Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

Z NAIL 5.0X35 CORT SCREW FA

Facility

$1,008.00

Hospital Charge Code	270665474
Hospital Revenue Code	278
Min. Negotiated Rate	$151.20
Max. Negotiated Rate	$243.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.94
Rate for Payer: Qualcare PPO/HMO/WC	$151.20

Z NAIL CPM 10MM X 21.5CM 13

Facility

$7,740.00

Hospital Charge Code	270661017
Hospital Revenue Code	278
Min. Negotiated Rate	$1,161.00
Max. Negotiated Rate	$1,873.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,548.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,873.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,161.00

Z NAIL CPM 10MM X 21.5CM 13

Facility

$7,740.00

Hospital Charge Code	270661017
Hospital Revenue Code	278
Min. Negotiated Rate	$219.82
Max. Negotiated Rate	$3,870.00
Rate for Payer: Aetna Commercial	$2,941.20
Rate for Payer: Aetna Medicare Advantage	$2,322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,973.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,973.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,548.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,973.70
Rate for Payer: Cigna Commercial	$3,870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,873.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,161.00
Rate for Payer: UnitedHealthcare Community & State	$244.58
Rate for Payer: Wellpoint Medicaid Managed Care	$219.82

Z NAIL TIBIA 9.3MMX34CM UNIV

Facility

$8,460.00

Hospital Charge Code	270665475
Hospital Revenue Code	278
Min. Negotiated Rate	$1,269.00
Max. Negotiated Rate	$2,047.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,692.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,047.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,269.00

Z NAIL TIBIA 9.3MMX34CM UNIV

Facility

$8,460.00

Hospital Charge Code	270665475
Hospital Revenue Code	278
Min. Negotiated Rate	$240.26
Max. Negotiated Rate	$4,230.00
Rate for Payer: Aetna Commercial	$3,214.80
Rate for Payer: Aetna Medicare Advantage	$2,538.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,692.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,157.30
Rate for Payer: Cigna Commercial	$4,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,047.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,269.00
Rate for Payer: UnitedHealthcare Community & State	$267.34
Rate for Payer: Wellpoint Medicaid Managed Care	$240.26

Z NAIL TIBIAL NAIL CAP 10MM

Facility

$1,196.40

Hospital Charge Code	270663147
Hospital Revenue Code	278
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$598.20
Rate for Payer: Aetna Commercial	$454.63
Rate for Payer: Aetna Medicare Advantage	$358.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$305.08
Rate for Payer: Cigna Commercial	$598.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: Qualcare PPO/HMO/WC	$179.46
Rate for Payer: UnitedHealthcare Community & State	$37.81
Rate for Payer: Wellpoint Medicaid Managed Care	$33.98

Z NAIL TIBIAL NAIL CAP 10MM

Facility

$1,196.40

Hospital Charge Code	270663147
Hospital Revenue Code	278
Min. Negotiated Rate	$179.46
Max. Negotiated Rate	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: Qualcare PPO/HMO/WC	$179.46

ZN T8 ANTIBODY

Facility

$390.00

Service Code	HCPCS 86341
Hospital Charge Code	401186341Z
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ZN T8 ANTIBODY

Facility

$390.00

Service Code	HCPCS 86341
Hospital Charge Code	401186341Z
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$64.11
Rate for Payer: Aetna Medicare Advantage	$76.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.50
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$23.57
Rate for Payer: Clover Medicare Advantage	$22.39
Rate for Payer: EmblemHealth Commercial	$70.71
Rate for Payer: Humana Medicare Advantage	$24.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23.57
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	$18.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.57
Rate for Payer: Wellcare Medicare Advantage	$23.57
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ZOLEDRONIC ACID .05MG/ML 100ML

Facility

$4,970.40

Hospital Charge Code	60635905
Hospital Revenue Code	636
Min. Negotiated Rate	$745.56
Max. Negotiated Rate	$1,202.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,202.84
Rate for Payer: Qualcare PPO/HMO/WC	$745.56

ZOLEDRONIC ACID .05MG/ML 100ML

Facility

$4,970.40

Hospital Charge Code	60635905
Hospital Revenue Code	636
Min. Negotiated Rate	$141.16
Max. Negotiated Rate	$2,485.20
Rate for Payer: Aetna Commercial	$1,888.75
Rate for Payer: Aetna Medicare Advantage	$1,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,267.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,267.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,267.45
Rate for Payer: Cigna Commercial	$2,485.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,202.84
Rate for Payer: Qualcare PPO/HMO/WC	$745.56
Rate for Payer: UnitedHealthcare Community & State	$157.06
Rate for Payer: Wellpoint Medicaid Managed Care	$141.16

