Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRANSGLUTAMINASE AB (IGA)

Facility

$75.65

Service Code	HCPCS 83516
Hospital Charge Code	39900096
Hospital Revenue Code	301
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.36
Rate for Payer: Aetna Medicare Advantage	$37.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.83
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: Cigna Medicare Advantage	$11.53
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Medicare Advantage	$11.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

TRANSGLUTAMINASE AB (IGA)

Facility

$75.65

Service Code	HCPCS 83516
Hospital Charge Code	39900096
Hospital Revenue Code	301
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

TRANSIENT ISCHEMIA

Facility

$12,953.98

Service Code	APR-DRG 0473
Min. Negotiated Rate	$12,699.98
Max. Negotiated Rate	$12,953.98
Rate for Payer: UnitedHealthcare Community & State	$12,699.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,953.98
Rate for Payer: Wellpoint Medicaid Managed Care	$12,699.98

TRANSIENT ISCHEMIA

Facility

$10,267.44

Service Code	APR-DRG 0472
Min. Negotiated Rate	$10,066.12
Max. Negotiated Rate	$10,267.44
Rate for Payer: UnitedHealthcare Community & State	$10,066.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,267.44
Rate for Payer: Wellpoint Medicaid Managed Care	$10,066.12

TRANSIENT ISCHEMIA

Facility

$21,970.14

Service Code	APR-DRG 0474
Min. Negotiated Rate	$21,539.35
Max. Negotiated Rate	$21,970.14
Rate for Payer: UnitedHealthcare Community & State	$21,539.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,970.14
Rate for Payer: Wellpoint Medicaid Managed Care	$21,539.35

TRANSIENT ISCHEMIA

Facility

$8,957.11

Service Code	APR-DRG 0471
Min. Negotiated Rate	$8,781.48
Max. Negotiated Rate	$8,957.11
Rate for Payer: UnitedHealthcare Community & State	$8,781.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,957.11
Rate for Payer: Wellpoint Medicaid Managed Care	$8,781.48

TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC

Facility

$44,701.52

Service Code	MSDRG 069
Min. Negotiated Rate	$13,611.04
Max. Negotiated Rate	$44,701.52
Rate for Payer: Aetna Medicare Advantage	$44,701.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,327.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,164.00
Rate for Payer: Cigna Commercial	$17,807.65
Rate for Payer: Cigna Medicare Advantage	$14,327.41
Rate for Payer: Clover Medicare Advantage	$13,611.04
Rate for Payer: EmblemHealth Commercial	$42,982.23
Rate for Payer: Humana Medicare Advantage	$14,757.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,327.41
Rate for Payer: Oxford Commercial	$14,074.86
Rate for Payer: UnitedHealthcare Commercial	$18,839.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,327.41
Rate for Payer: Wellcare Medicare Advantage	$14,327.41

TRANSL ATHERECTOMY,PERI ARTERY

Facility

$4,666.00

Service Code	HCPCS 75992
Hospital Charge Code	2680355
Hospital Revenue Code	320
Min. Negotiated Rate	$132.51
Max. Negotiated Rate	$2,333.00
Rate for Payer: Aetna Commercial	$1,773.08
Rate for Payer: Aetna Medicare Advantage	$1,399.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,189.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,189.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,189.83
Rate for Payer: Cigna Commercial	$2,333.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,213.16
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$699.90
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$147.45
Rate for Payer: Wellpoint Medicaid Managed Care	$132.51

TRANSL ATHERECTOMY,PERI ARTERY

Facility

$4,666.00

Service Code	HCPCS 75992
Hospital Charge Code	2680355
Hospital Revenue Code	320
Min. Negotiated Rate	$699.90
Max. Negotiated Rate	$699.90
Rate for Payer: Qualcare PPO/HMO/WC	$699.90

TRANSLOC 3D SCREW 8.5X40MM

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703905
Hospital Revenue Code	278
Min. Negotiated Rate	$603.50
Max. Negotiated Rate	$10,625.00
Rate for Payer: Aetna Commercial	$8,075.00
Rate for Payer: Aetna Medicare Advantage	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,418.75
Rate for Payer: Cigna Commercial	$10,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50
Rate for Payer: UnitedHealthcare Community & State	$671.50
Rate for Payer: Wellpoint Medicaid Managed Care	$603.50

TRANSLOC 3D SCREW 8.5X40MM

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703905
Hospital Revenue Code	278
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$5,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50

TRANSLOC 3D SCREW 8.5X45MM.

