate	$59.79
Max. Negotiated Rate	$59.79
Rate for Payer: Qualcare PPO/HMO/WC	$59.79

RADENOID BLADE

Facility

$220.00

Hospital Charge Code	270337857
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

RADENOID BLADE

Facility

$220.00

Hospital Charge Code	270337857
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

RAD EXC WRIST BURSA/FARM TEND

Facility

$6,353.84

Service Code	HCPCS 25115
Hospital Charge Code	16000422
Hospital Revenue Code	360
Min. Negotiated Rate	$180.45
Max. Negotiated Rate	$8,192.00
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,652.00
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$953.08
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$200.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$180.45

RAD EXC WRIST BURSA/FARM TEND

Facility

$6,353.84

Service Code	HCPCS 25115
Hospital Charge Code	16000422
Hospital Revenue Code	360
Min. Negotiated Rate	$953.08
Max. Negotiated Rate	$953.08
Rate for Payer: Qualcare PPO/HMO/WC	$953.08

RADIAL HEAD 19X5.5MM STM .9

Facility

$17,703.15

Service Code	HCPCS C1776
Hospital Charge Code	270696904
Hospital Revenue Code	278
Min. Negotiated Rate	$502.77
Max. Negotiated Rate	$8,851.58
Rate for Payer: Aetna Commercial	$6,727.20
Rate for Payer: Aetna Medicare Advantage	$5,310.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,540.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,514.30
Rate for Payer: Cigna Commercial	$8,851.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,284.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,655.47
Rate for Payer: UnitedHealthcare Community & State	$559.42
Rate for Payer: Wellpoint Medicaid Managed Care	$502.77

RADIAL HEAD 19X5.5MM STM .9

Facility

$17,703.15

Service Code	HCPCS C1776
Hospital Charge Code	270696904
Hospital Revenue Code	278
Min. Negotiated Rate	$2,655.47
Max. Negotiated Rate	$4,284.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,540.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,284.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,655.47

RADIAL HEAD LOCK SCREW 20MM

Facility

$11,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270680785
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

RADIAL HEAD LOCK SCREW 20MM

Facility

$11,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270680785
Hospital Revenue Code	278
Min. Negotiated Rate	$326.60
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$4,370.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00
Rate for Payer: UnitedHealthcare Community & State	$363.40
Rate for Payer: Wellpoint Medicaid Managed Care	$326.60

RADIAL HEAD POLYMER 24MM

Facility

$12,045.00

Service Code	HCPCS C1776
Hospital Charge Code	270695661
Hospital Revenue Code	278
Min. Negotiated Rate	$342.08
Max. Negotiated Rate	$6,022.50
Rate for Payer: Aetna Commercial	$4,577.10
Rate for Payer: Aetna Medicare Advantage	$3,613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,071.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,071.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,071.47
Rate for Payer: Cigna Commercial	$6,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,914.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,806.75
Rate for Payer: UnitedHealthcare Community & State	$380.62
Rate for Payer: Wellpoint Medicaid Managed Care	$342.08

Know your out-of-pocket cost for care.

All Charges