Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

THORACOSCOPY W/PLEURODESIS

Facility

$7,506.90

Service Code	HCPCS 32650
Hospital Charge Code	1600000367
Hospital Revenue Code	360
Min. Negotiated Rate	$1,126.04
Max. Negotiated Rate	$1,126.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.04

THORACOSCOPY W/PLEURODESIS

Facility

$7,506.90

Service Code	HCPCS 32650
Hospital Charge Code	1600000367
Hospital Revenue Code	360
Min. Negotiated Rate	$213.20
Max. Negotiated Rate	$16,639.00
Rate for Payer: Aetna Commercial	$2,852.62
Rate for Payer: Aetna Medicare Advantage	$2,252.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,914.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,914.26
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	$1,914.26
Rate for Payer: Cigna Commercial	$3,753.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,951.79
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.04
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$237.22
Rate for Payer: Wellpoint Medicaid Managed Care	$213.20

THORACOSCOPY W/WEDGE RESECT

Facility

$9,803.40

Service Code	HCPCS 32666
Hospital Charge Code	1600000780
Hospital Revenue Code	360
Min. Negotiated Rate	$1,470.51
Max. Negotiated Rate	$1,470.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.51

THORACOSCOPY W/WEDGE RESECT

Facility

$9,803.40

Service Code	HCPCS 32666
Hospital Charge Code	1600000780
Hospital Revenue Code	360
Min. Negotiated Rate	$278.42
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$3,725.29
Rate for Payer: Aetna Medicare Advantage	$2,941.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,499.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,499.87
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	$2,499.87
Rate for Payer: Cigna Commercial	$4,901.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,548.88
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.51
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$309.79
Rate for Payer: Wellpoint Medicaid Managed Care	$278.42

THORACSCOPY REM TOTL CORTEX

Facility

$34,707.40

Service Code	HCPCS 32652
Hospital Charge Code	1600000511
Hospital Revenue Code	360
Min. Negotiated Rate	$5,206.11
Max. Negotiated Rate	$5,206.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,206.11

THORACSCOPY REM TOTL CORTEX

Facility

$34,707.40

Service Code	HCPCS 32652
Hospital Charge Code	1600000511
Hospital Revenue Code	360
Min. Negotiated Rate	$985.69
Max. Negotiated Rate	$17,353.70
Rate for Payer: Aetna Commercial	$13,188.81
Rate for Payer: Aetna Medicare Advantage	$10,412.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,850.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,850.39
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	$8,850.39
Rate for Payer: Cigna Commercial	$17,353.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,023.92
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,206.11
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,096.75
Rate for Payer: Wellpoint Medicaid Managed Care	$985.69

THORAZINE,SERUM

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38473108
Hospital Revenue Code	301
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

THORAZINE,SERUM

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38473108
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$60.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Medicare Advantage	$18.64
Rate for Payer: Wellpoint Medicaid Managed Care	$9.20

THORAZINE,URINE

Facility

$324.00

Service Code	HCPCS 80342
Hospital Charge Code	38473109
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$123.12
Rate for Payer: Aetna Medicare Advantage	$97.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.48
Rate for Payer: Wellpoint Medicaid Managed Care	$9.20

THORAZINE,URINE

Facility

$324.00

Service Code	HCPCS 80342
Hospital Charge Code	38473109
Hospital Revenue Code	301
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

THOROCEAL STERILE UNIT

Facility

$271.26

Hospital Charge Code	270300905
Hospital Revenue Code	272
Min. Negotiated Rate	$7.70
Max. Negotiated Rate	$135.63
Rate for Payer: Aetna Commercial	$103.08
Rate for Payer: Aetna Medicare Advantage	$81.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.17
Rate for Payer: Cigna Commercial	$135.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.53
Rate for Payer: Oxford Commercial	$54.25
Rate for Payer: Qualcare PPO/HMO/WC	$40.69
Rate for Payer: UnitedHealthcare Commercial	$54.25
Rate for Payer: UnitedHealthcare Community & State	$8.57
Rate for Payer: Wellpoint Medicaid Managed Care	$7.70

THOROCEAL STERILE UNIT

Facility

$271.26

Hospital Charge Code	270300905
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$40.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.69

THRD GUIDE PIN STE 3.2X 444MM

Facility

$600.00

Hospital Charge Code	270679178
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

THRD GUIDE PIN STE 3.2X 444MM

Facility

$600.00

Hospital Charge Code	270679178
Hospital Revenue Code	272
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

THREAD BB TAK IMPLANT SYSTEM

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270682858
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

THREAD BB TAK IMPLANT SYSTEM

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270682858
Hospital Revenue Code	278
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

THREADED 1.1 K WIRE

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270701737
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

THREADED 1.1 K WIRE

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270701737
Hospital Revenue Code	278
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$57.75
Rate for Payer: Aetna Commercial	$43.89
Rate for Payer: Aetna Medicare Advantage	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.45
Rate for Payer: Cigna Commercial	$57.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32
Rate for Payer: UnitedHealthcare Community & State	$3.65
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

THREADED GUIDE PINS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270698741
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

THREADED GUIDE PINS

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270698741
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

THREADED PEG LOCKING 2.3X14

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664357
Hospital Revenue Code	278
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Community & State	$15.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

THREADED PEG LOCKING 2.3X14

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270664357
Hospital Revenue Code	278
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$119.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

THREE HOLE CLAMP

Facility

$2,585.00

Service Code	HCPCS C1713
Hospital Charge Code	270689180
Hospital Revenue Code	278
Min. Negotiated Rate	$387.75
Max. Negotiated Rate	$625.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.57
Rate for Payer: Qualcare PPO/HMO/WC	$387.75

THREE HOLE CLAMP

Facility

$2,585.00

Service Code	HCPCS C1713
Hospital Charge Code	270689180
Hospital Revenue Code	278
Min. Negotiated Rate	$73.41
Max. Negotiated Rate	$1,292.50
Rate for Payer: Aetna Commercial	$982.30
Rate for Payer: Aetna Medicare Advantage	$775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$659.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$659.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$659.17
Rate for Payer: Cigna Commercial	$1,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.57
Rate for Payer: Qualcare PPO/HMO/WC	$387.75
Rate for Payer: UnitedHealthcare Community & State	$81.69
Rate for Payer: Wellpoint Medicaid Managed Care	$73.41

THRMBC/NFS DIALYSIS CIRCUIT

Facility

$20,340.00

Service Code	HCPCS 36904
Hospital Charge Code	16000951
Hospital Revenue Code	360
Min. Negotiated Rate	$577.66
Max. Negotiated Rate	$24,528.18
Rate for Payer: Aetna Commercial	$18,391.91
Rate for Payer: Aetna Medicare Advantage	$21,908.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,528.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,528.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,761.73
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	$24,528.18
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: Cigna Medicare Advantage	$6,761.73
Rate for Payer: Clover Medicare Advantage	$6,423.64
Rate for Payer: EmblemHealth Commercial	$20,285.19
Rate for Payer: Humana Medicare Advantage	$6,964.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,761.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,288.40
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,051.00
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$642.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,761.73
Rate for Payer: Wellcare Medicare Advantage	$6,761.73
Rate for Payer: Wellpoint Medicaid Managed Care	$577.66

Know your out-of-pocket cost for care.

All Charges