Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ROPIVACAINE 5% 30ML

Facility

$5.83

Service Code	NDC 63323028631
Hospital Charge Code	6063943240
Hospital Revenue Code	250
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

ROSUVASTATIN CALCIUM 40MG TAB

Facility

$59.90

Service Code	NDC 16729028715
Hospital Charge Code	606390536
Hospital Revenue Code	250
Min. Negotiated Rate	$8.98
Max. Negotiated Rate	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.98

ROSUVASTATIN CALCIUM 40MG TAB

Facility

$59.90

Service Code	NDC 16729028715
Hospital Charge Code	606390536
Hospital Revenue Code	250
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$29.95
Rate for Payer: Aetna Commercial	$22.76
Rate for Payer: Aetna Medicare Advantage	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.27
Rate for Payer: Cigna Commercial	$29.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.57
Rate for Payer: Oxford Commercial	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.98
Rate for Payer: UnitedHealthcare Commercial	$11.98
Rate for Payer: UnitedHealthcare Community & State	$1.89
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

ROTABLE SNARES

Facility

$90.66

Hospital Charge Code	270663898
Hospital Revenue Code	272
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

ROTABLE SNARES

Facility

$90.66

Hospital Charge Code	270663898
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$45.33
Rate for Payer: Aetna Commercial	$34.45
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.57
Rate for Payer: Oxford Commercial	$18.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$18.13
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

ROTARIX 2ML(ROTAVIRUS)2 D ORAL

Facility

$672.14

Service Code	HCPCS 90681
Hospital Charge Code	83652615
Hospital Revenue Code	636
Min. Negotiated Rate	$100.82
Max. Negotiated Rate	$162.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.66
Rate for Payer: Qualcare PPO/HMO/WC	$100.82

ROTARIX 2ML(ROTAVIRUS)2 D ORAL

Facility

$672.14

Service Code	HCPCS 90681
Hospital Charge Code	83652615
Hospital Revenue Code	636
Min. Negotiated Rate	$19.09
Max. Negotiated Rate	$336.07
Rate for Payer: Aetna Commercial	$255.41
Rate for Payer: Aetna Medicare Advantage	$201.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.40
Rate for Payer: Cigna Commercial	$336.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.66
Rate for Payer: Qualcare PPO/HMO/WC	$100.82
Rate for Payer: UnitedHealthcare Community & State	$21.24
Rate for Payer: Wellpoint Medicaid Managed Care	$19.09

ROTATABLE RETRIEVAL DEVICE

Facility

$360.05

Hospital Charge Code	270663899
Hospital Revenue Code	272
Min. Negotiated Rate	$10.23
Max. Negotiated Rate	$180.03
Rate for Payer: Aetna Commercial	$136.82
Rate for Payer: Aetna Medicare Advantage	$108.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.81
Rate for Payer: Cigna Commercial	$180.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.61
Rate for Payer: Oxford Commercial	$72.01
Rate for Payer: Qualcare PPO/HMO/WC	$54.01
Rate for Payer: UnitedHealthcare Commercial	$72.01
Rate for Payer: UnitedHealthcare Community & State	$11.38
Rate for Payer: Wellpoint Medicaid Managed Care	$10.23

ROTATABLE RETRIEVAL DEVICE

Facility

$360.05

Hospital Charge Code	270663899
Hospital Revenue Code	272
Min. Negotiated Rate	$54.01
Max. Negotiated Rate	$54.01
Rate for Payer: Qualcare PPO/HMO/WC	$54.01

ROTA TEQ 2ML(ROTAVIRUS)

Facility

$227.73

Service Code	HCPCS 90680
Hospital Charge Code	83652589
Hospital Revenue Code	636
Min. Negotiated Rate	$34.16
Max. Negotiated Rate	$55.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.11
Rate for Payer: Qualcare PPO/HMO/WC	$34.16

ROTA TEQ 2ML(ROTAVIRUS)

Facility

$227.73

Service Code	HCPCS 90680
Hospital Charge Code	83652589
Hospital Revenue Code	636
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$113.86
Rate for Payer: Aetna Commercial	$86.54
Rate for Payer: Aetna Medicare Advantage	$68.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.07
Rate for Payer: Cigna Commercial	$113.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.11
Rate for Payer: Qualcare PPO/HMO/WC	$34.16
Rate for Payer: UnitedHealthcare Community & State	$7.20
Rate for Payer: Wellpoint Medicaid Managed Care	$6.47

