Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

URINALYSIS, AUTO WITH MICRO

Facility

$462.00

Service Code	HCPCS 81001
Hospital Charge Code	38477033
Hospital Revenue Code	307
Min. Negotiated Rate	$69.30
Max. Negotiated Rate	$69.30
Rate for Payer: Qualcare PPO/HMO/WC	$69.30

URINALYSIS, AUTO WITH MICRO

Facility

$462.00

Service Code	HCPCS 81001
Hospital Charge Code	38477033
Hospital Revenue Code	307
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$231.00
Rate for Payer: Aetna Commercial	$8.62
Rate for Payer: Aetna Medicare Advantage	$10.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.50
Rate for Payer: Cigna Commercial	$231.00
Rate for Payer: Cigna Medicare Advantage	$3.17
Rate for Payer: Clover Medicare Advantage	$3.01
Rate for Payer: EmblemHealth Commercial	$9.51
Rate for Payer: Humana Medicare Advantage	$3.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.12
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.17
Rate for Payer: Wellcare Medicare Advantage	$3.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

URINALYSIS, AUTO W/O MICRO

Facility

$253.40

Service Code	HCPCS 81003
Hospital Charge Code	38477007
Hospital Revenue Code	307
Min. Negotiated Rate	$38.01
Max. Negotiated Rate	$38.01
Rate for Payer: Qualcare PPO/HMO/WC	$38.01

URINALYSIS, AUTO W/O MICRO

Facility

$253.40

Service Code	HCPCS 81003
Hospital Charge Code	38477007
Hospital Revenue Code	307
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$6.12
Rate for Payer: Aetna Medicare Advantage	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$126.70
Rate for Payer: Cigna Medicare Advantage	$2.25
Rate for Payer: Clover Medicare Advantage	$2.14
Rate for Payer: EmblemHealth Commercial	$6.75
Rate for Payer: Humana Medicare Advantage	$2.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.88
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.01
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.25
Rate for Payer: Wellcare Medicare Advantage	$2.25
Rate for Payer: Wellpoint Medicaid Managed Care	$7.20

URINALYSIS, ROUTINE

Facility

$655.28

Service Code	HCPCS 81003
Hospital Charge Code	3002680
Hospital Revenue Code	307
Min. Negotiated Rate	$98.29
Max. Negotiated Rate	$98.29
Rate for Payer: Qualcare PPO/HMO/WC	$98.29

URINALYSIS, ROUTINE

Facility

$655.28

Service Code	HCPCS 81003
Hospital Charge Code	3002680
Hospital Revenue Code	307
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$327.64
Rate for Payer: Aetna Commercial	$6.12
Rate for Payer: Aetna Medicare Advantage	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$327.64
Rate for Payer: Cigna Medicare Advantage	$2.25
Rate for Payer: Clover Medicare Advantage	$2.14
Rate for Payer: EmblemHealth Commercial	$6.75
Rate for Payer: Humana Medicare Advantage	$2.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.37
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.29
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.25
Rate for Payer: Wellcare Medicare Advantage	$2.25
Rate for Payer: Wellpoint Medicaid Managed Care	$18.61

URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$13,896.33

Service Code	APR-DRG 4653
Min. Negotiated Rate	$13,623.85
Max. Negotiated Rate	$13,896.33
Rate for Payer: UnitedHealthcare Community & State	$13,623.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,896.33
Rate for Payer: Wellpoint Medicaid Managed Care	$13,623.85

URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$6,986.82

Service Code	APR-DRG 4651
Min. Negotiated Rate	$6,849.82
Max. Negotiated Rate	$6,986.82
Rate for Payer: UnitedHealthcare Community & State	$6,849.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,986.82
Rate for Payer: Wellpoint Medicaid Managed Care	$6,849.82

URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$8,409.40

Service Code	APR-DRG 4652
Min. Negotiated Rate	$8,244.51
Max. Negotiated Rate	$8,409.40
Rate for Payer: UnitedHealthcare Community & State	$8,244.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,409.40
Rate for Payer: Wellpoint Medicaid Managed Care	$8,244.51

URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$23,406.84

Service Code	APR-DRG 4654
Min. Negotiated Rate	$22,947.88
Max. Negotiated Rate	$23,406.84
Rate for Payer: UnitedHealthcare Community & State	$22,947.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,406.84
Rate for Payer: Wellpoint Medicaid Managed Care	$22,947.88

URINARY STONES WITH MCC

Facility

$61,942.17

Service Code	MSDRG 693
Min. Negotiated Rate	$18,860.60
Max. Negotiated Rate	$61,942.17
Rate for Payer: Aetna Commercial	$45,974.43
Rate for Payer: Aetna Medicare Advantage	$61,942.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,853.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,341.10
Rate for Payer: Cigna Commercial	$29,972.94
Rate for Payer: Cigna Medicare Advantage	$19,853.26
Rate for Payer: Clover Medicare Advantage	$18,860.60
Rate for Payer: EmblemHealth Commercial	$59,559.78
Rate for Payer: Humana Medicare Advantage	$20,448.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,853.26
Rate for Payer: Oxford Commercial	$23,690.09
Rate for Payer: UnitedHealthcare Commercial	$31,710.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,853.26
Rate for Payer: Wellcare Medicare Advantage	$19,853.26

