Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ZONE SPECIFIC II MENISCAL REPA

Facility

$4,380.00

Hospital Charge Code	270665307
Hospital Revenue Code	270
Min. Negotiated Rate	$657.00
Max. Negotiated Rate	$657.00
Rate for Payer: Qualcare PPO/HMO/WC	$657.00

ZONE SPECIFIC II MENISCAL REPA

Facility

$4,380.00

Hospital Charge Code	270665307
Hospital Revenue Code	270
Min. Negotiated Rate	$124.39
Max. Negotiated Rate	$2,190.00
Rate for Payer: Aetna Commercial	$1,664.40
Rate for Payer: Aetna Medicare Advantage	$1,314.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,116.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,116.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,116.90
Rate for Payer: Cigna Commercial	$2,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.80
Rate for Payer: Oxford Commercial	$876.00
Rate for Payer: Qualcare PPO/HMO/WC	$657.00
Rate for Payer: UnitedHealthcare Commercial	$876.00
Rate for Payer: UnitedHealthcare Community & State	$138.41
Rate for Payer: Wellpoint Medicaid Managed Care	$124.39

ZONE SPECIFIC II MENISCAL REPA

Facility

$1,035.00

Hospital Charge Code	270665313
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	$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 SPECIFIC II MENSICAL REPA

Facility

$1,035.00

Hospital Charge Code	270665308
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 MENSICAL REPA

Facility

$1,035.00

Hospital Charge Code	270665308
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 MENISCAL REPAIR

Facility

$1,035.00

Hospital Charge Code	270665309
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 MENISCAL REPAIR

Facility

$1,035.00

Hospital Charge Code	270665309
Hospital Revenue Code	270
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

ZOOM POD ASPIRATION TUBING

Facility

$1,775.00

Hospital Charge Code	270696635S
Hospital Revenue Code	272
Min. Negotiated Rate	$50.41
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$674.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.50
Rate for Payer: Oxford Commercial	$355.00
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Commercial	$355.00
Rate for Payer: UnitedHealthcare Community & State	$56.09
Rate for Payer: Wellpoint Medicaid Managed Care	$50.41

ZOOM POD ASPIRATION TUBING

Facility

$1,775.00

Hospital Charge Code	270696635S
Hospital Revenue Code	272
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$266.25
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

ZOSTER(SHINGLES)VACC

Facility

$1,306.50

Service Code	HCPCS 90736
Hospital Charge Code	83652337
Hospital Revenue Code	636
Min. Negotiated Rate	$195.97
Max. Negotiated Rate	$316.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.17
Rate for Payer: Qualcare PPO/HMO/WC	$195.97

ZOSTER(SHINGLES)VACC

Facility

$1,306.50

Service Code	HCPCS 90736
Hospital Charge Code	83652337
Hospital Revenue Code	636
Min. Negotiated Rate	$37.10
Max. Negotiated Rate	$653.25
Rate for Payer: Aetna Commercial	$496.47
Rate for Payer: Aetna Medicare Advantage	$391.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.16
Rate for Payer: Cigna Commercial	$653.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.17
Rate for Payer: Qualcare PPO/HMO/WC	$195.97
Rate for Payer: UnitedHealthcare Community & State	$41.29
Rate for Payer: Wellpoint Medicaid Managed Care	$37.10

ZOSTRIX/30GM

Facility

$110.55

Service Code	NDC 603064888
Hospital Charge Code	60634302
Hospital Revenue Code	250
Min. Negotiated Rate	$16.58
Max. Negotiated Rate	$16.58
Rate for Payer: Qualcare PPO/HMO/WC	$16.58

ZOSTRIX/30GM

Facility

$110.55

Service Code	NDC 603064888
Hospital Charge Code	60634302
Hospital Revenue Code	250
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$55.27
Rate for Payer: Aetna Commercial	$42.01
Rate for Payer: Aetna Medicare Advantage	$33.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.19
Rate for Payer: Cigna Commercial	$55.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: Oxford Commercial	$22.11
Rate for Payer: Qualcare PPO/HMO/WC	$16.58
Rate for Payer: UnitedHealthcare Commercial	$22.11
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.14

