Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SET LIVER TRANSJUGULAR ROSCH

Facility

$2,262.00

Hospital Charge Code	270686621
Hospital Revenue Code	272
Min. Negotiated Rate	$64.24
Max. Negotiated Rate	$1,131.00
Rate for Payer: Aetna Commercial	$859.56
Rate for Payer: Aetna Medicare Advantage	$678.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.81
Rate for Payer: Cigna Commercial	$1,131.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$588.12
Rate for Payer: Oxford Commercial	$452.40
Rate for Payer: Qualcare PPO/HMO/WC	$339.30
Rate for Payer: UnitedHealthcare Commercial	$452.40
Rate for Payer: UnitedHealthcare Community & State	$71.48
Rate for Payer: Wellpoint Medicaid Managed Care	$64.24

SET MICROPUNCT 4F SS MAK401E

Facility

$12.50

Hospital Charge Code	270655023N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.25
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.50
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

SET MICROPUNCT 4F SS MAK401E

Facility

$12.50

Hospital Charge Code	270655023
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.25
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.50
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

SET MICROPUNCT 4F SS MAK401E

Facility

$12.50

Hospital Charge Code	270655023N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

SET MICROPUNCT 4F SS MAK401E

Facility

$12.50

Hospital Charge Code	270655023
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

SET MICROPUNCT 4F SS MAK401E

Facility

$12.50

Hospital Charge Code	270655023S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

SET MICROPUNCT 4F SS MAK401E

Facility

$12.50

Hospital Charge Code	270655023S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.25
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.50
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

SET PECUTANEOUS PIGTAIL NEPHRO

Facility

$707.20

Hospital Charge Code	270666870
Hospital Revenue Code	272
Min. Negotiated Rate	$20.08
Max. Negotiated Rate	$353.60
Rate for Payer: Aetna Commercial	$268.74
Rate for Payer: Aetna Medicare Advantage	$212.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.34
Rate for Payer: Cigna Commercial	$353.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.87
Rate for Payer: Oxford Commercial	$141.44
Rate for Payer: Qualcare PPO/HMO/WC	$106.08
Rate for Payer: UnitedHealthcare Commercial	$141.44
Rate for Payer: UnitedHealthcare Community & State	$22.35
Rate for Payer: Wellpoint Medicaid Managed Care	$20.08

SET PECUTANEOUS PIGTAIL NEPHRO

Facility

$707.20

Hospital Charge Code	270666870
Hospital Revenue Code	272
Min. Negotiated Rate	$106.08
Max. Negotiated Rate	$106.08
Rate for Payer: Qualcare PPO/HMO/WC	$106.08

SET PERCUTANEOUS MALECOT

Facility

$715.00

Hospital Charge Code	270331380
Hospital Revenue Code	278
Min. Negotiated Rate	$20.31
Max. Negotiated Rate	$357.50
Rate for Payer: Aetna Commercial	$271.70
Rate for Payer: Aetna Medicare Advantage	$214.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.32
Rate for Payer: Cigna Commercial	$357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.03
Rate for Payer: Qualcare PPO/HMO/WC	$107.25
Rate for Payer: UnitedHealthcare Community & State	$22.59
Rate for Payer: Wellpoint Medicaid Managed Care	$20.31

SET PERCUTANEOUS MALECOT

Facility

$715.00

Hospital Charge Code	270331380
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$173.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.03
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

SET PICK CHONDRO

Facility

$10,735.00

Hospital Charge Code	270688808
Hospital Revenue Code	272
Min. Negotiated Rate	$1,610.25
Max. Negotiated Rate	$1,610.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,610.25

SET PICK CHONDRO

Facility

$10,735.00

Hospital Charge Code	270688808
Hospital Revenue Code	272
Min. Negotiated Rate	$304.87
Max. Negotiated Rate	$5,367.50
Rate for Payer: Aetna Commercial	$4,079.30
Rate for Payer: Aetna Medicare Advantage	$3,220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,737.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,737.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,737.43
Rate for Payer: Cigna Commercial	$5,367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,791.10
Rate for Payer: Oxford Commercial	$2,147.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,610.25
Rate for Payer: UnitedHealthcare Commercial	$2,147.00
Rate for Payer: UnitedHealthcare Community & State	$339.23
Rate for Payer: Wellpoint Medicaid Managed Care	$304.87

SET PLEUX DRAINAGE LINE 507225

Facility

$79.45

Hospital Charge Code	270635259
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$39.73
Rate for Payer: Aetna Commercial	$30.19
Rate for Payer: Aetna Medicare Advantage	$23.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.26
Rate for Payer: Cigna Commercial	$39.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.66
Rate for Payer: Oxford Commercial	$15.89
Rate for Payer: Qualcare PPO/HMO/WC	$11.92
Rate for Payer: UnitedHealthcare Commercial	$15.89
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

SET PLEUX DRAINAGE LINE 507225

Facility

$79.45

Hospital Charge Code	270635259
Hospital Revenue Code	272
Min. Negotiated Rate	$11.92
Max. Negotiated Rate	$11.92
Rate for Payer: Qualcare PPO/HMO/WC	$11.92

SET QUICK 8 CC

Facility

$9,975.00

Hospital Charge Code	270684009
Hospital Revenue Code	272
Min. Negotiated Rate	$283.29
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,593.50
Rate for Payer: Oxford Commercial	$1,995.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Commercial	$1,995.00
Rate for Payer: UnitedHealthcare Community & State	$315.21
Rate for Payer: Wellpoint Medicaid Managed Care	$283.29

SET QUICK 8 CC

Facility

$9,975.00

Hospital Charge Code	270684009
Hospital Revenue Code	272
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$1,496.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

