Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TCC CUTIMED OFF-LOADER

Facility

$391.90

Hospital Charge Code	270676385
Hospital Revenue Code	272
Min. Negotiated Rate	$58.78
Max. Negotiated Rate	$58.78
Rate for Payer: Qualcare PPO/HMO/WC	$58.78

TCC CUTIMED OFF-LOADER

Facility

$391.90

Hospital Charge Code	270676385W
Hospital Revenue Code	272
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$195.95
Rate for Payer: Aetna Commercial	$148.92
Rate for Payer: Aetna Medicare Advantage	$117.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.93
Rate for Payer: Cigna Commercial	$195.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.89
Rate for Payer: Oxford Commercial	$78.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.78
Rate for Payer: UnitedHealthcare Commercial	$78.38
Rate for Payer: UnitedHealthcare Community & State	$12.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025W
Hospital Revenue Code	272
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$256.17
Rate for Payer: Aetna Commercial	$194.69
Rate for Payer: Aetna Medicare Advantage	$153.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.64
Rate for Payer: Cigna Commercial	$256.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.21
Rate for Payer: Oxford Commercial	$102.47
Rate for Payer: Qualcare PPO/HMO/WC	$76.85
Rate for Payer: UnitedHealthcare Commercial	$102.47
Rate for Payer: UnitedHealthcare Community & State	$16.19
Rate for Payer: Wellpoint Medicaid Managed Care	$14.55

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025W
Hospital Revenue Code	272
Min. Negotiated Rate	$76.85
Max. Negotiated Rate	$76.85
Rate for Payer: Qualcare PPO/HMO/WC	$76.85

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025
Hospital Revenue Code	272
Min. Negotiated Rate	$76.85
Max. Negotiated Rate	$76.85
Rate for Payer: Qualcare PPO/HMO/WC	$76.85

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025
Hospital Revenue Code	272
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$256.17
Rate for Payer: Aetna Commercial	$194.69
Rate for Payer: Aetna Medicare Advantage	$153.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.64
Rate for Payer: Cigna Commercial	$256.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.21
Rate for Payer: Oxford Commercial	$102.47
Rate for Payer: Qualcare PPO/HMO/WC	$76.85
Rate for Payer: UnitedHealthcare Commercial	$102.47
Rate for Payer: UnitedHealthcare Community & State	$16.19
Rate for Payer: Wellpoint Medicaid Managed Care	$14.55

TCD COMPLETE STUDY

Facility

$5,100.00

Service Code	HCPCS 93886
Hospital Charge Code	2692025
Hospital Revenue Code	920
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$918.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$283.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,028.29
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: Cigna Medicare Advantage	$283.47
Rate for Payer: Clover Medicare Advantage	$269.30
Rate for Payer: EmblemHealth Commercial	$850.41
Rate for Payer: Humana Medicare Advantage	$291.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$283.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$283.47
Rate for Payer: Wellcare Medicare Advantage	$283.47
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

TCD COMPLETE STUDY

Facility

$5,100.00

Service Code	HCPCS 93886
Hospital Charge Code	2692025
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	74115030
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	2692030
Hospital Revenue Code	920
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	2692030
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	74115030
Hospital Revenue Code	920
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$2,301.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$2,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$2,301.00
Rate for Payer: UnitedHealthcare Community & State	$161.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

T CELLS CD4 & CD8,INCL RATIO

Facility

$599.00

Service Code	HCPCS 86360
Hospital Charge Code	38476263
Hospital Revenue Code	302
Min. Negotiated Rate	$89.85
Max. Negotiated Rate	$89.85
Rate for Payer: Qualcare PPO/HMO/WC	$89.85

T CELLS CD4 & CD8,INCL RATIO

Facility

$599.00

Service Code	HCPCS 86360
Hospital Charge Code	38476263
Hospital Revenue Code	302
Min. Negotiated Rate	$17.01
Max. Negotiated Rate	$299.50
Rate for Payer: Aetna Commercial	$127.79
Rate for Payer: Aetna Medicare Advantage	$152.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.42
Rate for Payer: Cigna Commercial	$299.50
Rate for Payer: Cigna Medicare Advantage	$46.98
Rate for Payer: Clover Medicare Advantage	$44.63
Rate for Payer: EmblemHealth Commercial	$140.94
Rate for Payer: Humana Medicare Advantage	$48.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$46.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.85
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$37.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$46.98
Rate for Payer: Wellcare Medicare Advantage	$46.98
Rate for Payer: Wellpoint Medicaid Managed Care	$17.01

