Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BIOPSY OF PENIS

Facility

$7,632.36

Service Code	HCPCS 54100
Hospital Charge Code	1600000254
Hospital Revenue Code	360
Min. Negotiated Rate	$1,144.85
Max. Negotiated Rate	$1,144.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,144.85

BIOPSY OF PENIS

Facility

$7,632.36

Service Code	HCPCS 54100
Hospital Charge Code	1600000254
Hospital Revenue Code	360
Min. Negotiated Rate	$216.76
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	$1,984.41
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,144.85
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$241.18
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	$216.76

BIOPSY OF SALIVARY GLAND

Facility

$2,291.40

Service Code	HCPCS 42400
Hospital Charge Code	16000742
Hospital Revenue Code	360
Min. Negotiated Rate	$343.71
Max. Negotiated Rate	$343.71
Rate for Payer: Qualcare PPO/HMO/WC	$343.71

BIOPSY OF SALIVARY GLAND

Facility

$2,291.40

Service Code	HCPCS 42400
Hospital Charge Code	16000742
Hospital Revenue Code	360
Min. Negotiated Rate	$65.08
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,051.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,051.74
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$595.76
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.71
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$72.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$65.08

Biopsy of soft tissues

Facility

$7,414.80

Service Code	HCPCS 27040
Hospital Charge Code	412357501
Hospital Revenue Code	361
Min. Negotiated Rate	$1,112.22
Max. Negotiated Rate	$1,112.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.22

Biopsy of soft tissues

Facility

$7,414.80

Service Code	HCPCS 27040
Hospital Charge Code	412357501
Hospital Revenue Code	361
Min. Negotiated Rate	$210.58
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	$1,927.85
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.22
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$234.31
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	$210.58

BIOPSY OF THE VAGINA SIMPLE

Facility

$3,267.85

Service Code	HCPCS 57100
Hospital Charge Code	412357100
Hospital Revenue Code	361
Min. Negotiated Rate	$490.18
Max. Negotiated Rate	$490.18
Rate for Payer: Qualcare PPO/HMO/WC	$490.18

BIOPSY OF THE VAGINA SIMPLE

Facility

$3,267.85

Service Code	HCPCS 57100
Hospital Charge Code	412357100
Hospital Revenue Code	361
Min. Negotiated Rate	$92.81
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	$849.64
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$490.18
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$103.26
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	$92.81

BIOPSY PETITE 14G MAMMOSTAR

Facility

$1,968.00

Hospital Charge Code	270663459
Hospital Revenue Code	272
Min. Negotiated Rate	$295.20
Max. Negotiated Rate	$295.20
Rate for Payer: Qualcare PPO/HMO/WC	$295.20

BIOPSY PETITE 14G MAMMOSTAR

Facility

$393.60

Hospital Charge Code	270663459R
Hospital Revenue Code	272
Min. Negotiated Rate	$59.04
Max. Negotiated Rate	$59.04
Rate for Payer: Qualcare PPO/HMO/WC	$59.04

BIOPSY PETITE 14G MAMMOSTAR

Facility

$1,968.00

Hospital Charge Code	270663459
Hospital Revenue Code	272
Min. Negotiated Rate	$55.89
Max. Negotiated Rate	$984.00
Rate for Payer: Aetna Commercial	$747.84
Rate for Payer: Aetna Medicare Advantage	$590.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.84
Rate for Payer: Cigna Commercial	$984.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.68
Rate for Payer: Oxford Commercial	$393.60
Rate for Payer: Qualcare PPO/HMO/WC	$295.20
Rate for Payer: UnitedHealthcare Commercial	$393.60
Rate for Payer: UnitedHealthcare Community & State	$62.19
Rate for Payer: Wellpoint Medicaid Managed Care	$55.89

BIOPSY PETITE 14G MAMMOSTAR

Facility

$393.60

Hospital Charge Code	270663459R
Hospital Revenue Code	272
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$196.80
Rate for Payer: Aetna Commercial	$149.57
Rate for Payer: Aetna Medicare Advantage	$118.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.37
Rate for Payer: Cigna Commercial	$196.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.34
Rate for Payer: Oxford Commercial	$78.72
Rate for Payer: Qualcare PPO/HMO/WC	$59.04
Rate for Payer: UnitedHealthcare Commercial	$78.72
Rate for Payer: UnitedHealthcare Community & State	$12.44
Rate for Payer: Wellpoint Medicaid Managed Care	$11.18

