Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WARFARIN 7.5 MG TAB

Facility

$20.64

Service Code	NDC 56017375
Hospital Charge Code	60627519
Hospital Revenue Code	250
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.10

WARFARIN 7.5 MG TAB

Facility

$20.64

Service Code	NDC 56017375
Hospital Charge Code	60627519
Hospital Revenue Code	250
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$10.32
Rate for Payer: Aetna Commercial	$7.84
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.37
Rate for Payer: Oxford Commercial	$4.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.10
Rate for Payer: UnitedHealthcare Commercial	$4.13
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

WASHED RBC'S

Facility

$1,697.00

Hospital Charge Code	38471037
Hospital Revenue Code	390
Min. Negotiated Rate	$254.55
Max. Negotiated Rate	$254.55
Rate for Payer: Qualcare PPO/HMO/WC	$254.55

WASHED RBC'S

Facility

$1,697.00

Hospital Charge Code	38471037
Hospital Revenue Code	390
Min. Negotiated Rate	$48.19
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$644.86
Rate for Payer: Aetna Medicare Advantage	$509.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.74
Rate for Payer: Cigna Commercial	$848.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.22
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.55
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$53.63
Rate for Payer: Wellpoint Medicaid Managed Care	$48.19

WASHER

Facility

$326.55

Service Code	HCPCS C1713
Hospital Charge Code	270705721
Hospital Revenue Code	278
Min. Negotiated Rate	$9.27
Max. Negotiated Rate	$163.28
Rate for Payer: Aetna Commercial	$124.09
Rate for Payer: Aetna Medicare Advantage	$97.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.27
Rate for Payer: Cigna Commercial	$163.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.03
Rate for Payer: Qualcare PPO/HMO/WC	$48.98
Rate for Payer: UnitedHealthcare Community & State	$10.32
Rate for Payer: Wellpoint Medicaid Managed Care	$9.27

WASHER

Facility

$326.55

Service Code	HCPCS C1713
Hospital Charge Code	270705721
Hospital Revenue Code	278
Min. Negotiated Rate	$48.98
Max. Negotiated Rate	$79.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.03
Rate for Payer: Qualcare PPO/HMO/WC	$48.98

WASHER

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270665084
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

WASHER

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270665084
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

WASHER 10.0MM

Facility

$116.95

Service Code	HCPCS C1713
Hospital Charge Code	270604928
Hospital Revenue Code	278
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.54

WASHER 10.0MM

Facility

$116.95

Service Code	HCPCS C1713
Hospital Charge Code	270604928
Hospital Revenue Code	278
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$58.48
Rate for Payer: Aetna Commercial	$44.44
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.82
Rate for Payer: Cigna Commercial	$58.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.54
Rate for Payer: UnitedHealthcare Community & State	$3.70
Rate for Payer: Wellpoint Medicaid Managed Care	$3.32

WASHER 13.0MM

Facility

$116.25

Hospital Charge Code	270656955
Hospital Revenue Code	272
Min. Negotiated Rate	$17.44
Max. Negotiated Rate	$17.44
Rate for Payer: Qualcare PPO/HMO/WC	$17.44

WASHER 13.0MM

Facility

$116.25

Hospital Charge Code	270656955
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$58.12
Rate for Payer: Aetna Commercial	$44.17
Rate for Payer: Aetna Medicare Advantage	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.64
Rate for Payer: Cigna Commercial	$58.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.23
Rate for Payer: Oxford Commercial	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.44
Rate for Payer: UnitedHealthcare Commercial	$23.25
Rate for Payer: UnitedHealthcare Community & State	$3.67
Rate for Payer: Wellpoint Medicaid Managed Care	$3.30

WASHER 13.0mm CANN SCREWS LRG

Facility

$123.35

Service Code	HCPCS C1713
Hospital Charge Code	270605006
Hospital Revenue Code	278
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.85
Rate for Payer: Qualcare PPO/HMO/WC	$18.50

WASHER 13.0mm CANN SCREWS LRG

Facility

$123.35

Service Code	HCPCS C1713
Hospital Charge Code	270605006
Hospital Revenue Code	278
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$61.67
Rate for Payer: Aetna Commercial	$46.87
Rate for Payer: Aetna Medicare Advantage	$37.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.45
Rate for Payer: Cigna Commercial	$61.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.85
Rate for Payer: Qualcare PPO/HMO/WC	$18.50
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

WASHER 1.5MM X 13MM

Facility

$315.00

Hospital Charge Code	270670999
Hospital Revenue Code	278
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.23
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

WASHER 1.5MM X 13MM

Facility

$315.00

Hospital Charge Code	270670999
Hospital Revenue Code	278
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$157.50
Rate for Payer: Aetna Commercial	$119.70
Rate for Payer: Aetna Medicare Advantage	$94.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.33
Rate for Payer: Cigna Commercial	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.23
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Community & State	$9.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.95

WASHER 4.0/4.5MM

Facility

$25.00

Hospital Charge Code	270656796
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

WASHER 4.0/4.5MM

Facility

$25.00

Hospital Charge Code	270656796
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

WASHER 4.5MM

Facility

$400.00

Hospital Charge Code	270659869
Hospital Revenue Code	270
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

WASHER 4.5MM

Facility

$400.00

Hospital Charge Code	270659869
Hospital Revenue Code	270
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

WASHER 6.5MM

Facility

$125.00

Hospital Charge Code	270685157
Hospital Revenue Code	278
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

WASHER 6.5MM

Facility

$125.00

Hospital Charge Code	270685157
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

WASHER 7.0MM

Facility

$105.00

Hospital Charge Code	270656907
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

WASHER 7.0MM

Facility

$111.40

Hospital Charge Code	270604108
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$26.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

WASHER 7.0MM

Facility

$111.40

Hospital Charge Code	270604108
Hospital Revenue Code	278
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$55.70
Rate for Payer: Aetna Commercial	$42.33
Rate for Payer: Aetna Medicare Advantage	$33.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$55.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71
Rate for Payer: UnitedHealthcare Community & State	$3.52
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

Know your out-of-pocket cost for care.

All Charges