Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BIOCORK SCREW W/NEEDLE

Facility

$842.00

Hospital Charge Code	27038052
Hospital Revenue Code	278
Min. Negotiated Rate	$126.30
Max. Negotiated Rate	$203.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.76
Rate for Payer: Qualcare PPO/HMO/WC	$126.30

BIOCORK SCREW W/NEEDLE

Facility

$842.00

Hospital Charge Code	27038052
Hospital Revenue Code	278
Min. Negotiated Rate	$23.91
Max. Negotiated Rate	$421.00
Rate for Payer: Aetna Commercial	$319.96
Rate for Payer: Aetna Medicare Advantage	$252.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.71
Rate for Payer: Cigna Commercial	$421.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.76
Rate for Payer: Qualcare PPO/HMO/WC	$126.30
Rate for Payer: UnitedHealthcare Community & State	$26.61
Rate for Payer: Wellpoint Medicaid Managed Care	$23.91

BIO DBM PLUS PUTTY 10CC

Facility

$16,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270694787
Hospital Revenue Code	278
Min. Negotiated Rate	$2,495.25
Max. Negotiated Rate	$4,025.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,327.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,025.67
Rate for Payer: Qualcare PPO/HMO/WC	$2,495.25

BIO DBM PLUS PUTTY 10CC

Facility

$16,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270694787
Hospital Revenue Code	278
Min. Negotiated Rate	$472.43
Max. Negotiated Rate	$8,317.50
Rate for Payer: Aetna Commercial	$6,321.30
Rate for Payer: Aetna Medicare Advantage	$4,990.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,241.93
Rate for Payer: Cigna Commercial	$8,317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,025.67
Rate for Payer: Qualcare PPO/HMO/WC	$2,495.25
Rate for Payer: UnitedHealthcare Community & State	$525.67
Rate for Payer: Wellpoint Medicaid Managed Care	$472.43

BIODELTCERAM CTAPR FEM HD 36MM

Facility

$4,799.25

Service Code	HCPCS C1776
Hospital Charge Code	270691181
Hospital Revenue Code	278
Min. Negotiated Rate	$136.30
Max. Negotiated Rate	$2,399.62
Rate for Payer: Aetna Commercial	$1,823.71
Rate for Payer: Aetna Medicare Advantage	$1,439.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$959.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,223.81
Rate for Payer: Cigna Commercial	$2,399.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.42
Rate for Payer: Qualcare PPO/HMO/WC	$719.89
Rate for Payer: UnitedHealthcare Community & State	$151.66
Rate for Payer: Wellpoint Medicaid Managed Care	$136.30

BIODELTCERAM CTAPR FEM HD 36MM

Facility

$4,799.25

Service Code	HCPCS C1776
Hospital Charge Code	270691181
Hospital Revenue Code	278
Min. Negotiated Rate	$719.89
Max. Negotiated Rate	$1,161.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$959.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.42
Rate for Payer: Qualcare PPO/HMO/WC	$719.89

BIODELTCERAMSZCTAP FEM HD 36MM

Facility

$2,979.25

Service Code	HCPCS C1776
Hospital Charge Code	270691175
Hospital Revenue Code	278
Min. Negotiated Rate	$84.61
Max. Negotiated Rate	$1,489.62
Rate for Payer: Aetna Commercial	$1,132.12
Rate for Payer: Aetna Medicare Advantage	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$759.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$759.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$759.71
Rate for Payer: Cigna Commercial	$1,489.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.98
Rate for Payer: Qualcare PPO/HMO/WC	$446.89
Rate for Payer: UnitedHealthcare Community & State	$94.14
Rate for Payer: Wellpoint Medicaid Managed Care	$84.61

BIODELTCERAMSZCTAP FEM HD 36MM

Facility

$2,979.25

Service Code	HCPCS C1776
Hospital Charge Code	270691175
Hospital Revenue Code	278
Min. Negotiated Rate	$446.89
Max. Negotiated Rate	$720.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.98
Rate for Payer: Qualcare PPO/HMO/WC	$446.89

BIOFIRE BCID2 PANEL

Facility

$1,090.30

Service Code	HCPCS 87154
Hospital Charge Code	401387154
Hospital Revenue Code	306
Min. Negotiated Rate	$163.54
Max. Negotiated Rate	$163.54
Rate for Payer: Qualcare PPO/HMO/WC	$163.54

BIOFIRE BCID2 PANEL

Facility

$1,090.30

Service Code	HCPCS 87154
Hospital Charge Code	401387154
Hospital Revenue Code	306
Min. Negotiated Rate	$30.96
Max. Negotiated Rate	$791.01
Rate for Payer: Aetna Commercial	$593.12
Rate for Payer: Aetna Medicare Advantage	$706.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$791.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$791.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$218.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$791.01
Rate for Payer: Cigna Commercial	$545.15
Rate for Payer: Cigna Medicare Advantage	$218.06
Rate for Payer: Clover Medicare Advantage	$207.16
Rate for Payer: EmblemHealth Commercial	$654.18
Rate for Payer: Humana Medicare Advantage	$224.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$218.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.48
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.54
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$174.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$218.06
Rate for Payer: Wellcare Medicare Advantage	$218.06
Rate for Payer: Wellpoint Medicaid Managed Care	$30.96

