Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VAXELIS (DTAP-IPV-HIB-HEPB)

Facility

$607.05

Service Code	HCPCS 90697
Hospital Charge Code	395090697
Hospital Revenue Code	636
Min. Negotiated Rate	$91.06
Max. Negotiated Rate	$146.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.91
Rate for Payer: Qualcare PPO/HMO/WC	$91.06

VBR BOXCAR 14X14.5X7.5D ENDCAP

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696946
Hospital Revenue Code	278
Min. Negotiated Rate	$113.60
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Community & State	$126.40
Rate for Payer: Wellpoint Medicaid Managed Care	$113.60

VBR BOXCAR 14X14.5X7.5D ENDCAP

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696946
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

VDRL,CSF

Facility

$390.00

Service Code	HCPCS 86592
Hospital Charge Code	39900224
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VDRL,CSF

Facility

$116.00

Service Code	HCPCS 86593
Hospital Charge Code	38476027
Hospital Revenue Code	302
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$11.97
Rate for Payer: Aetna Medicare Advantage	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.96
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$4.40
Rate for Payer: Clover Medicare Advantage	$4.18
Rate for Payer: EmblemHealth Commercial	$13.20
Rate for Payer: Humana Medicare Advantage	$4.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.16
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.40
Rate for Payer: Wellcare Medicare Advantage	$4.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

VDRL,CSF

Facility

$116.00

Service Code	HCPCS 86593
Hospital Charge Code	38476027
Hospital Revenue Code	302
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

VDRL,CSF

Facility

$390.00

Service Code	HCPCS 86592
Hospital Charge Code	39900224
Hospital Revenue Code	302
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.49
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$4.27
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.27
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	$3.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Medicare Advantage	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

VDRL,CSF

Facility

$128.00

Service Code	HCPCS 86682
Hospital Charge Code	38479122
Hospital Revenue Code	302
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

VDRL,CSF

Facility

$128.00

Service Code	HCPCS 86682
Hospital Charge Code	38479122
Hospital Revenue Code	302
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.64

VECURONIUM 10 MG INJ

Facility

$73.16

Service Code	NDC 47335093140
Hospital Charge Code	60627492
Hospital Revenue Code	250
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$10.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.97

VECURONIUM 10 MG INJ

Facility

$73.16

Service Code	NDC 47335093140
Hospital Charge Code	60627492
Hospital Revenue Code	250
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$36.58
Rate for Payer: Aetna Commercial	$27.80
Rate for Payer: Aetna Medicare Advantage	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.66
Rate for Payer: Cigna Commercial	$36.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.02
Rate for Payer: Oxford Commercial	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.97
Rate for Payer: UnitedHealthcare Commercial	$14.63
Rate for Payer: UnitedHealthcare Community & State	$2.31
Rate for Payer: Wellpoint Medicaid Managed Care	$2.08

VECURONIUM 200 MG VIAL

Facility

$66.69

Hospital Charge Code	606380010
Hospital Revenue Code	250
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$33.34
Rate for Payer: Aetna Commercial	$25.34
Rate for Payer: Aetna Medicare Advantage	$20.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.01
Rate for Payer: Cigna Commercial	$33.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.34
Rate for Payer: Oxford Commercial	$13.34
Rate for Payer: Qualcare PPO/HMO/WC	$10.00
Rate for Payer: UnitedHealthcare Commercial	$13.34
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

VECURONIUM 200 MG VIAL

Facility

$66.69

Hospital Charge Code	606380010
Hospital Revenue Code	250
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.00

VECURONIUM 20 MG VIAL

Facility

$136.68

Service Code	NDC 47335093240
Hospital Charge Code	606351018
Hospital Revenue Code	250
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$68.34
Rate for Payer: Aetna Commercial	$51.94
Rate for Payer: Aetna Medicare Advantage	$41.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.85
Rate for Payer: Cigna Commercial	$68.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: Oxford Commercial	$27.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.50
Rate for Payer: UnitedHealthcare Commercial	$27.34
Rate for Payer: UnitedHealthcare Community & State	$4.32
Rate for Payer: Wellpoint Medicaid Managed Care	$3.88

