Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

YANKAUER SUCTION TIP W/O TUBE

Facility

$1.60

Hospital Charge Code	270654175N
Hospital Revenue Code	270
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

YANKAUER SUCTION TIP W/O TUBE

Facility

$1.60

Hospital Charge Code	270654175N
Hospital Revenue Code	270
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.80
Rate for Payer: Aetna Commercial	$0.61
Rate for Payer: Aetna Medicare Advantage	$0.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.41
Rate for Payer: Cigna Commercial	$0.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.32
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

YANKAUER SUCTION TIP W/O TUBE

Facility

$1.60

Hospital Charge Code	270654175
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

YANKAUER SUCTION TIP W/O TUBE

Facility

$1.60

Hospital Charge Code	270654175S
Hospital Revenue Code	270
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

YANKAUER SUCTION TIP W/O TUBE

Facility

$1.60

Hospital Charge Code	270654175S
Hospital Revenue Code	270
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.80
Rate for Payer: Aetna Commercial	$0.61
Rate for Payer: Aetna Medicare Advantage	$0.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.41
Rate for Payer: Cigna Commercial	$0.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.32
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

YANKAUER SUCTION TIP W/O TUBE

Facility

$1.60

Hospital Charge Code	270654175
Hospital Revenue Code	272
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.80
Rate for Payer: Aetna Commercial	$0.61
Rate for Payer: Aetna Medicare Advantage	$0.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.41
Rate for Payer: Cigna Commercial	$0.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.32
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

Y CHROMOSOME MICRODELETN

Facility

$2,375.00

Service Code	HCPCS 81403
Hospital Charge Code	39900029
Hospital Revenue Code	310
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

Y CHROMOSOME MICRODELETN

Facility

$2,375.00

Service Code	HCPCS 81403
Hospital Charge Code	39900029
Hospital Revenue Code	310
Min. Negotiated Rate	$67.45
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$503.74
Rate for Payer: Aetna Medicare Advantage	$600.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$671.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$671.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$185.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$671.81
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: Cigna Medicare Advantage	$185.20
Rate for Payer: Clover Medicare Advantage	$175.94
Rate for Payer: EmblemHealth Commercial	$555.60
Rate for Payer: Humana Medicare Advantage	$190.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$185.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$148.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$185.20
Rate for Payer: Wellcare Medicare Advantage	$185.20
Rate for Payer: Wellpoint Medicaid Managed Care	$67.45

YEAST ID

Facility

$390.00

Service Code	HCPCS 87106
Hospital Charge Code	39900266
Hospital Revenue Code	309
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$28.07
Rate for Payer: Aetna Medicare Advantage	$33.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.44
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$10.32
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10.32
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	$8.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Medicare Advantage	$10.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

YEAST ID

Facility

$390.00

Service Code	HCPCS 87106
Hospital Charge Code	39900266
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

YELLOW WRIST FIXATOR SMALL

Facility

$2,797.00

Hospital Charge Code	270335731
Hospital Revenue Code	272
Min. Negotiated Rate	$79.43
Max. Negotiated Rate	$1,398.50
Rate for Payer: Aetna Commercial	$1,062.86
Rate for Payer: Aetna Medicare Advantage	$839.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.24
Rate for Payer: Cigna Commercial	$1,398.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$727.22
Rate for Payer: Oxford Commercial	$559.40
Rate for Payer: Qualcare PPO/HMO/WC	$419.55
Rate for Payer: UnitedHealthcare Commercial	$559.40
Rate for Payer: UnitedHealthcare Community & State	$88.39
Rate for Payer: Wellpoint Medicaid Managed Care	$79.43

YELLOW WRIST FIXATOR SMALL

Facility

$2,797.00

Hospital Charge Code	270335731
Hospital Revenue Code	272
Min. Negotiated Rate	$419.55
Max. Negotiated Rate	$419.55
Rate for Payer: Qualcare PPO/HMO/WC	$419.55

YERSINIA CULTURE, I

Facility

$64.85

Service Code	HCPCS 87046
Hospital Charge Code	39990051A
Hospital Revenue Code	309
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

YERSINIA CULTURE, I

Facility

$64.85

Service Code	HCPCS 87046
Hospital Charge Code	39990051A
Hospital Revenue Code	309
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$25.68
Rate for Payer: Aetna Medicare Advantage	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.24
Rate for Payer: Cigna Commercial	$32.42
Rate for Payer: Cigna Medicare Advantage	$9.44
Rate for Payer: Clover Medicare Advantage	$8.97
Rate for Payer: EmblemHealth Commercial	$28.32
Rate for Payer: Humana Medicare Advantage	$9.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.86
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.44
Rate for Payer: Wellcare Medicare Advantage	$9.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

YERSINIA CULTURE, II

Facility

$45.60

Service Code	HCPCS 87081
Hospital Charge Code	39990051B
Hospital Revenue Code	309
Min. Negotiated Rate	$6.84
Max. Negotiated Rate	$6.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.84

