Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BARIATRIC BACK AND SEAT EXT (S

Facility

$21,852.90

Hospital Charge Code	270663230
Hospital Revenue Code	270
Min. Negotiated Rate	$3,277.93
Max. Negotiated Rate	$3,277.93
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.93

BARIATRIC PADS

Facility

$875.00

Hospital Charge Code	270692091
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BARIATRIC PADS

Facility

$875.00

Hospital Charge Code	270692091
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

BARICITINIB 2MG TABLET

Facility

$494.46

Service Code	NDC 2418230
Hospital Charge Code	606390390
Hospital Revenue Code	250
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$247.23
Rate for Payer: Aetna Commercial	$187.89
Rate for Payer: Aetna Medicare Advantage	$148.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.09
Rate for Payer: Cigna Commercial	$247.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.56
Rate for Payer: Oxford Commercial	$98.89
Rate for Payer: Qualcare PPO/HMO/WC	$74.17
Rate for Payer: UnitedHealthcare Commercial	$98.89
Rate for Payer: UnitedHealthcare Community & State	$15.62
Rate for Payer: Wellpoint Medicaid Managed Care	$14.04

BARICITINIB 2MG TABLET

Facility

$494.46

Service Code	NDC 2418230
Hospital Charge Code	606390390
Hospital Revenue Code	250
Min. Negotiated Rate	$74.17
Max. Negotiated Rate	$74.17
Rate for Payer: Qualcare PPO/HMO/WC	$74.17

BARIUM ENEMA (BARIUMKIT)

Facility

$95.14

Service Code	NDC 32909080401
Hospital Charge Code	606380032
Hospital Revenue Code	250
Min. Negotiated Rate	$14.27
Max. Negotiated Rate	$14.27
Rate for Payer: Qualcare PPO/HMO/WC	$14.27

BARIUM ENEMA (BARIUMKIT)

Facility

$95.14

Service Code	NDC 32909080401
Hospital Charge Code	606380032
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$47.57
Rate for Payer: Aetna Commercial	$36.15
Rate for Payer: Aetna Medicare Advantage	$28.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.26
Rate for Payer: Cigna Commercial	$47.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.74
Rate for Payer: Oxford Commercial	$19.03
Rate for Payer: Qualcare PPO/HMO/WC	$14.27
Rate for Payer: UnitedHealthcare Commercial	$19.03
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.70

BARIUM SULFATE SUSP

Facility

$451.78

Service Code	NDC 32909016802
Hospital Charge Code	606390050
Hospital Revenue Code	250
Min. Negotiated Rate	$12.83
Max. Negotiated Rate	$225.89
Rate for Payer: Aetna Commercial	$171.68
Rate for Payer: Aetna Medicare Advantage	$135.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.20
Rate for Payer: Cigna Commercial	$225.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.46
Rate for Payer: Oxford Commercial	$90.36
Rate for Payer: Qualcare PPO/HMO/WC	$67.77
Rate for Payer: UnitedHealthcare Commercial	$90.36
Rate for Payer: UnitedHealthcare Community & State	$14.28
Rate for Payer: Wellpoint Medicaid Managed Care	$12.83

BARIUM SULFATE SUSP

Facility

$451.78

Service Code	NDC 32909016802
Hospital Charge Code	606390050
Hospital Revenue Code	250
Min. Negotiated Rate	$67.77
Max. Negotiated Rate	$67.77
Rate for Payer: Qualcare PPO/HMO/WC	$67.77

BARIUM SULFATE SUSPENSION 450M

Facility

$728.09

Service Code	NDC 32909071503
Hospital Charge Code	60631127
Hospital Revenue Code	250
Min. Negotiated Rate	$20.68
Max. Negotiated Rate	$364.05
Rate for Payer: Aetna Commercial	$276.67
Rate for Payer: Aetna Medicare Advantage	$218.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.66
Rate for Payer: Cigna Commercial	$364.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.30
Rate for Payer: Oxford Commercial	$145.62
Rate for Payer: Qualcare PPO/HMO/WC	$109.21
Rate for Payer: UnitedHealthcare Commercial	$145.62
Rate for Payer: UnitedHealthcare Community & State	$23.01
Rate for Payer: Wellpoint Medicaid Managed Care	$20.68

BARIUM SULFATE SUSPENSION 450M

Facility

$728.09

Service Code	NDC 32909071503
Hospital Charge Code	60631127
Hospital Revenue Code	250
Min. Negotiated Rate	$109.21
Max. Negotiated Rate	$109.21
Rate for Payer: Qualcare PPO/HMO/WC	$109.21

BARLEY (F6) IGE

Facility

$35.85

Service Code	HCPCS 86003
Hospital Charge Code	39900187
Hospital Revenue Code	305
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

BARLEY (F6) IGE

Facility

$35.85

Service Code	HCPCS 86003
Hospital Charge Code	39900187
Hospital Revenue Code	305
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$14.20
Rate for Payer: Aetna Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.94
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$5.22
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.32
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Medicare Advantage	$5.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.02

BARREL BUR 5.0MM 12 FLUTE

Facility

$190.00

Hospital Charge Code	270657642
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

BARREL BUR 5.0MM 12 FLUTE

Facility

$190.00

Hospital Charge Code	270657642
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BARREL BUR 5.5MM

Facility

$200.00

Hospital Charge Code	270668405
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BARREL BUR 5.5MM

Facility

$200.00

Hospital Charge Code	270668405
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

BARRICAID DEVICE

Facility

$30,000.00

Service Code	HCPCS C9757
Hospital Charge Code	270507018
Hospital Revenue Code	278
Min. Negotiated Rate	$852.00
Max. Negotiated Rate	$55,329.13
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,329.13
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00
Rate for Payer: UnitedHealthcare Community & State	$948.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$852.00

BARRICAID DEVICE

Facility

$30,000.00

Service Code	HCPCS C9757
Hospital Charge Code	270507018
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

BARRICAID DEVICE

Facility

$30,000.00

Service Code	HCPCS C9757
Hospital Charge Code	270705080
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

BARRICAID DEVICE

Facility

$30,000.00

Service Code	HCPCS C9757
Hospital Charge Code	270705080
Hospital Revenue Code	278
Min. Negotiated Rate	$852.00
Max. Negotiated Rate	$55,329.13
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,329.13
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00
Rate for Payer: UnitedHealthcare Community & State	$948.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$852.00

BARRIER INCISE DRAPE 10 x 16

Facility

$48.00

Hospital Charge Code	270331785
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$18.24
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.48
Rate for Payer: Oxford Commercial	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$9.60
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.36

BARRIER INCISE DRAPE 10 x 16

Facility

$48.00

Hospital Charge Code	270331785
Hospital Revenue Code	272
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

BARRIER SKIN STOMHESIVE MOLDBL

Facility

$14.78

Hospital Charge Code	270650275
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.22

BARRIER SKIN STOMHESIVE MOLDBL

Facility

$14.78

Hospital Charge Code	270650275
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$7.39
Rate for Payer: Aetna Commercial	$5.62
Rate for Payer: Aetna Medicare Advantage	$4.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.77
Rate for Payer: Cigna Commercial	$7.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.84
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.22
Rate for Payer: UnitedHealthcare Commercial	$2.96
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

Know your out-of-pocket cost for care.

All Charges