Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RENAL ARTERY DUPLEX SCAN LTD

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	74115051
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

RENAL ARTERY DUPLEX SCAN LTD

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	421593976
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

RENAL ARTERY DUPLEX SCAN LTD

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	74115051
Hospital Revenue Code	921
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

RENAL BIOPSY PERQ

Facility

$8,404.60

Service Code	HCPCS 50200
Hospital Charge Code	1600000506
Hospital Revenue Code	360
Min. Negotiated Rate	$1,260.69
Max. Negotiated Rate	$1,260.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.69

RENAL BIOPSY PERQ

Facility

$8,404.60

Service Code	HCPCS 50200
Hospital Charge Code	1600000506
Hospital Revenue Code	360
Min. Negotiated Rate	$238.69
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	$2,185.20
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.69
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$265.59
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	$238.69

RENAL BLOOD ADMIN/TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	8200151
Hospital Revenue Code	391
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

RENAL BLOOD ADMIN/TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	8200151
Hospital Revenue Code	391
Min. Negotiated Rate	$39.87
Max. Negotiated Rate	$1,901.28
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,901.28
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.98
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.56
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$44.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$18,373.50

Service Code	APR-DRG 4442
Min. Negotiated Rate	$18,013.24
Max. Negotiated Rate	$18,373.50
Rate for Payer: UnitedHealthcare Community & State	$18,013.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,373.50
Rate for Payer: Wellpoint Medicaid Managed Care	$18,013.24

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$27,316.64

Service Code	APR-DRG 4443
Min. Negotiated Rate	$26,781.02
Max. Negotiated Rate	$27,316.64
Rate for Payer: UnitedHealthcare Community & State	$26,781.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,316.64
Rate for Payer: Wellpoint Medicaid Managed Care	$26,781.02

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$12,323.43

Service Code	APR-DRG 4441
Min. Negotiated Rate	$12,081.79
Max. Negotiated Rate	$12,323.43
Rate for Payer: UnitedHealthcare Community & State	$12,081.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,323.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12,081.79

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$46,624.05

Service Code	APR-DRG 4444
Min. Negotiated Rate	$45,709.85
Max. Negotiated Rate	$46,624.05
Rate for Payer: UnitedHealthcare Community & State	$45,709.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,624.05
Rate for Payer: Wellpoint Medicaid Managed Care	$45,709.85

RENAL FAILURE WITH CC

Facility

$47,134.31

Service Code	MSDRG 683
Min. Negotiated Rate	$14,351.79
Max. Negotiated Rate	$47,134.31
Rate for Payer: Aetna Commercial	$35,428.10
Rate for Payer: Aetna Medicare Advantage	$47,134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,934.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,934.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,107.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,934.50
Rate for Payer: Cigna Commercial	$19,524.21
Rate for Payer: Cigna Medicare Advantage	$15,107.15
Rate for Payer: Clover Medicare Advantage	$14,351.79
Rate for Payer: EmblemHealth Commercial	$45,321.45
Rate for Payer: Humana Medicare Advantage	$15,560.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,107.15
Rate for Payer: Oxford Commercial	$15,431.60
Rate for Payer: UnitedHealthcare Commercial	$20,655.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,107.15
Rate for Payer: Wellcare Medicare Advantage	$15,107.15

RENAL FAILURE WITH MCC

Facility

$66,254.73

Service Code	MSDRG 682
Min. Negotiated Rate	$20,173.72
Max. Negotiated Rate	$66,254.73
Rate for Payer: Aetna Commercial	$49,045.88
Rate for Payer: Aetna Medicare Advantage	$66,254.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,557.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,557.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,235.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,557.50
Rate for Payer: Cigna Commercial	$33,015.93
Rate for Payer: Cigna Medicare Advantage	$21,235.49
Rate for Payer: Clover Medicare Advantage	$20,173.72
Rate for Payer: EmblemHealth Commercial	$63,706.47
Rate for Payer: Humana Medicare Advantage	$21,872.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,235.49
Rate for Payer: Oxford Commercial	$26,095.22
Rate for Payer: UnitedHealthcare Commercial	$34,929.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,235.49
Rate for Payer: Wellcare Medicare Advantage	$21,235.49

RENAL FAILURE WITHOUT CC/MCC

Facility

$38,430.32

Service Code	MSDRG 684
Min. Negotiated Rate	$10,577.29
Max. Negotiated Rate	$38,430.32
Rate for Payer: Aetna Commercial	$29,229.00
Rate for Payer: Aetna Medicare Advantage	$38,430.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,900.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,900.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,317.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,900.05
Rate for Payer: Cigna Commercial	$13,382.49
Rate for Payer: Cigna Medicare Advantage	$12,317.41
Rate for Payer: Clover Medicare Advantage	$11,701.54
Rate for Payer: EmblemHealth Commercial	$36,952.23
Rate for Payer: Humana Medicare Advantage	$12,686.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,317.41
Rate for Payer: Oxford Commercial	$10,577.29
Rate for Payer: UnitedHealthcare Commercial	$14,158.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,317.41
Rate for Payer: Wellcare Medicare Advantage	$12,317.41