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility

$8,201.47

Service Code	HCPCS J3489
Hospital Charge Code	60629200
Hospital Revenue Code	636
Min. Negotiated Rate	$232.92
Max. Negotiated Rate	$4,100.73
Rate for Payer: Aetna Commercial	$3,116.56
Rate for Payer: Aetna Medicare Advantage	$2,460.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,091.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,091.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,091.37
Rate for Payer: Cigna Commercial	$4,100.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.22
Rate for Payer: UnitedHealthcare Community & State	$259.17
Rate for Payer: Wellpoint Medicaid Managed Care	$232.92

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility

$8,201.47

Service Code	HCPCS J3489
Hospital Charge Code	60629200
Hospital Revenue Code	636
Min. Negotiated Rate	$1,230.22
Max. Negotiated Rate	$1,984.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.22

ZOLEDRONIC ACID 5MG/100ML INJ

Facility

$16,272.63

Service Code	HCPCS J3489
Hospital Charge Code	60630023
Hospital Revenue Code	636
Min. Negotiated Rate	$462.14
Max. Negotiated Rate	$8,136.31
Rate for Payer: Aetna Commercial	$6,183.60
Rate for Payer: Aetna Medicare Advantage	$4,881.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,149.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,149.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,149.52
Rate for Payer: Cigna Commercial	$8,136.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,937.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,440.89
Rate for Payer: UnitedHealthcare Community & State	$514.22
Rate for Payer: Wellpoint Medicaid Managed Care	$462.14

ZOLEDRONIC ACID 5MG/100ML INJ

Facility

$16,272.63

Service Code	HCPCS J3489
Hospital Charge Code	60630023
Hospital Revenue Code	636
Min. Negotiated Rate	$2,440.89
Max. Negotiated Rate	$3,937.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,937.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,440.89

ZOLPIDEM 5 MG TAB

Facility

$172.73

Service Code	NDC 24540131
Hospital Charge Code	60629010
Hospital Revenue Code	250
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$86.36
Rate for Payer: Aetna Commercial	$65.64
Rate for Payer: Aetna Medicare Advantage	$51.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.05
Rate for Payer: Cigna Commercial	$86.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.91
Rate for Payer: Oxford Commercial	$34.55
Rate for Payer: Qualcare PPO/HMO/WC	$25.91
Rate for Payer: UnitedHealthcare Commercial	$34.55
Rate for Payer: UnitedHealthcare Community & State	$5.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4.91

ZOLPIDEM 5 MG TAB

Facility

$172.73

Service Code	NDC 24540131
Hospital Charge Code	60629010
Hospital Revenue Code	250
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$25.91
Rate for Payer: Qualcare PPO/HMO/WC	$25.91

ZONE NAVIGATOR

Facility

$1,790.00

Hospital Charge Code	270691761
Hospital Revenue Code	272
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$268.50
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ZONE NAVIGATOR

Facility

$1,790.00

Hospital Charge Code	270691761
Hospital Revenue Code	272
Min. Negotiated Rate	$50.84
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.40
Rate for Payer: Oxford Commercial	$358.00
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Commercial	$358.00
Rate for Payer: UnitedHealthcare Community & State	$56.56
Rate for Payer: Wellpoint Medicaid Managed Care	$50.84

ZONE SPECIAFIC II MENISCAL RIG

Facility

$1,070.00

Hospital Charge Code	270665310
Hospital Revenue Code	270
Min. Negotiated Rate	$30.39
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.20
Rate for Payer: Oxford Commercial	$214.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$214.00
Rate for Payer: UnitedHealthcare Community & State	$33.81
Rate for Payer: Wellpoint Medicaid Managed Care	$30.39

ZONE SPECIAFIC II MENISCAL RIG

Facility

$1,070.00

Hospital Charge Code	270665310
Hospital Revenue Code	270
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

ZONE SPECIFIC II MENISCAL REPA

Facility

$1,035.00

Hospital Charge Code	270665311
Hospital Revenue Code	270
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

ZONE SPECIFIC II MENISCAL REPA

Facility

$1,070.00

Hospital Charge Code	270665312
Hospital Revenue Code	270
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

ZONE SPECIFIC II MENISCAL REPA

Facility

$1,035.00

Hospital Charge Code	270665311
Hospital Revenue Code	270
Min. Negotiated Rate	$29.39
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.10
Rate for Payer: Oxford Commercial	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$207.00
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.39

ZONE SPECIFIC II MENISCAL REPA

Facility

$1,035.00

Hospital Charge Code	270665313
Hospital Revenue Code	270
Min. Negotiated Rate	$29.39
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.10
Rate for Payer: Oxford Commercial	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$207.00
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.39

Know your out-of-pocket cost for care.

All Charges