Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RHEUMATOID FACTOR QUANT

Facility

$667.59

Service Code	HCPCS 86431
Hospital Charge Code	39708042F
Hospital Revenue Code	306
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

RHEUMATOID FACTOR QUANT

Facility

$28.35

Service Code	HCPCS 86431
Hospital Charge Code	401386431C
Hospital Revenue Code	302
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$4.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.25

RHEUMATOID FACTOR QUANT

Facility

$28.35

Service Code	HCPCS 86431
Hospital Charge Code	401386431C
Hospital Revenue Code	302
Min. Negotiated Rate	$0.81
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	$14.18
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	$7.37
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.25
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	$0.81

RHO(D) IMM GLOBULIN 300MCG INJ

Facility

$2,700.17

Service Code	HCPCS J2792
Hospital Charge Code	60628296
Hospital Revenue Code	636
Min. Negotiated Rate	$32.55
Max. Negotiated Rate	$653.44
Rate for Payer: Aetna Commercial	$93.19
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.28
Rate for Payer: Cigna Medicare Advantage	$34.26
Rate for Payer: Clover Medicare Advantage	$32.55
Rate for Payer: EmblemHealth Commercial	$102.78
Rate for Payer: Humana Medicare Advantage	$35.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.44
Rate for Payer: Qualcare PPO/HMO/WC	$405.03
Rate for Payer: UnitedHealthcare Community & State	$85.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.26
Rate for Payer: Wellcare Medicare Advantage	$34.26
Rate for Payer: Wellpoint Medicaid Managed Care	$76.68

RHO(D) IMM GLOBULIN 300MCG INJ

Facility

$2,700.17

Service Code	HCPCS J2792
Hospital Charge Code	60628296
Hospital Revenue Code	636
Min. Negotiated Rate	$405.03
Max. Negotiated Rate	$653.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.44
Rate for Payer: Qualcare PPO/HMO/WC	$405.03

RHO D IMMUNE GLOBULIN 100IU

Facility

$126.55

Service Code	HCPCS J2792
Hospital Charge Code	365212792
Hospital Revenue Code	636
Min. Negotiated Rate	$18.98
Max. Negotiated Rate	$30.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.63
Rate for Payer: Qualcare PPO/HMO/WC	$18.98

RHO D IMMUNE GLOBULIN 100IU

Facility

$126.55

Service Code	HCPCS J2792
Hospital Charge Code	365212792
Hospital Revenue Code	636
Min. Negotiated Rate	$3.59
Max. Negotiated Rate	$124.28
Rate for Payer: Aetna Commercial	$93.19
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.28
Rate for Payer: Cigna Medicare Advantage	$34.26
Rate for Payer: Clover Medicare Advantage	$32.55
Rate for Payer: EmblemHealth Commercial	$102.78
Rate for Payer: Humana Medicare Advantage	$35.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.63
Rate for Payer: Qualcare PPO/HMO/WC	$18.98
Rate for Payer: UnitedHealthcare Community & State	$4.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.26
Rate for Payer: Wellcare Medicare Advantage	$34.26
Rate for Payer: Wellpoint Medicaid Managed Care	$3.59

RHOGAM

Facility

$150.00

Service Code	HCPCS 90385
Hospital Charge Code	270325504
Hospital Revenue Code	636
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$290.20
Rate for Payer: Aetna Commercial	$217.60
Rate for Payer: Aetna Medicare Advantage	$259.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.20
Rate for Payer: Cigna Medicare Advantage	$80.00
Rate for Payer: Clover Medicare Advantage	$76.00
Rate for Payer: EmblemHealth Commercial	$240.00
Rate for Payer: Humana Medicare Advantage	$82.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$80.00
Rate for Payer: Wellcare Medicare Advantage	$80.00
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

RHOGAM

Facility

$150.00

Service Code	HCPCS 90385
Hospital Charge Code	270325504
Hospital Revenue Code	636
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

RHOGAM (1 VIAL)

Facility

$499.00

Hospital Charge Code	38471010
Hospital Revenue Code	636
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$120.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.76
Rate for Payer: Qualcare PPO/HMO/WC	$74.85

RHOGAM (1 VIAL)

Facility

$499.00

Hospital Charge Code	38471010
Hospital Revenue Code	636
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$249.50
Rate for Payer: Aetna Commercial	$189.62
Rate for Payer: Aetna Medicare Advantage	$149.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.25
Rate for Payer: Cigna Commercial	$249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.76
Rate for Payer: Qualcare PPO/HMO/WC	$74.85
Rate for Payer: UnitedHealthcare Community & State	$15.77
Rate for Payer: Wellpoint Medicaid Managed Care	$14.17

