Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RENEG HI-FL FATHOM SYS MICRO

Facility

$2,310.00

Hospital Charge Code	4800945
Hospital Revenue Code	278
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$1,155.00
Rate for Payer: Aetna Commercial	$877.80
Rate for Payer: Aetna Medicare Advantage	$693.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$589.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$589.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$589.05
Rate for Payer: Cigna Commercial	$1,155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$559.02
Rate for Payer: Qualcare PPO/HMO/WC	$346.50
Rate for Payer: UnitedHealthcare Community & State	$73.00
Rate for Payer: Wellpoint Medicaid Managed Care	$65.60

RENFLEXIS 100MG VIAL INFLIXMAB

Facility

$2,053.00

Hospital Charge Code	606390587
Hospital Revenue Code	250
Min. Negotiated Rate	$58.31
Max. Negotiated Rate	$1,026.50
Rate for Payer: Aetna Commercial	$780.14
Rate for Payer: Aetna Medicare Advantage	$615.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.51
Rate for Payer: Cigna Commercial	$1,026.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.78
Rate for Payer: Oxford Commercial	$410.60
Rate for Payer: Qualcare PPO/HMO/WC	$307.95
Rate for Payer: UnitedHealthcare Commercial	$410.60
Rate for Payer: UnitedHealthcare Community & State	$64.87
Rate for Payer: Wellpoint Medicaid Managed Care	$58.31

RENFLEXIS 100MG VIAL INFLIXMAB

Facility

$2,053.00

Hospital Charge Code	606390587
Hospital Revenue Code	250
Min. Negotiated Rate	$307.95
Max. Negotiated Rate	$307.95
Rate for Payer: Qualcare PPO/HMO/WC	$307.95

RENIN

Facility

$169.00

Service Code	HCPCS 84244
Hospital Charge Code	38472596
Hospital Revenue Code	301
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$59.81
Rate for Payer: Aetna Medicare Advantage	$71.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.77
Rate for Payer: Cigna Commercial	$84.50
Rate for Payer: Cigna Medicare Advantage	$21.99
Rate for Payer: Clover Medicare Advantage	$20.89
Rate for Payer: EmblemHealth Commercial	$65.97
Rate for Payer: Humana Medicare Advantage	$22.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.94
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$17.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.99
Rate for Payer: Wellcare Medicare Advantage	$21.99
Rate for Payer: Wellpoint Medicaid Managed Care	$4.80

RENIN

Facility

$169.00

Service Code	HCPCS 84244
Hospital Charge Code	38472596
Hospital Revenue Code	301
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

RENTAL M4 MICRODEBRIDER

Facility

$5,000.00

Hospital Charge Code	270639493
Hospital Revenue Code	272
Min. Negotiated Rate	$142.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00
Rate for Payer: UnitedHealthcare Community & State	$158.00
Rate for Payer: Wellpoint Medicaid Managed Care	$142.00

RENTAL M4 MICRODEBRIDER

Facility

$5,000.00

Hospital Charge Code	270639493
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

RENVELA 0.8GM PWDR

Facility

$112.63

Service Code	NDC 58468013201
Hospital Charge Code	60635733
Hospital Revenue Code	250
Min. Negotiated Rate	$3.20
Max. Negotiated Rate	$56.31
Rate for Payer: Aetna Commercial	$42.80
Rate for Payer: Aetna Medicare Advantage	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.72
Rate for Payer: Cigna Commercial	$56.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.28
Rate for Payer: Oxford Commercial	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$16.89
Rate for Payer: UnitedHealthcare Commercial	$22.53
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.20

RENVELA 0.8GM PWDR

Facility

$112.63

Service Code	NDC 58468013201
Hospital Charge Code	60635733
Hospital Revenue Code	250
Min. Negotiated Rate	$16.89
Max. Negotiated Rate	$16.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.89

RENVELA 2.4GM PWDR

Facility

$48.24

Service Code	NDC 58468013101
Hospital Charge Code	60635734
Hospital Revenue Code	250
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$24.12
Rate for Payer: Aetna Commercial	$18.33
Rate for Payer: Aetna Medicare Advantage	$14.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.30
Rate for Payer: Cigna Commercial	$24.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.54
Rate for Payer: Oxford Commercial	$9.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.24
Rate for Payer: UnitedHealthcare Commercial	$9.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.37

RENVELA 2.4GM PWDR

Facility

$48.24

Service Code	NDC 58468013101
Hospital Charge Code	60635734
Hospital Revenue Code	250
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$7.24
Rate for Payer: Qualcare PPO/HMO/WC	$7.24

RENVELA 800MG

Facility

$34.17

Service Code	NDC 58468013301
Hospital Charge Code	60635712
Hospital Revenue Code	250
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$5.13
Rate for Payer: Qualcare PPO/HMO/WC	$5.13

RENVELA 800MG

Facility

$34.17

Service Code	NDC 58468013301
Hospital Charge Code	60635712
Hospital Revenue Code	250
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$17.09
Rate for Payer: Aetna Commercial	$12.98
Rate for Payer: Aetna Medicare Advantage	$10.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.71
Rate for Payer: Cigna Commercial	$17.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.88
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$5.13
Rate for Payer: UnitedHealthcare Commercial	$6.83
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

