Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

THERLOCK 10CC

Facility

$2,287.00

Hospital Charge Code	270332655
Hospital Revenue Code	278
Min. Negotiated Rate	$343.05
Max. Negotiated Rate	$553.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$553.45
Rate for Payer: Qualcare PPO/HMO/WC	$343.05

THERMACHOICE BALLOON

Facility

$2,131.00

Hospital Charge Code	270332622
Hospital Revenue Code	278
Min. Negotiated Rate	$60.52
Max. Negotiated Rate	$1,065.50
Rate for Payer: Aetna Commercial	$809.78
Rate for Payer: Aetna Medicare Advantage	$639.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.40
Rate for Payer: Cigna Commercial	$1,065.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.70
Rate for Payer: Qualcare PPO/HMO/WC	$319.65
Rate for Payer: UnitedHealthcare Community & State	$67.34
Rate for Payer: Wellpoint Medicaid Managed Care	$60.52

THERMACHOICE BALLOON

Facility

$2,131.00

Hospital Charge Code	270332622
Hospital Revenue Code	278
Min. Negotiated Rate	$319.65
Max. Negotiated Rate	$515.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.70
Rate for Payer: Qualcare PPO/HMO/WC	$319.65

THERMACHOICE III UTERINE TC003

Facility

$6,795.93

Hospital Charge Code	270636329
Hospital Revenue Code	272
Min. Negotiated Rate	$193.00
Max. Negotiated Rate	$3,397.97
Rate for Payer: Aetna Commercial	$2,582.45
Rate for Payer: Aetna Medicare Advantage	$2,038.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,732.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,732.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,732.96
Rate for Payer: Cigna Commercial	$3,397.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,766.94
Rate for Payer: Oxford Commercial	$1,359.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,019.39
Rate for Payer: UnitedHealthcare Commercial	$1,359.19
Rate for Payer: UnitedHealthcare Community & State	$214.75
Rate for Payer: Wellpoint Medicaid Managed Care	$193.00

THERMACHOICE III UTERINE TC003

Facility

$6,795.93

Hospital Charge Code	270636329
Hospital Revenue Code	272
Min. Negotiated Rate	$1,019.39
Max. Negotiated Rate	$1,019.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,019.39

THERMAL ENDOMETER TUMOR ABL LT

Facility

$32,257.60

Service Code	HCPCS 58353
Hospital Charge Code	1600000785
Hospital Revenue Code	360
Min. Negotiated Rate	$916.12
Max. Negotiated Rate	$21,558.38
Rate for Payer: Aetna Commercial	$16,165.07
Rate for Payer: Aetna Medicare Advantage	$19,255.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,943.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,558.38
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: Cigna Medicare Advantage	$5,943.04
Rate for Payer: Clover Medicare Advantage	$5,645.89
Rate for Payer: EmblemHealth Commercial	$17,829.12
Rate for Payer: Humana Medicare Advantage	$6,121.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,943.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,386.98
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,838.64
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,019.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,943.04
Rate for Payer: Wellcare Medicare Advantage	$5,943.04
Rate for Payer: Wellpoint Medicaid Managed Care	$916.12

THERMAL ENDOMETER TUMOR ABL LT

Facility

$32,257.60

Service Code	HCPCS 58353
Hospital Charge Code	1600000785
Hospital Revenue Code	360
Min. Negotiated Rate	$4,838.64
Max. Negotiated Rate	$4,838.64
Rate for Payer: Qualcare PPO/HMO/WC	$4,838.64

THERM. DIGITAL MOUNT

Facility

$137.25

Hospital Charge Code	270665869
Hospital Revenue Code	270
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$68.62
Rate for Payer: Aetna Commercial	$52.16
Rate for Payer: Aetna Medicare Advantage	$41.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.00
Rate for Payer: Cigna Commercial	$68.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.69
Rate for Payer: Oxford Commercial	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$20.59
Rate for Payer: UnitedHealthcare Commercial	$27.45
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

THERM. DIGITAL MOUNT

Facility

$137.25

Hospital Charge Code	270665869
Hospital Revenue Code	270
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$20.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.59

THERMO GUARD ADHESIVE PAD

Facility

$63.00

Hospital Charge Code	270335113
Hospital Revenue Code	272
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

THERMO GUARD ADHESIVE PAD

Facility

$63.00

Hospital Charge Code	270335113
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$23.94
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.38
Rate for Payer: Oxford Commercial	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$12.60
Rate for Payer: UnitedHealthcare Community & State	$1.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1.79

THERMOMETER STRIP TEMPA-DOT

Facility

$38.85

Hospital Charge Code	270652809
Hospital Revenue Code	270
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$19.43
Rate for Payer: Aetna Commercial	$14.76
Rate for Payer: Aetna Medicare Advantage	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.91
Rate for Payer: Cigna Commercial	$19.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.10
Rate for Payer: Oxford Commercial	$7.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.83
Rate for Payer: UnitedHealthcare Commercial	$7.77
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.10

