Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SPOTLIGHT PORTS

Facility

$4,750.00

Hospital Charge Code	270671359
Hospital Revenue Code	272
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

SPOTLIGHT PORTS

Facility

$4,750.00

Hospital Charge Code	270671359
Hospital Revenue Code	272
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$950.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Commercial	$950.00
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC

Facility

$49,614.43

Service Code	MSDRG 537
Min. Negotiated Rate	$15,106.96
Max. Negotiated Rate	$49,614.43
Rate for Payer: Aetna Commercial	$37,194.47
Rate for Payer: Aetna Medicare Advantage	$49,614.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,873.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,873.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,902.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,873.85
Rate for Payer: Cigna Commercial	$21,274.21
Rate for Payer: Cigna Medicare Advantage	$15,902.06
Rate for Payer: Clover Medicare Advantage	$15,106.96
Rate for Payer: EmblemHealth Commercial	$47,706.18
Rate for Payer: Humana Medicare Advantage	$16,379.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,902.06
Rate for Payer: Oxford Commercial	$16,814.77
Rate for Payer: UnitedHealthcare Commercial	$22,507.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,902.06
Rate for Payer: Wellcare Medicare Advantage	$15,902.06

SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

Facility

$42,221.49

Service Code	MSDRG 538
Min. Negotiated Rate	$12,691.69
Max. Negotiated Rate	$42,221.49
Rate for Payer: Aetna Commercial	$31,929.13
Rate for Payer: Aetna Medicare Advantage	$42,221.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,532.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,670.55
Rate for Payer: Cigna Commercial	$16,057.65
Rate for Payer: Cigna Medicare Advantage	$13,532.53
Rate for Payer: Clover Medicare Advantage	$12,855.90
Rate for Payer: EmblemHealth Commercial	$40,597.59
Rate for Payer: Humana Medicare Advantage	$13,938.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,532.53
Rate for Payer: Oxford Commercial	$12,691.69
Rate for Payer: UnitedHealthcare Commercial	$16,988.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,532.53
Rate for Payer: Wellcare Medicare Advantage	$13,532.53

SPRAYCYTE (FIXATIVE CYTOLOGY)

Facility

$51.35

Hospital Charge Code	270657182
Hospital Revenue Code	270
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$25.68
Rate for Payer: Aetna Commercial	$19.51
Rate for Payer: Aetna Medicare Advantage	$15.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.09
Rate for Payer: Cigna Commercial	$25.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.35
Rate for Payer: Oxford Commercial	$10.27
Rate for Payer: Qualcare PPO/HMO/WC	$7.70
Rate for Payer: UnitedHealthcare Commercial	$10.27
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

SPRAYCYTE (FIXATIVE CYTOLOGY)

Facility

$51.35

Hospital Charge Code	270657182
Hospital Revenue Code	270
Min. Negotiated Rate	$7.70
Max. Negotiated Rate	$7.70
Rate for Payer: Qualcare PPO/HMO/WC	$7.70

SPRAY KIT 800-0200

Facility

$173.65

Hospital Charge Code	270633003
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$86.83
Rate for Payer: Aetna Commercial	$65.99
Rate for Payer: Aetna Medicare Advantage	$52.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.28
Rate for Payer: Cigna Commercial	$86.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.15
Rate for Payer: Oxford Commercial	$34.73
Rate for Payer: Qualcare PPO/HMO/WC	$26.05
Rate for Payer: UnitedHealthcare Commercial	$34.73
Rate for Payer: UnitedHealthcare Community & State	$5.49
Rate for Payer: Wellpoint Medicaid Managed Care	$4.93

SPRAY KIT 800-0200

Facility

$173.65

Hospital Charge Code	270633003
Hospital Revenue Code	272
Min. Negotiated Rate	$26.05
Max. Negotiated Rate	$26.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.05

SPRAY NOZLE F/USE W/PANASPRAY

Facility

$90.00

Hospital Charge Code	270665000
Hospital Revenue Code	270
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

SPRAY NOZLE F/USE W/PANASPRAY

Facility

$90.00

Hospital Charge Code	270665000
Hospital Revenue Code	270
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

SPRING GUIDE 35/150/FC/TF/3J

Facility

$81.00

Hospital Charge Code	270332044
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

SPRING GUIDE 35/150/FC/TF/3J

Facility

$81.00

Hospital Charge Code	270332044
Hospital Revenue Code	272
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.06
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$2.56
Rate for Payer: Wellpoint Medicaid Managed Care	$2.30

SPRING LOADED NUT

Facility

$211.50

Hospital Charge Code	270656305
Hospital Revenue Code	272
Min. Negotiated Rate	$31.73
Max. Negotiated Rate	$31.73
Rate for Payer: Qualcare PPO/HMO/WC	$31.73

