Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

REM IMP CERUMEN/IRRIG UNI

Facility

$329.60

Service Code	HCPCS 69209
Hospital Charge Code	5792275
Hospital Revenue Code	450
Min. Negotiated Rate	$49.44
Max. Negotiated Rate	$49.44
Rate for Payer: Qualcare PPO/HMO/WC	$49.44

REM IMPLANT FROM FINGER ORHAND

Facility

$13,615.50

Service Code	HCPCS 26320
Hospital Charge Code	16000474
Hospital Revenue Code	360
Min. Negotiated Rate	$2,042.33
Max. Negotiated Rate	$2,042.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33

REM IMPLANT FROM FINGER ORHAND

Facility

$13,615.50

Service Code	HCPCS 26320
Hospital Charge Code	16000474
Hospital Revenue Code	360
Min. Negotiated Rate	$386.68
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,540.03
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$430.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$386.68

REM MAMMARY IMPLANT

Facility

$31,541.30

Service Code	HCPCS 19328
Hospital Charge Code	16000536
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

REM MAMMARY IMPLANT

Facility

$31,541.30

Service Code	HCPCS 19328
Hospital Charge Code	16000536
Hospital Revenue Code	360
Min. Negotiated Rate	$895.77
Max. Negotiated Rate	$16,873.82
Rate for Payer: Aetna Commercial	$12,652.46
Rate for Payer: Aetna Medicare Advantage	$15,071.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,651.64
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	$16,873.82
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: Cigna Medicare Advantage	$4,651.64
Rate for Payer: Clover Medicare Advantage	$4,419.06
Rate for Payer: EmblemHealth Commercial	$13,954.92
Rate for Payer: Humana Medicare Advantage	$4,791.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,651.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,200.74
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$996.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,651.64
Rate for Payer: Wellcare Medicare Advantage	$4,651.64
Rate for Payer: Wellpoint Medicaid Managed Care	$895.77

REM MAMMARY IMPL MATEAL

Facility

$31,541.30

Service Code	HCPCS 19330
Hospital Charge Code	16000664
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

REM MAMMARY IMPL MATEAL

Facility

$31,541.30

Service Code	HCPCS 19330
Hospital Charge Code	16000664
Hospital Revenue Code	360
Min. Negotiated Rate	$895.77
Max. Negotiated Rate	$16,873.82
Rate for Payer: Aetna Commercial	$12,652.46
Rate for Payer: Aetna Medicare Advantage	$15,071.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,651.64
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	$16,873.82
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: Cigna Medicare Advantage	$4,651.64
Rate for Payer: Clover Medicare Advantage	$4,419.06
Rate for Payer: EmblemHealth Commercial	$13,954.92
Rate for Payer: Humana Medicare Advantage	$4,791.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,651.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,200.74
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$996.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,651.64
Rate for Payer: Wellcare Medicare Advantage	$4,651.64
Rate for Payer: Wellpoint Medicaid Managed Care	$895.77

REMOTE CNTRL PRECISION SPECTRA

Facility

$6,750.00

Hospital Charge Code	270675555
Hospital Revenue Code	272
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,755.00
Rate for Payer: Oxford Commercial	$1,350.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Commercial	$1,350.00
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

REMOTE CNTRL PRECISION SPECTRA

Facility

$6,750.00

Hospital Charge Code	270675555
Hospital Revenue Code	272
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,012.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

REMOTE CONTROL

Facility

$4,400.00

Service Code	HCPCS C1778
Hospital Charge Code	270702121
Hospital Revenue Code	278
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$1,064.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

REMOTE CONTROL

Facility

$4,400.00

Service Code	HCPCS C1778
Hospital Charge Code	270702121
Hospital Revenue Code	278
Min. Negotiated Rate	$124.96
Max. Negotiated Rate	$2,200.00
Rate for Payer: Aetna Commercial	$1,672.00
Rate for Payer: Aetna Medicare Advantage	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.00
Rate for Payer: Cigna Commercial	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00
Rate for Payer: UnitedHealthcare Community & State	$139.04
Rate for Payer: Wellpoint Medicaid Managed Care	$124.96

REMOTE CONTROL

Facility

$4,400.00

Hospital Charge Code	270703590
Hospital Revenue Code	278
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$1,064.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

REMOTE CONTROL

Facility

$4,400.00

Hospital Charge Code	270703590
Hospital Revenue Code	278
Min. Negotiated Rate	$124.96
Max. Negotiated Rate	$2,200.00
Rate for Payer: Aetna Commercial	$1,672.00
Rate for Payer: Aetna Medicare Advantage	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$880.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.00
Rate for Payer: Cigna Commercial	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.80
Rate for Payer: Qualcare PPO/HMO/WC	$660.00
Rate for Payer: UnitedHealthcare Community & State	$139.04
Rate for Payer: Wellpoint Medicaid Managed Care	$124.96