YERSINIA CULTURE, II

Facility

$45.60

Service Code	HCPCS 87081
Hospital Charge Code	39990051B
Hospital Revenue Code	309
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$18.03
Rate for Payer: Aetna Medicare Advantage	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.05
Rate for Payer: Cigna Commercial	$22.80
Rate for Payer: Cigna Medicare Advantage	$6.63
Rate for Payer: Clover Medicare Advantage	$6.30
Rate for Payer: EmblemHealth Commercial	$19.89
Rate for Payer: Humana Medicare Advantage	$6.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.84
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.63
Rate for Payer: Wellcare Medicare Advantage	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

Y-MESH ALYTE

Facility

$4,590.00

Service Code	HCPCS C1763
Hospital Charge Code	270672887
Hospital Revenue Code	278
Min. Negotiated Rate	$130.36
Max. Negotiated Rate	$2,295.00
Rate for Payer: Aetna Commercial	$1,744.20
Rate for Payer: Aetna Medicare Advantage	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,170.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,170.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,170.45
Rate for Payer: Cigna Commercial	$2,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,110.78
Rate for Payer: Qualcare PPO/HMO/WC	$688.50
Rate for Payer: UnitedHealthcare Community & State	$145.04
Rate for Payer: Wellpoint Medicaid Managed Care	$130.36

Y-MESH ALYTE

Facility

$4,590.00

Service Code	HCPCS C1763
Hospital Charge Code	270672887
Hospital Revenue Code	278
Min. Negotiated Rate	$688.50
Max. Negotiated Rate	$1,110.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$918.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,110.78
Rate for Payer: Qualcare PPO/HMO/WC	$688.50

YO AB SCR W/REFL TITER,WB

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900367
Hospital Revenue Code	302
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$32.78
Rate for Payer: Aetna Medicare Advantage	$39.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.71
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.05
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.05
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	$9.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Medicare Advantage	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

YO AB SCR W/REFL TITER,WB

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900367
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

YOKE OSS REINFORCE

Facility

$5,685.00

Service Code	HCPCS C1776
Hospital Charge Code	270638566
Hospital Revenue Code	278
Min. Negotiated Rate	$852.75
Max. Negotiated Rate	$1,375.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,137.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,375.77
Rate for Payer: Qualcare PPO/HMO/WC	$852.75

YOKE OSS REINFORCE

Facility

$5,685.00

Service Code	HCPCS C1776
Hospital Charge Code	270638566
Hospital Revenue Code	278
Min. Negotiated Rate	$161.45
Max. Negotiated Rate	$2,842.50
Rate for Payer: Aetna Commercial	$2,160.30
Rate for Payer: Aetna Medicare Advantage	$1,705.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,449.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,449.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,137.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,449.67
Rate for Payer: Cigna Commercial	$2,842.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,375.77
Rate for Payer: Qualcare PPO/HMO/WC	$852.75
Rate for Payer: UnitedHealthcare Community & State	$179.65
Rate for Payer: Wellpoint Medicaid Managed Care	$161.45

Y-PLATE 1.5MM 3HOLE/8HOLE

Facility

$967.15

Service Code	HCPCS C1713
Hospital Charge Code	270654817
Hospital Revenue Code	278
Min. Negotiated Rate	$145.07
Max. Negotiated Rate	$234.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.05
Rate for Payer: Qualcare PPO/HMO/WC	$145.07

Y-PLATE 1.5MM 3HOLE/8HOLE

Facility

$967.15

Service Code	HCPCS C1713
Hospital Charge Code	270654817
Hospital Revenue Code	278
Min. Negotiated Rate	$27.47
Max. Negotiated Rate	$483.57
Rate for Payer: Aetna Commercial	$367.52
Rate for Payer: Aetna Medicare Advantage	$290.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.62
Rate for Payer: Cigna Commercial	$483.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.05
Rate for Payer: Qualcare PPO/HMO/WC	$145.07
Rate for Payer: UnitedHealthcare Community & State	$30.56
Rate for Payer: Wellpoint Medicaid Managed Care	$27.47

Y-PLATE 2.0MM 3 HOLE/8HOLE

Facility

$1,096.95

Service Code	HCPCS C1713
Hospital Charge Code	270654830
Hospital Revenue Code	278
Min. Negotiated Rate	$31.15
Max. Negotiated Rate	$548.48
Rate for Payer: Aetna Commercial	$416.84
Rate for Payer: Aetna Medicare Advantage	$329.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.72
Rate for Payer: Cigna Commercial	$548.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.46
Rate for Payer: Qualcare PPO/HMO/WC	$164.54
Rate for Payer: UnitedHealthcare Community & State	$34.66
Rate for Payer: Wellpoint Medicaid Managed Care	$31.15

Know your out-of-pocket cost for care.

All Charges