Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BioPatch protective disk 4.0mm

Facility

$53.80

Hospital Charge Code	6063943324
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$26.90
Rate for Payer: Aetna Commercial	$20.44
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.99
Rate for Payer: Oxford Commercial	$10.76
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$10.76
Rate for Payer: UnitedHealthcare Community & State	$1.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

BioPatch protective disk 4.0mm

Facility

$53.80

Hospital Charge Code	6063943324
Hospital Revenue Code	250
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

BioPatch protective disk 7.0mm

Facility

$54.35

Hospital Charge Code	6063943325
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$27.18
Rate for Payer: Aetna Commercial	$20.65
Rate for Payer: Aetna Medicare Advantage	$16.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.86
Rate for Payer: Cigna Commercial	$27.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.13
Rate for Payer: Oxford Commercial	$10.87
Rate for Payer: Qualcare PPO/HMO/WC	$8.15
Rate for Payer: UnitedHealthcare Commercial	$10.87
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

BioPatch protective disk 7.0mm

Facility

$54.35

Hospital Charge Code	6063943325
Hospital Revenue Code	250
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$8.15
Rate for Payer: Qualcare PPO/HMO/WC	$8.15

BIOPINCE DIP AUTOBIOPSY18GX15C

Facility

$260.00

Hospital Charge Code	270658282
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

BIOPINCE DIP AUTOBIOPSY18GX15C

Facility

$260.00

Hospital Charge Code	270658282
Hospital Revenue Code	272
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$98.80
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.60
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$52.00
Rate for Payer: UnitedHealthcare Community & State	$8.22
Rate for Payer: Wellpoint Medicaid Managed Care	$7.38

BIOPINCE DISP AUTO BIOPSY INST

Facility

$223.58

Hospital Charge Code	270654226
Hospital Revenue Code	272
Min. Negotiated Rate	$33.54
Max. Negotiated Rate	$33.54
Rate for Payer: Qualcare PPO/HMO/WC	$33.54

BIOPINCE DISP AUTO BIOPSY INST

Facility

$223.58

Hospital Charge Code	270654226
Hospital Revenue Code	272
Min. Negotiated Rate	$6.35
Max. Negotiated Rate	$111.79
Rate for Payer: Aetna Commercial	$84.96
Rate for Payer: Aetna Medicare Advantage	$67.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.01
Rate for Payer: Cigna Commercial	$111.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.13
Rate for Payer: Oxford Commercial	$44.72
Rate for Payer: Qualcare PPO/HMO/WC	$33.54
Rate for Payer: UnitedHealthcare Commercial	$44.72
Rate for Payer: UnitedHealthcare Community & State	$7.07
Rate for Payer: Wellpoint Medicaid Managed Care	$6.35

BIOPOLAR COMPONENT 28x43MM

Facility

$3,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270675090
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

BIOPOLAR COMPONENT 28x43MM

Facility

$3,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270675090
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$94.80
Rate for Payer: Wellpoint Medicaid Managed Care	$85.20

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	2691505
Hospital Revenue Code	361
Min. Negotiated Rate	$96.35
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,289.17
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,696.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$882.06
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Community & State	$107.20
Rate for Payer: Wellpoint Medicaid Managed Care	$96.35

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	321042400R
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	321042400R
Hospital Revenue Code	361
Min. Negotiated Rate	$96.35
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,289.17
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,696.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$882.06
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Community & State	$107.20
Rate for Payer: Wellpoint Medicaid Managed Care	$96.35

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	2691505
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility

$97,159.55

Service Code	MSDRG 478
Min. Negotiated Rate	$29,583.84
Max. Negotiated Rate	$97,159.55
Rate for Payer: Aetna Commercial	$71,056.64
Rate for Payer: Aetna Medicare Advantage	$97,159.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,937.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,937.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,140.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,937.90
Rate for Payer: Cigna Commercial	$54,822.95
Rate for Payer: Cigna Medicare Advantage	$31,140.88
Rate for Payer: Clover Medicare Advantage	$29,583.84
Rate for Payer: EmblemHealth Commercial	$93,422.64
Rate for Payer: Humana Medicare Advantage	$32,075.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$31,140.88
Rate for Payer: Oxford Commercial	$43,331.10
Rate for Payer: UnitedHealthcare Commercial	$58,000.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,140.88
Rate for Payer: Wellcare Medicare Advantage	$31,140.88

