Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

REMVAL OF SPINAL LMNA SGL LMBR

Facility

$47,548.90

Service Code	HCPCS 63047
Hospital Charge Code	16000276
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.39
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	$12,362.71
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,502.55
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	$1,350.39

REM VENTIL TUBE UNDER ANESTH

Facility

$14,464.70

Service Code	HCPCS 69424
Hospital Charge Code	16000154
Hospital Revenue Code	360
Min. Negotiated Rate	$2,169.70
Max. Negotiated Rate	$2,169.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,169.70

REM VENTIL TUBE UNDER ANESTH

Facility

$14,464.70

Service Code	HCPCS 69424
Hospital Charge Code	16000154
Hospital Revenue Code	360
Min. Negotiated Rate	$410.80
Max. Negotiated Rate	$14,288.18
Rate for Payer: Aetna Commercial	$10,713.67
Rate for Payer: Aetna Medicare Advantage	$12,761.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,288.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,288.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,938.85
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	$14,288.18
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: Cigna Medicare Advantage	$3,938.85
Rate for Payer: Clover Medicare Advantage	$3,741.91
Rate for Payer: EmblemHealth Commercial	$11,816.55
Rate for Payer: Humana Medicare Advantage	$4,057.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,938.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,760.82
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,169.70
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$457.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,938.85
Rate for Payer: Wellcare Medicare Advantage	$3,938.85
Rate for Payer: Wellpoint Medicaid Managed Care	$410.80

Remv&repl cvd gen mult lead

Facility

$148,575.45

Service Code	HCPCS 33264
Hospital Charge Code	5100830
Hospital Revenue Code	480
Min. Negotiated Rate	$239.90
Max. Negotiated Rate	$135,272.38
Rate for Payer: Aetna Commercial	$101,430.98
Rate for Payer: Aetna Medicare Advantage	$120,822.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135,272.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135,272.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,290.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135,272.38
Rate for Payer: Cigna Commercial	$74,749.27
Rate for Payer: Cigna Medicare Advantage	$37,290.80
Rate for Payer: Clover Medicare Advantage	$35,426.26
Rate for Payer: EmblemHealth Commercial	$111,872.40
Rate for Payer: Humana Medicare Advantage	$38,409.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37,290.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38,629.62
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$4,694.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,290.80
Rate for Payer: Wellcare Medicare Advantage	$37,290.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4,219.54

Remv&repl cvd gen mult lead

Facility

$148,575.45

Service Code	HCPCS 33264
Hospital Charge Code	5100830
Hospital Revenue Code	480
Min. Negotiated Rate	$22,286.32
Max. Negotiated Rate	$22,286.32
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33263
Hospital Charge Code	5100829
Hospital Revenue Code	480
Min. Negotiated Rate	$231.23
Max. Negotiated Rate	$95,860.17
Rate for Payer: Aetna Commercial	$71,878.61
Rate for Payer: Aetna Medicare Advantage	$85,620.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95,860.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95,860.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,425.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95,860.17
Rate for Payer: Cigna Commercial	$52,970.73
Rate for Payer: Cigna Medicare Advantage	$26,425.96
Rate for Payer: Clover Medicare Advantage	$25,104.66
Rate for Payer: EmblemHealth Commercial	$79,277.88
Rate for Payer: Humana Medicare Advantage	$27,218.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,425.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38,629.62
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$4,694.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,425.96
Rate for Payer: Wellcare Medicare Advantage	$26,425.96
Rate for Payer: Wellpoint Medicaid Managed Care	$4,219.54

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33263
Hospital Charge Code	5100829
Hospital Revenue Code	480
Min. Negotiated Rate	$22,286.32
Max. Negotiated Rate	$22,286.32
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33262
Hospital Charge Code	5100828
Hospital Revenue Code	480
Min. Negotiated Rate	$22,286.32
Max. Negotiated Rate	$22,286.32
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33262
Hospital Charge Code	5100828
Hospital Revenue Code	480
Min. Negotiated Rate	$172.81
Max. Negotiated Rate	$95,860.17
Rate for Payer: Aetna Commercial	$71,878.61
Rate for Payer: Aetna Medicare Advantage	$85,620.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95,860.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95,860.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,425.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95,860.17
Rate for Payer: Cigna Commercial	$52,970.73
Rate for Payer: Cigna Medicare Advantage	$26,425.96
Rate for Payer: Clover Medicare Advantage	$25,104.66
Rate for Payer: EmblemHealth Commercial	$79,277.88
Rate for Payer: Humana Medicare Advantage	$27,218.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,425.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38,629.62
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$4,694.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,425.96
Rate for Payer: Wellcare Medicare Advantage	$26,425.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,099.11
Rate for Payer: Wellpoint Medicaid Managed Care	$4,219.54

REMV/REPL PENIS CONTAIN PROS

Facility

$94,818.40

Service Code	HCPCS 54416
Hospital Charge Code	1600000483
Hospital Revenue Code	360
Min. Negotiated Rate	$14,222.76
Max. Negotiated Rate	$14,222.76
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76

REMV/REPL PENIS CONTAIN PROS

Facility

$94,818.40

Service Code	HCPCS 54416
Hospital Charge Code	1600000483
Hospital Revenue Code	360
Min. Negotiated Rate	$2,692.84
Max. Negotiated Rate	$89,320.59
Rate for Payer: Aetna Commercial	$66,975.05
Rate for Payer: Aetna Medicare Advantage	$79,779.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89,320.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89,320.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,623.18
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	$89,320.59
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: Cigna Medicare Advantage	$24,623.18
Rate for Payer: Clover Medicare Advantage	$23,392.02
Rate for Payer: EmblemHealth Commercial	$73,869.54
Rate for Payer: Humana Medicare Advantage	$25,361.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,623.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,652.78
Rate for Payer: Oxford Commercial	$15,591.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76
Rate for Payer: UnitedHealthcare Commercial	$17,348.00
Rate for Payer: UnitedHealthcare Community & State	$2,996.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,623.18
Rate for Payer: Wellcare Medicare Advantage	$24,623.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2,692.84