VECURONIUM 20 MG VIAL

Facility

$136.68

Service Code	NDC 47335093240
Hospital Charge Code	606351018
Hospital Revenue Code	250
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.50

VEDOLIZUMAB 300MG INJ

Facility

$38,744.76

Service Code	HCPCS J3380
Hospital Charge Code	606380023
Hospital Revenue Code	636
Min. Negotiated Rate	$19.93
Max. Negotiated Rate	$9,376.23
Rate for Payer: Aetna Commercial	$57.07
Rate for Payer: Aetna Medicare Advantage	$67.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.10
Rate for Payer: Cigna Medicare Advantage	$20.98
Rate for Payer: Clover Medicare Advantage	$19.93
Rate for Payer: EmblemHealth Commercial	$62.94
Rate for Payer: Humana Medicare Advantage	$21.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,376.23
Rate for Payer: Qualcare PPO/HMO/WC	$5,811.71
Rate for Payer: UnitedHealthcare Community & State	$1,224.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.98
Rate for Payer: Wellcare Medicare Advantage	$20.98
Rate for Payer: Wellpoint Medicaid Managed Care	$1,100.35

VEDOLIZUMAB 300MG INJ

Facility

$38,744.76

Service Code	HCPCS J3380
Hospital Charge Code	606380023
Hospital Revenue Code	636
Min. Negotiated Rate	$5,811.71
Max. Negotiated Rate	$9,376.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,376.23
Rate for Payer: Qualcare PPO/HMO/WC	$5,811.71

VEEG 12-26HRS CONT MON

Facility

$5,322.08

Service Code	HCPCS 95716
Hospital Charge Code	405295716
Hospital Revenue Code	740
Min. Negotiated Rate	$151.15
Max. Negotiated Rate	$5,943.00
Rate for Payer: Aetna Commercial	$2,774.97
Rate for Payer: Aetna Medicare Advantage	$3,305.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,700.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,700.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,020.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,700.81
Rate for Payer: Cigna Commercial	$2,044.99
Rate for Payer: Cigna Medicare Advantage	$1,020.21
Rate for Payer: Clover Medicare Advantage	$969.20
Rate for Payer: EmblemHealth Commercial	$3,060.63
Rate for Payer: Humana Medicare Advantage	$1,050.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,020.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,383.74
Rate for Payer: Oxford Commercial	$5,237.00
Rate for Payer: Qualcare PPO/HMO/WC	$798.31
Rate for Payer: UnitedHealthcare Commercial	$5,943.00
Rate for Payer: UnitedHealthcare Community & State	$168.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,020.21
Rate for Payer: Wellcare Medicare Advantage	$1,020.21
Rate for Payer: Wellpoint Medicaid Managed Care	$151.15

VEEG 12-26HRS CONT MON

Facility

$5,322.08

Service Code	HCPCS 95716
Hospital Charge Code	403395716
Hospital Revenue Code	740
Min. Negotiated Rate	$798.31
Max. Negotiated Rate	$798.31
Rate for Payer: Qualcare PPO/HMO/WC	$798.31

VEEG 12-26HRS CONT MON

Facility

$5,322.08

Service Code	HCPCS 95716
Hospital Charge Code	405295716
Hospital Revenue Code	740
Min. Negotiated Rate	$798.31
Max. Negotiated Rate	$798.31
Rate for Payer: Qualcare PPO/HMO/WC	$798.31

