Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STIMULATION GROUND CABLE

Facility

$38.30

Hospital Charge Code	270702025
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$9.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.75

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037
Hospital Revenue Code	278
Min. Negotiated Rate	$14,812.50
Max. Negotiated Rate	$23,897.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037
Hospital Revenue Code	278
Min. Negotiated Rate	$2,804.50
Max. Negotiated Rate	$49,375.00
Rate for Payer: Aetna Commercial	$37,525.00
Rate for Payer: Aetna Medicare Advantage	$29,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,181.25
Rate for Payer: Cigna Commercial	$49,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50
Rate for Payer: UnitedHealthcare Community & State	$3,120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2,804.50

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,804.50
Max. Negotiated Rate	$49,375.00
Rate for Payer: Aetna Commercial	$37,525.00
Rate for Payer: Aetna Medicare Advantage	$29,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,181.25
Rate for Payer: Cigna Commercial	$49,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50
Rate for Payer: UnitedHealthcare Community & State	$3,120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2,804.50

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037N
Hospital Revenue Code	278
Min. Negotiated Rate	$14,812.50
Max. Negotiated Rate	$23,897.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50

STIMULATOR B G EBI BHS2001

Facility

$19,592.00

Hospital Charge Code	270635999
Hospital Revenue Code	272
Min. Negotiated Rate	$2,938.80
Max. Negotiated Rate	$2,938.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,938.80

STIMULATOR B G EBI BHS2001

Facility

$19,592.00

Hospital Charge Code	270635999
Hospital Revenue Code	272
Min. Negotiated Rate	$556.41
Max. Negotiated Rate	$9,796.00
Rate for Payer: Aetna Commercial	$7,444.96
Rate for Payer: Aetna Medicare Advantage	$5,877.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,995.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,995.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,995.96
Rate for Payer: Cigna Commercial	$9,796.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,093.92
Rate for Payer: Oxford Commercial	$3,918.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,938.80
Rate for Payer: UnitedHealthcare Commercial	$3,918.40
Rate for Payer: UnitedHealthcare Community & State	$619.11
Rate for Payer: Wellpoint Medicaid Managed Care	$556.41

STIMULATOR BONE GROWTH

Facility

$14,750.00

Service Code	HCPCS E0749
Hospital Charge Code	270678589
Hospital Revenue Code	278
Min. Negotiated Rate	$418.90
Max. Negotiated Rate	$7,375.00
Rate for Payer: Aetna Commercial	$5,605.00
Rate for Payer: Aetna Medicare Advantage	$4,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,761.25
Rate for Payer: Cigna Commercial	$7,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50
Rate for Payer: UnitedHealthcare Community & State	$466.10
Rate for Payer: Wellpoint Medicaid Managed Care	$418.90

STIMULATOR BONE GROWTH

Facility

$14,750.00

Service Code	HCPCS E0749
Hospital Charge Code	270678589
Hospital Revenue Code	278
Min. Negotiated Rate	$2,212.50
Max. Negotiated Rate	$3,569.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50

STIMULATOR PULSTRONII NERVE

Facility

$275.50

Hospital Charge Code	270660318
Hospital Revenue Code	270
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$41.33
Rate for Payer: Qualcare PPO/HMO/WC	$41.33

STIMULATOR PULSTRONII NERVE

Facility

$275.50

Hospital Charge Code	270660318
Hospital Revenue Code	270
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$137.75
Rate for Payer: Aetna Commercial	$104.69
Rate for Payer: Aetna Medicare Advantage	$82.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.25
Rate for Payer: Cigna Commercial	$137.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.63
Rate for Payer: Oxford Commercial	$55.10
Rate for Payer: Qualcare PPO/HMO/WC	$41.33
Rate for Payer: UnitedHealthcare Commercial	$55.10
Rate for Payer: UnitedHealthcare Community & State	$8.71
Rate for Payer: Wellpoint Medicaid Managed Care	$7.82

STIMULATOR SPINAL

Facility

$38,430.00

Service Code	HCPCS C1767
Hospital Charge Code	270665833
Hospital Revenue Code	278
Min. Negotiated Rate	$1,091.41
Max. Negotiated Rate	$19,215.00
Rate for Payer: Aetna Commercial	$14,603.40
Rate for Payer: Aetna Medicare Advantage	$11,529.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,799.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,799.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,686.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,799.65
Rate for Payer: Cigna Commercial	$19,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,300.06
Rate for Payer: Qualcare PPO/HMO/WC	$5,764.50
Rate for Payer: UnitedHealthcare Community & State	$1,214.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1,091.41

STIMULATOR SPINAL

Facility

$38,430.00

Service Code	HCPCS C1767
Hospital Charge Code	270665833
Hospital Revenue Code	278
Min. Negotiated Rate	$5,764.50
Max. Negotiated Rate	$9,300.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,686.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,300.06
Rate for Payer: Qualcare PPO/HMO/WC	$5,764.50