ZOVIRAX 400MG U/D TAB

Facility

$12.66

Service Code	NDC 93894301
Hospital Charge Code	60635283
Hospital Revenue Code	250
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.90

ZOVIRAX 400MG U/D TAB

Facility

$12.66

Service Code	NDC 93894301
Hospital Charge Code	60635283
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.33
Rate for Payer: Aetna Commercial	$4.81
Rate for Payer: Aetna Medicare Advantage	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.23
Rate for Payer: Cigna Commercial	$6.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.29
Rate for Payer: Oxford Commercial	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.90
Rate for Payer: UnitedHealthcare Commercial	$2.53
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

Z PLATE FLARED PC 6X34MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270698012
Hospital Revenue Code	278
Min. Negotiated Rate	$3,012.00
Max. Negotiated Rate	$4,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00

Z PLATE FLARED PC 6X34MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270698012
Hospital Revenue Code	278
Min. Negotiated Rate	$570.27
Max. Negotiated Rate	$10,040.00
Rate for Payer: Aetna Commercial	$7,630.40
Rate for Payer: Aetna Medicare Advantage	$6,024.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,120.40
Rate for Payer: Cigna Commercial	$10,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00
Rate for Payer: UnitedHealthcare Community & State	$634.53
Rate for Payer: Wellpoint Medicaid Managed Care	$570.27

Z STAPLE 8/8MM C03 003

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697867
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

Z STAPLE 8/8MM C03 003

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697867
Hospital Revenue Code	278
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$173.80
Rate for Payer: Wellpoint Medicaid Managed Care	$156.20

ZVPLASTY 10G.15MM BIPED KIT

Facility

$13,165.00

Hospital Charge Code	270703064
Hospital Revenue Code	278
Min. Negotiated Rate	$1,974.75
Max. Negotiated Rate	$3,185.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,633.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,185.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,974.75

ZVPLASTY 10G.15MM BIPED KIT

Facility

$13,165.00

Hospital Charge Code	270703064
Hospital Revenue Code	278
Min. Negotiated Rate	$373.89
Max. Negotiated Rate	$6,582.50
Rate for Payer: Aetna Commercial	$5,002.70
Rate for Payer: Aetna Medicare Advantage	$3,949.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,357.07
Rate for Payer: Cigna Commercial	$6,582.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,185.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,974.75
Rate for Payer: UnitedHealthcare Community & State	$416.01
Rate for Payer: Wellpoint Medicaid Managed Care	$373.89

ZYPREXA 7.5MG UD TAB

Facility

$107.74

Service Code	NDC 43598016530
Hospital Charge Code	60635132
Hospital Revenue Code	250
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$53.87
Rate for Payer: Aetna Commercial	$40.94
Rate for Payer: Aetna Medicare Advantage	$32.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.47
Rate for Payer: Cigna Commercial	$53.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.01
Rate for Payer: Oxford Commercial	$21.55
Rate for Payer: Qualcare PPO/HMO/WC	$16.16
Rate for Payer: UnitedHealthcare Commercial	$21.55
Rate for Payer: UnitedHealthcare Community & State	$3.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.06

ZYPREXA 7.5MG UD TAB

Facility

$107.74

Service Code	NDC 43598016530
Hospital Charge Code	60635132
Hospital Revenue Code	250
Min. Negotiated Rate	$16.16
Max. Negotiated Rate	$16.16
Rate for Payer: Qualcare PPO/HMO/WC	$16.16

Zyprexa Zydis 10mg

Facility

$156.11

Service Code	NDC 2445485
Hospital Charge Code	60630193
Hospital Revenue Code	250
Min. Negotiated Rate	$23.42
Max. Negotiated Rate	$23.42
Rate for Payer: Qualcare PPO/HMO/WC	$23.42

Know your out-of-pocket cost for care.

All Charges