Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BONE MARROW ASPIRATION DX

Facility

$8,995.35

Service Code	HCPCS 38220
Hospital Charge Code	404138220
Hospital Revenue Code	361
Min. Negotiated Rate	$1,349.30
Max. Negotiated Rate	$1,349.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30

BONE MARROW ASPIRATION DX

Facility

$8,995.35

Service Code	HCPCS 38220
Hospital Charge Code	404138220
Hospital Revenue Code	361
Min. Negotiated Rate	$255.47
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,338.79
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$284.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$255.47

BONE MARROW ASPIRATION ONLY

Facility

$1,529.00

Service Code	HCPCS 38220
Hospital Charge Code	3401032
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

BONE MARROW ASPIRATION ONLY

Facility

$1,529.00

Service Code	HCPCS 38220
Hospital Charge Code	3401032
Hospital Revenue Code	361
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.54
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$48.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$43.42

Bone marrow aspir bone grfg

Facility

$11,887.22

Service Code	HCPCS 20939
Hospital Charge Code	16000349
Hospital Revenue Code	360
Min. Negotiated Rate	$1,783.08
Max. Negotiated Rate	$1,783.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,783.08

Bone marrow aspir bone grfg

Facility

$11,887.22

Service Code	HCPCS 20939
Hospital Charge Code	16000349
Hospital Revenue Code	360
Min. Negotiated Rate	$337.60
Max. Negotiated Rate	$5,943.61
Rate for Payer: Aetna Commercial	$4,517.14
Rate for Payer: Aetna Medicare Advantage	$3,566.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,031.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,031.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,031.24
Rate for Payer: Cigna Commercial	$5,943.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,090.68
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,783.08
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$375.64
Rate for Payer: Wellpoint Medicaid Managed Care	$337.60

BONE MARROW ASP NEEDLE 11 GAUG

Facility

$278.00

Hospital Charge Code	270339050
Hospital Revenue Code	272
Min. Negotiated Rate	$7.90
Max. Negotiated Rate	$139.00
Rate for Payer: Aetna Commercial	$105.64
Rate for Payer: Aetna Medicare Advantage	$83.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.89
Rate for Payer: Cigna Commercial	$139.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.28
Rate for Payer: Oxford Commercial	$55.60
Rate for Payer: Qualcare PPO/HMO/WC	$41.70
Rate for Payer: UnitedHealthcare Commercial	$55.60
Rate for Payer: UnitedHealthcare Community & State	$8.78
Rate for Payer: Wellpoint Medicaid Managed Care	$7.90

BONE MARROW ASP NEEDLE 11 GAUG

Facility

$278.00

Hospital Charge Code	270339050
Hospital Revenue Code	272
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$41.70
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

BONE MARROW BIOPSY

Facility

$7,612.30

Service Code	HCPCS 38221
Hospital Charge Code	16000177
Hospital Revenue Code	360
Min. Negotiated Rate	$216.19
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,979.20
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.85
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$240.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$216.19

BONE MARROW BIOPSY

Facility

$7,612.30

Service Code	HCPCS 38221
Hospital Charge Code	16000177
Hospital Revenue Code	360
Min. Negotiated Rate	$1,141.85
Max. Negotiated Rate	$1,141.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.85

BONE MARROW BIOPSY

Facility

$1,457.45

Service Code	HCPCS 38221
Hospital Charge Code	93500145
Hospital Revenue Code	761
Min. Negotiated Rate	$218.62
Max. Negotiated Rate	$218.62
Rate for Payer: Qualcare PPO/HMO/WC	$218.62

BONE MARROW BIOPSY

Facility

$1,457.45

Service Code	HCPCS 38221
Hospital Charge Code	93500145
Hospital Revenue Code	761
Min. Negotiated Rate	$41.39
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.94
Rate for Payer: Oxford Commercial	$291.49
Rate for Payer: Qualcare PPO/HMO/WC	$218.62
Rate for Payer: UnitedHealthcare Commercial	$291.49
Rate for Payer: UnitedHealthcare Community & State	$46.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$41.39

BONE MARROW BIOPSY DX

Facility

$8,995.35

Service Code	HCPCS 38221
Hospital Charge Code	404138221
Hospital Revenue Code	361
Min. Negotiated Rate	$255.47
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,338.79
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$284.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$255.47