SPRING LOADED NUT

Facility

$211.50

Hospital Charge Code	270656305
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$105.75
Rate for Payer: Aetna Commercial	$80.37
Rate for Payer: Aetna Medicare Advantage	$63.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.93
Rate for Payer: Cigna Commercial	$105.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.99
Rate for Payer: Oxford Commercial	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$31.73
Rate for Payer: UnitedHealthcare Commercial	$42.30
Rate for Payer: UnitedHealthcare Community & State	$6.68
Rate for Payer: Wellpoint Medicaid Managed Care	$6.01

SPRINT ENDURA PNS SYSTEM

Facility

$29,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270703514
Hospital Revenue Code	278
Min. Negotiated Rate	$823.60
Max. Negotiated Rate	$14,500.00
Rate for Payer: Aetna Commercial	$11,020.00
Rate for Payer: Aetna Medicare Advantage	$8,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,395.00
Rate for Payer: Cigna Commercial	$14,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,350.00
Rate for Payer: UnitedHealthcare Community & State	$916.40
Rate for Payer: Wellpoint Medicaid Managed Care	$823.60

SPRINT ENDURA PNS SYSTEM

Facility

$29,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270703514
Hospital Revenue Code	278
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$7,018.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,350.00

SPROTTE SPINAL NEEDLE 22GA

Facility

$157.00

Hospital Charge Code	270332536
Hospital Revenue Code	272
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$78.50
Rate for Payer: Aetna Commercial	$59.66
Rate for Payer: Aetna Medicare Advantage	$47.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.03
Rate for Payer: Cigna Commercial	$78.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.82
Rate for Payer: Oxford Commercial	$31.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.55
Rate for Payer: UnitedHealthcare Commercial	$31.40
Rate for Payer: UnitedHealthcare Community & State	$4.96
Rate for Payer: Wellpoint Medicaid Managed Care	$4.46

SPROTTE SPINAL NEEDLE 22GA

Facility

$157.00

Hospital Charge Code	270332536
Hospital Revenue Code	272
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$23.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.55

SPR SHEETH XL 10F LRGE DIAMTER

Facility

$512.05

Hospital Charge Code	270662666
Hospital Revenue Code	270
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$256.02
Rate for Payer: Aetna Commercial	$194.58
Rate for Payer: Aetna Medicare Advantage	$153.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.57
Rate for Payer: Cigna Commercial	$256.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.13
Rate for Payer: Oxford Commercial	$102.41
Rate for Payer: Qualcare PPO/HMO/WC	$76.81
Rate for Payer: UnitedHealthcare Commercial	$102.41
Rate for Payer: UnitedHealthcare Community & State	$16.18
Rate for Payer: Wellpoint Medicaid Managed Care	$14.54

SPR SHEETH XL 10F LRGE DIAMTER

Facility

$512.05

Hospital Charge Code	270662666
Hospital Revenue Code	270
Min. Negotiated Rate	$76.81
Max. Negotiated Rate	$76.81
Rate for Payer: Qualcare PPO/HMO/WC	$76.81

SP SPEECH APHASIA EVALUATION

Facility

$6,800.00

Service Code	HCPCS 96105
Hospital Charge Code	9001021
Hospital Revenue Code	918
Min. Negotiated Rate	$1,020.00
Max. Negotiated Rate	$1,020.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00

SP SPEECH APHASIA EVALUATION

Facility

$6,800.00

Service Code	HCPCS 96105
Hospital Charge Code	9001021
Hospital Revenue Code	918
Min. Negotiated Rate	$39.60
Max. Negotiated Rate	$3,400.00
Rate for Payer: Aetna Commercial	$2,584.00
Rate for Payer: Aetna Medicare Advantage	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,734.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,734.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,734.00
Rate for Payer: Cigna Commercial	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,768.00
Rate for Payer: Oxford Commercial	$2,715.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00
Rate for Payer: UnitedHealthcare Commercial	$3,080.00
Rate for Payer: UnitedHealthcare Community & State	$214.88
Rate for Payer: Wellpoint Medicaid Managed Care	$193.12

SP SPEECH EVALUATION

Facility

$2,400.00

Service Code	HCPCS 92523GN
Hospital Charge Code	9000308
Hospital Revenue Code	444
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SP SPEECH EVALUATION

Facility

$2,400.00

Service Code	HCPCS 92523GN
Hospital Charge Code	9000308
Hospital Revenue Code	444
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$75.84
Rate for Payer: Wellpoint Medicaid Managed Care	$65.00

SP SPEECH TX INDIVIDUAL

Facility

$167.25

Service Code	HCPCS 92507GN
Hospital Charge Code	9000316
Hospital Revenue Code	440
Min. Negotiated Rate	$25.09
Max. Negotiated Rate	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.09

Know your out-of-pocket cost for care.

All Charges