ROTATIONAL PLATE 2.0

Facility

$4,095.00

Service Code	HCPCS C1713
Hospital Charge Code	270702062
Hospital Revenue Code	278
Min. Negotiated Rate	$614.25
Max. Negotiated Rate	$990.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$990.99
Rate for Payer: Qualcare PPO/HMO/WC	$614.25

ROTATIONAL PLATE 2.0

Facility

$4,095.00

Service Code	HCPCS C1713
Hospital Charge Code	270702062
Hospital Revenue Code	278
Min. Negotiated Rate	$116.30
Max. Negotiated Rate	$2,047.50
Rate for Payer: Aetna Commercial	$1,556.10
Rate for Payer: Aetna Medicare Advantage	$1,228.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,044.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,044.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,044.22
Rate for Payer: Cigna Commercial	$2,047.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$990.99
Rate for Payer: Qualcare PPO/HMO/WC	$614.25
Rate for Payer: UnitedHealthcare Community & State	$129.40
Rate for Payer: Wellpoint Medicaid Managed Care	$116.30

ROTATOR CUFF,REP ARTHROSCOPY

Facility

$50,586.00

Service Code	HCPCS 29827
Hospital Charge Code	16000197
Hospital Revenue Code	360
Min. Negotiated Rate	$7,587.90
Max. Negotiated Rate	$7,587.90
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90

ROTATOR CUFF,REP ARTHROSCOPY

Facility

$50,586.00

Service Code	HCPCS 29827
Hospital Charge Code	16000197
Hospital Revenue Code	360
Min. Negotiated Rate	$1,436.64
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	$13,152.36
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,587.90
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,598.52
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	$1,436.64

ROTAVIRUS AG

Facility

$390.00

Service Code	HCPCS 87425
Hospital Charge Code	39900289
Hospital Revenue Code	306
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
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	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ROTAVIRUS AG

Facility

$390.00

Service Code	HCPCS 87425
Hospital Charge Code	39900289
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ROTAVIRUS ANTIGEN

Facility

$329.00

Service Code	HCPCS 86759
Hospital Charge Code	38476036
Hospital Revenue Code	302
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

ROTAVIRUS ANTIGEN

Facility

$329.00

Service Code	HCPCS 86759
Hospital Charge Code	38476036
Hospital Revenue Code	302
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$49.59
Rate for Payer: Aetna Medicare Advantage	$59.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.13
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: Cigna Medicare Advantage	$18.23
Rate for Payer: Clover Medicare Advantage	$17.32
Rate for Payer: EmblemHealth Commercial	$54.69
Rate for Payer: Humana Medicare Advantage	$18.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.23
Rate for Payer: Wellcare Medicare Advantage	$18.23
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

ROTAVIRUS VACCINE, LIVE ORAL

Facility

$855.79

Service Code	HCPCS 90680
Hospital Charge Code	606350976
Hospital Revenue Code	636
Min. Negotiated Rate	$128.37
Max. Negotiated Rate	$207.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.10
Rate for Payer: Qualcare PPO/HMO/WC	$128.37

ROTAVIRUS VACCINE, LIVE ORAL

Facility

$855.79

Service Code	HCPCS 90680
Hospital Charge Code	606350976
Hospital Revenue Code	636
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$427.89
Rate for Payer: Aetna Commercial	$325.20
Rate for Payer: Aetna Medicare Advantage	$256.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.23
Rate for Payer: Cigna Commercial	$427.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.10
Rate for Payer: Qualcare PPO/HMO/WC	$128.37
Rate for Payer: UnitedHealthcare Community & State	$27.04
Rate for Payer: Wellpoint Medicaid Managed Care	$24.30

ROTH NET

Facility

$94.00

Hospital Charge Code	270325612
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

ROTH NET

Facility

$94.00

Hospital Charge Code	270325612
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

ROTH NET RETRIEVER UNIV

Facility

$525.00

Hospital Charge Code	270670091
Hospital Revenue Code	272
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

ROTH NET RETRIEVER UNIV

Facility

$525.00

Hospital Charge Code	270670091
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

Know your out-of-pocket cost for care.

All Charges