Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ROI-C PEEK OPTIMA LT-1 TANTALU

Facility

$11,665.00

Service Code	HCPCS C1889
Hospital Charge Code	270690880
Hospital Revenue Code	278
Min. Negotiated Rate	$331.29
Max. Negotiated Rate	$5,832.50
Rate for Payer: Aetna Commercial	$4,432.70
Rate for Payer: Aetna Medicare Advantage	$3,499.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,974.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,974.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,333.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,974.57
Rate for Payer: Cigna Commercial	$5,832.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,822.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,749.75
Rate for Payer: UnitedHealthcare Community & State	$368.61
Rate for Payer: Wellpoint Medicaid Managed Care	$331.29

ROI-C PEEK OPTIMA LT-1 TANTALU

Facility

$11,665.00

Service Code	HCPCS C1889
Hospital Charge Code	270690880
Hospital Revenue Code	278
Min. Negotiated Rate	$1,749.75
Max. Negotiated Rate	$2,822.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,333.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,822.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,749.75

ROMIPLOSTIM 10MCG VIAL

Facility

$11,258.81

Service Code	HCPCS J2796
Hospital Charge Code	60630031
Hospital Revenue Code	636
Min. Negotiated Rate	$319.75
Max. Negotiated Rate	$5,629.40
Rate for Payer: Aetna Commercial	$4,278.35
Rate for Payer: Aetna Medicare Advantage	$3,377.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,871.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,871.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,871.00
Rate for Payer: Cigna Commercial	$5,629.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,724.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,688.82
Rate for Payer: UnitedHealthcare Community & State	$355.78
Rate for Payer: Wellpoint Medicaid Managed Care	$319.75

ROMIPLOSTIM 10MCG VIAL

Facility

$11,258.81

Service Code	HCPCS J2796
Hospital Charge Code	60630031
Hospital Revenue Code	636
Min. Negotiated Rate	$1,688.82
Max. Negotiated Rate	$2,724.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,724.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,688.82

RONGEURS STRAIGHT LOVE-GRUENWA

Facility

$2,680.40

Hospital Charge Code	270665978
Hospital Revenue Code	270
Min. Negotiated Rate	$76.12
Max. Negotiated Rate	$1,340.20
Rate for Payer: Aetna Commercial	$1,018.55
Rate for Payer: Aetna Medicare Advantage	$804.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.50
Rate for Payer: Cigna Commercial	$1,340.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$696.90
Rate for Payer: Oxford Commercial	$536.08
Rate for Payer: Qualcare PPO/HMO/WC	$402.06
Rate for Payer: UnitedHealthcare Commercial	$536.08
Rate for Payer: UnitedHealthcare Community & State	$84.70
Rate for Payer: Wellpoint Medicaid Managed Care	$76.12

RONGEURS STRAIGHT LOVE-GRUENWA

Facility

$2,680.40

Hospital Charge Code	270665978
Hospital Revenue Code	270
Min. Negotiated Rate	$402.06
Max. Negotiated Rate	$402.06
Rate for Payer: Qualcare PPO/HMO/WC	$402.06

RONGEURS STRAIGHT SPURLING

Facility

$2,680.40

Hospital Charge Code	270665977
Hospital Revenue Code	270
Min. Negotiated Rate	$402.06
Max. Negotiated Rate	$402.06
Rate for Payer: Qualcare PPO/HMO/WC	$402.06

RONGEURS STRAIGHT SPURLING

Facility

$2,680.40

Hospital Charge Code	270665977
Hospital Revenue Code	270
Min. Negotiated Rate	$76.12
Max. Negotiated Rate	$1,340.20
Rate for Payer: Aetna Commercial	$1,018.55
Rate for Payer: Aetna Medicare Advantage	$804.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.50
Rate for Payer: Cigna Commercial	$1,340.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$696.90
Rate for Payer: Oxford Commercial	$536.08
Rate for Payer: Qualcare PPO/HMO/WC	$402.06
Rate for Payer: UnitedHealthcare Commercial	$536.08
Rate for Payer: UnitedHealthcare Community & State	$84.70
Rate for Payer: Wellpoint Medicaid Managed Care	$76.12