STIMULATOR VARI-STIM

Facility

$292.00

Hospital Charge Code	270600307
Hospital Revenue Code	272
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$146.00
Rate for Payer: Aetna Commercial	$110.96
Rate for Payer: Aetna Medicare Advantage	$87.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.46
Rate for Payer: Cigna Commercial	$146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.92
Rate for Payer: Oxford Commercial	$58.40
Rate for Payer: Qualcare PPO/HMO/WC	$43.80
Rate for Payer: UnitedHealthcare Commercial	$58.40
Rate for Payer: UnitedHealthcare Community & State	$9.23
Rate for Payer: Wellpoint Medicaid Managed Care	$8.29

STIMULATOR VARI-STIM

Facility

$292.00

Hospital Charge Code	270600307
Hospital Revenue Code	272
Min. Negotiated Rate	$43.80
Max. Negotiated Rate	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$43.80

STIMUL BN GROWTH OSTEOG 40M

Facility

$57,700.00

Service Code	HCPCS E0749
Hospital Charge Code	270693961
Hospital Revenue Code	278
Min. Negotiated Rate	$8,655.00
Max. Negotiated Rate	$13,963.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,963.40
Rate for Payer: Qualcare PPO/HMO/WC	$8,655.00

STIMUL BN GROWTH OSTEOG 40M

Facility

$57,700.00

Service Code	HCPCS E0749
Hospital Charge Code	270693961
Hospital Revenue Code	278
Min. Negotiated Rate	$1,638.68
Max. Negotiated Rate	$28,850.00
Rate for Payer: Aetna Commercial	$21,926.00
Rate for Payer: Aetna Medicare Advantage	$17,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,713.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,713.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,713.50
Rate for Payer: Cigna Commercial	$28,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,963.40
Rate for Payer: Qualcare PPO/HMO/WC	$8,655.00
Rate for Payer: UnitedHealthcare Community & State	$1,823.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1,638.68

ST LARYNGEAL FUNCTION STUDIES

Facility

$2,400.00

Service Code	HCPCS 92520GN
Hospital Charge Code	74204015
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 LARYNGEAL FUNCTION STUDIES

Facility

$2,400.00

Service Code	HCPCS 92520GN
Hospital Charge Code	74204015
Hospital Revenue Code	444
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

STLAS TOPAZ WAND

Facility

$1,052.00

Hospital Charge Code	270332604
Hospital Revenue Code	272
Min. Negotiated Rate	$29.88
Max. Negotiated Rate	$526.00
Rate for Payer: Aetna Commercial	$399.76
Rate for Payer: Aetna Medicare Advantage	$315.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$268.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$268.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$268.26
Rate for Payer: Cigna Commercial	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.52
Rate for Payer: Oxford Commercial	$210.40
Rate for Payer: Qualcare PPO/HMO/WC	$157.80
Rate for Payer: UnitedHealthcare Commercial	$210.40
Rate for Payer: UnitedHealthcare Community & State	$33.24
Rate for Payer: Wellpoint Medicaid Managed Care	$29.88

STLAS TOPAZ WAND

Facility

$1,052.00

Hospital Charge Code	270332604
Hospital Revenue Code	272
Min. Negotiated Rate	$157.80
Max. Negotiated Rate	$157.80
Rate for Payer: Qualcare PPO/HMO/WC	$157.80

STM HIP NCK ANGL35MM SZ4 105MM

Facility

$13,604.50

Service Code	HCPCS C1776
Hospital Charge Code	270671304
Hospital Revenue Code	278
Min. Negotiated Rate	$2,040.67
Max. Negotiated Rate	$3,292.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,720.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,292.29
Rate for Payer: Qualcare PPO/HMO/WC	$2,040.67

STM HIP NCK ANGL35MM SZ4 105MM

Facility

$13,604.50

Service Code	HCPCS C1776
Hospital Charge Code	270671304
Hospital Revenue Code	278
Min. Negotiated Rate	$386.37
Max. Negotiated Rate	$6,802.25
Rate for Payer: Aetna Commercial	$5,169.71
Rate for Payer: Aetna Medicare Advantage	$4,081.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,469.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,469.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,720.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,469.15
Rate for Payer: Cigna Commercial	$6,802.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,292.29
Rate for Payer: Qualcare PPO/HMO/WC	$2,040.67
Rate for Payer: UnitedHealthcare Community & State	$429.90
Rate for Payer: Wellpoint Medicaid Managed Care	$386.37

ST MODIFIED VIDEO SWALLOW

Facility

$1,574.25

Service Code	HCPCS 92611
Hospital Charge Code	9109125
Hospital Revenue Code	440
Min. Negotiated Rate	$44.71
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$598.22
Rate for Payer: Aetna Medicare Advantage	$472.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.43
Rate for Payer: Cigna Commercial	$787.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$409.31
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.14
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$49.75
Rate for Payer: Wellpoint Medicaid Managed Care	$44.71

ST MODIFIED VIDEO SWALLOW

Facility

$1,574.25

Service Code	HCPCS 92611
Hospital Charge Code	74204003
Hospital Revenue Code	440
Min. Negotiated Rate	$236.14
Max. Negotiated Rate	$236.14
Rate for Payer: Qualcare PPO/HMO/WC	$236.14

Know your out-of-pocket cost for care.

All Charges