BONE MARROW BIOPSY DX

Facility

$8,995.35

Service Code	HCPCS 38221
Hospital Charge Code	404138221
Hospital Revenue Code	361
Min. Negotiated Rate	$1,349.30
Max. Negotiated Rate	$1,349.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30

BONE MARROW CONC SYSTEM 60ML

Facility

$17,250.00

Hospital Charge Code	270672818
Hospital Revenue Code	272
Min. Negotiated Rate	$2,587.50
Max. Negotiated Rate	$2,587.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50

BONE MARROW CONC SYSTEM 60ML

Facility

$17,250.00

Hospital Charge Code	270672818
Hospital Revenue Code	272
Min. Negotiated Rate	$489.90
Max. Negotiated Rate	$8,625.00
Rate for Payer: Aetna Commercial	$6,555.00
Rate for Payer: Aetna Medicare Advantage	$5,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,398.75
Rate for Payer: Cigna Commercial	$8,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,485.00
Rate for Payer: Oxford Commercial	$3,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50
Rate for Payer: UnitedHealthcare Commercial	$3,450.00
Rate for Payer: UnitedHealthcare Community & State	$545.10
Rate for Payer: Wellpoint Medicaid Managed Care	$489.90

BONE MARROW HARVEST AUTOLOG

Facility

$37,494.00

Service Code	HCPCS 38232
Hospital Charge Code	16000740
Hospital Revenue Code	360
Min. Negotiated Rate	$1,064.83
Max. Negotiated Rate	$18,770.32
Rate for Payer: Aetna Commercial	$14,074.50
Rate for Payer: Aetna Medicare Advantage	$16,765.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,770.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,770.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,174.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,770.32
Rate for Payer: Cigna Commercial	$10,372.18
Rate for Payer: Cigna Medicare Advantage	$5,174.45
Rate for Payer: Clover Medicare Advantage	$4,915.73
Rate for Payer: EmblemHealth Commercial	$15,523.35
Rate for Payer: Humana Medicare Advantage	$5,329.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,174.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,748.44
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,624.10
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,184.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,174.45
Rate for Payer: Wellcare Medicare Advantage	$5,174.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1,064.83

BONE MARROW HARVEST AUTOLOG

Facility

$37,494.00

Service Code	HCPCS 38232
Hospital Charge Code	16000740
Hospital Revenue Code	360
Min. Negotiated Rate	$5,624.10
Max. Negotiated Rate	$5,624.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,624.10

BONE MARROW HARVEST KIT

Facility

$13,475.00

Hospital Charge Code	270669061
Hospital Revenue Code	272
Min. Negotiated Rate	$2,021.25
Max. Negotiated Rate	$2,021.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,021.25

BONE MARROW HARVEST KIT

Facility

$13,475.00

Hospital Charge Code	270669061
Hospital Revenue Code	272
Min. Negotiated Rate	$382.69
Max. Negotiated Rate	$6,737.50
Rate for Payer: Aetna Commercial	$5,120.50
Rate for Payer: Aetna Medicare Advantage	$4,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,436.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,436.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,436.12
Rate for Payer: Cigna Commercial	$6,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,503.50
Rate for Payer: Oxford Commercial	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,021.25
Rate for Payer: UnitedHealthcare Commercial	$2,695.00
Rate for Payer: UnitedHealthcare Community & State	$425.81
Rate for Payer: Wellpoint Medicaid Managed Care	$382.69

BONE MARROW HARV TRANSPLANT

Facility

$5,392.12

Service Code	HCPCS 38222
Hospital Charge Code	16000355
Hospital Revenue Code	360
Min. Negotiated Rate	$153.14
Max. Negotiated Rate	$12,518.07
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,518.07
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,401.95
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$808.82
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$170.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$153.14

BONE MARROW HARV TRANSPLANT

Facility

$5,392.12

Service Code	HCPCS 38222
Hospital Charge Code	16000355
Hospital Revenue Code	360
Min. Negotiated Rate	$808.82
Max. Negotiated Rate	$808.82
Rate for Payer: Qualcare PPO/HMO/WC	$808.82

BONE MARROW NEEDLE BIOPSY

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	3407005
Hospital Revenue Code	361
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.54
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$48.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$43.42

BONE MARROW NEEDLE BIOPSY

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	3407005
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

BONE MARROW NEEDLE BIOPSY-STAI

Facility

$1,529.00

Service Code	HCPCS 88313
Hospital Charge Code	38474076
Hospital Revenue Code	310
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

Know your out-of-pocket cost for care.

All Charges