Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VASCULAR STUDY ABDOMEN SMA

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	2692175
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

VASCULAR STUDY ABDOMEN SMA

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	2692175
Hospital Revenue Code	921
Min. Negotiated Rate	$117.99
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

VASCULAR STUDY COM

Facility

$17,200.00

Service Code	HCPCS 93975
Hospital Charge Code	94061203
Hospital Revenue Code	921
Min. Negotiated Rate	$269.30
Max. Negotiated Rate	$7,555.00
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$918.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$283.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$356.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,028.29
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: Cigna Medicare Advantage	$283.47
Rate for Payer: Clover Medicare Advantage	$269.30
Rate for Payer: EmblemHealth Commercial	$850.41
Rate for Payer: Humana Medicare Advantage	$291.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$283.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,472.00
Rate for Payer: Oxford Commercial	$6,888.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$7,555.00
Rate for Payer: UnitedHealthcare Community & State	$543.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$283.47
Rate for Payer: Wellcare Medicare Advantage	$283.47
Rate for Payer: Wellpoint Medicaid Managed Care	$488.48

VASCULAR STUDY COM

Facility

$17,200.00

Service Code	HCPCS 93975
Hospital Charge Code	94061203
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

VASCULAR SURGERY PROCEDURE

Facility

$2,450.28

Service Code	HCPCS 37799
Hospital Charge Code	16000385
Hospital Revenue Code	360
Min. Negotiated Rate	$69.59
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
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	$2,703.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.07
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$367.54
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$77.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$69.59

VASCULAR SURGERY PROCEDURE

Facility

$2,450.28

Service Code	HCPCS 37799
Hospital Charge Code	16000385
Hospital Revenue Code	360
Min. Negotiated Rate	$367.54
Max. Negotiated Rate	$367.54
Rate for Payer: Qualcare PPO/HMO/WC	$367.54

VASCULAR SURGERY PROCEDURE

Facility

$3,327.75

Service Code	HCPCS 37799
Hospital Charge Code	421037799
Hospital Revenue Code	761
Min. Negotiated Rate	$499.16
Max. Negotiated Rate	$499.16
Rate for Payer: Qualcare PPO/HMO/WC	$499.16

VASCULAR SURGERY PROCEDURE

Facility

$3,327.75

Service Code	HCPCS 37799
Hospital Charge Code	421037799
Hospital Revenue Code	761
Min. Negotiated Rate	$94.51
Max. Negotiated Rate	$2,703.39
Rate for Payer: Aetna Commercial	$2,027.08
Rate for Payer: Aetna Medicare Advantage	$2,414.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,703.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$745.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,703.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: Cigna Medicare Advantage	$745.25
Rate for Payer: Clover Medicare Advantage	$707.99
Rate for Payer: EmblemHealth Commercial	$2,235.75
Rate for Payer: Humana Medicare Advantage	$767.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.22
Rate for Payer: Oxford Commercial	$665.55
Rate for Payer: Qualcare PPO/HMO/WC	$499.16
Rate for Payer: UnitedHealthcare Commercial	$665.55
Rate for Payer: UnitedHealthcare Community & State	$105.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$745.25
Rate for Payer: Wellcare Medicare Advantage	$745.25
Rate for Payer: Wellpoint Medicaid Managed Care	$94.51

VASECTOMY

Facility

$20,610.70

Service Code	HCPCS 55250
Hospital Charge Code	1600000320
Hospital Revenue Code	360
Min. Negotiated Rate	$585.34
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,358.78
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,091.61
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$651.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$585.34

VASECTOMY

Facility

$20,610.70

Service Code	HCPCS 55250
Hospital Charge Code	1600000320
Hospital Revenue Code	360
Min. Negotiated Rate	$3,091.61
Max. Negotiated Rate	$3,091.61
Rate for Payer: Qualcare PPO/HMO/WC	$3,091.61

VASOACTIVE INTESTINAL POLYPEPT

Facility

$249.00

Service Code	HCPCS 84586
Hospital Charge Code	38472677
Hospital Revenue Code	301
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$96.10
Rate for Payer: Aetna Medicare Advantage	$114.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.16
Rate for Payer: Cigna Commercial	$124.50
Rate for Payer: Cigna Medicare Advantage	$35.33
Rate for Payer: Clover Medicare Advantage	$33.56
Rate for Payer: EmblemHealth Commercial	$105.99
Rate for Payer: Humana Medicare Advantage	$36.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.33
Rate for Payer: Wellcare Medicare Advantage	$35.33
Rate for Payer: Wellpoint Medicaid Managed Care	$7.07

