Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BIT RMFG 4.5x145mm

Facility

$318.25

Hospital Charge Code	270651529
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$159.12
Rate for Payer: Aetna Commercial	$120.94
Rate for Payer: Aetna Medicare Advantage	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.15
Rate for Payer: Cigna Commercial	$159.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.75
Rate for Payer: Oxford Commercial	$63.65
Rate for Payer: Qualcare PPO/HMO/WC	$47.74
Rate for Payer: UnitedHealthcare Commercial	$63.65
Rate for Payer: UnitedHealthcare Community & State	$10.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.04

BIT RMFG 4.5x145mm

Facility

$318.25

Hospital Charge Code	270651529
Hospital Revenue Code	272
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$47.74
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

BITS/BURRS/BLADES

Facility

$261.00

Hospital Charge Code	270335044
Hospital Revenue Code	272
Min. Negotiated Rate	$39.15
Max. Negotiated Rate	$39.15
Rate for Payer: Qualcare PPO/HMO/WC	$39.15

BITS/BURRS/BLADES

Facility

$261.00

Hospital Charge Code	270335044
Hospital Revenue Code	272
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$130.50
Rate for Payer: Aetna Commercial	$99.18
Rate for Payer: Aetna Medicare Advantage	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.56
Rate for Payer: Cigna Commercial	$130.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.86
Rate for Payer: Oxford Commercial	$52.20
Rate for Payer: Qualcare PPO/HMO/WC	$39.15
Rate for Payer: UnitedHealthcare Commercial	$52.20
Rate for Payer: UnitedHealthcare Community & State	$8.25
Rate for Payer: Wellpoint Medicaid Managed Care	$7.41

BIT SCREWDRIVER T15 AO

Facility

$2,747.20

Hospital Charge Code	270703595
Hospital Revenue Code	272
Min. Negotiated Rate	$78.02
Max. Negotiated Rate	$1,373.60
Rate for Payer: Aetna Commercial	$1,043.94
Rate for Payer: Aetna Medicare Advantage	$824.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$700.54
Rate for Payer: Cigna Commercial	$1,373.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.27
Rate for Payer: Oxford Commercial	$549.44
Rate for Payer: Qualcare PPO/HMO/WC	$412.08
Rate for Payer: UnitedHealthcare Commercial	$549.44
Rate for Payer: UnitedHealthcare Community & State	$86.81
Rate for Payer: Wellpoint Medicaid Managed Care	$78.02

BIT SCREWDRIVER T15 AO

Facility

$2,747.20

Hospital Charge Code	270703595
Hospital Revenue Code	272
Min. Negotiated Rate	$412.08
Max. Negotiated Rate	$412.08
Rate for Payer: Qualcare PPO/HMO/WC	$412.08

BIT THREAED LARGE BB-TAK

Facility

$750.00

Hospital Charge Code	270678711
Hospital Revenue Code	272
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) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

BIT THREAED LARGE BB-TAK

Facility

$750.00

Hospital Charge Code	270678711
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

BK/JC VIRUS DNA,QL PCR I

Facility

$390.00

Service Code	HCPCS 8779891
Hospital Charge Code	39990118A
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BK/JC VIRUS DNA,QL PCR I

Facility

$390.00

Service Code	HCPCS 8779891
Hospital Charge Code	39990118A
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BK/JC VIRUS DNA,QL PCR II

Facility

$390.00

Service Code	HCPCS 8779891
Hospital Charge Code	39990118B
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BK/JC VIRUS DNA,QL PCR II

Facility

$390.00

Service Code	HCPCS 8779891
Hospital Charge Code	39990118B
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BK VIRUS DNA,QL RT-PCR,PL

Facility

$390.00

Service Code	HCPCS 87798
Hospital Charge Code	39900404
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BK VIRUS DNA,QL RT-PCR,PL

Facility

$390.00

Service Code	HCPCS 87798
Hospital Charge Code	39900404
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.29
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
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	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BK VIRUS DNA,QN,RT-PCR

Facility

$390.00

Service Code	HCPCS 87799
Hospital Charge Code	39900306
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$116.52
Rate for Payer: Aetna Medicare Advantage	$138.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.40
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$42.84
Rate for Payer: Clover Medicare Advantage	$40.70
Rate for Payer: EmblemHealth Commercial	$128.52
Rate for Payer: Humana Medicare Advantage	$44.13
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$42.84
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	$34.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$42.84
Rate for Payer: Wellcare Medicare Advantage	$42.84
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BK VIRUS DNA,QN,RT-PCR