BIOFIRE GI PANEL

Facility

$2,083.90

Service Code	HCPCS 87507
Hospital Charge Code	401387507
Hospital Revenue Code	306
Min. Negotiated Rate	$59.18
Max. Negotiated Rate	$1,511.87
Rate for Payer: Aetna Commercial	$1,133.64
Rate for Payer: Aetna Medicare Advantage	$1,350.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$374.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.87
Rate for Payer: Cigna Commercial	$1,041.95
Rate for Payer: Cigna Medicare Advantage	$416.78
Rate for Payer: Clover Medicare Advantage	$395.94
Rate for Payer: EmblemHealth Commercial	$1,250.34
Rate for Payer: Humana Medicare Advantage	$429.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$416.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$541.81
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.58
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$333.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$416.78
Rate for Payer: Wellcare Medicare Advantage	$416.78
Rate for Payer: Wellpoint Medicaid Managed Care	$59.18

BIOFIRE GI PANEL

Facility

$2,083.90

Service Code	HCPCS 87507
Hospital Charge Code	401387507
Hospital Revenue Code	306
Min. Negotiated Rate	$312.58
Max. Negotiated Rate	$312.58
Rate for Payer: Qualcare PPO/HMO/WC	$312.58

BIOFIRE RESP PANEL 2.1 COVID

Facility

$675.00

Service Code	HCPCS 0202U
Hospital Charge Code	40130202U
Hospital Revenue Code	306
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$1,511.87
Rate for Payer: Aetna Commercial	$1,133.64
Rate for Payer: Aetna Medicare Advantage	$1,350.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.87
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: Cigna Medicare Advantage	$416.78
Rate for Payer: Clover Medicare Advantage	$395.94
Rate for Payer: EmblemHealth Commercial	$1,250.34
Rate for Payer: Humana Medicare Advantage	$429.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$416.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$333.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$416.78
Rate for Payer: Wellcare Medicare Advantage	$416.78
Rate for Payer: Wellpoint Medicaid Managed Care	$19.17

BIOFIRE RESP PANEL 2.1 COVID

Facility

$675.00

Service Code	HCPCS 0202U
Hospital Charge Code	40130202U
Hospital Revenue Code	306
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

BIOFIRE RESP VIR PCR RP2 COVID

Facility

$275.00

Service Code	HCPCS 0100U
Hospital Charge Code	40130100U
Hospital Revenue Code	306
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

BIOFIRE RESP VIR PCR RP2 COVID

Facility

$275.00

Service Code	HCPCS 0100U
Hospital Charge Code	40130100U
Hospital Revenue Code	306
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

BIOFIX PLUS 4x4

Facility

$9,945.00

Service Code	HCPCS Q4100
Hospital Charge Code	270685217
Hospital Revenue Code	636
Min. Negotiated Rate	$282.44
Max. Negotiated Rate	$4,972.50
Rate for Payer: Aetna Commercial	$3,779.10
Rate for Payer: Aetna Medicare Advantage	$2,983.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,535.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,535.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,535.97
Rate for Payer: Cigna Commercial	$4,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.75
Rate for Payer: UnitedHealthcare Community & State	$314.26
Rate for Payer: Wellpoint Medicaid Managed Care	$282.44

BIOFIX PLUS 4x4

Facility

$9,945.00

Service Code	HCPCS Q4100
Hospital Charge Code	270685217
Hospital Revenue Code	636
Min. Negotiated Rate	$1,491.75
Max. Negotiated Rate	$2,406.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.75

BIOFOAM COTTON WEDGE

Facility

$840.00

Service Code	HCPCS C1713
Hospital Charge Code	270681265
Hospital Revenue Code	278
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$203.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

BIOFOAM COTTON WEDGE

Facility

$840.00

Service Code	HCPCS C1713
Hospital Charge Code	270681265
Hospital Revenue Code	278
Min. Negotiated Rate	$23.86
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.28
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Community & State	$26.54
Rate for Payer: Wellpoint Medicaid Managed Care	$23.86

BIOGUARD CLEANING ADPT

Facility

$750.00

Hospital Charge Code	270687384
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

BIOGUARD CLEANING ADPT

Facility

$750.00

Hospital Charge Code	270687384
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

BIOGUARD VALVES

Facility

$47.50

Hospital Charge Code	270688404
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$18.05
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.35
Rate for Payer: Oxford Commercial	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.12
Rate for Payer: UnitedHealthcare Commercial	$9.50
Rate for Payer: UnitedHealthcare Community & State	$1.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

BIOGUARD VALVES

Facility

$47.50

Hospital Charge Code	270688404
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

BIOLOX CERAMIC HEAD

Facility

$13,493.90

Service Code	HCPCS C1776
Hospital Charge Code	270656964
Hospital Revenue Code	278
Min. Negotiated Rate	$383.23
Max. Negotiated Rate	$6,746.95
Rate for Payer: Aetna Commercial	$5,127.68
Rate for Payer: Aetna Medicare Advantage	$4,048.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,698.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,440.94
Rate for Payer: Cigna Commercial	$6,746.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,265.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,024.09
Rate for Payer: UnitedHealthcare Community & State	$426.41
Rate for Payer: Wellpoint Medicaid Managed Care	$383.23

Know your out-of-pocket cost for care.

All Charges