Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BC ACHI SPDBRG W/ KL DX CC 3.9

Facility

$14,909.25

Hospital Charge Code	270702069
Hospital Revenue Code	278
Min. Negotiated Rate	$2,236.39
Max. Negotiated Rate	$3,608.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,981.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,608.04
Rate for Payer: Qualcare PPO/HMO/WC	$2,236.39

B-CELL CLONALITY (HEAVY CHAIN)

Facility

$393.00

Service Code	HCPCS 88182
Hospital Charge Code	38476227
Hospital Revenue Code	311
Min. Negotiated Rate	$58.95
Max. Negotiated Rate	$58.95
Rate for Payer: Qualcare PPO/HMO/WC	$58.95

B-CELL CLONALITY (HEAVY CHAIN)

Facility

$393.00

Service Code	HCPCS 88182
Hospital Charge Code	38476227
Hospital Revenue Code	311
Min. Negotiated Rate	$11.16
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	$102.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$136.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$11.16

B-CELL CLONALITY (LIGHT CHAIN)

Facility

$393.00

Service Code	HCPCS 88182
Hospital Charge Code	38476226
Hospital Revenue Code	311
Min. Negotiated Rate	$11.16
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	$102.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$136.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$11.16

B-CELL CLONALITY (LIGHT CHAIN)

Facility

$393.00

Service Code	HCPCS 88182
Hospital Charge Code	38476226
Hospital Revenue Code	311
Min. Negotiated Rate	$58.95
Max. Negotiated Rate	$58.95
Rate for Payer: Qualcare PPO/HMO/WC	$58.95

B CELLS,TOTAL COUNT

Facility

$265.00

Service Code	HCPCS 86355
Hospital Charge Code	38477200
Hospital Revenue Code	302
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$39.75
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

B CELLS,TOTAL COUNT

Facility

$265.00

Service Code	HCPCS 86355
Hospital Charge Code	38477200
Hospital Revenue Code	302
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$102.63
Rate for Payer: Aetna Medicare Advantage	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.87
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: Cigna Medicare Advantage	$37.73
Rate for Payer: Clover Medicare Advantage	$35.84
Rate for Payer: EmblemHealth Commercial	$113.19
Rate for Payer: Humana Medicare Advantage	$38.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.90
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$30.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.73
Rate for Payer: Wellcare Medicare Advantage	$37.73
Rate for Payer: Wellpoint Medicaid Managed Care	$7.53

BCR1

Facility

$1,118.45

Service Code	HCPCS 81206
Hospital Charge Code	39708026A
Hospital Revenue Code	310
Min. Negotiated Rate	$167.77
Max. Negotiated Rate	$167.77
Rate for Payer: Qualcare PPO/HMO/WC	$167.77

BCR1

Facility

$1,118.45

Service Code	HCPCS 81206
Hospital Charge Code	39708026A
Hospital Revenue Code	310
Min. Negotiated Rate	$31.76
Max. Negotiated Rate	$594.76
Rate for Payer: Aetna Commercial	$445.97
Rate for Payer: Aetna Medicare Advantage	$531.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$594.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$594.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$163.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$594.76
Rate for Payer: Cigna Commercial	$559.23
Rate for Payer: Cigna Medicare Advantage	$163.96
Rate for Payer: Clover Medicare Advantage	$155.76
Rate for Payer: EmblemHealth Commercial	$491.88
Rate for Payer: Humana Medicare Advantage	$168.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$163.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$167.77
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$131.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$163.96
Rate for Payer: Wellcare Medicare Advantage	$163.96
Rate for Payer: Wellpoint Medicaid Managed Care	$31.76

BCR2

Facility

$987.95

Service Code	HCPCS 81207
Hospital Charge Code	39708026B
Hospital Revenue Code	310
Min. Negotiated Rate	$148.19
Max. Negotiated Rate	$148.19
Rate for Payer: Qualcare PPO/HMO/WC	$148.19

BCR2

Facility

$987.95

Service Code	HCPCS 81207
Hospital Charge Code	39708026B
Hospital Revenue Code	310
Min. Negotiated Rate	$28.06
Max. Negotiated Rate	$525.41
Rate for Payer: Aetna Commercial	$393.96
Rate for Payer: Aetna Medicare Advantage	$469.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$525.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$525.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$525.41
Rate for Payer: Cigna Commercial	$493.98
Rate for Payer: Cigna Medicare Advantage	$144.84
Rate for Payer: Clover Medicare Advantage	$137.60
Rate for Payer: EmblemHealth Commercial	$434.52
Rate for Payer: Humana Medicare Advantage	$149.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$144.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.87
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.19
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$115.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$144.84
Rate for Payer: Wellcare Medicare Advantage	$144.84
Rate for Payer: Wellpoint Medicaid Managed Care	$28.06