RONGUER KERRISON 3M

Facility

$5,739.75

Hospital Charge Code	270664164
Hospital Revenue Code	270
Min. Negotiated Rate	$163.01
Max. Negotiated Rate	$2,869.88
Rate for Payer: Aetna Commercial	$2,181.11
Rate for Payer: Aetna Medicare Advantage	$1,721.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,463.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,463.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,463.64
Rate for Payer: Cigna Commercial	$2,869.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,492.34
Rate for Payer: Oxford Commercial	$1,147.95
Rate for Payer: Qualcare PPO/HMO/WC	$860.96
Rate for Payer: UnitedHealthcare Commercial	$1,147.95
Rate for Payer: UnitedHealthcare Community & State	$181.38
Rate for Payer: Wellpoint Medicaid Managed Care	$163.01

RONGUER KERRISON 3M

Facility

$5,739.75

Hospital Charge Code	270664164
Hospital Revenue Code	270
Min. Negotiated Rate	$860.96
Max. Negotiated Rate	$860.96
Rate for Payer: Qualcare PPO/HMO/WC	$860.96

RONGUER KERRSION 2M

Facility

$5,439.75

Hospital Charge Code	270664165
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

RONGUER KERRSION 2M

Facility

$5,439.75

Hospital Charge Code	270664165
Hospital Revenue Code	270
Min. Negotiated Rate	$154.49
Max. Negotiated Rate	$2,719.88
Rate for Payer: Aetna Commercial	$2,067.11
Rate for Payer: Aetna Medicare Advantage	$1,631.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,387.14
Rate for Payer: Cigna Commercial	$2,719.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,414.34
Rate for Payer: Oxford Commercial	$1,087.95
Rate for Payer: Qualcare PPO/HMO/WC	$815.96
Rate for Payer: UnitedHealthcare Commercial	$1,087.95
Rate for Payer: UnitedHealthcare Community & State	$171.90
Rate for Payer: Wellpoint Medicaid Managed Care	$154.49

RONGUER KERRSION 4M

Facility

$5,439.75

Hospital Charge Code	270664166
Hospital Revenue Code	270
Min. Negotiated Rate	$154.49
Max. Negotiated Rate	$2,719.88
Rate for Payer: Aetna Commercial	$2,067.11
Rate for Payer: Aetna Medicare Advantage	$1,631.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,387.14
Rate for Payer: Cigna Commercial	$2,719.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,414.34
Rate for Payer: Oxford Commercial	$1,087.95
Rate for Payer: Qualcare PPO/HMO/WC	$815.96
Rate for Payer: UnitedHealthcare Commercial	$1,087.95
Rate for Payer: UnitedHealthcare Community & State	$171.90
Rate for Payer: Wellpoint Medicaid Managed Care	$154.49

RONGUER KERRSION 4M

Facility

$5,439.75

Hospital Charge Code	270664166
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

ROOM AND BOARD-MED SURG-ADULT

Facility

$18,000.00

Hospital Charge Code	100102
Hospital Revenue Code	120
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: Wellpoint Medicaid Managed Care	$900.00

ROOM & BOARD 2E PRIVATE

Facility

$18,000.00

Hospital Charge Code	100941
Hospital Revenue Code	111
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2E SEMI

Facility

$18,000.00

Hospital Charge Code	100940
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 4NORTH-PRIVATE

Facility

$18,000.00

Hospital Charge Code	100810
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 6SO-ISOLATION

Facility

$18,000.00

Hospital Charge Code	100808
Hospital Revenue Code	164
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 6SO-PRIVATE

Facility

$18,000.00

Hospital Charge Code	100805
Hospital Revenue Code	111
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 6SO-SEMI PRIVATE

Facility

$18,000.00

Hospital Charge Code	100806
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD CCIS - ISOLATION

Facility

$18,000.00

Hospital Charge Code	100803
Hospital Revenue Code	164
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD ERH-SEMI PRIVATE

Facility

$18,000.00

Hospital Charge Code	100804
Hospital Revenue Code	169
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100961
Hospital Revenue Code	200
Min. Negotiated Rate	$2,607.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,607.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100952
Hospital Revenue Code	200
Min. Negotiated Rate	$2,607.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,607.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

Know your out-of-pocket cost for care.

All Charges