REMOVAL BILIARY DRG CATH

Facility

$2,844.79

Service Code	HCPCS 47537
Hospital Charge Code	2011568
Hospital Revenue Code	361
Min. Negotiated Rate	$426.72
Max. Negotiated Rate	$426.72
Rate for Payer: Qualcare PPO/HMO/WC	$426.72

REMOVAL BILIARY DRG CATH

Facility

$2,844.79

Service Code	HCPCS 47537
Hospital Charge Code	2011568
Hospital Revenue Code	361
Min. Negotiated Rate	$80.79
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$2,930.85
Rate for Payer: Aetna Medicare Advantage	$3,491.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,077.52
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	$3,908.70
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: Cigna Medicare Advantage	$1,077.52
Rate for Payer: Clover Medicare Advantage	$1,023.64
Rate for Payer: EmblemHealth Commercial	$3,232.56
Rate for Payer: Humana Medicare Advantage	$1,109.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,077.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$739.65
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$426.72
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$89.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,077.52
Rate for Payer: Wellcare Medicare Advantage	$1,077.52
Rate for Payer: Wellpoint Medicaid Managed Care	$80.79

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	7411566
Hospital Revenue Code	361
Min. Negotiated Rate	$690.80
Max. Negotiated Rate	$690.80
Rate for Payer: Qualcare PPO/HMO/WC	$690.80

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	2600237
Hospital Revenue Code	361
Min. Negotiated Rate	$690.80
Max. Negotiated Rate	$690.80
Rate for Payer: Qualcare PPO/HMO/WC	$690.80

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	2600237
Hospital Revenue Code	361
Min. Negotiated Rate	$130.79
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$2,930.85
Rate for Payer: Aetna Medicare Advantage	$3,491.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,077.52
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	$3,908.70
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: Cigna Medicare Advantage	$1,077.52
Rate for Payer: Clover Medicare Advantage	$1,023.64
Rate for Payer: EmblemHealth Commercial	$3,232.56
Rate for Payer: Humana Medicare Advantage	$1,109.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,077.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.39
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.80
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$145.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,077.52
Rate for Payer: Wellcare Medicare Advantage	$1,077.52
Rate for Payer: Wellpoint Medicaid Managed Care	$130.79

REMOVAL BILIARY DRG CATH

Facility

$4,605.35

Service Code	HCPCS 47537
Hospital Charge Code	7411566
Hospital Revenue Code	361
Min. Negotiated Rate	$130.79
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$2,930.85
Rate for Payer: Aetna Medicare Advantage	$3,491.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,077.52
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	$3,908.70
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: Cigna Medicare Advantage	$1,077.52
Rate for Payer: Clover Medicare Advantage	$1,023.64
Rate for Payer: EmblemHealth Commercial	$3,232.56
Rate for Payer: Humana Medicare Advantage	$1,109.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,077.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.39
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.80
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$145.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,077.52
Rate for Payer: Wellcare Medicare Advantage	$1,077.52
Rate for Payer: Wellpoint Medicaid Managed Care	$130.79

REMOVAL BLADDER LESION

Facility

$16,842.20

Service Code	HCPCS 51525
Hospital Charge Code	1600000812
Hospital Revenue Code	360
Min. Negotiated Rate	$2,526.33
Max. Negotiated Rate	$2,526.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.33

REMOVAL BLADDER LESION

Facility

$16,842.20

Service Code	HCPCS 51525
Hospital Charge Code	1600000812
Hospital Revenue Code	360
Min. Negotiated Rate	$478.32
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$6,400.04
Rate for Payer: Aetna Medicare Advantage	$5,052.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,294.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,294.76
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	$4,294.76
Rate for Payer: Cigna Commercial	$8,421.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,378.97
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.33
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$532.21
Rate for Payer: Wellpoint Medicaid Managed Care	$478.32

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	2600240
Hospital Revenue Code	361
Min. Negotiated Rate	$633.34
Max. Negotiated Rate	$633.34
Rate for Payer: Qualcare PPO/HMO/WC	$633.34

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	2600240
Hospital Revenue Code	361
Min. Negotiated Rate	$119.91
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,604.45
Rate for Payer: Aetna Medicare Advantage	$1,266.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.67
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	$1,076.67
Rate for Payer: Cigna Commercial	$2,111.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,097.79
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.34
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$133.42
Rate for Payer: Wellpoint Medicaid Managed Care	$119.91

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	7411571
Hospital Revenue Code	361
Min. Negotiated Rate	$633.34
Max. Negotiated Rate	$633.34
Rate for Payer: Qualcare PPO/HMO/WC	$633.34

REMOVAL DUCT/GB CALCULI

Facility

$4,222.25

Service Code	HCPCS 47544
Hospital Charge Code	7411571
Hospital Revenue Code	361
Min. Negotiated Rate	$119.91
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,604.45
Rate for Payer: Aetna Medicare Advantage	$1,266.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.67
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	$1,076.67
Rate for Payer: Cigna Commercial	$2,111.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,097.79
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.34
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$133.42
Rate for Payer: Wellpoint Medicaid Managed Care	$119.91

Know your out-of-pocket cost for care.

All Charges