Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ZINC,PLASMA

Facility

$667.59

Service Code	HCPCS 84630
Hospital Charge Code	39900153
Hospital Revenue Code	301
Min. Negotiated Rate	$9.11
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$30.98
Rate for Payer: Aetna Medicare Advantage	$36.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.32
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$11.39
Rate for Payer: Clover Medicare Advantage	$10.82
Rate for Payer: EmblemHealth Commercial	$34.17
Rate for Payer: Humana Medicare Advantage	$11.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.39
Rate for Payer: Wellcare Medicare Advantage	$11.39
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

ZINC PROTOPORPHYRIN

Facility

$247.00

Service Code	HCPCS 84202
Hospital Charge Code	38472037
Hospital Revenue Code	301
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$39.03
Rate for Payer: Aetna Medicare Advantage	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.05
Rate for Payer: Cigna Commercial	$123.50
Rate for Payer: Cigna Medicare Advantage	$14.35
Rate for Payer: Clover Medicare Advantage	$13.63
Rate for Payer: EmblemHealth Commercial	$43.05
Rate for Payer: Humana Medicare Advantage	$14.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.22
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.35
Rate for Payer: Wellcare Medicare Advantage	$14.35
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

ZINC PROTOPORPHYRIN

Facility

$247.00

Service Code	HCPCS 84202
Hospital Charge Code	38472037
Hospital Revenue Code	301
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$37.05

ZINC SULFATE 110MG

Facility

$4.00

Service Code	NDC 394012402
Hospital Charge Code	606390322
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ZINC SULFATE 110MG

Facility

$4.00

Service Code	NDC 394012402
Hospital Charge Code	606390322
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ZINC SULFATE 220 MG CAP

Facility

$4.00

Service Code	NDC 41163026649
Hospital Charge Code	60627939
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ZINC SULFATE 220 MG CAP

Facility

$4.00

Service Code	NDC 41163026649
Hospital Charge Code	60627939
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ZINZ,SERUM

Facility

$169.00

Service Code	HCPCS 84630
Hospital Charge Code	38479114
Hospital Revenue Code	301
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

ZINZ,SERUM

Facility

$169.00

Service Code	HCPCS 84630
Hospital Charge Code	38479114
Hospital Revenue Code	301
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$30.98
Rate for Payer: Aetna Medicare Advantage	$36.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.32
Rate for Payer: Cigna Commercial	$84.50
Rate for Payer: Cigna Medicare Advantage	$11.39
Rate for Payer: Clover Medicare Advantage	$10.82
Rate for Payer: EmblemHealth Commercial	$34.17
Rate for Payer: Humana Medicare Advantage	$11.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.94
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.39
Rate for Payer: Wellcare Medicare Advantage	$11.39
Rate for Payer: Wellpoint Medicaid Managed Care	$4.80

ZIO XT EXT ECG>48HR<7DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93242
Hospital Charge Code	365493242
Hospital Revenue Code	731
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$810.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

ZIO XT EXT ECG>48HR<7DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93242
Hospital Charge Code	365493242
Hospital Revenue Code	731
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$2,460.00
Rate for Payer: Aetna Commercial	$120.69
Rate for Payer: Aetna Medicare Advantage	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.95
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$44.37
Rate for Payer: Clover Medicare Advantage	$42.15
Rate for Payer: EmblemHealth Commercial	$133.11
Rate for Payer: Humana Medicare Advantage	$45.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,404.00
Rate for Payer: Oxford Commercial	$2,169.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Commercial	$2,460.00
Rate for Payer: UnitedHealthcare Community & State	$170.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.37
Rate for Payer: Wellcare Medicare Advantage	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$153.36

ZIO XT EXT ECG<=48HR REC&CONN

Facility

$5,400.00

Service Code	HCPCS 93225
Hospital Charge Code	365493225
Hospital Revenue Code	731
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$810.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

ZIO XT EXT ECG<=48HR REC&CONN

Facility

$5,400.00

Service Code	HCPCS 93225
Hospital Charge Code	365493225
Hospital Revenue Code	731
Min. Negotiated Rate	$150.16
Max. Negotiated Rate	$2,460.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,404.00
Rate for Payer: Oxford Commercial	$2,169.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Commercial	$2,460.00
Rate for Payer: UnitedHealthcare Community & State	$170.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$153.36

ZIO XT EXT ECG >7D<15DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93246
Hospital Charge Code	365493246
Hospital Revenue Code	731
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$810.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