RHOTON-TYPE BALL DISS 71/2 STR

Facility

$818.25

Hospital Charge Code	270691413
Hospital Revenue Code	272
Min. Negotiated Rate	$23.24
Max. Negotiated Rate	$409.12
Rate for Payer: Aetna Commercial	$310.94
Rate for Payer: Aetna Medicare Advantage	$245.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.65
Rate for Payer: Cigna Commercial	$409.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.75
Rate for Payer: Oxford Commercial	$163.65
Rate for Payer: Qualcare PPO/HMO/WC	$122.74
Rate for Payer: UnitedHealthcare Commercial	$163.65
Rate for Payer: UnitedHealthcare Community & State	$25.86
Rate for Payer: Wellpoint Medicaid Managed Care	$23.24

RHOTON-TYPE BALL DISS 71/2 STR

Facility

$818.25

Hospital Charge Code	270691413
Hospital Revenue Code	272
Min. Negotiated Rate	$122.74
Max. Negotiated Rate	$122.74
Rate for Payer: Qualcare PPO/HMO/WC	$122.74

RH PHENO (RH PHENOTYPE PAT TES

Facility

$390.00

Service Code	HCPCS 86906
Hospital Charge Code	3100558
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RH PHENO (RH PHENOTYPE PAT TES

Facility

$390.00

Service Code	HCPCS 86906
Hospital Charge Code	3100558
Hospital Revenue Code	300
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$21.08
Rate for Payer: Aetna Medicare Advantage	$25.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.75
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	$28.11
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$7.75
Rate for Payer: Clover Medicare Advantage	$7.36
Rate for Payer: EmblemHealth Commercial	$23.25
Rate for Payer: Humana Medicare Advantage	$7.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.75
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	$6.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.75
Rate for Payer: Wellcare Medicare Advantage	$7.75
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

R HRT CATH CHD ABNL NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93594
Hospital Charge Code	411093594
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
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	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
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	$730.94

R HRT CATH CHD ABNL NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93594
Hospital Charge Code	411093594
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

R HRT CATH CHD NML NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93593
Hospital Charge Code	411093593
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

R HRT CATH CHD NML NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93593
Hospital Charge Code	411093593
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
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	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
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	$730.94

RHYTHM STRIPS EKG

Facility

$1.50

Hospital Charge Code	270658865
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.23

RHYTHM STRIPS EKG

Facility

$1.50

Hospital Charge Code	270658865
Hospital Revenue Code	270
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.75
Rate for Payer: Aetna Commercial	$0.57
Rate for Payer: Aetna Medicare Advantage	$0.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.38
Rate for Payer: Cigna Commercial	$0.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.23
Rate for Payer: UnitedHealthcare Commercial	$0.30
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

RIABNI 100MG/10ML VIAL

Facility

$5,763.07

Service Code	HCPCS Q5123
Hospital Charge Code	606390460
Hospital Revenue Code	636
Min. Negotiated Rate	$864.46
Max. Negotiated Rate	$1,394.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,394.66
Rate for Payer: Qualcare PPO/HMO/WC	$864.46

RIABNI 100MG/10ML VIAL

Facility

$5,763.07

Service Code	HCPCS Q5123
Hospital Charge Code	606390460
Hospital Revenue Code	636
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$1,394.66
Rate for Payer: Aetna Commercial	$55.11
Rate for Payer: Aetna Medicare Advantage	$65.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.49
Rate for Payer: Cigna Medicare Advantage	$20.26
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,394.66
Rate for Payer: Qualcare PPO/HMO/WC	$864.46
Rate for Payer: UnitedHealthcare Community & State	$182.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Medicare Advantage	$20.26
Rate for Payer: Wellpoint Medicaid Managed Care	$163.67

RIABNI 500MG/50ML VIAL

Facility

$28,815.36

Service Code	HCPCS Q5123
Hospital Charge Code	606390461
Hospital Revenue Code	636
Min. Negotiated Rate	$4,322.30
Max. Negotiated Rate	$6,973.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,973.32
Rate for Payer: Qualcare PPO/HMO/WC	$4,322.30

RIABNI 500MG/50ML VIAL

Facility

$28,815.36

Service Code	HCPCS Q5123
Hospital Charge Code	606390461
Hospital Revenue Code	636
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$6,973.32
Rate for Payer: Aetna Commercial	$55.11
Rate for Payer: Aetna Medicare Advantage	$65.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.49
Rate for Payer: Cigna Medicare Advantage	$20.26
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,973.32
Rate for Payer: Qualcare PPO/HMO/WC	$4,322.30
Rate for Payer: UnitedHealthcare Community & State	$910.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Medicare Advantage	$20.26
Rate for Payer: Wellpoint Medicaid Managed Care	$818.36

Know your out-of-pocket cost for care.

All Charges