T CELLS TOTAL COUNT

Facility

$431.00

Service Code	HCPCS 86359
Hospital Charge Code	38476262
Hospital Revenue Code	302
Min. Negotiated Rate	$12.24
Max. Negotiated Rate	$215.50
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	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.87
Rate for Payer: Cigna Commercial	$215.50
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	$112.06
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.65
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	$12.24

T CELLS TOTAL COUNT

Facility

$431.00

Service Code	HCPCS 86359
Hospital Charge Code	38476262
Hospital Revenue Code	302
Min. Negotiated Rate	$64.65
Max. Negotiated Rate	$64.65
Rate for Payer: Qualcare PPO/HMO/WC	$64.65

T CELLS, TOTAL COUNT

Facility

$432.00

Service Code	HCPCS 86539
Hospital Charge Code	38476296
Hospital Revenue Code	302
Min. Negotiated Rate	$64.80
Max. Negotiated Rate	$64.80
Rate for Payer: Qualcare PPO/HMO/WC	$64.80

T CELLS, TOTAL COUNT

Facility

$432.00

Service Code	HCPCS 86539
Hospital Charge Code	38476296
Hospital Revenue Code	302
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$216.00
Rate for Payer: Aetna Commercial	$164.16
Rate for Payer: Aetna Medicare Advantage	$129.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.16
Rate for Payer: Cigna Commercial	$216.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.32
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.80
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.65
Rate for Payer: Wellpoint Medicaid Managed Care	$12.27

TCM 12 LEAD EKG W INTERP

Facility

$2,050.00

Service Code	HCPCS 93000
Hospital Charge Code	93950113
Hospital Revenue Code	730
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$1,025.00
Rate for Payer: Aetna Commercial	$779.00
Rate for Payer: Aetna Medicare Advantage	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.75
Rate for Payer: Cigna Commercial	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.00
Rate for Payer: Oxford Commercial	$659.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50
Rate for Payer: UnitedHealthcare Commercial	$879.00
Rate for Payer: UnitedHealthcare Community & State	$64.78
Rate for Payer: Wellpoint Medicaid Managed Care	$58.22

TCM 12 LEAD EKG W INTERP

Facility

$2,050.00

Service Code	HCPCS 93000
Hospital Charge Code	93950113
Hospital Revenue Code	730
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

TCM DISCHARGE DAY

Facility

$150.00

Service Code	HCPCS 99238
Hospital Charge Code	93950167
Hospital Revenue Code	510
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

TCM DISCHARGE DAY

Facility

$150.00

Service Code	HCPCS 99238
Hospital Charge Code	93950167
Hospital Revenue Code	510
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

TCM ENDOMETRIAL BX

Facility

$669.00

Service Code	HCPCS 58100
Hospital Charge Code	93950043
Hospital Revenue Code	761
Min. Negotiated Rate	$100.35
Max. Negotiated Rate	$100.35
Rate for Payer: Qualcare PPO/HMO/WC	$100.35

TCM ENDOMETRIAL BX

Facility

$669.00

Service Code	HCPCS 58100
Hospital Charge Code	93950043
Hospital Revenue Code	761
Min. Negotiated Rate	$19.00
Max. Negotiated Rate	$871.25
Rate for Payer: Aetna Commercial	$653.29
Rate for Payer: Aetna Medicare Advantage	$778.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$240.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$871.25
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: Cigna Medicare Advantage	$240.18
Rate for Payer: Clover Medicare Advantage	$228.17
Rate for Payer: EmblemHealth Commercial	$720.54
Rate for Payer: Humana Medicare Advantage	$247.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$240.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.94
Rate for Payer: Oxford Commercial	$133.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.35
Rate for Payer: UnitedHealthcare Commercial	$133.80
Rate for Payer: UnitedHealthcare Community & State	$21.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$240.18
Rate for Payer: Wellcare Medicare Advantage	$240.18
Rate for Payer: Wellpoint Medicaid Managed Care	$19.00

TCM EXCISION BENIGN <1-2 CM

Facility

$1,049.00

Service Code	HCPCS 11402
Hospital Charge Code	93950017
Hospital Revenue Code	761
Min. Negotiated Rate	$157.35
Max. Negotiated Rate	$157.35
Rate for Payer: Qualcare PPO/HMO/WC	$157.35

Know your out-of-pocket cost for care.

All Charges