Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

THNA TI CANNULATED 235 MM

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270688448
Hospital Revenue Code	278
Min. Negotiated Rate	$274.15
Max. Negotiated Rate	$4,826.57
Rate for Payer: Aetna Commercial	$3,668.20
Rate for Payer: Aetna Medicare Advantage	$2,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,461.55
Rate for Payer: Cigna Commercial	$4,826.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97
Rate for Payer: UnitedHealthcare Community & State	$305.04
Rate for Payer: Wellpoint Medicaid Managed Care	$274.15

THORACENTESIS-BILAT

Facility

$985.00

Service Code	HCPCS 3255450
Hospital Charge Code	93500133
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-BILAT

Facility

$985.00

Service Code	HCPCS 3255450
Hospital Charge Code	93500133
Hospital Revenue Code	361
Min. Negotiated Rate	$27.97
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$374.30
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.10
Rate for Payer: Qualcare PPO/HMO/WC	$147.75
Rate for Payer: UnitedHealthcare Community & State	$31.13
Rate for Payer: Wellpoint Medicaid Managed Care	$27.97

THORACENTESIS-LT

Facility

$985.00

Service Code	HCPCS 32554LT
Hospital Charge Code	93500135
Hospital Revenue Code	361
Min. Negotiated Rate	$27.97
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$374.30
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.10
Rate for Payer: Qualcare PPO/HMO/WC	$147.75
Rate for Payer: UnitedHealthcare Community & State	$31.13
Rate for Payer: Wellpoint Medicaid Managed Care	$27.97

THORACENTESIS-LT

Facility

$985.00

Service Code	HCPCS 32554LT
Hospital Charge Code	93500135
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS OR NEEDLE CHEST

Facility

$2,275.00

Service Code	HCPCS 32421
Hospital Charge Code	5780170
Hospital Revenue Code	450
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

THORACENTESIS OR NEEDLE CHEST

Facility

$2,275.00

Service Code	HCPCS 32421
Hospital Charge Code	5780170
Hospital Revenue Code	450
Min. Negotiated Rate	$64.61
Max. Negotiated Rate	$1,137.50
Rate for Payer: Aetna Commercial	$864.50
Rate for Payer: Aetna Medicare Advantage	$682.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$580.12
Rate for Payer: Cigna Commercial	$1,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.50
Rate for Payer: Qualcare PPO/HMO/WC	$341.25
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: Wellpoint Medicaid Managed Care	$64.61

THORACENTESIS PUNCT PLEURL CAV

Facility

$4,709.90

Service Code	HCPCS 32405
Hospital Charge Code	2008001
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

THORACENTESIS PUNCT PLEURL CAV

Facility

$4,709.90

Service Code	HCPCS 32405
Hospital Charge Code	2008001
Hospital Revenue Code	361
Min. Negotiated Rate	$133.76
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,789.76
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$2,354.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.57
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Community & State	$148.83
Rate for Payer: Wellpoint Medicaid Managed Care	$133.76

THORACENTESIS-RT

Facility

$985.00

Service Code	HCPCS 32554RT
Hospital Charge Code	93500137
Hospital Revenue Code	361
Min. Negotiated Rate	$27.97
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$374.30
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.10
Rate for Payer: Qualcare PPO/HMO/WC	$147.75
Rate for Payer: UnitedHealthcare Community & State	$31.13
Rate for Payer: Wellpoint Medicaid Managed Care	$27.97

THORACENTESIS-RT

Facility

$985.00

Service Code	HCPCS 32554RT
Hospital Charge Code	93500137
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACIC CATH RT. ANGLE 36FR

Facility

$42.00

Hospital Charge Code	270331012
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

THORACIC CATH RT. ANGLE 36FR

Facility

$42.00

Hospital Charge Code	270331012
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$15.96
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$8.40
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

THORACIC SPINE 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72070
Hospital Charge Code	94061061
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