RENAGEL 800 MG TAB

Facility

$42.68

Service Code	NDC 58468002101
Hospital Charge Code	60630232
Hospital Revenue Code	250
Min. Negotiated Rate	$6.40
Max. Negotiated Rate	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$6.40

RENAGEL 800 MG TAB

Facility

$42.68

Service Code	NDC 58468002101
Hospital Charge Code	60630232
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$21.34
Rate for Payer: Aetna Commercial	$16.22
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.88
Rate for Payer: Cigna Commercial	$21.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.10
Rate for Payer: Oxford Commercial	$8.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.40
Rate for Payer: UnitedHealthcare Commercial	$8.54
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

RENAL ANGIO-W/AORTA-LT

Facility

$15,468.50

Service Code	HCPCS 36251LT
Hospital Charge Code	2691280
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

RENAL ANGIO-W/AORTA-LT

Facility

$15,468.50

Service Code	HCPCS 36251LT
Hospital Charge Code	366836251
Hospital Revenue Code	361
Min. Negotiated Rate	$439.31
Max. Negotiated Rate	$7,734.25
Rate for Payer: Aetna Commercial	$5,878.03
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,734.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,021.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Community & State	$488.80
Rate for Payer: Wellpoint Medicaid Managed Care	$439.31

RENAL ANGIO-W/AORTA-LT

Facility

$15,468.50

Service Code	HCPCS 36251LT
Hospital Charge Code	366836251
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

RENAL ANGIO-W/AORTA-LT

Facility

$15,468.50

Service Code	HCPCS 36251LT
Hospital Charge Code	2691280
Hospital Revenue Code	361
Min. Negotiated Rate	$439.31
Max. Negotiated Rate	$7,734.25
Rate for Payer: Aetna Commercial	$5,878.03
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,734.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,021.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Community & State	$488.80
Rate for Payer: Wellpoint Medicaid Managed Care	$439.31

RENAL ANGIO-W/AORTA-RT

Facility

$15,468.50

Service Code	HCPCS 36251RT
Hospital Charge Code	321036251R
Hospital Revenue Code	361
Min. Negotiated Rate	$439.31
Max. Negotiated Rate	$7,734.25
Rate for Payer: Aetna Commercial	$5,878.03
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,734.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,021.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Community & State	$488.80
Rate for Payer: Wellpoint Medicaid Managed Care	$439.31

RENAL ANGIO-W/AORTA-RT

Facility

$15,468.50

Service Code	HCPCS 36251RT
Hospital Charge Code	321036251R
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

RENAL ANGIO-W/AORTA-RT

Facility

$15,468.50

Service Code	HCPCS 36251RT
Hospital Charge Code	2691285
Hospital Revenue Code	361
Min. Negotiated Rate	$439.31
Max. Negotiated Rate	$7,734.25
Rate for Payer: Aetna Commercial	$5,878.03
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,734.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,021.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Community & State	$488.80
Rate for Payer: Wellpoint Medicaid Managed Care	$439.31

RENAL ANGIO-W/AORTA-RT

Facility

$15,468.50

Service Code	HCPCS 36251RT
Hospital Charge Code	2691285
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

RENAL ANG-SUPSEL W/AOR-LT

Facility

$25,628.45

Service Code	HCPCS 36253LT
Hospital Charge Code	2691290
Hospital Revenue Code	361
Min. Negotiated Rate	$3,844.27
Max. Negotiated Rate	$3,844.27
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27

RENAL ANG-SUPSEL W/AOR-LT

Facility

$25,628.45

Service Code	HCPCS 36253LT
Hospital Charge Code	366836253L
Hospital Revenue Code	361
Min. Negotiated Rate	$3,844.27
Max. Negotiated Rate	$3,844.27
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27

RENAL ANG-SUPSEL W/AOR-LT

Facility

$25,628.45

Service Code	HCPCS 36253LT
Hospital Charge Code	2691290
Hospital Revenue Code	361
Min. Negotiated Rate	$727.85
Max. Negotiated Rate	$12,814.23
Rate for Payer: Aetna Commercial	$9,738.81
Rate for Payer: Aetna Medicare Advantage	$7,688.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,535.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,535.25
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	$6,535.25
Rate for Payer: Cigna Commercial	$12,814.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,663.40
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27
Rate for Payer: UnitedHealthcare Community & State	$809.86
Rate for Payer: Wellpoint Medicaid Managed Care	$727.85

RENAL ANG-SUPSEL W/AOR-LT

Facility

$25,628.45

Service Code	HCPCS 36253LT
Hospital Charge Code	321036253L
Hospital Revenue Code	361
Min. Negotiated Rate	$727.85
Max. Negotiated Rate	$12,814.23
Rate for Payer: Aetna Commercial	$9,738.81
Rate for Payer: Aetna Medicare Advantage	$7,688.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,535.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,535.25
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	$6,535.25
Rate for Payer: Cigna Commercial	$12,814.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,663.40
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27
Rate for Payer: UnitedHealthcare Community & State	$809.86
Rate for Payer: Wellpoint Medicaid Managed Care	$727.85

Know your out-of-pocket cost for care.

All Charges