Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VANCOMYOCIN 2MG 100ML VPB

Facility

$225.12

Service Code	NDC 70594004402
Hospital Charge Code	60649032
Hospital Revenue Code	636
Min. Negotiated Rate	$33.77
Max. Negotiated Rate	$54.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.48
Rate for Payer: Qualcare PPO/HMO/WC	$33.77

VANILLYLMANDELIC ACID (VMA)

Facility

$321.00

Service Code	HCPCS 84585
Hospital Charge Code	38472665
Hospital Revenue Code	301
Min. Negotiated Rate	$48.15
Max. Negotiated Rate	$48.15
Rate for Payer: Qualcare PPO/HMO/WC	$48.15

VANILLYLMANDELIC ACID (VMA)

Facility

$321.00

Service Code	HCPCS 84585
Hospital Charge Code	38472665
Hospital Revenue Code	301
Min. Negotiated Rate	$9.12
Max. Negotiated Rate	$160.50
Rate for Payer: Aetna Commercial	$42.16
Rate for Payer: Aetna Medicare Advantage	$50.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$160.50
Rate for Payer: Cigna Medicare Advantage	$15.50
Rate for Payer: Clover Medicare Advantage	$14.72
Rate for Payer: EmblemHealth Commercial	$46.50
Rate for Payer: Humana Medicare Advantage	$15.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.46
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$12.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.50
Rate for Payer: Wellcare Medicare Advantage	$15.50
Rate for Payer: Wellpoint Medicaid Managed Care	$9.12

VANTIN 100MGU/D TAB

Facility

$45.16

Service Code	NDC 781543820
Hospital Charge Code	60635215
Hospital Revenue Code	250
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$6.77
Rate for Payer: Qualcare PPO/HMO/WC	$6.77

VANTIN 100MGU/D TAB

Facility

$45.16

Service Code	NDC 781543820
Hospital Charge Code	60635215
Hospital Revenue Code	250
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$22.58
Rate for Payer: Aetna Commercial	$17.16
Rate for Payer: Aetna Medicare Advantage	$13.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.52
Rate for Payer: Cigna Commercial	$22.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.74
Rate for Payer: Oxford Commercial	$9.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.77
Rate for Payer: UnitedHealthcare Commercial	$9.03
Rate for Payer: UnitedHealthcare Community & State	$1.43
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

VAP CHOLESTEROL I

Facility

$390.00

Service Code	HCPCS 83701
Hospital Charge Code	39990143A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VAP CHOLESTEROL I

Facility

$390.00

Service Code	HCPCS 83701
Hospital Charge Code	39990143A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$92.10
Rate for Payer: Aetna Medicare Advantage	$109.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.83
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$33.86
Rate for Payer: Clover Medicare Advantage	$32.17
Rate for Payer: EmblemHealth Commercial	$101.58
Rate for Payer: Humana Medicare Advantage	$34.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33.86
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	$27.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.86
Rate for Payer: Wellcare Medicare Advantage	$33.86
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

VAP CHOLESTEROL II

Facility

$390.00

Service Code	HCPCS 84478
Hospital Charge Code	39990143B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VAP CHOLESTEROL II

Facility

$390.00

Service Code	HCPCS 84478
Hospital Charge Code	39990143B
Hospital Revenue Code	301
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$15.61
Rate for Payer: Aetna Medicare Advantage	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.82
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.74
Rate for Payer: Clover Medicare Advantage	$5.45
Rate for Payer: EmblemHealth Commercial	$17.22
Rate for Payer: Humana Medicare Advantage	$5.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.74
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	$4.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.74
Rate for Payer: Wellcare Medicare Advantage	$5.74
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

VAPORTRODE

Facility

$733.00

Hospital Charge Code	270335243
Hospital Revenue Code	272
Min. Negotiated Rate	$109.95
Max. Negotiated Rate	$109.95
Rate for Payer: Qualcare PPO/HMO/WC	$109.95

VAPORTRODE

Facility

$733.00

Hospital Charge Code	270335243
Hospital Revenue Code	272
Min. Negotiated Rate	$20.82
Max. Negotiated Rate	$366.50
Rate for Payer: Aetna Commercial	$278.54
Rate for Payer: Aetna Medicare Advantage	$219.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.91
Rate for Payer: Cigna Commercial	$366.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.58
Rate for Payer: Oxford Commercial	$146.60
Rate for Payer: Qualcare PPO/HMO/WC	$109.95
Rate for Payer: UnitedHealthcare Commercial	$146.60
Rate for Payer: UnitedHealthcare Community & State	$23.16
Rate for Payer: Wellpoint Medicaid Managed Care	$20.82