THORACIC SPINE 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72070
Hospital Charge Code	94061061
Hospital Revenue Code	320
Min. Negotiated Rate	$30.77
Max. Negotiated Rate	$2,231.00
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	$30.77
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	$86.94
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	$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	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$144.84

THORACIC TROCAR 12MM

Facility

$99.00

Hospital Charge Code	270338723
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

THORACIC TROCAR 12MM

Facility

$99.00

Hospital Charge Code	270338723
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

THORACOPORT 15MM TROCAR

Facility

$198.00

Hospital Charge Code	270330812
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.48
Rate for Payer: Oxford Commercial	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Commercial	$39.60
Rate for Payer: UnitedHealthcare Community & State	$6.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.62

THORACOPORT 15MM TROCAR

Facility

$198.00

Hospital Charge Code	270330812
Hospital Revenue Code	272
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

THORACOSCOPY REMOV FB/FIBRIN

Facility

$22,271.40

Service Code	HCPCS 32653
Hospital Charge Code	1600000512
Hospital Revenue Code	360
Min. Negotiated Rate	$3,340.71
Max. Negotiated Rate	$3,340.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,340.71

THORACOSCOPY REMOV FB/FIBRIN

Facility

$22,271.40

Service Code	HCPCS 32653
Hospital Charge Code	1600000512
Hospital Revenue Code	360
Min. Negotiated Rate	$632.51
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$8,463.13
Rate for Payer: Aetna Medicare Advantage	$6,681.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,679.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,679.21
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	$5,679.21
Rate for Payer: Cigna Commercial	$11,135.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,790.56
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,340.71
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$703.78
Rate for Payer: Wellpoint Medicaid Managed Care	$632.51

THORACOSCOPY W/BX INFILTRATE

Facility

$61,304.40

Service Code	HCPCS 32607
Hospital Charge Code	1600000368
Hospital Revenue Code	360
Min. Negotiated Rate	$9,195.66
Max. Negotiated Rate	$9,195.66
Rate for Payer: Qualcare PPO/HMO/WC	$9,195.66

THORACOSCOPY W/BX INFILTRATE

Facility

$61,304.40

Service Code	HCPCS 32607
Hospital Charge Code	1600000368
Hospital Revenue Code	360
Min. Negotiated Rate	$1,741.04
Max. Negotiated Rate	$45,809.96
Rate for Payer: Aetna Commercial	$34,349.57
Rate for Payer: Aetna Medicare Advantage	$40,916.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,809.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,809.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,628.52
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	$45,809.96
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: Cigna Medicare Advantage	$12,628.52
Rate for Payer: Clover Medicare Advantage	$11,997.09
Rate for Payer: EmblemHealth Commercial	$37,885.56
Rate for Payer: Humana Medicare Advantage	$13,007.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,628.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,939.14
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,195.66
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,937.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,628.52
Rate for Payer: Wellcare Medicare Advantage	$12,628.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1,741.04

THORACOSCOPY W/PLEURECTOMY

Facility

$16,987.20

Service Code	HCPCS 32656
Hospital Charge Code	1600000720
Hospital Revenue Code	360
Min. Negotiated Rate	$2,548.08
Max. Negotiated Rate	$2,548.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,548.08

THORACOSCOPY W/PLEURECTOMY

Facility

$16,987.20

Service Code	HCPCS 32656
Hospital Charge Code	1600000720
Hospital Revenue Code	360
Min. Negotiated Rate	$482.44
Max. Negotiated Rate	$16,639.00
Rate for Payer: Aetna Commercial	$6,455.14
Rate for Payer: Aetna Medicare Advantage	$5,096.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,331.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,331.74
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	$4,331.74
Rate for Payer: Cigna Commercial	$8,493.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.67
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,548.08
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$536.80
Rate for Payer: Wellpoint Medicaid Managed Care	$482.44

Know your out-of-pocket cost for care.

All Charges