Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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	2101204
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

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2250442
Hospital Revenue Code	361
Min. Negotiated Rate	$200.83
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,687.13
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,838.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71
Rate for Payer: UnitedHealthcare Community & State	$223.46
Rate for Payer: Wellpoint Medicaid Managed Care	$200.83

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2250442
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2101205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2101205
Hospital Revenue Code	361
Min. Negotiated Rate	$200.83
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,687.13
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,838.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71
Rate for Payer: UnitedHealthcare Community & State	$223.46
Rate for Payer: Wellpoint Medicaid Managed Care	$200.83

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2101206
Hospital Revenue Code	361
Min. Negotiated Rate	$200.83
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,687.13
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,838.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71
Rate for Payer: UnitedHealthcare Community & State	$223.46
Rate for Payer: Wellpoint Medicaid Managed Care	$200.83

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2250443
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2101206
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2250443
Hospital Revenue Code	361
Min. Negotiated Rate	$200.83
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$2,687.13
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,838.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71
Rate for Payer: UnitedHealthcare Community & State	$223.46
Rate for Payer: Wellpoint Medicaid Managed Care	$200.83

BIOPSY NEEDLE

Facility

$269.00

Hospital Charge Code	270330792
Hospital Revenue Code	272
Min. Negotiated Rate	$7.64
Max. Negotiated Rate	$134.50
Rate for Payer: Aetna Commercial	$102.22
Rate for Payer: Aetna Medicare Advantage	$80.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.59
Rate for Payer: Cigna Commercial	$134.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.94
Rate for Payer: Oxford Commercial	$53.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.35
Rate for Payer: UnitedHealthcare Commercial	$53.80
Rate for Payer: UnitedHealthcare Community & State	$8.50
Rate for Payer: Wellpoint Medicaid Managed Care	$7.64

BIOPSY NEEDLE

Facility

$269.00

Hospital Charge Code	270330792
Hospital Revenue Code	272
Min. Negotiated Rate	$40.35
Max. Negotiated Rate	$40.35
Rate for Payer: Qualcare PPO/HMO/WC	$40.35

BIOPSY NEEDLE 10CM

Facility

$365.00

Hospital Charge Code	270332420
Hospital Revenue Code	272
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$138.70
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.90
Rate for Payer: Oxford Commercial	$73.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$73.00
Rate for Payer: UnitedHealthcare Community & State	$11.53
Rate for Payer: Wellpoint Medicaid Managed Care	$10.37

BIOPSY NEEDLE 10CM

Facility

$365.00

Hospital Charge Code	270332420
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$54.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.75

BIOPSY NEEDLE/INTRODUCER 18X15

Facility

$244.80

Hospital Charge Code	270682310
Hospital Revenue Code	272
Min. Negotiated Rate	$36.72
Max. Negotiated Rate	$36.72
Rate for Payer: Qualcare PPO/HMO/WC	$36.72

BIOPSY NEEDLE/INTRODUCER 18X15

Facility

$244.80

Hospital Charge Code	270682310
Hospital Revenue Code	272
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$122.40
Rate for Payer: Aetna Commercial	$93.02
Rate for Payer: Aetna Medicare Advantage	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.42
Rate for Payer: Cigna Commercial	$122.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.65
Rate for Payer: Oxford Commercial	$48.96
Rate for Payer: Qualcare PPO/HMO/WC	$36.72
Rate for Payer: UnitedHealthcare Commercial	$48.96
Rate for Payer: UnitedHealthcare Community & State	$7.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.95

BIOPSY NEEDLE/INTRODUCER 20X11

Facility

$1,497.25

Hospital Charge Code	270682308
Hospital Revenue Code	272
Min. Negotiated Rate	$224.59
Max. Negotiated Rate	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$224.59