URINARY STONES WITHOUT MCC

Facility

$44,161.32

Service Code	MSDRG 694
Min. Negotiated Rate	$13,446.56
Max. Negotiated Rate	$44,161.32
Rate for Payer: Aetna Commercial	$33,310.70
Rate for Payer: Aetna Medicare Advantage	$44,161.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,609.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,609.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,154.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,609.90
Rate for Payer: Cigna Commercial	$17,426.44
Rate for Payer: Cigna Medicare Advantage	$14,154.27
Rate for Payer: Clover Medicare Advantage	$13,446.56
Rate for Payer: EmblemHealth Commercial	$42,462.81
Rate for Payer: Humana Medicare Advantage	$14,578.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,154.27
Rate for Payer: Oxford Commercial	$13,773.55
Rate for Payer: UnitedHealthcare Commercial	$18,436.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,154.27
Rate for Payer: Wellcare Medicare Advantage	$14,154.27

URINE CULTURE

Facility

$305.20

Service Code	HCPCS 87086
Hospital Charge Code	38475020
Hospital Revenue Code	306
Min. Negotiated Rate	$45.78
Max. Negotiated Rate	$45.78
Rate for Payer: Qualcare PPO/HMO/WC	$45.78

URINE CULTURE

Facility

$305.20

Service Code	HCPCS 87086
Hospital Charge Code	38475020
Hospital Revenue Code	306
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$21.95
Rate for Payer: Aetna Medicare Advantage	$26.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.27
Rate for Payer: Cigna Commercial	$152.60
Rate for Payer: Cigna Medicare Advantage	$8.07
Rate for Payer: Clover Medicare Advantage	$7.67
Rate for Payer: EmblemHealth Commercial	$24.21
Rate for Payer: Humana Medicare Advantage	$8.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.35
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.78
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.07
Rate for Payer: Wellcare Medicare Advantage	$8.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.67

URINE DIP STICK

Facility

$390.00

Service Code	HCPCS 81002
Hospital Charge Code	5780265
Hospital Revenue Code	307
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$9.47
Rate for Payer: Aetna Medicare Advantage	$11.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$3.48
Rate for Payer: Clover Medicare Advantage	$3.31
Rate for Payer: EmblemHealth Commercial	$10.44
Rate for Payer: Humana Medicare Advantage	$3.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.48
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	$2.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.48
Rate for Payer: Wellcare Medicare Advantage	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

URINE DIP STICK

Facility

$390.00

Service Code	HCPCS 81002
Hospital Charge Code	5780265
Hospital Revenue Code	307
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

URINE METER

Facility

$38.62

Hospital Charge Code	270649245
Hospital Revenue Code	272
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$19.31
Rate for Payer: Aetna Commercial	$14.68
Rate for Payer: Aetna Medicare Advantage	$11.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.85
Rate for Payer: Cigna Commercial	$19.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.04
Rate for Payer: Oxford Commercial	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$5.79
Rate for Payer: UnitedHealthcare Commercial	$7.72
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.10

URINE METER

Facility

$38.62

Hospital Charge Code	270649245
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$5.79
Rate for Payer: Qualcare PPO/HMO/WC	$5.79

URINE PREGNANCY TEST

Facility

$414.40

Service Code	HCPCS 81025
Hospital Charge Code	411081025
Hospital Revenue Code	300
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$207.20
Rate for Payer: Aetna Commercial	$23.42
Rate for Payer: Aetna Medicare Advantage	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.23
Rate for Payer: Cigna Commercial	$207.20
Rate for Payer: Cigna Medicare Advantage	$8.61
Rate for Payer: Clover Medicare Advantage	$8.18
Rate for Payer: EmblemHealth Commercial	$25.83
Rate for Payer: Humana Medicare Advantage	$8.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.16
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.61
Rate for Payer: Wellcare Medicare Advantage	$8.61
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

URINE PREGNANCY TEST

Facility

$414.40

Service Code	HCPCS 81025
Hospital Charge Code	411081025
Hospital Revenue Code	300
Min. Negotiated Rate	$62.16
Max. Negotiated Rate	$62.16
Rate for Payer: Qualcare PPO/HMO/WC	$62.16

URINE SPECIMEN COLLECTOR 24HR

Facility

$35.00

Hospital Charge Code	270331678
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

URINE SPECIMEN COLLECTOR 24HR

Facility

$35.00

Hospital Charge Code	270331678
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

URINE TOTAL PROTEIN

Facility

$450.29

Service Code	HCPCS 84156
Hospital Charge Code	401084156
Hospital Revenue Code	301
Min. Negotiated Rate	$67.54
Max. Negotiated Rate	$67.54
Rate for Payer: Qualcare PPO/HMO/WC	$67.54

URINE TOTAL PROTEIN

Facility

$450.29

Service Code	HCPCS 84156
Hospital Charge Code	401084156
Hospital Revenue Code	301
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$225.15
Rate for Payer: Aetna Commercial	$9.98
Rate for Payer: Aetna Medicare Advantage	$11.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.31
Rate for Payer: Cigna Commercial	$225.15
Rate for Payer: Cigna Medicare Advantage	$3.67
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.08
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.54
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Medicare Advantage	$3.67
Rate for Payer: Wellpoint Medicaid Managed Care	$12.79

URINE TOX AMPHETAMINE

Facility

$656.39

Service Code	HCPCS 80324
Hospital Charge Code	3038531A
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

Know your out-of-pocket cost for care.

All Charges