THERMOMETER STRIP TEMPA-DOT

Facility

$38.85

Hospital Charge Code	270652809
Hospital Revenue Code	270
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$5.83
Rate for Payer: Qualcare PPO/HMO/WC	$5.83

THER/PROPH/DIAG INJ SC/IM

Facility

$499.80

Service Code	HCPCS 96372
Hospital Charge Code	1600000648
Hospital Revenue Code	360
Min. Negotiated Rate	$14.19
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$232.67
Rate for Payer: Aetna Medicare Advantage	$277.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$310.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$310.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$310.30
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: Cigna Medicare Advantage	$85.54
Rate for Payer: Clover Medicare Advantage	$81.26
Rate for Payer: EmblemHealth Commercial	$256.62
Rate for Payer: Humana Medicare Advantage	$88.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$85.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.95
Rate for Payer: Qualcare PPO/HMO/WC	$74.97
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.54
Rate for Payer: Wellcare Medicare Advantage	$85.54
Rate for Payer: Wellpoint Medicaid Managed Care	$14.19

THER/PROPH/DIAG INJ SC/IM

Facility

$499.80

Service Code	HCPCS 96372
Hospital Charge Code	1600000648
Hospital Revenue Code	360
Min. Negotiated Rate	$74.97
Max. Negotiated Rate	$74.97
Rate for Payer: Qualcare PPO/HMO/WC	$74.97

THIAMINE 100 MG/ML INJ

Facility

$83.35

Service Code	HCPCS J3411
Hospital Charge Code	6009096
Hospital Revenue Code	636
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$20.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.50

THIAMINE 100 MG/ML INJ

Facility

$83.35

Service Code	HCPCS J3411
Hospital Charge Code	6009096
Hospital Revenue Code	636
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$41.67
Rate for Payer: Aetna Commercial	$31.67
Rate for Payer: Aetna Medicare Advantage	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.25
Rate for Payer: Cigna Commercial	$41.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.50
Rate for Payer: UnitedHealthcare Community & State	$2.63
Rate for Payer: Wellpoint Medicaid Managed Care	$2.37

THIAMINE 100 MG TAB

Facility

$4.00

Service Code	NDC 10135013210
Hospital Charge Code	60628487
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

THIAMINE 100 MG TAB

Facility

$4.00

Service Code	NDC 10135013210
Hospital Charge Code	60628487
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

THIAMINE 50 MG TAB UD

Facility

$4.00

Service Code	NDC 10135013101
Hospital Charge Code	60628488
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

THIAMINE 50 MG TAB UD

Facility

$4.00

Service Code	NDC 10135013101
Hospital Charge Code	60628488
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

THIN LONG BLADE 8MM

Facility

$1,062.00

Hospital Charge Code	270685392
Hospital Revenue Code	272
Min. Negotiated Rate	$159.30
Max. Negotiated Rate	$159.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.30

THIN LONG BLADE 8MM

Facility

$1,062.00

Hospital Charge Code	270685392
Hospital Revenue Code	272
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$531.00
Rate for Payer: Aetna Commercial	$403.56
Rate for Payer: Aetna Medicare Advantage	$318.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.81
Rate for Payer: Cigna Commercial	$531.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.12
Rate for Payer: Oxford Commercial	$212.40
Rate for Payer: Qualcare PPO/HMO/WC	$159.30
Rate for Payer: UnitedHealthcare Commercial	$212.40
Rate for Payer: UnitedHealthcare Community & State	$33.56
Rate for Payer: Wellpoint Medicaid Managed Care	$30.16

THINPREP -TIS

Facility

$176.15

Service Code	HCPCS 88175
Hospital Charge Code	39900313
Hospital Revenue Code	311
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.38
Rate for Payer: Aetna Medicare Advantage	$86.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.53
Rate for Payer: Cigna Commercial	$88.08
Rate for Payer: Cigna Medicare Advantage	$26.61
Rate for Payer: Clover Medicare Advantage	$25.28
Rate for Payer: EmblemHealth Commercial	$79.83
Rate for Payer: Humana Medicare Advantage	$27.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.42
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.61
Rate for Payer: Wellcare Medicare Advantage	$26.61
Rate for Payer: Wellpoint Medicaid Managed Care	$5.00

THINPREP -TIS

Facility

$176.15

Service Code	HCPCS 88175
Hospital Charge Code	39900313
Hospital Revenue Code	311
Min. Negotiated Rate	$26.42
Max. Negotiated Rate	$26.42
Rate for Payer: Qualcare PPO/HMO/WC	$26.42

Know your out-of-pocket cost for care.

All Charges