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703694
Hospital Revenue Code	278
Min. Negotiated Rate	$603.50
Max. Negotiated Rate	$10,625.00
Rate for Payer: Aetna Commercial	$8,075.00
Rate for Payer: Aetna Medicare Advantage	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,418.75
Rate for Payer: Cigna Commercial	$10,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50
Rate for Payer: UnitedHealthcare Community & State	$671.50
Rate for Payer: Wellpoint Medicaid Managed Care	$603.50

TRANSLOC 3D SCREW 8.5X45MM.

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703694
Hospital Revenue Code	278
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$5,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50

TRANSLOC 3D SCREW 8.5X50MM

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704430
Hospital Revenue Code	278
Min. Negotiated Rate	$603.50
Max. Negotiated Rate	$10,625.00
Rate for Payer: Aetna Commercial	$8,075.00
Rate for Payer: Aetna Medicare Advantage	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,418.75
Rate for Payer: Cigna Commercial	$10,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50
Rate for Payer: UnitedHealthcare Community & State	$671.50
Rate for Payer: Wellpoint Medicaid Managed Care	$603.50

TRANSLOC 3D SCREW 8.5X50MM

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704430
Hospital Revenue Code	278
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$5,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50

TRANSMITTER FOR EX1150

Facility

$0.01

Hospital Charge Code	270691634V
Hospital Revenue Code	271
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

TRANSMITTER FOR EX1150

Facility

$0.01

Hospital Charge Code	270691634V
Hospital Revenue Code	271
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$0.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

TRANS OR AVULSE OTH SPINAL NRV

Facility

$16,437.00

Service Code	HCPCS 64772
Hospital Charge Code	1600000532
Hospital Revenue Code	360
Min. Negotiated Rate	$466.81
Max. Negotiated Rate	$8,415.40
Rate for Payer: Aetna Commercial	$6,310.10
Rate for Payer: Aetna Medicare Advantage	$7,516.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,319.89
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	$8,415.40
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: Cigna Medicare Advantage	$2,319.89
Rate for Payer: Clover Medicare Advantage	$2,203.90
Rate for Payer: EmblemHealth Commercial	$6,959.67
Rate for Payer: Humana Medicare Advantage	$2,389.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,319.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,273.62
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$519.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,319.89
Rate for Payer: Wellcare Medicare Advantage	$2,319.89
Rate for Payer: Wellpoint Medicaid Managed Care	$466.81

TRANS OR AVULSE OTH SPINAL NRV

Facility

$16,437.00

Service Code	HCPCS 64772
Hospital Charge Code	1600000532
Hospital Revenue Code	360
Min. Negotiated Rate	$2,465.55
Max. Negotiated Rate	$2,465.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55

TRANSPLANT FOREARM TENDON

Facility

$13,268.24

Service Code	HCPCS 25310
Hospital Charge Code	16000688
Hospital Revenue Code	360
Min. Negotiated Rate	$1,990.24
Max. Negotiated Rate	$1,990.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,990.24

TRANSPLANT FOREARM TENDON

Facility

$13,268.24

Service Code	HCPCS 25310
Hospital Charge Code	16000688
Hospital Revenue Code	360
Min. Negotiated Rate	$376.82
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,449.74
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,990.24
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$419.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$376.82

TRANSPLANT/GRAFT HAND TENDON

Facility

$12,289.64

Service Code	HCPCS 26483
Hospital Charge Code	16000847
Hospital Revenue Code	360
Min. Negotiated Rate	$1,843.45
Max. Negotiated Rate	$1,843.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.45

TRANSPLANT/GRAFT HAND TENDON

Facility

$12,289.64

Service Code	HCPCS 26483
Hospital Charge Code	16000847
Hospital Revenue Code	360
Min. Negotiated Rate	$349.03
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,195.31
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.45
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$388.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$349.03

TRANSPLANT HAND TENDON

Facility

$12,406.91

Service Code	HCPCS 26480
Hospital Charge Code	16000700
Hospital Revenue Code	360
Min. Negotiated Rate	$352.36
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,225.80
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$392.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$352.36

TRANSPLANT HAND TENDON

Facility

$12,406.91

Service Code	HCPCS 26480
Hospital Charge Code	16000700
Hospital Revenue Code	360
Min. Negotiated Rate	$1,861.04
Max. Negotiated Rate	$1,861.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04

Know your out-of-pocket cost for care.

All Charges