Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VALPROIC ACID,FREE

Facility

$67.20

Service Code	HCPCS 80164
Hospital Charge Code	39900005
Hospital Revenue Code	301
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$36.83
Rate for Payer: Aetna Medicare Advantage	$43.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.12
Rate for Payer: Cigna Commercial	$33.60
Rate for Payer: Cigna Medicare Advantage	$13.54
Rate for Payer: Clover Medicare Advantage	$12.86
Rate for Payer: EmblemHealth Commercial	$40.62
Rate for Payer: Humana Medicare Advantage	$13.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.47
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.08
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.54
Rate for Payer: Wellcare Medicare Advantage	$13.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

VALSARTAN (DIOVAN) 320MG TAB

Facility

$33.03

Service Code	NDC 78036034
Hospital Charge Code	60630147
Hospital Revenue Code	250
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

VALSARTAN (DIOVAN) 320MG TAB

Facility

$33.03

Service Code	NDC 78036034
Hospital Charge Code	60630147
Hospital Revenue Code	250
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$16.52
Rate for Payer: Aetna Commercial	$12.55
Rate for Payer: Aetna Medicare Advantage	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.42
Rate for Payer: Cigna Commercial	$16.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.59
Rate for Payer: Oxford Commercial	$6.61
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$6.61
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

VAL SCREW TI 2.4 10MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690417
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

VAL SCREW TI 2.4 10MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270690417
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

VALUEAIR WATER SUCTION BIOPSY

Facility

$28.00

Hospital Charge Code	270700336
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

VALUEAIR WATER SUCTION BIOPSY

Facility

$28.00

Hospital Charge Code	270700336
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

VALVE ACCESSPLUS ANGIO KIT LG

Facility

$33.28

Hospital Charge Code	270637998S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$16.64
Rate for Payer: Aetna Commercial	$12.65
Rate for Payer: Aetna Medicare Advantage	$9.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.49
Rate for Payer: Cigna Commercial	$16.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.65
Rate for Payer: Oxford Commercial	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$4.99
Rate for Payer: UnitedHealthcare Commercial	$6.66
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

VALVE ACCESSPLUS ANGIO KIT LG

Facility

$33.28

Hospital Charge Code	270637998S
Hospital Revenue Code	272
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$4.99
Rate for Payer: Qualcare PPO/HMO/WC	$4.99

VALVE BIOPSY SINGLE USE

Facility

$22.00

Hospital Charge Code	270654385
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$11.00
Rate for Payer: Aetna Commercial	$8.36
Rate for Payer: Aetna Medicare Advantage	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.61
Rate for Payer: Cigna Commercial	$11.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Commercial	$4.40
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

VALVE BIOPSY SINGLE USE

Facility

$372.50

Hospital Charge Code	270651525
Hospital Revenue Code	272
Min. Negotiated Rate	$10.58
Max. Negotiated Rate	$186.25
Rate for Payer: Aetna Commercial	$141.55
Rate for Payer: Aetna Medicare Advantage	$111.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.99
Rate for Payer: Cigna Commercial	$186.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.85
Rate for Payer: Oxford Commercial	$74.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.88
Rate for Payer: UnitedHealthcare Commercial	$74.50
Rate for Payer: UnitedHealthcare Community & State	$11.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.58

VALVE BIOPSY SINGLE USE

Facility

$372.50

Hospital Charge Code	270651525
Hospital Revenue Code	272
Min. Negotiated Rate	$55.88
Max. Negotiated Rate	$55.88
Rate for Payer: Qualcare PPO/HMO/WC	$55.88

VALVE BIOPSY SINGLE USE

Facility

$22.00

Hospital Charge Code	270654385
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

VALVE CHEST DRAIN PNEWMOSTAT

Facility

$164.00

Hospital Charge Code	270664233
Hospital Revenue Code	272
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$82.00
Rate for Payer: Aetna Commercial	$62.32
Rate for Payer: Aetna Medicare Advantage	$49.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.82
Rate for Payer: Cigna Commercial	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.64
Rate for Payer: Oxford Commercial	$32.80
Rate for Payer: Qualcare PPO/HMO/WC	$24.60
Rate for Payer: UnitedHealthcare Commercial	$32.80
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.66

VALVE CHEST DRAIN PNEWMOSTAT

Facility

$164.00

Hospital Charge Code	270664233
Hospital Revenue Code	272
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

VALVE CODM CERTAS PL INLINE SM

Facility

$30,120.00

Service Code	HCPCS C1889
Hospital Charge Code	270698460
Hospital Revenue Code	278
Min. Negotiated Rate	$4,518.00
Max. Negotiated Rate	$7,289.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,024.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,289.04
Rate for Payer: Qualcare PPO/HMO/WC	$4,518.00