RENAL FUNCTION PANEL

Facility

$61.00

Service Code	HCPCS 80069
Hospital Charge Code	38476798
Hospital Revenue Code	301
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$23.61
Rate for Payer: Aetna Medicare Advantage	$28.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.49
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: Cigna Medicare Advantage	$8.68
Rate for Payer: Clover Medicare Advantage	$8.25
Rate for Payer: EmblemHealth Commercial	$26.04
Rate for Payer: Humana Medicare Advantage	$8.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.68
Rate for Payer: Wellcare Medicare Advantage	$8.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.73

RENAL FUNCTION PANEL

Facility

$61.00

Service Code	HCPCS 80069
Hospital Charge Code	38476798
Hospital Revenue Code	301
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

RENAL FUNCTION PROFILE

Facility

$390.00

Service Code	HCPCS 80069
Hospital Charge Code	3002343
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RENAL FUNCTION PROFILE

Facility

$390.00

Service Code	HCPCS 80069
Hospital Charge Code	3002343
Hospital Revenue Code	301
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$23.61
Rate for Payer: Aetna Medicare Advantage	$28.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.49
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$8.68
Rate for Payer: Clover Medicare Advantage	$8.25
Rate for Payer: EmblemHealth Commercial	$26.04
Rate for Payer: Humana Medicare Advantage	$8.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.68
Rate for Payer: Wellcare Medicare Advantage	$8.68
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

RENASYS DRESSING FOAM KIT

Facility

$141.95

Hospital Charge Code	270659496
Hospital Revenue Code	272
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$21.29
Rate for Payer: Qualcare PPO/HMO/WC	$21.29

RENASYS DRESSING FOAM KIT

Facility

$141.95

Hospital Charge Code	270659496
Hospital Revenue Code	272
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$70.97
Rate for Payer: Aetna Commercial	$53.94
Rate for Payer: Aetna Medicare Advantage	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.20
Rate for Payer: Cigna Commercial	$70.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.91
Rate for Payer: Oxford Commercial	$28.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.29
Rate for Payer: UnitedHealthcare Commercial	$28.39
Rate for Payer: UnitedHealthcare Community & State	$4.49
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

RENASYS DRESSING F/P KIT XL

Facility

$456.15

Hospital Charge Code	270659491
Hospital Revenue Code	272
Min. Negotiated Rate	$12.95
Max. Negotiated Rate	$228.07
Rate for Payer: Aetna Commercial	$173.34
Rate for Payer: Aetna Medicare Advantage	$136.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.32
Rate for Payer: Cigna Commercial	$228.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.60
Rate for Payer: Oxford Commercial	$91.23
Rate for Payer: Qualcare PPO/HMO/WC	$68.42
Rate for Payer: UnitedHealthcare Commercial	$91.23
Rate for Payer: UnitedHealthcare Community & State	$14.41
Rate for Payer: Wellpoint Medicaid Managed Care	$12.95

RENASYS DRESSING F/P KIT XL

Facility

$456.15

Hospital Charge Code	270659491
Hospital Revenue Code	272
Min. Negotiated Rate	$68.42
Max. Negotiated Rate	$68.42
Rate for Payer: Qualcare PPO/HMO/WC	$68.42

RENASYS DRESSING F/P MEDIUM

Facility

$349.85

Hospital Charge Code	270649168
Hospital Revenue Code	272
Min. Negotiated Rate	$52.48
Max. Negotiated Rate	$52.48
Rate for Payer: Qualcare PPO/HMO/WC	$52.48

RENASYS DRESSING F/P MEDIUM

Facility

$349.85

Hospital Charge Code	270649168
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$174.93
Rate for Payer: Aetna Commercial	$132.94
Rate for Payer: Aetna Medicare Advantage	$104.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.21
Rate for Payer: Cigna Commercial	$174.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.96
Rate for Payer: Oxford Commercial	$69.97
Rate for Payer: Qualcare PPO/HMO/WC	$52.48
Rate for Payer: UnitedHealthcare Commercial	$69.97
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

RENEG HI-FL FATHOM SYS MICRO

Facility

$2,310.00

Hospital Charge Code	4800945
Hospital Revenue Code	278
Min. Negotiated Rate	$346.50
Max. Negotiated Rate	$559.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$559.02
Rate for Payer: Qualcare PPO/HMO/WC	$346.50

Know your out-of-pocket cost for care.

All Charges