Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SPEAKING VALVE PURPLE

Facility

$532.05

Hospital Charge Code	270616940
Hospital Revenue Code	270
Min. Negotiated Rate	$15.11
Max. Negotiated Rate	$266.02
Rate for Payer: Aetna Commercial	$202.18
Rate for Payer: Aetna Medicare Advantage	$159.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.67
Rate for Payer: Cigna Commercial	$266.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.33
Rate for Payer: Oxford Commercial	$106.41
Rate for Payer: Qualcare PPO/HMO/WC	$79.81
Rate for Payer: UnitedHealthcare Commercial	$106.41
Rate for Payer: UnitedHealthcare Community & State	$16.81
Rate for Payer: Wellpoint Medicaid Managed Care	$15.11

SPEAR SURGICAL

Facility

$1.00

Hospital Charge Code	270654191
Hospital Revenue Code	270
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

SPEAR SURGICAL

Facility

$1.00

Hospital Charge Code	270654191
Hospital Revenue Code	270
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.26
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

SPEAR SURGICAL PVA

Facility

$567.40

Hospital Charge Code	270655872
Hospital Revenue Code	271
Min. Negotiated Rate	$16.11
Max. Negotiated Rate	$283.70
Rate for Payer: Aetna Commercial	$215.61
Rate for Payer: Aetna Medicare Advantage	$170.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.69
Rate for Payer: Cigna Commercial	$283.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.52
Rate for Payer: Oxford Commercial	$113.48
Rate for Payer: Qualcare PPO/HMO/WC	$85.11
Rate for Payer: UnitedHealthcare Commercial	$113.48
Rate for Payer: UnitedHealthcare Community & State	$17.93
Rate for Payer: Wellpoint Medicaid Managed Care	$16.11

SPEAR SURGICAL PVA

Facility

$567.40

Hospital Charge Code	270655872
Hospital Revenue Code	271
Min. Negotiated Rate	$85.11
Max. Negotiated Rate	$85.11
Rate for Payer: Qualcare PPO/HMO/WC	$85.11

SPECEMENT TRAP

Facility

$58.00

Hospital Charge Code	270325604
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

SPECEMENT TRAP

Facility

$58.00

Hospital Charge Code	270325604
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$29.00
Rate for Payer: Aetna Commercial	$22.04
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$11.60
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$11.60
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$1.65

SPECIAL ANTIBODY CONFIRMATION

Facility

$514.00

Service Code	HCPCS 86689
Hospital Charge Code	38476135
Hospital Revenue Code	302
Min. Negotiated Rate	$77.10
Max. Negotiated Rate	$77.10
Rate for Payer: Qualcare PPO/HMO/WC	$77.10

SPECIAL ANTIBODY CONFIRMATION

Facility

$514.00

Service Code	HCPCS 86689
Hospital Charge Code	38476135
Hospital Revenue Code	302
Min. Negotiated Rate	$14.60
Max. Negotiated Rate	$257.00
Rate for Payer: Aetna Commercial	$52.63
Rate for Payer: Aetna Medicare Advantage	$62.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.19
Rate for Payer: Cigna Commercial	$257.00
Rate for Payer: Cigna Medicare Advantage	$19.35
Rate for Payer: Clover Medicare Advantage	$18.38
Rate for Payer: EmblemHealth Commercial	$58.05
Rate for Payer: Humana Medicare Advantage	$19.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.64
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.10
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.35
Rate for Payer: Wellcare Medicare Advantage	$19.35
Rate for Payer: Wellpoint Medicaid Managed Care	$14.60

SPECIAL ANTIBODY II SCREEN

Facility

$458.00

Service Code	HCPCS 86702
Hospital Charge Code	38476133
Hospital Revenue Code	302
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$229.00
Rate for Payer: Aetna Commercial	$36.77
Rate for Payer: Aetna Medicare Advantage	$43.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.52
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	$49.04
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: Cigna Medicare Advantage	$13.52
Rate for Payer: Clover Medicare Advantage	$12.84
Rate for Payer: EmblemHealth Commercial	$40.56
Rate for Payer: Humana Medicare Advantage	$13.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.08
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.52
Rate for Payer: Wellcare Medicare Advantage	$13.52
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

SPECIAL ANTIBODY II SCREEN

Facility

$458.00

Service Code	HCPCS 86702
Hospital Charge Code	38476133
Hospital Revenue Code	302
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

SPECIAL ANTIBODY SCREEN

Facility

$522.00

Service Code	HCPCS 86701
Hospital Charge Code	38476132
Hospital Revenue Code	302
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$261.00
Rate for Payer: Aetna Commercial	$24.18
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.89
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	$32.25
Rate for Payer: Cigna Commercial	$261.00
Rate for Payer: Cigna Medicare Advantage	$8.89
Rate for Payer: Clover Medicare Advantage	$8.45
Rate for Payer: EmblemHealth Commercial	$26.67
Rate for Payer: Humana Medicare Advantage	$9.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.72
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.89
Rate for Payer: Wellcare Medicare Advantage	$8.89
Rate for Payer: Wellpoint Medicaid Managed Care	$14.82