VEEG 12-26HRS CONT MON

Facility

$5,322.08

Service Code	HCPCS 95716
Hospital Charge Code	403395716
Hospital Revenue Code	740
Min. Negotiated Rate	$151.15
Max. Negotiated Rate	$5,943.00
Rate for Payer: Aetna Commercial	$2,774.97
Rate for Payer: Aetna Medicare Advantage	$3,305.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,700.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,700.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,020.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,700.81
Rate for Payer: Cigna Commercial	$2,044.99
Rate for Payer: Cigna Medicare Advantage	$1,020.21
Rate for Payer: Clover Medicare Advantage	$969.20
Rate for Payer: EmblemHealth Commercial	$3,060.63
Rate for Payer: Humana Medicare Advantage	$1,050.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,020.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,383.74
Rate for Payer: Oxford Commercial	$5,237.00
Rate for Payer: Qualcare PPO/HMO/WC	$798.31
Rate for Payer: UnitedHealthcare Commercial	$5,943.00
Rate for Payer: UnitedHealthcare Community & State	$168.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,020.21
Rate for Payer: Wellcare Medicare Advantage	$1,020.21
Rate for Payer: Wellpoint Medicaid Managed Care	$151.15

VEEG 12-26HRS INT MON

Facility

$2,843.33

Service Code	HCPCS 95715
Hospital Charge Code	405295715
Hospital Revenue Code	740
Min. Negotiated Rate	$80.75
Max. Negotiated Rate	$5,943.00
Rate for Payer: Aetna Commercial	$1,205.83
Rate for Payer: Aetna Medicare Advantage	$1,436.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,608.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,608.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$443.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,608.14
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: Cigna Medicare Advantage	$443.32
Rate for Payer: Clover Medicare Advantage	$421.15
Rate for Payer: EmblemHealth Commercial	$1,329.96
Rate for Payer: Humana Medicare Advantage	$456.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$443.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$739.27
Rate for Payer: Oxford Commercial	$5,237.00
Rate for Payer: Qualcare PPO/HMO/WC	$426.50
Rate for Payer: UnitedHealthcare Commercial	$5,943.00
Rate for Payer: UnitedHealthcare Community & State	$89.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$443.32
Rate for Payer: Wellcare Medicare Advantage	$443.32
Rate for Payer: Wellpoint Medicaid Managed Care	$80.75

VEEG 12-26HRS INT MON

Facility

$2,843.33

Service Code	HCPCS 95715
Hospital Charge Code	403395715
Hospital Revenue Code	740
Min. Negotiated Rate	$426.50
Max. Negotiated Rate	$426.50
Rate for Payer: Qualcare PPO/HMO/WC	$426.50

VEEG 12-26HRS INT MON

Facility

$2,843.33

Service Code	HCPCS 95715
Hospital Charge Code	403395715
Hospital Revenue Code	740
Min. Negotiated Rate	$80.75
Max. Negotiated Rate	$5,943.00
Rate for Payer: Aetna Commercial	$1,205.83
Rate for Payer: Aetna Medicare Advantage	$1,436.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,608.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,608.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$443.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,608.14
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: Cigna Medicare Advantage	$443.32
Rate for Payer: Clover Medicare Advantage	$421.15
Rate for Payer: EmblemHealth Commercial	$1,329.96
Rate for Payer: Humana Medicare Advantage	$456.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$443.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$739.27
Rate for Payer: Oxford Commercial	$5,237.00
Rate for Payer: Qualcare PPO/HMO/WC	$426.50
Rate for Payer: UnitedHealthcare Commercial	$5,943.00
Rate for Payer: UnitedHealthcare Community & State	$89.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$443.32
Rate for Payer: Wellcare Medicare Advantage	$443.32
Rate for Payer: Wellpoint Medicaid Managed Care	$80.75

VEEG 12-26HRS INT MON

Facility

$2,843.33

Service Code	HCPCS 95715
Hospital Charge Code	405295715
Hospital Revenue Code	740
Min. Negotiated Rate	$426.50
Max. Negotiated Rate	$426.50
Rate for Payer: Qualcare PPO/HMO/WC	$426.50

Know your out-of-pocket cost for care.

All Charges