BIOPSY SYS E/ECHOGENIC NDL 18G

Facility

$210.00

Hospital Charge Code	270655408
Hospital Revenue Code	271
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$6.64
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

BIOPSY SYS E/ECHOGENIC NDL 18G

Facility

$210.00

Hospital Charge Code	270655408
Hospital Revenue Code	271
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

BIOPSY TRANSPORT KIT

Facility

$2,475.00

Hospital Charge Code	270339550
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

BIOPSY TRANSPORT KIT

Facility

$2,475.00

Hospital Charge Code	270339550
Hospital Revenue Code	272
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

BIORAPTOR KNOTLESS ANCHOR SH

Facility

$2,005.00

Hospital Charge Code	270673947
Hospital Revenue Code	272
Min. Negotiated Rate	$56.94
Max. Negotiated Rate	$1,002.50
Rate for Payer: Aetna Commercial	$761.90
Rate for Payer: Aetna Medicare Advantage	$601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.27
Rate for Payer: Cigna Commercial	$1,002.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.30
Rate for Payer: Oxford Commercial	$401.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.75
Rate for Payer: UnitedHealthcare Commercial	$401.00
Rate for Payer: UnitedHealthcare Community & State	$63.36
Rate for Payer: Wellpoint Medicaid Managed Care	$56.94

BIORAPTOR KNOTLESS ANCHOR SH

Facility

$2,005.00

Hospital Charge Code	270673947
Hospital Revenue Code	272
Min. Negotiated Rate	$300.75
Max. Negotiated Rate	$300.75
Rate for Payer: Qualcare PPO/HMO/WC	$300.75

BIORAPTOR SUTURE ANCHOR HIP

Facility

$1,980.00

Hospital Charge Code	270668361
Hospital Revenue Code	272
Min. Negotiated Rate	$297.00
Max. Negotiated Rate	$297.00
Rate for Payer: Qualcare PPO/HMO/WC	$297.00

BIORAPTOR SUTURE ANCHOR HIP

Facility

$1,980.00

Hospital Charge Code	270668361
Hospital Revenue Code	272
Min. Negotiated Rate	$56.23
Max. Negotiated Rate	$990.00
Rate for Payer: Aetna Commercial	$752.40
Rate for Payer: Aetna Medicare Advantage	$594.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$504.90
Rate for Payer: Cigna Commercial	$990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.80
Rate for Payer: Oxford Commercial	$396.00
Rate for Payer: Qualcare PPO/HMO/WC	$297.00
Rate for Payer: UnitedHealthcare Commercial	$396.00
Rate for Payer: UnitedHealthcare Community & State	$62.57
Rate for Payer: Wellpoint Medicaid Managed Care	$56.23

BIOREIGN BIOACTIVE MATRIX 10CC

Facility

$29,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270696723
Hospital Revenue Code	278
Min. Negotiated Rate	$4,496.25
Max. Negotiated Rate	$7,253.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,253.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,496.25

BIOREIGN BIOACTIVE MATRIX 10CC

Facility

$29,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270696723
Hospital Revenue Code	278
Min. Negotiated Rate	$851.29
Max. Negotiated Rate	$14,987.50
Rate for Payer: Aetna Commercial	$11,390.50
Rate for Payer: Aetna Medicare Advantage	$8,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,643.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,643.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,643.62
Rate for Payer: Cigna Commercial	$14,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,253.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,496.25
Rate for Payer: UnitedHealthcare Community & State	$947.21
Rate for Payer: Wellpoint Medicaid Managed Care	$851.29

BIOREIGN BIOACTIVE MATRIX 5CC

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697829
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

BIOREIGN BIOACTIVE MATRIX 5CC

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697829
Hospital Revenue Code	278
Min. Negotiated Rate	$467.89
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Community & State	$520.61
Rate for Payer: Wellpoint Medicaid Managed Care	$467.89

BIOSHIELD IRRIGATOR

Facility

$1,425.00

Hospital Charge Code	270654399
Hospital Revenue Code	272
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

Know your out-of-pocket cost for care.

All Charges