SPECIAL ANTIBODY SCREEN

Facility

$522.00

Service Code	HCPCS 86701
Hospital Charge Code	38476132
Hospital Revenue Code	302
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$78.30
Rate for Payer: Qualcare PPO/HMO/WC	$78.30

SPECIAL RADIATION DOSIMETRY-GL

Facility

$755.00

Service Code	HCPCS 77331
Hospital Charge Code	85000580
Hospital Revenue Code	333
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$6,851.00
Rate for Payer: Aetna Commercial	$434.33
Rate for Payer: Aetna Medicare Advantage	$517.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$579.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$579.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$159.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$579.24
Rate for Payer: Cigna Commercial	$320.09
Rate for Payer: Cigna Medicare Advantage	$111.78
Rate for Payer: Clover Medicare Advantage	$151.70
Rate for Payer: EmblemHealth Commercial	$479.04
Rate for Payer: Humana Medicare Advantage	$164.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$159.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.30
Rate for Payer: Oxford Commercial	$6,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Commercial	$6,851.00
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$159.68
Rate for Payer: Wellcare Medicare Advantage	$159.68
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

SPECIAL RADIATION DOSIMETRY-GL

Facility

$755.00

Service Code	HCPCS 77331
Hospital Charge Code	85000580
Hospital Revenue Code	333
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$113.25
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

SPECIAL RADIATION TREATMENT

Facility

$2,307.00

Service Code	HCPCS 77470
Hospital Charge Code	85000805
Hospital Revenue Code	333
Min. Negotiated Rate	$346.05
Max. Negotiated Rate	$346.05
Rate for Payer: Qualcare PPO/HMO/WC	$346.05

SPECIAL RADIATION TREATMENT

Facility

$2,307.00

Service Code	HCPCS 77470
Hospital Charge Code	85000805
Hospital Revenue Code	333
Min. Negotiated Rate	$65.52
Max. Negotiated Rate	$6,851.00
Rate for Payer: Aetna Commercial	$1,785.49
Rate for Payer: Aetna Medicare Advantage	$2,126.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,381.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,381.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$656.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,381.20
Rate for Payer: Cigna Commercial	$1,315.81
Rate for Payer: Cigna Medicare Advantage	$459.50
Rate for Payer: Clover Medicare Advantage	$623.61
Rate for Payer: EmblemHealth Commercial	$1,969.29
Rate for Payer: Humana Medicare Advantage	$676.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$656.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$599.82
Rate for Payer: Oxford Commercial	$6,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$346.05
Rate for Payer: UnitedHealthcare Commercial	$6,851.00
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$656.43
Rate for Payer: Wellcare Medicare Advantage	$656.43
Rate for Payer: Wellpoint Medicaid Managed Care	$65.52

SPECIAL STAIN I

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	3005238
Hospital Revenue Code	312
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$224.58
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$200.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.58
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$61.91
Rate for Payer: Clover Medicare Advantage	$58.81
Rate for Payer: EmblemHealth Commercial	$185.73
Rate for Payer: Humana Medicare Advantage	$63.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.86
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.96
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$92.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$14.95

SPECIAL STAIN I

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	3005238
Hospital Revenue Code	312
Min. Negotiated Rate	$78.96
Max. Negotiated Rate	$78.96
Rate for Payer: Qualcare PPO/HMO/WC	$78.96

SPECIAL STAINS - GROUP II

Facility

$459.00

Service Code	HCPCS 88313
Hospital Charge Code	38474064
Hospital Revenue Code	310
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$68.85
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

SPECIAL STAINS - GROUP II

Facility

$459.00

Service Code	HCPCS 88313
Hospital Charge Code	38474064
Hospital Revenue Code	310
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$573.36
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.85
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$68.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$13.04

SPECIAL STAINS HISTOCHEM/FROZE

Facility

$101.00

Service Code	HCPCS 88314
Hospital Charge Code	38477123
Hospital Revenue Code	312
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

SPECIAL STAINS HISTOCHEM/FROZE

Facility

$101.00

Service Code	HCPCS 88314
Hospital Charge Code	38477123
Hospital Revenue Code	312
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$38.38
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$72.46
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

SPECIAL STAINS-MICROBES

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	38474061
Hospital Revenue Code	310
Min. Negotiated Rate	$78.96
Max. Negotiated Rate	$78.96
Rate for Payer: Qualcare PPO/HMO/WC	$78.96

SPECIAL STAINS-MICROBES

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	38474061
Hospital Revenue Code	310
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$224.58
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$200.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.58
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$61.91
Rate for Payer: Clover Medicare Advantage	$58.81
Rate for Payer: EmblemHealth Commercial	$185.73
Rate for Payer: Humana Medicare Advantage	$63.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.86
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.96
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$92.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$14.95

Know your out-of-pocket cost for care.

All Charges