Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VEIN SAPHENOUS 67cm

Facility

$36,750.00

Hospital Charge Code	270675973
Hospital Revenue Code	278
Min. Negotiated Rate	$1,043.70
Max. Negotiated Rate	$18,375.00
Rate for Payer: Aetna Commercial	$13,965.00
Rate for Payer: Aetna Medicare Advantage	$11,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,371.25
Rate for Payer: Cigna Commercial	$18,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,893.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,512.50
Rate for Payer: UnitedHealthcare Community & State	$1,161.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1,043.70

VEIN SAPHENOUS 67cm

Facility

$36,750.00

Hospital Charge Code	270675973
Hospital Revenue Code	278
Min. Negotiated Rate	$5,512.50
Max. Negotiated Rate	$8,893.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,893.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,512.50

VEIN SAPHENOUS 71-80CM

Facility

$38,250.00

Service Code	HCPCS C1768
Hospital Charge Code	270676724
Hospital Revenue Code	278
Min. Negotiated Rate	$1,086.30
Max. Negotiated Rate	$19,125.00
Rate for Payer: Aetna Commercial	$14,535.00
Rate for Payer: Aetna Medicare Advantage	$11,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,753.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,753.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,753.75
Rate for Payer: Cigna Commercial	$19,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,256.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,737.50
Rate for Payer: UnitedHealthcare Community & State	$1,208.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1,086.30

VEIN SAPHENOUS 71-80CM

Facility

$38,250.00

Service Code	HCPCS C1768
Hospital Charge Code	270676724
Hospital Revenue Code	278
Min. Negotiated Rate	$5,737.50
Max. Negotiated Rate	$9,256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,256.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,737.50

VEIN SAPHENOUS 80-100CM

Facility

$46,750.00

Hospital Charge Code	270680417
Hospital Revenue Code	278
Min. Negotiated Rate	$1,327.70
Max. Negotiated Rate	$23,375.00
Rate for Payer: Aetna Commercial	$17,765.00
Rate for Payer: Aetna Medicare Advantage	$14,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,921.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,921.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,921.25
Rate for Payer: Cigna Commercial	$23,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,313.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,012.50
Rate for Payer: UnitedHealthcare Community & State	$1,477.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1,327.70

VEIN SAPHENOUS 80-100CM

Facility

$46,750.00

Hospital Charge Code	270680417
Hospital Revenue Code	278
Min. Negotiated Rate	$7,012.50
Max. Negotiated Rate	$11,313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,313.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,012.50

VEIN STRIPPER

Facility

$816.75

Hospital Charge Code	270VE022
Hospital Revenue Code	272
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$408.38
Rate for Payer: Aetna Commercial	$310.37
Rate for Payer: Aetna Medicare Advantage	$245.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.27
Rate for Payer: Cigna Commercial	$408.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.35
Rate for Payer: Oxford Commercial	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$122.51
Rate for Payer: UnitedHealthcare Commercial	$163.35
Rate for Payer: UnitedHealthcare Community & State	$25.81
Rate for Payer: Wellpoint Medicaid Managed Care	$23.20

VEIN STRIPPER

Facility

$816.75

Hospital Charge Code	270VE022
Hospital Revenue Code	272
Min. Negotiated Rate	$122.51
Max. Negotiated Rate	$122.51
Rate for Payer: Qualcare PPO/HMO/WC	$122.51

VEIN X-RAY ARM/LEG

Facility

$3,591.14

Service Code	HCPCS 75820
Hospital Charge Code	411075820
Hospital Revenue Code	320
Min. Negotiated Rate	$538.67
Max. Negotiated Rate	$538.67
Rate for Payer: Qualcare PPO/HMO/WC	$538.67

VEIN X-RAY ARM/LEG

Facility

$3,591.14

Service Code	HCPCS 75820
Hospital Charge Code	366875820
Hospital Revenue Code	320
Min. Negotiated Rate	$101.99
Max. Negotiated Rate	$6,783.93
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,783.93
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,309.10
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$933.70
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$538.67
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$113.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$101.99

VEIN X-RAY ARM/LEG

Facility

$3,591.14

Service Code	HCPCS 75820
Hospital Charge Code	411075820
Hospital Revenue Code	320
Min. Negotiated Rate	$101.99
Max. Negotiated Rate	$6,783.93
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,783.93
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,309.10
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$933.70
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$538.67
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$113.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$101.99

