Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ST EVAL SP SOUND PROD W LANG C

Facility

$2,400.00

Service Code	HCPCS 92523GN
Hospital Charge Code	74204043
Hospital Revenue Code	444
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

ST EVAL SP SOUND PROD W LANG C

Facility

$2,400.00

Service Code	HCPCS 92523GN
Hospital Charge Code	74204043
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

ST EVALUATION OF SPEECH FLUENC

Facility

$2,400.00

Service Code	HCPCS 92521GN
Hospital Charge Code	74204039
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

ST EVALUATION OF SPEECH FLUENC

Facility

$2,400.00

Service Code	HCPCS 92521GN
Hospital Charge Code	74204039
Hospital Revenue Code	444
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

STH PINCLE 7F 65 RSP02

Facility

$580.00

Service Code	HCPCS C1887
Hospital Charge Code	270642217C
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$140.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

STH PINCLE 7F 65 RSP02

Facility

$580.00

Service Code	HCPCS C1887
Hospital Charge Code	270642217C
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$290.00
Rate for Payer: Aetna Commercial	$220.40
Rate for Payer: Aetna Medicare Advantage	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.90
Rate for Payer: Cigna Commercial	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00
Rate for Payer: UnitedHealthcare Community & State	$18.33
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

STH PINCLE 7F 65 RSP02

Facility

$585.65

Service Code	HCPCS C1887
Hospital Charge Code	270642217N
Hospital Revenue Code	278
Min. Negotiated Rate	$87.85
Max. Negotiated Rate	$141.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.73
Rate for Payer: Qualcare PPO/HMO/WC	$87.85

STH PINCLE 7F 65 RSP02

Facility

$585.65

Service Code	HCPCS C1887
Hospital Charge Code	270642217N
Hospital Revenue Code	278
Min. Negotiated Rate	$16.63
Max. Negotiated Rate	$292.82
Rate for Payer: Aetna Commercial	$222.55
Rate for Payer: Aetna Medicare Advantage	$175.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.34
Rate for Payer: Cigna Commercial	$292.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.73
Rate for Payer: Qualcare PPO/HMO/WC	$87.85
Rate for Payer: UnitedHealthcare Community & State	$18.51
Rate for Payer: Wellpoint Medicaid Managed Care	$16.63

STICK MINI 4FR 7CM

Facility

$85.00

Hospital Charge Code	270665911
Hospital Revenue Code	270
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

STICK MINI 4FR 7CM

Facility

$85.00

Hospital Charge Code	270665911
Hospital Revenue Code	270
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.69
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

STIFF CRESCENT MEDIUM

Facility

$65.75

Hospital Charge Code	270665798
Hospital Revenue Code	270
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$9.86
Rate for Payer: Qualcare PPO/HMO/WC	$9.86

STIFF CRESCENT MEDIUM

Facility

$65.75

Hospital Charge Code	270665798
Hospital Revenue Code	270
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$32.88
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$19.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.77
Rate for Payer: Cigna Commercial	$32.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.09
Rate for Payer: Oxford Commercial	$13.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.86
Rate for Payer: UnitedHealthcare Commercial	$13.15
Rate for Payer: UnitedHealthcare Community & State	$2.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

STIFF HEXAGONAL MEDIUM

Facility

$65.75

Hospital Charge Code	270665797
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$32.88
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$19.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.77
Rate for Payer: Cigna Commercial	$32.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.09
Rate for Payer: Oxford Commercial	$13.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.86
Rate for Payer: UnitedHealthcare Commercial	$13.15
Rate for Payer: UnitedHealthcare Community & State	$2.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

STIFF HEXAGONAL MEDIUM

Facility

$65.75

Hospital Charge Code	270665797
Hospital Revenue Code	272
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$9.86
Rate for Payer: Qualcare PPO/HMO/WC	$9.86

STIFFNECK SELECT

Facility

$39.55

Hospital Charge Code	270653986
Hospital Revenue Code	270
Min. Negotiated Rate	$5.93
Max. Negotiated Rate	$5.93
Rate for Payer: Qualcare PPO/HMO/WC	$5.93

STIFFNECK SELECT

Facility

$39.55

Hospital Charge Code	270653986
Hospital Revenue Code	270
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$19.77
Rate for Payer: Aetna Commercial	$15.03
Rate for Payer: Aetna Medicare Advantage	$11.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.09
Rate for Payer: Cigna Commercial	$19.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.28
Rate for Payer: Oxford Commercial	$7.91
Rate for Payer: Qualcare PPO/HMO/WC	$5.93
Rate for Payer: UnitedHealthcare Commercial	$7.91
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

STIFF OVAL MEDIUM

Facility

$68.50

Hospital Charge Code	270665796
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$34.25
Rate for Payer: Aetna Commercial	$26.03
Rate for Payer: Aetna Medicare Advantage	$20.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.47
Rate for Payer: Cigna Commercial	$34.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.81
Rate for Payer: Oxford Commercial	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.28
Rate for Payer: UnitedHealthcare Commercial	$13.70
Rate for Payer: UnitedHealthcare Community & State	$2.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

STIFF OVAL MEDIUM

Facility

$68.50

Hospital Charge Code	270665796
Hospital Revenue Code	272
Min. Negotiated Rate	$10.28
Max. Negotiated Rate	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.28

STIFF OVAL SMALL

Facility

$68.50

Hospital Charge Code	270665795
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$34.25
Rate for Payer: Aetna Commercial	$26.03
Rate for Payer: Aetna Medicare Advantage	$20.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.47
Rate for Payer: Cigna Commercial	$34.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.81
Rate for Payer: Oxford Commercial	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.28
Rate for Payer: UnitedHealthcare Commercial	$13.70
Rate for Payer: UnitedHealthcare Community & State	$2.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

STIFF OVAL SMALL

Facility

$68.50

Hospital Charge Code	270665795
Hospital Revenue Code	272
Min. Negotiated Rate	$10.28
Max. Negotiated Rate	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.28

STIFF ROUND EXTRA LARGE

Facility

$75.80

Hospital Charge Code	270665799
Hospital Revenue Code	272
Min. Negotiated Rate	$11.37
Max. Negotiated Rate	$11.37
Rate for Payer: Qualcare PPO/HMO/WC	$11.37

STIFF ROUND EXTRA LARGE

Facility

$75.80

Hospital Charge Code	270665799
Hospital Revenue Code	272
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$37.90
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.33
Rate for Payer: Cigna Commercial	$37.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.71
Rate for Payer: Oxford Commercial	$15.16
Rate for Payer: Qualcare PPO/HMO/WC	$11.37
Rate for Payer: UnitedHealthcare Commercial	$15.16
Rate for Payer: UnitedHealthcare Community & State	$2.40
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

STIF GLIDWIR ANG 035 5FR 150CM

Facility

$220.00

Hospital Charge Code	270678968
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

STIF GLIDWIR ANG 035 5FR 150CM

Facility

$220.00

Hospital Charge Code	270678968
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

STIMULATION GROUND CABLE

Facility

$38.30

Hospital Charge Code	270702025
Hospital Revenue Code	278
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$19.15
Rate for Payer: Aetna Commercial	$14.55
Rate for Payer: Aetna Medicare Advantage	$11.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.77
Rate for Payer: Cigna Commercial	$19.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.75
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

Know your out-of-pocket cost for care.

All Charges