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$128,607.74

Service Code	MSDRG 477
Min. Negotiated Rate	$39,159.41
Max. Negotiated Rate	$128,607.74
Rate for Payer: Aetna Commercial	$93,454.43
Rate for Payer: Aetna Medicare Advantage	$128,607.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93,365.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93,365.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41,220.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93,365.85
Rate for Payer: Cigna Commercial	$77,013.40
Rate for Payer: Cigna Medicare Advantage	$41,220.43
Rate for Payer: Clover Medicare Advantage	$39,159.41
Rate for Payer: EmblemHealth Commercial	$123,661.29
Rate for Payer: Humana Medicare Advantage	$42,457.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41,220.43
Rate for Payer: Oxford Commercial	$60,870.05
Rate for Payer: UnitedHealthcare Commercial	$81,476.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$41,220.43
Rate for Payer: Wellcare Medicare Advantage	$41,220.43

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility

$78,193.94

Service Code	MSDRG 479
Min. Negotiated Rate	$23,809.05
Max. Negotiated Rate	$78,193.94
Rate for Payer: Aetna Commercial	$57,549.14
Rate for Payer: Aetna Medicare Advantage	$78,193.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,531.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,531.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,062.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,531.30
Rate for Payer: Cigna Commercial	$41,440.46
Rate for Payer: Cigna Medicare Advantage	$25,062.16
Rate for Payer: Clover Medicare Advantage	$23,809.05
Rate for Payer: EmblemHealth Commercial	$75,186.48
Rate for Payer: Humana Medicare Advantage	$25,814.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25,062.16
Rate for Payer: Oxford Commercial	$32,753.82
Rate for Payer: UnitedHealthcare Commercial	$43,842.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,062.16
Rate for Payer: Wellcare Medicare Advantage	$25,062.16

BIOPSY BREAST MR GUIDE

Facility

$5,961.30

Service Code	HCPCS 19085
Hospital Charge Code	2409025
Hospital Revenue Code	361
Min. Negotiated Rate	$169.30
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,549.94
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$894.20
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$188.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$169.30

BIOPSY BREAST MR GUIDE

Facility

$5,961.30

Service Code	HCPCS 19085
Hospital Charge Code	2409025
Hospital Revenue Code	361
Min. Negotiated Rate	$894.20
Max. Negotiated Rate	$894.20
Rate for Payer: Qualcare PPO/HMO/WC	$894.20

BIOPSY FINGER JOINT LINING

Facility

$9,423.70

Service Code	HCPCS 26110
Hospital Charge Code	1600000518
Hospital Revenue Code	360
Min. Negotiated Rate	$1,413.56
Max. Negotiated Rate	$1,413.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

BIOPSY FINGER JOINT LINING

Facility

$9,423.70

Service Code	HCPCS 26110
Hospital Charge Code	1600000518
Hospital Revenue Code	360
Min. Negotiated Rate	$267.63
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	$2,450.16
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$297.79
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	$267.63

BIOPSY FORCEP 230 CM OVAL

Facility

$21.25

Hospital Charge Code	270700216
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

BIOPSY FORCEP 230 CM OVAL

Facility

$21.25

Hospital Charge Code	270700216
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$10.62
Rate for Payer: Aetna Commercial	$8.07
Rate for Payer: Aetna Medicare Advantage	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.42
Rate for Payer: Cigna Commercial	$10.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.53
Rate for Payer: Oxford Commercial	$4.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$4.25
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.60

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2250441
Hospital Revenue Code	361
Min. Negotiated Rate	$301.24
Max. Negotiated Rate	$5,303.55
Rate for Payer: Aetna Commercial	$4,030.70
Rate for Payer: Aetna Medicare Advantage	$3,182.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,704.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,704.81
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	$2,704.81
Rate for Payer: Cigna Commercial	$5,303.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,757.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07
Rate for Payer: UnitedHealthcare Community & State	$335.18
Rate for Payer: Wellpoint Medicaid Managed Care	$301.24

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2250441
Hospital Revenue Code	361
Min. Negotiated Rate	$1,591.07
Max. Negotiated Rate	$1,591.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07

Know your out-of-pocket cost for care.

All Charges