Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

S. CERVISIAE IGG

Facility

$390.00

Service Code	HCPCS 86671
Hospital Charge Code	39900373
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SCEW BONE CORTICAL 5.0MMx40MM

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270656705
Hospital Revenue Code	278
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$280.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: Qualcare PPO/HMO/WC	$174.00

SCEW BONE CORTICAL 5.0MMx40MM

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270656705
Hospital Revenue Code	278
Min. Negotiated Rate	$32.94
Max. Negotiated Rate	$580.00
Rate for Payer: Aetna Commercial	$440.80
Rate for Payer: Aetna Medicare Advantage	$348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$295.80
Rate for Payer: Cigna Commercial	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: Qualcare PPO/HMO/WC	$174.00
Rate for Payer: UnitedHealthcare Community & State	$36.66
Rate for Payer: Wellpoint Medicaid Managed Care	$32.94

SCEW LCK T8 FL THS 2.4 X 22L

Facility

$1,316.85

Service Code	HCPCS C1713
Hospital Charge Code	270703687
Hospital Revenue Code	278
Min. Negotiated Rate	$197.53
Max. Negotiated Rate	$318.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: Qualcare PPO/HMO/WC	$197.53

SCEW LCK T8 FL THS 2.4 X 22L

Facility

$1,316.85

Service Code	HCPCS C1713
Hospital Charge Code	270703687
Hospital Revenue Code	278
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$658.42
Rate for Payer: Aetna Commercial	$500.40
Rate for Payer: Aetna Medicare Advantage	$395.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.80
Rate for Payer: Cigna Commercial	$658.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.68
Rate for Payer: Qualcare PPO/HMO/WC	$197.53
Rate for Payer: UnitedHealthcare Community & State	$41.61
Rate for Payer: Wellpoint Medicaid Managed Care	$37.40

SCHISTOSOMA AB

Facility

$390.00

Service Code	HCPCS 86682
Hospital Charge Code	39900378
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SCHISTOSOMA AB

Facility

$390.00

Service Code	HCPCS 86682
Hospital Charge Code	39900378
Hospital Revenue Code	302
Min. Negotiated Rate	$10.41
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
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	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

SCHISTOSOMA AB IGG FMI

Facility

$88.75

Service Code	HCPCS 86682
Hospital Charge Code	39708007
Hospital Revenue Code	302
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$44.38
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.07
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

SCHISTOSOMA AB IGG FMI

Facility

$88.75

Service Code	HCPCS 86682
Hospital Charge Code	39708007
Hospital Revenue Code	302
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$13.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

SCHISTOSOMIASIS,URINE I

Facility

$390.00

Service Code	HCPCS 87015
Hospital Charge Code	39990124A
Hospital Revenue Code	309
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$18.17
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$6.68
Rate for Payer: Clover Medicare Advantage	$6.35
Rate for Payer: EmblemHealth Commercial	$20.04
Rate for Payer: Humana Medicare Advantage	$6.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.68
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	$5.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.68
Rate for Payer: Wellcare Medicare Advantage	$6.68
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

SCHISTOSOMIASIS,URINE I

Facility

$390.00

Service Code	HCPCS 87015
Hospital Charge Code	39990124A
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SCHISTOSOMIASIS,URINE II

Facility

$390.00

Service Code	HCPCS 87210
Hospital Charge Code	39990124B
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SCHISTOSOMIASIS,URINE II

Facility

$390.00

Service Code	HCPCS 87210
Hospital Charge Code	39990124B
Hospital Revenue Code	309
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$15.83
Rate for Payer: Aetna Medicare Advantage	$18.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.11
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.82
Rate for Payer: Clover Medicare Advantage	$5.53
Rate for Payer: EmblemHealth Commercial	$17.46
Rate for Payer: Humana Medicare Advantage	$5.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.82
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	$4.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.82
Rate for Payer: Wellcare Medicare Advantage	$5.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$7,194.65

Service Code	APR-DRG 7501
Min. Negotiated Rate	$7,053.58
Max. Negotiated Rate	$7,194.65
Rate for Payer: UnitedHealthcare Community & State	$7,053.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,194.65
Rate for Payer: Wellpoint Medicaid Managed Care	$7,053.58

SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$32,647.64

Service Code	APR-DRG 7504
Min. Negotiated Rate	$32,007.49
Max. Negotiated Rate	$32,647.64
Rate for Payer: UnitedHealthcare Community & State	$32,007.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,647.64
Rate for Payer: Wellpoint Medicaid Managed Care	$32,007.49

SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$14,656.09

Service Code	APR-DRG 7503
Min. Negotiated Rate	$14,368.72
Max. Negotiated Rate	$14,656.09
Rate for Payer: UnitedHealthcare Community & State	$14,368.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,656.09
Rate for Payer: Wellpoint Medicaid Managed Care	$14,368.72

SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$9,134.08

Service Code	APR-DRG 7502
Min. Negotiated Rate	$8,954.98
Max. Negotiated Rate	$9,134.08
Rate for Payer: UnitedHealthcare Community & State	$8,954.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,134.08
Rate for Payer: Wellpoint Medicaid Managed Care	$8,954.98

SCISSORS ENDOPATH CRVD 5MM

Facility

$274.17

Hospital Charge Code	270658494
Hospital Revenue Code	272
Min. Negotiated Rate	$41.13
Max. Negotiated Rate	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$41.13

SCISSORS ENDOPATH CRVD 5MM

Facility

$274.17

Hospital Charge Code	270658494
Hospital Revenue Code	272
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$137.09
Rate for Payer: Aetna Commercial	$104.18
Rate for Payer: Aetna Medicare Advantage	$82.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.91
Rate for Payer: Cigna Commercial	$137.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.28
Rate for Payer: Oxford Commercial	$54.83
Rate for Payer: Qualcare PPO/HMO/WC	$41.13
Rate for Payer: UnitedHealthcare Commercial	$54.83
Rate for Payer: UnitedHealthcare Community & State	$8.66
Rate for Payer: Wellpoint Medicaid Managed Care	$7.79

SCISSOR SUPER 5 1/2 IN

Facility

$377.20

Hospital Charge Code	270688818
Hospital Revenue Code	272
Min. Negotiated Rate	$56.58
Max. Negotiated Rate	$56.58
Rate for Payer: Qualcare PPO/HMO/WC	$56.58

SCISSOR SUPER 5 1/2 IN

Facility

$377.20

Hospital Charge Code	270688818
Hospital Revenue Code	272
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$188.60
Rate for Payer: Aetna Commercial	$143.34
Rate for Payer: Aetna Medicare Advantage	$113.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.19
Rate for Payer: Cigna Commercial	$188.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.07
Rate for Payer: Oxford Commercial	$75.44
Rate for Payer: Qualcare PPO/HMO/WC	$56.58
Rate for Payer: UnitedHealthcare Commercial	$75.44
Rate for Payer: UnitedHealthcare Community & State	$11.92
Rate for Payer: Wellpoint Medicaid Managed Care	$10.71

SCISSORS VANESS ANGLED 7MM CAP

Facility

$1,483.35

Hospital Charge Code	270683687
Hospital Revenue Code	272
Min. Negotiated Rate	$42.13
Max. Negotiated Rate	$741.67
Rate for Payer: Aetna Commercial	$563.67
Rate for Payer: Aetna Medicare Advantage	$445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.25
Rate for Payer: Cigna Commercial	$741.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.67
Rate for Payer: Oxford Commercial	$296.67
Rate for Payer: Qualcare PPO/HMO/WC	$222.50
Rate for Payer: UnitedHealthcare Commercial	$296.67
Rate for Payer: UnitedHealthcare Community & State	$46.87
Rate for Payer: Wellpoint Medicaid Managed Care	$42.13

SCISSORS VANESS ANGLED 7MM CAP

Facility

$1,483.35

Hospital Charge Code	270683687
Hospital Revenue Code	272
Min. Negotiated Rate	$222.50
Max. Negotiated Rate	$222.50
Rate for Payer: Qualcare PPO/HMO/WC	$222.50

SCISSOR WEIL BLAKESLEY THURCUT

Facility

$3,280.45

Hospital Charge Code	270689940
Hospital Revenue Code	272
Min. Negotiated Rate	$492.07
Max. Negotiated Rate	$492.07
Rate for Payer: Qualcare PPO/HMO/WC	$492.07

SCISSOR WEIL BLAKESLEY THURCUT

Facility

$3,280.45

Hospital Charge Code	270689940
Hospital Revenue Code	272
Min. Negotiated Rate	$93.16
Max. Negotiated Rate	$1,640.22
Rate for Payer: Aetna Commercial	$1,246.57
Rate for Payer: Aetna Medicare Advantage	$984.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$836.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$836.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$836.51
Rate for Payer: Cigna Commercial	$1,640.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$852.92
Rate for Payer: Oxford Commercial	$656.09
Rate for Payer: Qualcare PPO/HMO/WC	$492.07
Rate for Payer: UnitedHealthcare Commercial	$656.09
Rate for Payer: UnitedHealthcare Community & State	$103.66
Rate for Payer: Wellpoint Medicaid Managed Care	$93.16

Know your out-of-pocket cost for care.

All Charges