SET RADIATION TX FIELD

Facility

$1,884.55

Service Code	HCPCS 77290
Hospital Charge Code	404677290
Hospital Revenue Code	333
Min. Negotiated Rate	$282.68
Max. Negotiated Rate	$282.68
Rate for Payer: Qualcare PPO/HMO/WC	$282.68

SET RADIATION TX FIELD

Facility

$1,884.55

Service Code	HCPCS 77290
Hospital Charge Code	404677290
Hospital Revenue Code	333
Min. Negotiated Rate	$53.52
Max. Negotiated Rate	$6,851.00
Rate for Payer: Aetna Commercial	$1,209.94
Rate for Payer: Aetna Medicare Advantage	$1,441.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$444.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,613.62
Rate for Payer: Cigna Commercial	$891.65
Rate for Payer: Cigna Medicare Advantage	$311.38
Rate for Payer: Clover Medicare Advantage	$422.59
Rate for Payer: EmblemHealth Commercial	$1,334.49
Rate for Payer: Humana Medicare Advantage	$458.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$444.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$489.98
Rate for Payer: Oxford Commercial	$6,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.68
Rate for Payer: UnitedHealthcare Commercial	$6,851.00
Rate for Payer: UnitedHealthcare Community & State	$59.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$444.83
Rate for Payer: Wellcare Medicare Advantage	$444.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$107.30
Rate for Payer: Wellpoint Medicaid Managed Care	$53.52

SET RADIATION TX FIELD

Facility

$1,884.55

Service Code	HCPCS 77290
Hospital Charge Code	321077290
Hospital Revenue Code	333
Min. Negotiated Rate	$282.68
Max. Negotiated Rate	$282.68
Rate for Payer: Qualcare PPO/HMO/WC	$282.68

SET RADIATION TX FIELD

Facility

$1,884.55

Service Code	HCPCS 77290
Hospital Charge Code	321077290
Hospital Revenue Code	333
Min. Negotiated Rate	$53.52
Max. Negotiated Rate	$6,851.00
Rate for Payer: Aetna Commercial	$1,209.94
Rate for Payer: Aetna Medicare Advantage	$1,441.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$444.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,613.62
Rate for Payer: Cigna Commercial	$891.65
Rate for Payer: Cigna Medicare Advantage	$311.38
Rate for Payer: Clover Medicare Advantage	$422.59
Rate for Payer: EmblemHealth Commercial	$1,334.49
Rate for Payer: Humana Medicare Advantage	$458.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$444.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$489.98
Rate for Payer: Oxford Commercial	$6,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.68
Rate for Payer: UnitedHealthcare Commercial	$6,851.00
Rate for Payer: UnitedHealthcare Community & State	$59.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$444.83
Rate for Payer: Wellcare Medicare Advantage	$444.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$107.30
Rate for Payer: Wellpoint Medicaid Managed Care	$53.52

SET RADIATION TX FIELD-GL

Facility

$2,273.00

Service Code	HCPCS 77290
Hospital Charge Code	85000415
Hospital Revenue Code	333
Min. Negotiated Rate	$340.95
Max. Negotiated Rate	$340.95
Rate for Payer: Qualcare PPO/HMO/WC	$340.95

SET RADIATION TX FIELD-GL

Facility

$2,273.00

Service Code	HCPCS 77290
Hospital Charge Code	85000415
Hospital Revenue Code	333
Min. Negotiated Rate	$64.55
Max. Negotiated Rate	$6,851.00
Rate for Payer: Aetna Commercial	$1,209.94
Rate for Payer: Aetna Medicare Advantage	$1,441.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$444.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,613.62
Rate for Payer: Cigna Commercial	$891.65
Rate for Payer: Cigna Medicare Advantage	$311.38
Rate for Payer: Clover Medicare Advantage	$422.59
Rate for Payer: EmblemHealth Commercial	$1,334.49
Rate for Payer: Humana Medicare Advantage	$458.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$444.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$590.98
Rate for Payer: Oxford Commercial	$6,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$340.95
Rate for Payer: UnitedHealthcare Commercial	$6,851.00
Rate for Payer: UnitedHealthcare Community & State	$71.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$444.83
Rate for Payer: Wellcare Medicare Advantage	$444.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$107.30
Rate for Payer: Wellpoint Medicaid Managed Care	$64.55

SET RADIATION TX FIELD-GL

Facility

$1,370.00

Service Code	HCPCS 77280
Hospital Charge Code	85000385
Hospital Revenue Code	333
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

SET RADIATION TX FIELD-GL

Facility

$1,833.00

Service Code	HCPCS 77285
Hospital Charge Code	85000400
Hospital Revenue Code	333
Min. Negotiated Rate	$52.06
Max. Negotiated Rate	$6,851.00
Rate for Payer: Aetna Commercial	$1,209.94
Rate for Payer: Aetna Medicare Advantage	$1,441.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,613.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$444.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,613.62
Rate for Payer: Cigna Commercial	$891.65
Rate for Payer: Cigna Medicare Advantage	$311.38
Rate for Payer: Clover Medicare Advantage	$422.59
Rate for Payer: EmblemHealth Commercial	$1,334.49
Rate for Payer: Humana Medicare Advantage	$458.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$444.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.58
Rate for Payer: Oxford Commercial	$6,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$274.95
Rate for Payer: UnitedHealthcare Commercial	$6,851.00
Rate for Payer: UnitedHealthcare Community & State	$57.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$444.83
Rate for Payer: Wellcare Medicare Advantage	$444.83
Rate for Payer: Wellpoint Medicaid Managed Care	$52.06

Know your out-of-pocket cost for care.

All Charges