VASOACTIVE INTESTINAL POLYPEPT

Facility

$249.00

Service Code	HCPCS 84586
Hospital Charge Code	38472677
Hospital Revenue Code	301
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$37.35

vasolex ointment 60gm

Facility

$315.91

Hospital Charge Code	6063943321
Hospital Revenue Code	250
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$157.96
Rate for Payer: Aetna Commercial	$120.05
Rate for Payer: Aetna Medicare Advantage	$94.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.56
Rate for Payer: Cigna Commercial	$157.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.14
Rate for Payer: Oxford Commercial	$63.18
Rate for Payer: Qualcare PPO/HMO/WC	$47.39
Rate for Payer: UnitedHealthcare Commercial	$63.18
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: Wellpoint Medicaid Managed Care	$8.97

vasolex ointment 60gm

Facility

$315.91

Hospital Charge Code	6063943321
Hospital Revenue Code	250
Min. Negotiated Rate	$47.39
Max. Negotiated Rate	$47.39
Rate for Payer: Qualcare PPO/HMO/WC	$47.39

VASOPRESS CALF SLEEVE BARIATRI

Facility

$105.07

Hospital Charge Code	270650550
Hospital Revenue Code	272
Min. Negotiated Rate	$15.76
Max. Negotiated Rate	$15.76
Rate for Payer: Qualcare PPO/HMO/WC	$15.76

VASOPRESS CALF SLEEVE BARIATRI

Facility

$105.07

Hospital Charge Code	270650550
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.53
Rate for Payer: Aetna Commercial	$39.93
Rate for Payer: Aetna Medicare Advantage	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.79
Rate for Payer: Cigna Commercial	$52.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.32
Rate for Payer: Oxford Commercial	$21.01
Rate for Payer: Qualcare PPO/HMO/WC	$15.76
Rate for Payer: UnitedHealthcare Commercial	$21.01
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

VASOPRESS CALF SLEEVE LG

Facility

$55.39

Hospital Charge Code	270650548
Hospital Revenue Code	270
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.70
Rate for Payer: Aetna Commercial	$21.05
Rate for Payer: Aetna Medicare Advantage	$16.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.12
Rate for Payer: Cigna Commercial	$27.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.40
Rate for Payer: Oxford Commercial	$11.08
Rate for Payer: Qualcare PPO/HMO/WC	$8.31
Rate for Payer: UnitedHealthcare Commercial	$11.08
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

VASOPRESS CALF SLEEVE LG

Facility

$55.39

Hospital Charge Code	270650548
Hospital Revenue Code	270
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$8.31
Rate for Payer: Qualcare PPO/HMO/WC	$8.31

VASOPRESSIN 20 UNITS/ML INJ

Facility

$1,126.81

Service Code	NDC 63323030201
Hospital Charge Code	60628245
Hospital Revenue Code	250
Min. Negotiated Rate	$169.02
Max. Negotiated Rate	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$169.02

VASOPRESSIN 20 UNITS/ML INJ

Facility

$1,126.81

Service Code	NDC 63323030201
Hospital Charge Code	60628245
Hospital Revenue Code	250
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$563.40
Rate for Payer: Aetna Commercial	$428.19
Rate for Payer: Aetna Medicare Advantage	$338.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.34
Rate for Payer: Cigna Commercial	$563.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.97
Rate for Payer: Oxford Commercial	$225.36
Rate for Payer: Qualcare PPO/HMO/WC	$169.02
Rate for Payer: UnitedHealthcare Commercial	$225.36
Rate for Payer: UnitedHealthcare Community & State	$35.61
Rate for Payer: Wellpoint Medicaid Managed Care	$32.00

VASOTEC/20MG/TAB

Facility

$18.56

Service Code	NDC 93002901
Hospital Charge Code	60634139
Hospital Revenue Code	250
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$9.28
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.83
Rate for Payer: Oxford Commercial	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$3.71
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

VASOTEC/20MG/TAB

Facility

$18.56

Service Code	NDC 93002901
Hospital Charge Code	60634139
Hospital Revenue Code	250
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

VASOTEC/5MG/TAB

Facility

$10.32

Service Code	NDC 904550261
Hospital Charge Code	60634133
Hospital Revenue Code	250
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

VASOTEC/5MG/TAB

Facility

$10.32

Service Code	NDC 904550261
Hospital Charge Code	60634133
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.16
Rate for Payer: Aetna Commercial	$3.92
Rate for Payer: Aetna Medicare Advantage	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.63
Rate for Payer: Cigna Commercial	$5.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$2.06
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

VAXELIS (DTAP-IPV-HIB-HEPB)

Facility

$607.05

Service Code	HCPCS 90697
Hospital Charge Code	395090697
Hospital Revenue Code	636
Min. Negotiated Rate	$17.24
Max. Negotiated Rate	$303.52
Rate for Payer: Aetna Commercial	$230.68
Rate for Payer: Aetna Medicare Advantage	$182.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.80
Rate for Payer: Cigna Commercial	$303.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.91
Rate for Payer: Qualcare PPO/HMO/WC	$91.06
Rate for Payer: UnitedHealthcare Community & State	$19.18
Rate for Payer: Wellpoint Medicaid Managed Care	$17.24

Know your out-of-pocket cost for care.

All Charges