Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

URINE TOX AMPHETAMINE

Facility

$656.39

Service Code	HCPCS 80324
Hospital Charge Code	3038531A
Hospital Revenue Code	301
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$17.62
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINE TOX BARBITUATE

Facility

$656.39

Service Code	HCPCS 80345
Hospital Charge Code	3038531B
Hospital Revenue Code	301
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINE TOX BARBITUATE

Facility

$656.39

Service Code	HCPCS 80345
Hospital Charge Code	3038531B
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

URINE TOX BENZODIAZEPINE

Facility

$656.39

Service Code	HCPCS 80346
Hospital Charge Code	3038531I
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

URINE TOX BENZODIAZEPINE

Facility

$656.39

Service Code	HCPCS 80346
Hospital Charge Code	3038531I
Hospital Revenue Code	301
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.96
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINE TOX CANNABANOID NATURAL

Facility

$656.39

Service Code	HCPCS 80349
Hospital Charge Code	3038531C
Hospital Revenue Code	301
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINE TOX CANNABANOID NATURAL

Facility

$656.39

Service Code	HCPCS 80349
Hospital Charge Code	3038531C
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

URINE TOX COCAINE

Facility

$656.39

Service Code	HCPCS 80353
Hospital Charge Code	3038531D
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

URINE TOX COCAINE

Facility

$656.39

Service Code	HCPCS 80353
Hospital Charge Code	3038531D
Hospital Revenue Code	301
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINE TOX METHADONE

Facility

$656.39

Service Code	HCPCS 80358
Hospital Charge Code	3038531E
Hospital Revenue Code	301
Min. Negotiated Rate	$16.48
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.48
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINE TOX METHADONE

Facility

$656.39

Service Code	HCPCS 80358
Hospital Charge Code	3038531E
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

URINE TOX OPIATES

Facility

$656.39

Service Code	HCPCS 80361
Hospital Charge Code	3038531F
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

URINE TOX OPIATES

Facility

$656.39

Service Code	HCPCS 80361
Hospital Charge Code	3038531F
Hospital Revenue Code	301
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINE TOX PCP

Facility

$656.39

Service Code	HCPCS 83992
Hospital Charge Code	3038531G
Hospital Revenue Code	301
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

URINE TOX PCP

Facility

$656.39

Service Code	HCPCS 83992
Hospital Charge Code	3038531G
Hospital Revenue Code	301
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$328.19
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$18.00
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

URINLYSIS DIP STICK/TAB REAGEN

Facility

$18.00

Service Code	HCPCS 81002
Hospital Charge Code	38477015
Hospital Revenue Code	307
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

URINLYSIS DIP STICK/TAB REAGEN

Facility

$18.00

Service Code	HCPCS 81002
Hospital Charge Code	38477015
Hospital Revenue Code	307
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$156.00
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	$9.00
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	$4.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
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	$0.51

UR MICROALBUMIN QNT

Facility

$390.00

Service Code	HCPCS 82043
Hospital Charge Code	3038548A
Hospital Revenue Code	307
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$15.72
Rate for Payer: Aetna Medicare Advantage	$18.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.97
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.78
Rate for Payer: Clover Medicare Advantage	$5.49
Rate for Payer: EmblemHealth Commercial	$17.34
Rate for Payer: Humana Medicare Advantage	$5.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.78
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	$4.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.78
Rate for Payer: Wellcare Medicare Advantage	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

UR MICROALBUMIN QNT

Facility

$390.00

Service Code	HCPCS 82043
Hospital Charge Code	3038548A
Hospital Revenue Code	307
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

UROBILINOGEN URINE

Facility

$118.00

Service Code	HCPCS 84580
Hospital Charge Code	38473127
Hospital Revenue Code	301
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$25.98
Rate for Payer: Aetna Medicare Advantage	$30.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.64
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: Cigna Medicare Advantage	$9.55
Rate for Payer: Clover Medicare Advantage	$9.07
Rate for Payer: EmblemHealth Commercial	$28.65
Rate for Payer: Humana Medicare Advantage	$9.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.55
Rate for Payer: Wellcare Medicare Advantage	$9.55
Rate for Payer: Wellpoint Medicaid Managed Care	$3.35

UROBILINOGEN URINE

Facility

$118.00

Service Code	HCPCS 84580
Hospital Charge Code	38473127
Hospital Revenue Code	301
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

UROBILINOGEN,URINE,QUALITATIVE

Facility

$23.00

Service Code	HCPCS 84578
Hospital Charge Code	38477016
Hospital Revenue Code	301
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

UROBILINOGEN,URINE,QUALITATIVE

Facility

$23.00

Service Code	HCPCS 84578
Hospital Charge Code	38477016
Hospital Revenue Code	301
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$12.16
Rate for Payer: Aetna Medicare Advantage	$14.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.21
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: Cigna Medicare Advantage	$4.47
Rate for Payer: Clover Medicare Advantage	$4.25
Rate for Payer: EmblemHealth Commercial	$13.41
Rate for Payer: Humana Medicare Advantage	$4.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.47
Rate for Payer: Wellcare Medicare Advantage	$4.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

UROCULT

Facility

$14.00

Hospital Charge Code	270335184
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$2.80
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

UROCULT

Facility

$14.00

Hospital Charge Code	270335184
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

Know your out-of-pocket cost for care.

All Charges