ZIO XT EXT ECG >7D<15DREC&CONN

Facility

$5,400.00

Service Code	HCPCS 93246
Hospital Charge Code	365493246
Hospital Revenue Code	731
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$2,460.00
Rate for Payer: Aetna Commercial	$120.69
Rate for Payer: Aetna Medicare Advantage	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.95
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$44.37
Rate for Payer: Clover Medicare Advantage	$42.15
Rate for Payer: EmblemHealth Commercial	$133.11
Rate for Payer: Humana Medicare Advantage	$45.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,404.00
Rate for Payer: Oxford Commercial	$2,169.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Commercial	$2,460.00
Rate for Payer: UnitedHealthcare Community & State	$170.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.37
Rate for Payer: Wellcare Medicare Advantage	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$153.36

ZIPLOOP TOGGLELOC 904754

Facility

$3,140.00

Hospital Charge Code	270647897
Hospital Revenue Code	272
Min. Negotiated Rate	$471.00
Max. Negotiated Rate	$471.00
Rate for Payer: Qualcare PPO/HMO/WC	$471.00

ZIPLOOP TOGGLELOC 904754

Facility

$3,140.00

Hospital Charge Code	270647897
Hospital Revenue Code	272
Min. Negotiated Rate	$89.18
Max. Negotiated Rate	$1,570.00
Rate for Payer: Aetna Commercial	$1,193.20
Rate for Payer: Aetna Medicare Advantage	$942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$800.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$800.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$800.70
Rate for Payer: Cigna Commercial	$1,570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.40
Rate for Payer: Oxford Commercial	$628.00
Rate for Payer: Qualcare PPO/HMO/WC	$471.00
Rate for Payer: UnitedHealthcare Commercial	$628.00
Rate for Payer: UnitedHealthcare Community & State	$99.22
Rate for Payer: Wellpoint Medicaid Managed Care	$89.18

ZIPRASIDONE 20 MG CAP

Facility

$60.03

Service Code	NDC 904626908
Hospital Charge Code	60629146
Hospital Revenue Code	250
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

ZIPRASIDONE 20 MG CAP

Facility

$60.03

Service Code	NDC 904626908
Hospital Charge Code	60629146
Hospital Revenue Code	250
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$30.02
Rate for Payer: Aetna Commercial	$22.81
Rate for Payer: Aetna Medicare Advantage	$18.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.31
Rate for Payer: Cigna Commercial	$30.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.61
Rate for Payer: Oxford Commercial	$12.01
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

ZIPRASIDONE 20 MG VIAL

Facility

$210.51

Service Code	HCPCS J3486
Hospital Charge Code	60629966
Hospital Revenue Code	636
Min. Negotiated Rate	$31.58
Max. Negotiated Rate	$50.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.94
Rate for Payer: Qualcare PPO/HMO/WC	$31.58

ZIPRASIDONE 20 MG VIAL

Facility

$210.51

Service Code	HCPCS J3486
Hospital Charge Code	60629966
Hospital Revenue Code	636
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$105.25
Rate for Payer: Aetna Commercial	$79.99
Rate for Payer: Aetna Medicare Advantage	$63.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.68
Rate for Payer: Cigna Commercial	$105.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.94
Rate for Payer: Qualcare PPO/HMO/WC	$31.58
Rate for Payer: UnitedHealthcare Community & State	$6.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.98

ZIPRASIDONE 60 MG CAP

Facility

$72.90

Service Code	NDC 904627108
Hospital Charge Code	60629186
Hospital Revenue Code	250
Min. Negotiated Rate	$10.94
Max. Negotiated Rate	$10.94
Rate for Payer: Qualcare PPO/HMO/WC	$10.94

ZIPRASIDONE 60 MG CAP

Facility

$72.90

Service Code	NDC 904627108
Hospital Charge Code	60629186
Hospital Revenue Code	250
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$36.45
Rate for Payer: Aetna Commercial	$27.70
Rate for Payer: Aetna Medicare Advantage	$21.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.59
Rate for Payer: Cigna Commercial	$36.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.95
Rate for Payer: Oxford Commercial	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$10.94
Rate for Payer: UnitedHealthcare Commercial	$14.58
Rate for Payer: UnitedHealthcare Community & State	$2.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ZIPTIGHT ANKLE SYNDESMOSIS TI

Facility

$5,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270645491
Hospital Revenue Code	278
Min. Negotiated Rate	$162.73
Max. Negotiated Rate	$2,865.00
Rate for Payer: Aetna Commercial	$2,177.40
Rate for Payer: Aetna Medicare Advantage	$1,719.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,461.15
Rate for Payer: Cigna Commercial	$2,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50
Rate for Payer: UnitedHealthcare Community & State	$181.07
Rate for Payer: Wellpoint Medicaid Managed Care	$162.73

ZIPTIGHT ANKLE SYNDESMOSIS TI

Facility

$5,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270645491
Hospital Revenue Code	278
Min. Negotiated Rate	$859.50
Max. Negotiated Rate	$1,386.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50

Know your out-of-pocket cost for care.

All Charges