REOPEN FALLOPIAN TUBE

Facility

$32,113.96

Service Code	HCPCS 58350
Hospital Charge Code	160000181
Hospital Revenue Code	360
Min. Negotiated Rate	$4,817.09
Max. Negotiated Rate	$4,817.09
Rate for Payer: Qualcare PPO/HMO/WC	$4,817.09

REOPEN FALLOPIAN TUBE

Facility

$32,113.96

Service Code	HCPCS 58350
Hospital Charge Code	160000181
Hospital Revenue Code	360
Min. Negotiated Rate	$912.04
Max. Negotiated Rate	$21,558.38
Rate for Payer: Aetna Commercial	$16,165.07
Rate for Payer: Aetna Medicare Advantage	$19,255.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,943.04
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	$21,558.38
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: Cigna Medicare Advantage	$5,943.04
Rate for Payer: Clover Medicare Advantage	$5,645.89
Rate for Payer: EmblemHealth Commercial	$17,829.12
Rate for Payer: Humana Medicare Advantage	$6,121.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,943.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,349.63
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,817.09
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,014.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,943.04
Rate for Payer: Wellcare Medicare Advantage	$5,943.04
Rate for Payer: Wellpoint Medicaid Managed Care	$912.04

REPAGLINIDE 0.5 MG TAB

Facility

$41.61

Service Code	NDC 169008181
Hospital Charge Code	60629853
Hospital Revenue Code	250
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$6.24
Rate for Payer: Qualcare PPO/HMO/WC	$6.24

REPAGLINIDE 0.5 MG TAB

Facility

$41.61

Service Code	NDC 169008181
Hospital Charge Code	60629853
Hospital Revenue Code	250
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$20.80
Rate for Payer: Aetna Commercial	$15.81
Rate for Payer: Aetna Medicare Advantage	$12.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.61
Rate for Payer: Cigna Commercial	$20.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: Oxford Commercial	$8.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.24
Rate for Payer: UnitedHealthcare Commercial	$8.32
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

REPAGLINIDE 2 MG TAB

Facility

$60.43

Service Code	NDC 60846088401
Hospital Charge Code	60628885
Hospital Revenue Code	250
Min. Negotiated Rate	$9.06
Max. Negotiated Rate	$9.06
Rate for Payer: Qualcare PPO/HMO/WC	$9.06

REPAGLINIDE 2 MG TAB

Facility

$60.43

Service Code	NDC 60846088401
Hospital Charge Code	60628885
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$30.21
Rate for Payer: Aetna Commercial	$22.96
Rate for Payer: Aetna Medicare Advantage	$18.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.41
Rate for Payer: Cigna Commercial	$30.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Oxford Commercial	$12.09
Rate for Payer: Qualcare PPO/HMO/WC	$9.06
Rate for Payer: UnitedHealthcare Commercial	$12.09
Rate for Payer: UnitedHealthcare Community & State	$1.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

REPAIR ACHILLES TENDON

Facility

$12,289.60

Service Code	HCPCS 27650
Hospital Charge Code	16000217
Hospital Revenue Code	360
Min. Negotiated Rate	$1,843.44
Max. Negotiated Rate	$1,843.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44

REPAIR ACHILLES TENDON

Facility

$12,289.60

Service Code	HCPCS 27650
Hospital Charge Code	16000217
Hospital Revenue Code	360
Min. Negotiated Rate	$349.02
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	$3,195.30
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$388.35
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	$349.02

REPAIR ANTERIOR ABD HERNIA,ANY

Facility

$16,538.00

Service Code	HCPCS 49616
Hospital Charge Code	16000161
Hospital Revenue Code	360
Min. Negotiated Rate	$469.68
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$6,284.44
Rate for Payer: Aetna Medicare Advantage	$4,961.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,217.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,217.19
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	$4,217.19
Rate for Payer: Cigna Commercial	$8,269.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,299.88
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,480.70
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$522.60
Rate for Payer: Wellpoint Medicaid Managed Care	$469.68

REPAIR ANTERIOR ABD HERNIA,ANY

Facility

$16,538.00

Service Code	HCPCS 49616
Hospital Charge Code	16000161
Hospital Revenue Code	360
Min. Negotiated Rate	$2,480.70
Max. Negotiated Rate	$2,480.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,480.70

REPAIR BALDDER & VAGINA

Facility

$42,695.42

Service Code	HCPCS 57240
Hospital Charge Code	1600000399
Hospital Revenue Code	360
Min. Negotiated Rate	$1,212.55
Max. Negotiated Rate	$21,558.38
Rate for Payer: Aetna Commercial	$16,165.07
Rate for Payer: Aetna Medicare Advantage	$19,255.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,943.04
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	$21,558.38
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: Cigna Medicare Advantage	$5,943.04
Rate for Payer: Clover Medicare Advantage	$5,645.89
Rate for Payer: EmblemHealth Commercial	$17,829.12
Rate for Payer: Humana Medicare Advantage	$6,121.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,943.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,100.81
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,404.31
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,349.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,943.04
Rate for Payer: Wellcare Medicare Advantage	$5,943.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1,212.55

REPAIR BALDDER & VAGINA

Facility

$42,695.42

Service Code	HCPCS 57240
Hospital Charge Code	1600000399
Hospital Revenue Code	360
Min. Negotiated Rate	$6,404.31
Max. Negotiated Rate	$6,404.31
Rate for Payer: Qualcare PPO/HMO/WC	$6,404.31

Know your out-of-pocket cost for care.

All Charges