Facility

$390.00

Service Code	HCPCS 87799
Hospital Charge Code	39900306
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLADDER INSTILLATION

Facility

$1,252.20

Service Code	HCPCS 51720
Hospital Charge Code	93500001
Hospital Revenue Code	761
Min. Negotiated Rate	$187.83
Max. Negotiated Rate	$187.83
Rate for Payer: Qualcare PPO/HMO/WC	$187.83

BLADDER INSTILLATION

Facility

$1,252.20

Service Code	HCPCS 51720
Hospital Charge Code	93500001
Hospital Revenue Code	761
Min. Negotiated Rate	$35.56
Max. Negotiated Rate	$3,005.06
Rate for Payer: Aetna Commercial	$2,253.28
Rate for Payer: Aetna Medicare Advantage	$2,684.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,005.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,005.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$828.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,005.06
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: Cigna Medicare Advantage	$828.41
Rate for Payer: Clover Medicare Advantage	$786.99
Rate for Payer: EmblemHealth Commercial	$2,485.23
Rate for Payer: Humana Medicare Advantage	$853.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$828.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.57
Rate for Payer: Oxford Commercial	$250.44
Rate for Payer: Qualcare PPO/HMO/WC	$187.83
Rate for Payer: UnitedHealthcare Commercial	$250.44
Rate for Payer: UnitedHealthcare Community & State	$39.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$828.41
Rate for Payer: Wellcare Medicare Advantage	$828.41
Rate for Payer: Wellpoint Medicaid Managed Care	$35.56

BLADDER IRRIGATION

Facility

$1,253.65

Service Code	HCPCS 51700
Hospital Charge Code	93500183
Hospital Revenue Code	361
Min. Negotiated Rate	$35.60
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$807.38
Rate for Payer: Aetna Medicare Advantage	$961.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$296.83
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	$1,076.75
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: Cigna Medicare Advantage	$296.83
Rate for Payer: Clover Medicare Advantage	$281.99
Rate for Payer: EmblemHealth Commercial	$890.49
Rate for Payer: Humana Medicare Advantage	$305.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$296.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.95
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$188.05
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$39.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$296.83
Rate for Payer: Wellcare Medicare Advantage	$296.83
Rate for Payer: Wellpoint Medicaid Managed Care	$35.60

BLADDER IRRIGATION

Facility

$1,253.65

Service Code	HCPCS 51700
Hospital Charge Code	93500183
Hospital Revenue Code	361
Min. Negotiated Rate	$188.05
Max. Negotiated Rate	$188.05
Rate for Payer: Qualcare PPO/HMO/WC	$188.05

BLADE 18.6 X 5.5 MM

Facility

$32.85

Hospital Charge Code	270664985
Hospital Revenue Code	270
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$16.43
Rate for Payer: Aetna Commercial	$12.48
Rate for Payer: Aetna Medicare Advantage	$9.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.38
Rate for Payer: Cigna Commercial	$16.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.54
Rate for Payer: Oxford Commercial	$6.57
Rate for Payer: Qualcare PPO/HMO/WC	$4.93
Rate for Payer: UnitedHealthcare Commercial	$6.57
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

BLADE 18.6 X 5.5 MM

Facility

$32.85

Hospital Charge Code	270664985
Hospital Revenue Code	270
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.93

BLADE 2-1/2 FOR CAST CUTTER

Facility

$154.00

Hospital Charge Code	270330633
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

BLADE 2-1/2 FOR CAST CUTTER

Facility

$154.00

Hospital Charge Code	270330633
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$58.52
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.04
Rate for Payer: Oxford Commercial	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$30.80
Rate for Payer: UnitedHealthcare Community & State	$4.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

BLADE 25.0 X1.19X 90MM

Facility

$300.25

Hospital Charge Code	270668541
Hospital Revenue Code	272
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$150.12
Rate for Payer: Aetna Commercial	$114.09
Rate for Payer: Aetna Medicare Advantage	$90.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.56
Rate for Payer: Cigna Commercial	$150.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.06
Rate for Payer: Oxford Commercial	$60.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.04
Rate for Payer: UnitedHealthcare Commercial	$60.05
Rate for Payer: UnitedHealthcare Community & State	$9.49
Rate for Payer: Wellpoint Medicaid Managed Care	$8.53

Know your out-of-pocket cost for care.

All Charges