VAR ANG SCREW-SEL DRL PAIR

Facility

$2,500.00

Hospital Charge Code	270702368
Hospital Revenue Code	278
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

VAR ANG SCREW-SEL DRL PAIR

Facility

$2,500.00

Hospital Charge Code	270702368
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

VARIABLE ANG SCREW 5X27MM

Facility

$1,500.00

Service Code	HCPCS 1500
Hospital Charge Code	270704955
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

VARIABLE ANG SCREW 5X27MM

Facility

$1,500.00

Service Code	HCPCS 1500
Hospital Charge Code	270704955
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

VARIABLE ANKLE FIXATOR COMP

Facility

$27,770.00

Hospital Charge Code	270673484
Hospital Revenue Code	272
Min. Negotiated Rate	$4,165.50
Max. Negotiated Rate	$4,165.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,165.50

VARIABLE ANKLE FIXATOR COMP

Facility

$27,770.00

Hospital Charge Code	270673484
Hospital Revenue Code	272
Min. Negotiated Rate	$788.67
Max. Negotiated Rate	$13,885.00
Rate for Payer: Aetna Commercial	$10,552.60
Rate for Payer: Aetna Medicare Advantage	$8,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,081.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,081.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,081.35
Rate for Payer: Cigna Commercial	$13,885.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,220.20
Rate for Payer: Oxford Commercial	$5,554.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,165.50
Rate for Payer: UnitedHealthcare Commercial	$5,554.00
Rate for Payer: UnitedHealthcare Community & State	$877.53
Rate for Payer: Wellpoint Medicaid Managed Care	$788.67

VARIABLE SCREW 4X16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705475
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

VARIABLE SCREW 4X16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705475
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

VARIABLE SCREWS 16MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270703879
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

VARIABLE SCREWS 16MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270703879
Hospital Revenue Code	278
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

VARIAX FIBULA STRAIGHT PLATES,

Facility

$3,120.00

Hospital Charge Code	270665481
Hospital Revenue Code	278
Min. Negotiated Rate	$88.61
Max. Negotiated Rate	$1,560.00
Rate for Payer: Aetna Commercial	$1,185.60
Rate for Payer: Aetna Medicare Advantage	$936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$795.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$795.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$795.60
Rate for Payer: Cigna Commercial	$1,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.04
Rate for Payer: Qualcare PPO/HMO/WC	$468.00
Rate for Payer: UnitedHealthcare Community & State	$98.59
Rate for Payer: Wellpoint Medicaid Managed Care	$88.61

VARIAX FIBULA STRAIGHT PLATES,

Facility

$3,120.00

Hospital Charge Code	270665481
Hospital Revenue Code	278
Min. Negotiated Rate	$468.00
Max. Negotiated Rate	$755.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.04
Rate for Payer: Qualcare PPO/HMO/WC	$468.00

VARIBAR HONEY BARIUM SULFATE

Facility

$5,014.82

Service Code	NDC 32909012207
Hospital Charge Code	606390509
Hospital Revenue Code	250
Min. Negotiated Rate	$752.22
Max. Negotiated Rate	$752.22
Rate for Payer: Qualcare PPO/HMO/WC	$752.22

VARIBAR HONEY BARIUM SULFATE

Facility

$5,014.82

Service Code	NDC 32909012207
Hospital Charge Code	606390509
Hospital Revenue Code	250
Min. Negotiated Rate	$142.42
Max. Negotiated Rate	$2,507.41
Rate for Payer: Aetna Commercial	$1,905.63
Rate for Payer: Aetna Medicare Advantage	$1,504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,278.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,278.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,278.78
Rate for Payer: Cigna Commercial	$2,507.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,303.85
Rate for Payer: Oxford Commercial	$1,002.96
Rate for Payer: Qualcare PPO/HMO/WC	$752.22
Rate for Payer: UnitedHealthcare Commercial	$1,002.96
Rate for Payer: UnitedHealthcare Community & State	$158.47
Rate for Payer: Wellpoint Medicaid Managed Care	$142.42

Know your out-of-pocket cost for care.

All Charges