Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TREAT SCAPULA FRACTURE

Facility

$26,701.00

Service Code	HCPCS 23585
Hospital Charge Code	16000678
Hospital Revenue Code	360
Min. Negotiated Rate	$758.31
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,942.26
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.15
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$843.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$758.31

TREAT SCAPULA FRACTURE

Facility

$26,701.00

Service Code	HCPCS 23585
Hospital Charge Code	16000678
Hospital Revenue Code	360
Min. Negotiated Rate	$4,005.15
Max. Negotiated Rate	$4,005.15
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.15

TREAT SPINAL CANAL LESION

Facility

$4,033.08

Service Code	HCPCS 62282
Hospital Charge Code	1600000497
Hospital Revenue Code	360
Min. Negotiated Rate	$604.96
Max. Negotiated Rate	$604.96
Rate for Payer: Qualcare PPO/HMO/WC	$604.96

TREAT SPINAL CANAL LESION

Facility

$4,033.08

Service Code	HCPCS 62282
Hospital Charge Code	1600000497
Hospital Revenue Code	360
Min. Negotiated Rate	$114.54
Max. Negotiated Rate	$3,811.70
Rate for Payer: Aetna Commercial	$2,858.12
Rate for Payer: Aetna Medicare Advantage	$3,404.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,050.78
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	$3,811.70
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: Cigna Medicare Advantage	$1,050.78
Rate for Payer: Clover Medicare Advantage	$998.24
Rate for Payer: EmblemHealth Commercial	$3,152.34
Rate for Payer: Humana Medicare Advantage	$1,082.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,050.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,048.60
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$604.96
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$127.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,050.78
Rate for Payer: Wellcare Medicare Advantage	$1,050.78
Rate for Payer: Wellpoint Medicaid Managed Care	$114.54

TREAT THUMB FRACTURE

Facility

$14,272.88

Service Code	HCPCS 26665
Hospital Charge Code	16000857
Hospital Revenue Code	360
Min. Negotiated Rate	$405.35
Max. Negotiated Rate	$14,869.00
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	$3,710.95
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,140.93
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$451.02
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	$405.35

TREAT THUMB FRACTURE

Facility

$14,272.88

Service Code	HCPCS 26665
Hospital Charge Code	16000857
Hospital Revenue Code	360
Min. Negotiated Rate	$2,140.93
Max. Negotiated Rate	$2,140.93
Rate for Payer: Qualcare PPO/HMO/WC	$2,140.93

TREAT TOE DISLOCATION

Facility

$3,213.34

Service Code	HCPCS 28635
Hospital Charge Code	16000914
Hospital Revenue Code	360
Min. Negotiated Rate	$482.00
Max. Negotiated Rate	$482.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.00

TREAT TOE DISLOCATION

Facility

$3,213.34

Service Code	HCPCS 28635
Hospital Charge Code	16000914
Hospital Revenue Code	360
Min. Negotiated Rate	$91.26
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$835.47
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.00
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$101.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$91.26

TREAT TOE DISLOCATION REQ ANES

Facility

$8,575.05

Service Code	HCPCS 28635
Hospital Charge Code	5792293
Hospital Revenue Code	450
Min. Negotiated Rate	$1,286.26
Max. Negotiated Rate	$1,286.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.26

TREAT TOE DISLOCATION REQ ANES

Facility

$8,575.05

Service Code	HCPCS 28635
Hospital Charge Code	5792293
Hospital Revenue Code	450
Min. Negotiated Rate	$77.26
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,229.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,286.26
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$243.53

TREAT TOE FRACTURE

Facility

$23,899.60

Service Code	HCPCS 28525
Hospital Charge Code	16000575
Hospital Revenue Code	360
Min. Negotiated Rate	$678.75
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	$6,213.90
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$755.23
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	$678.75

TREAT TOE FRACTURE

Facility

$23,899.60

Service Code	HCPCS 28525
Hospital Charge Code	16000575
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

TREAT UTERUS INFECTION

Facility

$48,125.45

Service Code	HCPCS 59830
Hospital Charge Code	1600000321
Hospital Revenue Code	360
Min. Negotiated Rate	$1,366.76
Max. Negotiated Rate	$24,062.72
Rate for Payer: Aetna Commercial	$18,287.67
Rate for Payer: Aetna Medicare Advantage	$14,437.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,271.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,271.99
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	$12,271.99
Rate for Payer: Cigna Commercial	$24,062.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,512.62
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,218.82
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,520.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,366.76