BIOPSY NEEDLE/INTRODUCER 20X11

Facility

$1,497.25

Hospital Charge Code	270682308
Hospital Revenue Code	272
Min. Negotiated Rate	$42.52
Max. Negotiated Rate	$748.62
Rate for Payer: Aetna Commercial	$568.96
Rate for Payer: Aetna Medicare Advantage	$449.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.80
Rate for Payer: Cigna Commercial	$748.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.29
Rate for Payer: Oxford Commercial	$299.45
Rate for Payer: Qualcare PPO/HMO/WC	$224.59
Rate for Payer: UnitedHealthcare Commercial	$299.45
Rate for Payer: UnitedHealthcare Community & State	$47.31
Rate for Payer: Wellpoint Medicaid Managed Care	$42.52

BIOPSY NEEDLE/INTRODUCER 20X20

Facility

$144.78

Hospital Charge Code	270682309
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$72.39
Rate for Payer: Aetna Commercial	$55.02
Rate for Payer: Aetna Medicare Advantage	$43.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.92
Rate for Payer: Cigna Commercial	$72.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.64
Rate for Payer: Oxford Commercial	$28.96
Rate for Payer: Qualcare PPO/HMO/WC	$21.72
Rate for Payer: UnitedHealthcare Commercial	$28.96
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

BIOPSY NEEDLE/INTRODUCER 20X20

Facility

$144.78

Hospital Charge Code	270682309
Hospital Revenue Code	272
Min. Negotiated Rate	$21.72
Max. Negotiated Rate	$21.72
Rate for Payer: Qualcare PPO/HMO/WC	$21.72

BIOPSY OF CERVIX

Facility

$3,374.65

Service Code	HCPCS 57500
Hospital Charge Code	412357500
Hospital Revenue Code	361
Min. Negotiated Rate	$95.84
Max. Negotiated Rate	$3,969.32
Rate for Payer: Aetna Commercial	$2,976.31
Rate for Payer: Aetna Medicare Advantage	$3,545.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,969.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,969.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,094.23
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	$3,969.32
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: Cigna Medicare Advantage	$1,094.23
Rate for Payer: Clover Medicare Advantage	$1,039.52
Rate for Payer: EmblemHealth Commercial	$3,282.69
Rate for Payer: Humana Medicare Advantage	$1,127.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,094.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.41
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.20
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$106.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,094.23
Rate for Payer: Wellcare Medicare Advantage	$1,094.23
Rate for Payer: Wellpoint Medicaid Managed Care	$95.84

BIOPSY OF CERVIX

Facility

$3,374.65

Service Code	HCPCS 57500
Hospital Charge Code	412357500
Hospital Revenue Code	361
Min. Negotiated Rate	$506.20
Max. Negotiated Rate	$506.20
Rate for Payer: Qualcare PPO/HMO/WC	$506.20

BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHOUT FULGURATION (SEPARATE PROCEDURE)

Facility

$3,969.32

Service Code	CPT 57500
Hospital Revenue Code	360
Min. Negotiated Rate	$1,039.52
Max. Negotiated Rate	$3,969.32
Rate for Payer: Aetna Commercial	$2,976.31
Rate for Payer: Aetna Medicare Advantage	$3,545.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,969.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,969.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,094.23
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	$3,969.32
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: Cigna Medicare Advantage	$1,094.23
Rate for Payer: Clover Medicare Advantage	$1,039.52
Rate for Payer: EmblemHealth Commercial	$3,282.69
Rate for Payer: Humana Medicare Advantage	$1,127.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,094.23
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,094.23
Rate for Payer: Wellcare Medicare Advantage	$1,094.23

BIOPSY OF HEART LINING

Facility

$6,070.00

Service Code	HCPCS 93505
Hospital Charge Code	411093505
Hospital Revenue Code	481
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

BIOPSY OF HEART LINING

Facility

$6,070.00

Service Code	HCPCS 93505
Hospital Charge Code	411093505
Hospital Revenue Code	481
Min. Negotiated Rate	$172.39
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,578.20
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$191.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$172.39

Know your out-of-pocket cost for care.

All Charges