BD DEXA FOREARM BMD LEFT

Facility

$5,100.00

Service Code	HCPCS 77081
Hospital Charge Code	2709005
Hospital Revenue Code	320
Min. Negotiated Rate	$72.37
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.05
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

BD DEXA FOREARM BMD LEFT

Facility

$5,100.00

Service Code	HCPCS 77081
Hospital Charge Code	2709005
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

BEADED CABLE/SLEEVE SET 2.0MM

Facility

$2,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270669191
Hospital Revenue Code	278
Min. Negotiated Rate	$62.62
Max. Negotiated Rate	$1,102.50
Rate for Payer: Aetna Commercial	$837.90
Rate for Payer: Aetna Medicare Advantage	$661.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.27
Rate for Payer: Cigna Commercial	$1,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: Qualcare PPO/HMO/WC	$330.75
Rate for Payer: UnitedHealthcare Community & State	$69.68
Rate for Payer: Wellpoint Medicaid Managed Care	$62.62

BEADED CABLE/SLEEVE SET 2.0MM

Facility

$2,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270669191
Hospital Revenue Code	278
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$533.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: Qualcare PPO/HMO/WC	$330.75

BEAD TIP GUIDEWIRE 100CM

Facility

$1,237.50

Hospital Charge Code	270703324
Hospital Revenue Code	272
Min. Negotiated Rate	$185.62
Max. Negotiated Rate	$185.62
Rate for Payer: Qualcare PPO/HMO/WC	$185.62

BEAD TIP GUIDEWIRE 100CM

Facility

$1,237.50

Hospital Charge Code	270703324
Hospital Revenue Code	272
Min. Negotiated Rate	$35.15
Max. Negotiated Rate	$618.75
Rate for Payer: Aetna Commercial	$470.25
Rate for Payer: Aetna Medicare Advantage	$371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.56
Rate for Payer: Cigna Commercial	$618.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.75
Rate for Payer: Oxford Commercial	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$185.62
Rate for Payer: UnitedHealthcare Commercial	$247.50
Rate for Payer: UnitedHealthcare Community & State	$39.10
Rate for Payer: Wellpoint Medicaid Managed Care	$35.15

BEAM 7 X 125

Facility

$8,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270702618
Hospital Revenue Code	278
Min. Negotiated Rate	$1,219.50
Max. Negotiated Rate	$1,967.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,967.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,219.50

BEAM 7 X 125

Facility

$8,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270702618
Hospital Revenue Code	278
Min. Negotiated Rate	$230.89
Max. Negotiated Rate	$4,065.00
Rate for Payer: Aetna Commercial	$3,089.40
Rate for Payer: Aetna Medicare Advantage	$2,439.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,073.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,073.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,073.15
Rate for Payer: Cigna Commercial	$4,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,967.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,219.50
Rate for Payer: UnitedHealthcare Community & State	$256.91
Rate for Payer: Wellpoint Medicaid Managed Care	$230.89

BEAM AXIS FIXATION 4.5X80MM

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.00
Max. Negotiated Rate	$2,129.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00

BEAM AXIS FIXATION 4.5X80MM

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698459
Hospital Revenue Code	278
Min. Negotiated Rate	$249.92
Max. Negotiated Rate	$4,400.00
Rate for Payer: Aetna Commercial	$3,344.00
Rate for Payer: Aetna Medicare Advantage	$2,640.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,244.00
Rate for Payer: Cigna Commercial	$4,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00
Rate for Payer: UnitedHealthcare Community & State	$278.08
Rate for Payer: Wellpoint Medicaid Managed Care	$249.92

BEAM AXIS FIXATION 7.5X140MM

Facility

$10,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270698456
Hospital Revenue Code	278
Min. Negotiated Rate	$1,535.25
Max. Negotiated Rate	$2,476.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25

BEAM AXIS FIXATION 7.5X140MM

Facility

$10,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270698456
Hospital Revenue Code	278
Min. Negotiated Rate	$290.67
Max. Negotiated Rate	$5,117.50
Rate for Payer: Aetna Commercial	$3,889.30
Rate for Payer: Aetna Medicare Advantage	$3,070.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,609.93
Rate for Payer: Cigna Commercial	$5,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25
Rate for Payer: UnitedHealthcare Community & State	$323.43
Rate for Payer: Wellpoint Medicaid Managed Care	$290.67

BEAM CAN HDLES MED THD 5X85MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701410
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLES MED THD 5X85MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701410
Hospital Revenue Code	278
Min. Negotiated Rate	$145.27
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,943.70
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25
Rate for Payer: UnitedHealthcare Community & State	$161.63
Rate for Payer: Wellpoint Medicaid Managed Care	$145.27

Know your out-of-pocket cost for care.

All Charges