TREAT UTERUS INFECTION

Facility

$48,125.45

Service Code	HCPCS 59830
Hospital Charge Code	1600000321
Hospital Revenue Code	360
Min. Negotiated Rate	$7,218.82
Max. Negotiated Rate	$7,218.82
Rate for Payer: Qualcare PPO/HMO/WC	$7,218.82

TREK/MINI TREK 1.20MM X06MM

Facility

$500.00

Hospital Charge Code	270666645
Hospital Revenue Code	279
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

TREK/MINI TREK 1.20MM X06MM

Facility

$500.00

Hospital Charge Code	270666645
Hospital Revenue Code	279
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TREL-XPRESS 300C DMB

Facility

$4,465.00

Hospital Charge Code	270660818
Hospital Revenue Code	278
Min. Negotiated Rate	$669.75
Max. Negotiated Rate	$1,080.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$893.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,080.53
Rate for Payer: Qualcare PPO/HMO/WC	$669.75

TREL-XPRESS 300C DMB

Facility

$4,465.00

Hospital Charge Code	270660818
Hospital Revenue Code	278
Min. Negotiated Rate	$126.81
Max. Negotiated Rate	$2,232.50
Rate for Payer: Aetna Commercial	$1,696.70
Rate for Payer: Aetna Medicare Advantage	$1,339.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,138.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,138.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$893.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,138.58
Rate for Payer: Cigna Commercial	$2,232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,080.53
Rate for Payer: Qualcare PPO/HMO/WC	$669.75
Rate for Payer: UnitedHealthcare Community & State	$141.09
Rate for Payer: Wellpoint Medicaid Managed Care	$126.81

TREPH11.5mIDx8 MRI NON99864015

Facility

$2,095.00

Hospital Charge Code	270638896
Hospital Revenue Code	272
Min. Negotiated Rate	$314.25
Max. Negotiated Rate	$314.25
Rate for Payer: Qualcare PPO/HMO/WC	$314.25

TREPH11.5mIDx8 MRI NON99864015

Facility

$2,095.00

Hospital Charge Code	270638896
Hospital Revenue Code	272
Min. Negotiated Rate	$59.50
Max. Negotiated Rate	$1,047.50
Rate for Payer: Aetna Commercial	$796.10
Rate for Payer: Aetna Medicare Advantage	$628.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$534.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$534.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$534.23
Rate for Payer: Cigna Commercial	$1,047.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.70
Rate for Payer: Oxford Commercial	$419.00
Rate for Payer: Qualcare PPO/HMO/WC	$314.25
Rate for Payer: UnitedHealthcare Commercial	$419.00
Rate for Payer: UnitedHealthcare Community & State	$66.20
Rate for Payer: Wellpoint Medicaid Managed Care	$59.50

TREPHINE 20.5MM

Facility

$2,350.00

Hospital Charge Code	270690278
Hospital Revenue Code	272
Min. Negotiated Rate	$66.74
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$893.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.00
Rate for Payer: Oxford Commercial	$470.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.50
Rate for Payer: UnitedHealthcare Commercial	$470.00
Rate for Payer: UnitedHealthcare Community & State	$74.26
Rate for Payer: Wellpoint Medicaid Managed Care	$66.74

TREPHINE 20.5MM

Facility

$2,350.00

Hospital Charge Code	270690278
Hospital Revenue Code	272
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$352.50
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

TREPHINE 21.50 MM MRI

Facility

$2,350.00

Hospital Charge Code	270690280
Hospital Revenue Code	272
Min. Negotiated Rate	$66.74
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$893.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.00
Rate for Payer: Oxford Commercial	$470.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.50
Rate for Payer: UnitedHealthcare Commercial	$470.00
Rate for Payer: UnitedHealthcare Community & State	$74.26
Rate for Payer: Wellpoint Medicaid Managed Care	$66.74

TREPHINE 21.50 MM MRI

Facility

$2,350.00

Hospital Charge Code	270690280
Hospital Revenue Code	272
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$352.50
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

TREPHINE 8.5MM

Facility

$1,483.75

Hospital Charge Code	270691602
Hospital Revenue Code	272
Min. Negotiated Rate	$42.14
Max. Negotiated Rate	$741.88
Rate for Payer: Aetna Commercial	$563.83
Rate for Payer: Aetna Medicare Advantage	$445.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.36
Rate for Payer: Cigna Commercial	$741.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.77
Rate for Payer: Oxford Commercial	$296.75
Rate for Payer: Qualcare PPO/HMO/WC	$222.56
Rate for Payer: UnitedHealthcare Commercial	$296.75
Rate for Payer: UnitedHealthcare Community & State	$46.89
Rate for Payer: Wellpoint Medicaid Managed Care	$42.14

Know your out-of-pocket cost for care.

All Charges