Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100986
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100977
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100984
Hospital Revenue Code	126
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100989
Hospital Revenue Code	206
Min. Negotiated Rate	$2,276.00
Max. Negotiated Rate	$8,116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,116.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100980
Hospital Revenue Code	124
Min. Negotiated Rate	$1,854.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100971
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100976
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100982
Hospital Revenue Code	124
Min. Negotiated Rate	$1,854.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100981
Hospital Revenue Code	124
Min. Negotiated Rate	$1,854.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100975
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	101001
Hospital Revenue Code	110
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100985
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100978
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-TELEMETRY

Facility

$25,000.00

Hospital Charge Code	100990
Hospital Revenue Code	122
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	$3,750.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100974
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100991
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 TEMP INJECTATE SYSTEM

Facility

$108.60

Hospital Charge Code	270676374
Hospital Revenue Code	272
Min. Negotiated Rate	$16.29
Max. Negotiated Rate	$16.29
Rate for Payer: Qualcare PPO/HMO/WC	$16.29

ROOM TEMP INJECTATE SYSTEM

Facility

$108.60

Hospital Charge Code	270676374
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$54.30
Rate for Payer: Aetna Commercial	$41.27
Rate for Payer: Aetna Medicare Advantage	$32.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.69
Rate for Payer: Cigna Commercial	$54.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.24
Rate for Payer: Oxford Commercial	$21.72
Rate for Payer: Qualcare PPO/HMO/WC	$16.29
Rate for Payer: UnitedHealthcare Commercial	$21.72
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.08

ROOT MARKING HOOK MENISCAL

Facility

$3,475.00

Hospital Charge Code	270688312
Hospital Revenue Code	272
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$521.25
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

ROOT MARKING HOOK MENISCAL

Facility

$3,475.00

Hospital Charge Code	270688312
Hospital Revenue Code	272
Min. Negotiated Rate	$98.69
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$903.50
Rate for Payer: Oxford Commercial	$695.00
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Commercial	$695.00
Rate for Payer: UnitedHealthcare Community & State	$109.81
Rate for Payer: Wellpoint Medicaid Managed Care	$98.69

ROPIVACAINE 0.2% 20ML 2MG/ML

Facility

$46.90

Service Code	HCPCS J2795
Hospital Charge Code	606390514
Hospital Revenue Code	636
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$11.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.04

ROPIVACAINE 0.2% 20ML 2MG/ML

Facility

$46.90

Service Code	HCPCS J2795
Hospital Charge Code	606390514
Hospital Revenue Code	636
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$23.45
Rate for Payer: Aetna Commercial	$17.82
Rate for Payer: Aetna Medicare Advantage	$14.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.96
Rate for Payer: Cigna Commercial	$23.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.04
Rate for Payer: UnitedHealthcare Community & State	$1.48
Rate for Payer: Wellpoint Medicaid Managed Care	$1.33

ROPIVACAINE 0.5% PF 20ML

Facility

$45.02

Service Code	HCPCS J2795
Hospital Charge Code	60639601
Hospital Revenue Code	636
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$22.51
Rate for Payer: Aetna Commercial	$17.11
Rate for Payer: Aetna Medicare Advantage	$13.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.48
Rate for Payer: Cigna Commercial	$22.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

ROPIVACAINE 0.5% PF 20ML

Facility

$45.02

Service Code	HCPCS J2795
Hospital Charge Code	60639601
Hospital Revenue Code	636
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

ROPIVACAINE 5% 30ML

Facility

$5.83

Service Code	NDC 63323028631
Hospital Charge Code	6063943240
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna Commercial	$2.22
Rate for Payer: Aetna Medicare Advantage	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.52
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

Know your out-of-pocket cost for care.

All Charges