Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BLOOD CULTURE

Facility

$389.20

Service Code	HCPCS 87040
Hospital Charge Code	38475017
Hospital Revenue Code	306
Min. Negotiated Rate	$58.38
Max. Negotiated Rate	$58.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.38

BLOOD CULTURE-QUEST

Facility

$67.34

Service Code	HCPCS 87040
Hospital Charge Code	401387040
Hospital Revenue Code	306
Min. Negotiated Rate	$10.10
Max. Negotiated Rate	$10.10
Rate for Payer: Qualcare PPO/HMO/WC	$10.10

BLOOD CULTURE-QUEST

Facility

$67.34

Service Code	HCPCS 87040
Hospital Charge Code	401387040
Hospital Revenue Code	306
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$156.00
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	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.44
Rate for Payer: Cigna Commercial	$33.67
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	$17.51
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.10
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	$1.91

BLOOD GAS

Facility

$1,278.39

Service Code	HCPCS 82803
Hospital Charge Code	9500596
Hospital Revenue Code	300
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$639.20
Rate for Payer: Aetna Commercial	$70.91
Rate for Payer: Aetna Medicare Advantage	$84.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.57
Rate for Payer: Cigna Commercial	$639.20
Rate for Payer: Cigna Medicare Advantage	$26.07
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.38
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.76
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Medicare Advantage	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$36.31

BLOOD GAS

Facility

$1,278.39

Service Code	HCPCS 82803
Hospital Charge Code	9500596
Hospital Revenue Code	300
Min. Negotiated Rate	$191.76
Max. Negotiated Rate	$191.76
Rate for Payer: Qualcare PPO/HMO/WC	$191.76

BLOOD GASES-CORD BLOOD

Facility

$733.49

Service Code	HCPCS 82803
Hospital Charge Code	95090380
Hospital Revenue Code	301
Min. Negotiated Rate	$20.83
Max. Negotiated Rate	$366.75
Rate for Payer: Aetna Commercial	$70.91
Rate for Payer: Aetna Medicare Advantage	$84.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.57
Rate for Payer: Cigna Commercial	$366.75
Rate for Payer: Cigna Medicare Advantage	$26.07
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.71
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$110.02
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Medicare Advantage	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$20.83

BLOOD GASES-CORD BLOOD

Facility

$733.49

Service Code	HCPCS 82803
Hospital Charge Code	95090380
Hospital Revenue Code	301
Min. Negotiated Rate	$110.02
Max. Negotiated Rate	$110.02
Rate for Payer: Qualcare PPO/HMO/WC	$110.02

BLOOD HLA 58:01 TYPING

Facility

$495.00

Service Code	HCPCS 93932
Hospital Charge Code	399900535
Hospital Revenue Code	302
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

BLOOD HLA 58:01 TYPING

Facility

$495.00

Service Code	HCPCS 93932
Hospital Charge Code	399900535
Hospital Revenue Code	302
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

BLOOD LEUKORED DEGLYCER WASHED

Facility

$1,487.00

Hospital Charge Code	38471211
Hospital Revenue Code	390
Min. Negotiated Rate	$42.23
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$565.06
Rate for Payer: Aetna Medicare Advantage	$446.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.19
Rate for Payer: Cigna Commercial	$743.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.62
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.05
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$46.99
Rate for Payer: Wellpoint Medicaid Managed Care	$42.23

BLOOD LEUKORED DEGLYCER WASHED

Facility

$1,487.00

Hospital Charge Code	38471211
Hospital Revenue Code	390
Min. Negotiated Rate	$223.05
Max. Negotiated Rate	$223.05
Rate for Payer: Qualcare PPO/HMO/WC	$223.05

BLOOD OCCULT QUAL FECES 1-3

Facility

$23.00

Service Code	HCPCS 82272
Hospital Charge Code	38477019
Hospital Revenue Code	301
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$11.51
Rate for Payer: Aetna Medicare Advantage	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.34
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: Cigna Medicare Advantage	$4.23
Rate for Payer: Clover Medicare Advantage	$4.02
Rate for Payer: EmblemHealth Commercial	$12.69
Rate for Payer: Humana Medicare Advantage	$4.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.23
Rate for Payer: Wellcare Medicare Advantage	$4.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

BLOOD OCCULT QUAL FECES 1-3

Facility

$23.00

Service Code	HCPCS 82272
Hospital Charge Code	38477019
Hospital Revenue Code	301
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

BLOOD OCCULT QUAL OTHER

Facility

$23.00

Service Code	HCPCS 82271
Hospital Charge Code	38477018
Hospital Revenue Code	301
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

BLOOD OCCULT QUAL OTHER

Facility

$23.00

Service Code	HCPCS 82271
Hospital Charge Code	38477018
Hospital Revenue Code	301
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.30
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

BLOOD TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	93500141
Hospital Revenue Code	391
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

BLOOD TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	93500141
Hospital Revenue Code	391
Min. Negotiated Rate	$39.87
Max. Negotiated Rate	$1,901.28
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,901.28
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.98
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.56
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$44.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

BLOOD TYPE:RBC AG NOT ABO,RH(D

Facility

$125.00

Service Code	HCPCS 86905
Hospital Charge Code	38471073
Hospital Revenue Code	309
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$10.42
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.89
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.83
Rate for Payer: Clover Medicare Advantage	$3.64
Rate for Payer: EmblemHealth Commercial	$11.49
Rate for Payer: Humana Medicare Advantage	$3.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.83
Rate for Payer: Wellcare Medicare Advantage	$3.83
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

BLOOD TYPE:RBC AG NOT ABO,RH(D

Facility

$125.00

Service Code	HCPCS 86905
Hospital Charge Code	38471073
Hospital Revenue Code	309
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

BLOOD TYPE & RH PANEL

Facility

$630.21

Service Code	HCPCS 86900
Hospital Charge Code	3100617
Hospital Revenue Code	309
Min. Negotiated Rate	$94.53
Max. Negotiated Rate	$94.53
Rate for Payer: Qualcare PPO/HMO/WC	$94.53

BLOOD TYPE & RH PANEL

Facility

$630.21

Service Code	HCPCS 86900
Hospital Charge Code	3100617
Hospital Revenue Code	309
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.85
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$2.99
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.85
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.53
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Medicare Advantage	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$17.90

BLOOD UREA NITROGEN, BUN

Facility

$390.00

Service Code	HCPCS 84520
Hospital Charge Code	3002664
Hospital Revenue Code	301
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.33
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
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	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BLOOD UREA NITROGEN, BUN

Facility

$390.00

Service Code	HCPCS 84520
Hospital Charge Code	3002664
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLOOD WHOLE LEUKORED IRRAD

Facility

$1,022.00

Hospital Charge Code	38471213
Hospital Revenue Code	390
Min. Negotiated Rate	$29.02
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$388.36
Rate for Payer: Aetna Medicare Advantage	$306.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.61
Rate for Payer: Cigna Commercial	$511.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.72
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.30
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$32.30
Rate for Payer: Wellpoint Medicaid Managed Care	$29.02

BLOOD WHOLE LEUKORED IRRAD

Facility

$1,022.00

Hospital Charge Code	38471213
Hospital Revenue Code	390
Min. Negotiated Rate	$153.30
Max. Negotiated Rate	$153.30
Rate for Payer: Qualcare PPO/HMO/WC	$153.30

Know your out-of-pocket cost for care.

All Charges