Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRANSDUCER DISP PRESSURE

Facility

$45.00

Hospital Charge Code	270669305
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

TRANSESOPOGEAL ECHOCARDIOGRAPH

Facility

$5,900.00

Hospital Charge Code	36540011
Hospital Revenue Code	483
Min. Negotiated Rate	$167.56
Max. Negotiated Rate	$2,950.00
Rate for Payer: Aetna Commercial	$2,242.00
Rate for Payer: Aetna Medicare Advantage	$1,770.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,504.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,504.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,504.50
Rate for Payer: Cigna Commercial	$2,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,534.00
Rate for Payer: Oxford Commercial	$2,338.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.00
Rate for Payer: UnitedHealthcare Commercial	$2,244.00
Rate for Payer: UnitedHealthcare Community & State	$186.44
Rate for Payer: Wellpoint Medicaid Managed Care	$167.56

TRANSESOPOGEAL ECHOCARDIOGRAPH

Facility

$5,900.00

Hospital Charge Code	36540011
Hospital Revenue Code	483
Min. Negotiated Rate	$885.00
Max. Negotiated Rate	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.00

Transferrin

Facility

$667.59

Service Code	HCPCS 84466
Hospital Charge Code	39888030
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

Transferrin

Facility

$667.59

Service Code	HCPCS 84466
Hospital Charge Code	39888030
Hospital Revenue Code	301
Min. Negotiated Rate	$10.21
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.29
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

TRANSFERRIN

Facility

$87.75

Service Code	HCPCS 84466
Hospital Charge Code	39900425
Hospital Revenue Code	301
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$13.16
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

TRANSFERRIN

Facility

$235.00

Service Code	HCPCS 84466
Hospital Charge Code	38472653
Hospital Revenue Code	301
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.29
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6.67

TRANSFERRIN

Facility

$235.00

Service Code	HCPCS 84466
Hospital Charge Code	38472653
Hospital Revenue Code	301
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

TRANSFERRIN

Facility

$87.75

Service Code	HCPCS 84466
Hospital Charge Code	39900425
Hospital Revenue Code	301
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.29
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.82
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

TRANSFIX BIO 40MM

Facility

$760.00

Hospital Charge Code	270653013
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

TRANSFIX BIO 40MM

Facility

$760.00

Hospital Charge Code	270653013
Hospital Revenue Code	278
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$288.80
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Community & State	$24.02
Rate for Payer: Wellpoint Medicaid Managed Care	$21.58

TRANSFIXING PIN APX 5/6 40X300

Facility

$1,124.15

Hospital Charge Code	270703804
Hospital Revenue Code	279
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$562.08
Rate for Payer: Aetna Commercial	$427.18
Rate for Payer: Aetna Medicare Advantage	$337.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.66
Rate for Payer: Cigna Commercial	$562.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.28
Rate for Payer: Oxford Commercial	$224.83
Rate for Payer: Qualcare PPO/HMO/WC	$168.62
Rate for Payer: UnitedHealthcare Commercial	$224.83
Rate for Payer: UnitedHealthcare Community & State	$35.52
Rate for Payer: Wellpoint Medicaid Managed Care	$31.93

TRANSFIXING PIN APX 5/6 40X300

Facility

$1,124.15

Hospital Charge Code	270703804
Hospital Revenue Code	279
Min. Negotiated Rate	$168.62
Max. Negotiated Rate	$168.62
Rate for Payer: Qualcare PPO/HMO/WC	$168.62

TRANSFORMER FOR VAGINAL LIGHT

Facility

$340.00

Hospital Charge Code	270332049
Hospital Revenue Code	272
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.40
Rate for Payer: Oxford Commercial	$68.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$68.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

TRANSFORMER FOR VAGINAL LIGHT

Facility

$340.00

Hospital Charge Code	270332049
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

TRANSF REACTION INVESTIGATION

Facility

$390.00

Service Code	HCPCS 86078
Hospital Charge Code	3100203
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

TRANSF REACTION INVESTIGATION

Facility

$390.00

Service Code	HCPCS 86078
Hospital Charge Code	3100203
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$41.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

TRANSFSN BLD/BLD COMPONENTS

Facility

$3,556.46

Service Code	HCPCS 36430
Hospital Charge Code	1600000658
Hospital Revenue Code	360
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
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	$1,901.28
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$924.68
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$533.47
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$112.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$101.00

TRANSFSN BLD/BLD COMPONENTS

Facility

$3,556.46

Service Code	HCPCS 36430
Hospital Charge Code	1600000658
Hospital Revenue Code	360
Min. Negotiated Rate	$533.47
Max. Negotiated Rate	$533.47
Rate for Payer: Qualcare PPO/HMO/WC	$533.47

TRANSFUSION REACTION

Facility

$249.00

Service Code	HCPCS 86078
Hospital Charge Code	38471064
Hospital Revenue Code	302
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$37.35

TRANSFUSION REACTION

Facility

$249.00

Service Code	HCPCS 86078
Hospital Charge Code	38471064
Hospital Revenue Code	302
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$41.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$7.07

TRANSFUSION TX ADMIN > 4HRS

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	3401040
Hospital Revenue Code	391
Min. Negotiated Rate	$39.87
Max. Negotiated Rate	$1,901.28
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,901.28
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.98
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.56
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$44.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

TRANSFUSION TX ADMIN > 4HRS

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	3401040
Hospital Revenue Code	391
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

TRANSFUSION TX ADMIN UP TO 4HR

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	3400074
Hospital Revenue Code	391
Min. Negotiated Rate	$39.87
Max. Negotiated Rate	$1,901.28
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,901.28
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.98
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.56
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$44.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

TRANSFUSION TX ADMIN UP TO 4HR

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	3400074
Hospital Revenue Code	391
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

Know your out-of-pocket cost for care.

All Charges