VEIN X-RAY ARM/LEG

Facility

$3,591.14

Service Code	HCPCS 75820
Hospital Charge Code	366875820
Hospital Revenue Code	320
Min. Negotiated Rate	$538.67
Max. Negotiated Rate	$538.67
Rate for Payer: Qualcare PPO/HMO/WC	$538.67

VEIN X-RAY CHEST

Facility

$3,084.40

Service Code	HCPCS 75827
Hospital Charge Code	366875827
Hospital Revenue Code	320
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$6,783.93
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,783.93
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,309.10
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$801.94
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$462.66
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$97.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$87.60

VEIN X-RAY CHEST

Facility

$3,084.40

Service Code	HCPCS 75827
Hospital Charge Code	366875827
Hospital Revenue Code	320
Min. Negotiated Rate	$462.66
Max. Negotiated Rate	$462.66
Rate for Payer: Qualcare PPO/HMO/WC	$462.66

VEIN X-RAY CHEST

Facility

$3,084.40

Service Code	HCPCS 75827
Hospital Charge Code	411075827
Hospital Revenue Code	320
Min. Negotiated Rate	$462.66
Max. Negotiated Rate	$462.66
Rate for Payer: Qualcare PPO/HMO/WC	$462.66

VEIN X-RAY CHEST

Facility

$3,084.40

Service Code	HCPCS 75827
Hospital Charge Code	411075827
Hospital Revenue Code	320
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$6,783.93
Rate for Payer: Aetna Commercial	$5,086.78
Rate for Payer: Aetna Medicare Advantage	$6,059.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,783.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,870.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,783.93
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: Cigna Medicare Advantage	$1,309.10
Rate for Payer: Clover Medicare Advantage	$1,776.63
Rate for Payer: EmblemHealth Commercial	$5,610.42
Rate for Payer: Humana Medicare Advantage	$1,926.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,870.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$801.94
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$462.66
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$97.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,870.14
Rate for Payer: Wellcare Medicare Advantage	$1,870.14
Rate for Payer: Wellpoint Medicaid Managed Care	$87.60

VEIN X-RAY NECK

Facility

$14,614.45

Service Code	HCPCS 75860
Hospital Charge Code	366875860
Hospital Revenue Code	320
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$311.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$2,625.82
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,799.76
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$461.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$415.05

VEIN X-RAY NECK

Facility

$14,614.45

Service Code	HCPCS 75860
Hospital Charge Code	366875860
Hospital Revenue Code	320
Min. Negotiated Rate	$2,192.17
Max. Negotiated Rate	$2,192.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17

VEIN X-RAY NECK

Facility

$14,614.45

Service Code	HCPCS 75860
Hospital Charge Code	411075860
Hospital Revenue Code	320
Min. Negotiated Rate	$2,192.17
Max. Negotiated Rate	$2,192.17
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17

VEIN X-RAY NECK

Facility

$14,614.45

Service Code	HCPCS 75860
Hospital Charge Code	411075860
Hospital Revenue Code	320
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$311.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$2,625.82
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,799.76
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,192.17
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$461.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$415.05

VEIN X-RAY SKULL

Facility

$3,591.40

Service Code	HCPCS 75870
Hospital Charge Code	366875870
Hospital Revenue Code	320
Min. Negotiated Rate	$538.71
Max. Negotiated Rate	$538.71
Rate for Payer: Qualcare PPO/HMO/WC	$538.71

VEIN X-RAY SKULL

Facility

$3,591.40

Service Code	HCPCS 75870
Hospital Charge Code	411075870
Hospital Revenue Code	320
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$2,625.82
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$933.76
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$538.71
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$113.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$102.00

VEIN X-RAY SKULL

Facility

$3,591.40

Service Code	HCPCS 75870
Hospital Charge Code	366875870
Hospital Revenue Code	320
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$2,625.82
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$933.76
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$538.71
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$113.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$102.00

VEIN X-RAY SKULL

Facility

$3,591.40

Service Code	HCPCS 75870
Hospital Charge Code	411075870
Hospital Revenue Code	320
Min. Negotiated Rate	$538.71
Max. Negotiated Rate	$538.71
Rate for Payer: Qualcare PPO/HMO/WC	$538.71

VEIN X-RAY TRUNK

Facility

$13,436.40

Service Code	HCPCS 75825
Hospital Charge Code	411075825
Hospital Revenue Code	320
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

Know your out-of-pocket cost for care.

All Charges