Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RFNA 10MM 420MM 5DEG BEND

Facility

$8,474.10

Service Code	HCPCS C1713
Hospital Charge Code	270692416
Hospital Revenue Code	278
Min. Negotiated Rate	$240.66
Max. Negotiated Rate	$4,237.05
Rate for Payer: Aetna Commercial	$3,220.16
Rate for Payer: Aetna Medicare Advantage	$2,542.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,160.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,160.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,694.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,160.90
Rate for Payer: Cigna Commercial	$4,237.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,050.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,271.12
Rate for Payer: UnitedHealthcare Community & State	$267.78
Rate for Payer: Wellpoint Medicaid Managed Care	$240.66

RFNA 10MM 420MM 5DEG BEND

Facility

$8,474.10

Service Code	HCPCS C1713
Hospital Charge Code	270692416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,271.12
Max. Negotiated Rate	$2,050.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,694.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,050.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,271.12

RF NEEDLE 100MM 10MM 20GA

Facility

$266.55

Hospital Charge Code	270650125
Hospital Revenue Code	272
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$133.28
Rate for Payer: Aetna Commercial	$101.29
Rate for Payer: Aetna Medicare Advantage	$79.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.97
Rate for Payer: Cigna Commercial	$133.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.30
Rate for Payer: Oxford Commercial	$53.31
Rate for Payer: Qualcare PPO/HMO/WC	$39.98
Rate for Payer: UnitedHealthcare Commercial	$53.31
Rate for Payer: UnitedHealthcare Community & State	$8.42
Rate for Payer: Wellpoint Medicaid Managed Care	$7.57

RF NEEDLE 100MM 10MM 20GA

Facility

$266.55

Hospital Charge Code	270650125
Hospital Revenue Code	272
Min. Negotiated Rate	$39.98
Max. Negotiated Rate	$39.98
Rate for Payer: Qualcare PPO/HMO/WC	$39.98

RF NEEDLE 100MM 5MM

Facility

$300.00

Hospital Charge Code	270680979
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

RF NEEDLE 100MM 5MM

Facility

$300.00

Hospital Charge Code	270680979
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

RF TITER

Facility

$68.00

Service Code	HCPCS 86431
Hospital Charge Code	38476034
Hospital Revenue Code	302
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.20

RF TITER

Facility

$68.00

Service Code	HCPCS 86431
Hospital Charge Code	38476034
Hospital Revenue Code	302
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$15.42
Rate for Payer: Aetna Medicare Advantage	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.57
Rate for Payer: Cigna Commercial	$34.00
Rate for Payer: Cigna Medicare Advantage	$5.67
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.67
Rate for Payer: Wellcare Medicare Advantage	$5.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

RH BLOOD TYPING

Facility

$141.40

Service Code	HCPCS 86901
Hospital Charge Code	38471071
Hospital Revenue Code	309
Min. Negotiated Rate	$21.21
Max. Negotiated Rate	$21.21
Rate for Payer: Qualcare PPO/HMO/WC	$21.21

RH BLOOD TYPING

Facility

$141.40

Service Code	HCPCS 86901
Hospital Charge Code	38471071
Hospital Revenue Code	309
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.85
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$2.99
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.21
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Medicare Advantage	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$4.02

RHC/LHC/LV CORONARY ANGIO

Facility

$12,026.00

Service Code	HCPCS 93461
Hospital Charge Code	366893461
Hospital Revenue Code	481
Min. Negotiated Rate	$341.54
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,126.76
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$380.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$341.54

RHC/LHC/LV CORONARY ANGIO

Facility

$12,026.00

Service Code	HCPCS 93461
Hospital Charge Code	366893461
Hospital Revenue Code	481
Min. Negotiated Rate	$1,803.90
Max. Negotiated Rate	$1,803.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90

Rheumatoid Arthritis Factor

Facility

$108.00

Service Code	HCPCS 86431
Hospital Charge Code	39888010
Hospital Revenue Code	302
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$15.42
Rate for Payer: Aetna Medicare Advantage	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.57
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: Cigna Medicare Advantage	$5.67
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.67
Rate for Payer: Wellcare Medicare Advantage	$5.67
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

Rheumatoid Arthritis Factor

Facility

$108.00

Service Code	HCPCS 86431
Hospital Charge Code	39888010
Hospital Revenue Code	302
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

RHEUMATOID FACTOR

Facility

$390.00

Service Code	HCPCS 86431
Hospital Charge Code	39900413
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR

Facility

$282.00

Service Code	HCPCS 86430
Hospital Charge Code	38476021
Hospital Revenue Code	302
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$42.30

RHEUMATOID FACTOR

Facility

$390.00

Service Code	HCPCS 86431
Hospital Charge Code	39900413
Hospital Revenue Code	302
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$15.42
Rate for Payer: Aetna Medicare Advantage	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.57
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.67
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.67
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	$4.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.67
Rate for Payer: Wellcare Medicare Advantage	$5.67
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

RHEUMATOID FACTOR

Facility

$282.00

Service Code	HCPCS 86430
Hospital Charge Code	38476021
Hospital Revenue Code	302
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$16.70
Rate for Payer: Aetna Medicare Advantage	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.27
Rate for Payer: Cigna Commercial	$141.00
Rate for Payer: Cigna Medicare Advantage	$6.14
Rate for Payer: Clover Medicare Advantage	$5.83
Rate for Payer: EmblemHealth Commercial	$18.42
Rate for Payer: Humana Medicare Advantage	$6.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.32
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.14
Rate for Payer: Wellcare Medicare Advantage	$6.14
Rate for Payer: Wellpoint Medicaid Managed Care	$8.01

RHEUMATOID FACTOR IgA

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	38479750A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR IgA

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	38479750A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$55.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.65
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$17.27
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.27
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	$13.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Medicare Advantage	$17.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

RHEUMATOID FACTOR IgG

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR IgG

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750B
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

RHEUMATOID FACTOR IgM

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750C
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR IgM

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750C
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

RHEUMATOID FACTOR QUANT

Facility

$667.59

Service Code	HCPCS 86431
Hospital Charge Code	39708042F
Hospital Revenue Code	306
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$15.42
Rate for Payer: Aetna Medicare Advantage	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.57
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$5.67
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.67
Rate for Payer: Wellcare Medicare Advantage	$5.67
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

Know your out-of-pocket cost for care.

All Charges