VALVE CODM CERTAS PL INLINE SM

Facility

$30,120.00

Service Code	HCPCS C1889
Hospital Charge Code	270698460
Hospital Revenue Code	278
Min. Negotiated Rate	$855.41
Max. Negotiated Rate	$15,060.00
Rate for Payer: Aetna Commercial	$11,445.60
Rate for Payer: Aetna Medicare Advantage	$9,036.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,680.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,680.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,024.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,680.60
Rate for Payer: Cigna Commercial	$15,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,289.04
Rate for Payer: Qualcare PPO/HMO/WC	$4,518.00
Rate for Payer: UnitedHealthcare Community & State	$951.79
Rate for Payer: Wellpoint Medicaid Managed Care	$855.41

VALVE CONT LOWLOWPRE CSF SHUNT

Facility

$5,635.00

Service Code	HCPCS L8699
Hospital Charge Code	270698772
Hospital Revenue Code	278
Min. Negotiated Rate	$845.25
Max. Negotiated Rate	$1,363.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,127.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,363.67
Rate for Payer: Qualcare PPO/HMO/WC	$845.25

VALVE CONT LOWLOWPRE CSF SHUNT

Facility

$5,635.00

Service Code	HCPCS L8699
Hospital Charge Code	270698772
Hospital Revenue Code	278
Min. Negotiated Rate	$160.03
Max. Negotiated Rate	$2,817.50
Rate for Payer: Aetna Commercial	$2,141.30
Rate for Payer: Aetna Medicare Advantage	$1,690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,436.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,436.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,127.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,436.92
Rate for Payer: Cigna Commercial	$2,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,363.67
Rate for Payer: Qualcare PPO/HMO/WC	$845.25
Rate for Payer: UnitedHealthcare Community & State	$178.07
Rate for Payer: Wellpoint Medicaid Managed Care	$160.03

VALVE COPILOT BLEEDBACK MAP300

Facility

$108.15

Hospital Charge Code	270660277
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$54.08
Rate for Payer: Aetna Commercial	$41.10
Rate for Payer: Aetna Medicare Advantage	$32.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.58
Rate for Payer: Cigna Commercial	$54.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.12
Rate for Payer: Oxford Commercial	$21.63
Rate for Payer: Qualcare PPO/HMO/WC	$16.22
Rate for Payer: UnitedHealthcare Commercial	$21.63
Rate for Payer: UnitedHealthcare Community & State	$3.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

VALVE COPILOT BLEEDBACK MAP300

Facility

$108.15

Hospital Charge Code	270660277
Hospital Revenue Code	272
Min. Negotiated Rate	$16.22
Max. Negotiated Rate	$16.22
Rate for Payer: Qualcare PPO/HMO/WC	$16.22

VALVE DELTA REGCSFSHUNTLVL 1.5

Facility

$9,240.00

Service Code	HCPCS L8699
Hospital Charge Code	270698771
Hospital Revenue Code	278
Min. Negotiated Rate	$262.42
Max. Negotiated Rate	$4,620.00
Rate for Payer: Aetna Commercial	$3,511.20
Rate for Payer: Aetna Medicare Advantage	$2,772.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,356.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,356.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,848.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,356.20
Rate for Payer: Cigna Commercial	$4,620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.00
Rate for Payer: UnitedHealthcare Community & State	$291.98
Rate for Payer: Wellpoint Medicaid Managed Care	$262.42

VALVE DELTA REGCSFSHUNTLVL 1.5

Facility

$9,240.00

Service Code	HCPCS L8699
Hospital Charge Code	270698771
Hospital Revenue Code	278
Min. Negotiated Rate	$1,386.00
Max. Negotiated Rate	$2,236.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,848.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.00

VALVE FP-STRATA 2 REGULAR

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270657921
Hospital Revenue Code	278
Min. Negotiated Rate	$850.27
Max. Negotiated Rate	$14,969.50
Rate for Payer: Aetna Commercial	$11,376.82
Rate for Payer: Aetna Medicare Advantage	$8,981.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,634.44
Rate for Payer: Cigna Commercial	$14,969.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85
Rate for Payer: UnitedHealthcare Community & State	$946.07
Rate for Payer: Wellpoint Medicaid Managed Care	$850.27

VALVE FP-STRATA 2 REGULAR

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270657921
Hospital Revenue Code	278
Min. Negotiated Rate	$4,490.85
Max. Negotiated Rate	$7,245.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85

Know your out-of-pocket cost for care.

All Charges