Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BRONCHOSCOPY W/BAL

Facility

$6,293.60

Service Code	HCPCS 31624
Hospital Charge Code	1600000354
Hospital Revenue Code	360
Min. Negotiated Rate	$198.88
Max. Negotiated Rate	$7,670.60
Rate for Payer: Aetna Commercial	$5,751.63
Rate for Payer: Aetna Medicare Advantage	$6,851.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,114.57
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	$7,670.60
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: Cigna Medicare Advantage	$2,114.57
Rate for Payer: Clover Medicare Advantage	$2,008.84
Rate for Payer: EmblemHealth Commercial	$6,343.71
Rate for Payer: Humana Medicare Advantage	$2,178.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,114.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,636.34
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$944.04
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$198.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,114.57
Rate for Payer: Wellcare Medicare Advantage	$2,114.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,594.28
Rate for Payer: Wellpoint Medicaid Managed Care	$4,504.20

BRONCH W/BRUSHING

Facility

$6,293.60

Service Code	HCPCS 31623
Hospital Charge Code	1600000253
Hospital Revenue Code	360
Min. Negotiated Rate	$178.74
Max. Negotiated Rate	$7,670.60
Rate for Payer: Aetna Commercial	$5,751.63
Rate for Payer: Aetna Medicare Advantage	$6,851.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,114.57
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	$7,670.60
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: Cigna Medicare Advantage	$2,114.57
Rate for Payer: Clover Medicare Advantage	$2,008.84
Rate for Payer: EmblemHealth Commercial	$6,343.71
Rate for Payer: Humana Medicare Advantage	$2,178.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,114.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,636.34
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$944.04
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$198.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,114.57
Rate for Payer: Wellcare Medicare Advantage	$2,114.57
Rate for Payer: Wellpoint Medicaid Managed Care	$178.74

BRONCH W/BRUSHING

Facility

$6,293.60

Service Code	HCPCS 31623
Hospital Charge Code	1600000253
Hospital Revenue Code	360
Min. Negotiated Rate	$944.04
Max. Negotiated Rate	$944.04
Rate for Payer: Qualcare PPO/HMO/WC	$944.04

BRUCELLA AB(IGG,IGM)W/RFL I

Facility

$390.00

Service Code	HCPCS 8662291
Hospital Charge Code	39990087A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BRUCELLA AB(IGG,IGM)W/RFL I

Facility

$390.00

Service Code	HCPCS 8662291
Hospital Charge Code	39990087A
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BRUCELLA AB(IGG,IGM)W/RFL II

Facility

$390.00

Service Code	HCPCS 8662291
Hospital Charge Code	39990087B
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

BRUCELLA AB(IGG,IGM)W/RFL II

Facility

$390.00

Service Code	HCPCS 8662291
Hospital Charge Code	39990087B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BRUCELLA ANTIBODY

Facility

$95.00

Service Code	HCPCS 86622
Hospital Charge Code	38476013
Hospital Revenue Code	302
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

BRUCELLA ANTIBODY

Facility

$95.00

Service Code	HCPCS 86622
Hospital Charge Code	38476013
Hospital Revenue Code	302
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$24.29
Rate for Payer: Aetna Medicare Advantage	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.39
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: Cigna Medicare Advantage	$8.93
Rate for Payer: Clover Medicare Advantage	$8.48
Rate for Payer: EmblemHealth Commercial	$26.79
Rate for Payer: Humana Medicare Advantage	$9.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.93
Rate for Payer: Wellcare Medicare Advantage	$8.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.70

BRUCELLA SCREEN VAR BONE MARRW

Facility

$51.74

Service Code	HCPCS 87081
Hospital Charge Code	4013870812
Hospital Revenue Code	309
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$18.03
Rate for Payer: Aetna Medicare Advantage	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.05
Rate for Payer: Cigna Commercial	$25.87
Rate for Payer: Cigna Medicare Advantage	$6.63
Rate for Payer: Clover Medicare Advantage	$6.30
Rate for Payer: EmblemHealth Commercial	$19.89
Rate for Payer: Humana Medicare Advantage	$6.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.45
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.76
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.63
Rate for Payer: Wellcare Medicare Advantage	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.47

BRUCELLA SCREEN VAR BONE MARRW

Facility

$51.74

Service Code	HCPCS 87081
Hospital Charge Code	4013870812
Hospital Revenue Code	309
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$7.76
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

BRUSH BD PEG CLEANING 000396

Facility

$53.25

Hospital Charge Code	270614872
Hospital Revenue Code	272
Min. Negotiated Rate	$7.99
Max. Negotiated Rate	$7.99
Rate for Payer: Qualcare PPO/HMO/WC	$7.99

BRUSH BD PEG CLEANING 000396

Facility

$53.25

Hospital Charge Code	270614872
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$26.62
Rate for Payer: Aetna Commercial	$20.23
Rate for Payer: Aetna Medicare Advantage	$15.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.58
Rate for Payer: Cigna Commercial	$26.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.85
Rate for Payer: Oxford Commercial	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.99
Rate for Payer: UnitedHealthcare Commercial	$10.65
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

BRUSH BLD CYTOLOGY ENDO 60318

Facility

$80.04

Hospital Charge Code	270600926
Hospital Revenue Code	270
Min. Negotiated Rate	$12.01
Max. Negotiated Rate	$12.01
Rate for Payer: Qualcare PPO/HMO/WC	$12.01

BRUSH BLD CYTOLOGY ENDO 60318

Facility

$80.04

Hospital Charge Code	270600926
Hospital Revenue Code	270
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$40.02
Rate for Payer: Aetna Commercial	$30.42
Rate for Payer: Aetna Medicare Advantage	$24.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.41
Rate for Payer: Cigna Commercial	$40.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.81
Rate for Payer: Oxford Commercial	$16.01
Rate for Payer: Qualcare PPO/HMO/WC	$12.01
Rate for Payer: UnitedHealthcare Commercial	$16.01
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

BRUSH CHANELL CLEAN 6MM

Facility

$253.50

Hospital Charge Code	270658241
Hospital Revenue Code	270
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$38.02
Rate for Payer: Qualcare PPO/HMO/WC	$38.02

BRUSH CHANELL CLEAN 6MM

Facility

$253.50

Hospital Charge Code	270658241
Hospital Revenue Code	270
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$126.75
Rate for Payer: Aetna Commercial	$96.33
Rate for Payer: Aetna Medicare Advantage	$76.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.64
Rate for Payer: Cigna Commercial	$126.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.91
Rate for Payer: Oxford Commercial	$50.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.02
Rate for Payer: UnitedHealthcare Commercial	$50.70
Rate for Payer: UnitedHealthcare Community & State	$8.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.20

BRUSH CLEANING

Facility

$66.65

Hospital Charge Code	270676723
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.00

BRUSH CLEANING

Facility

$66.65

Hospital Charge Code	270676723
Hospital Revenue Code	272
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$33.33
Rate for Payer: Aetna Commercial	$25.33
Rate for Payer: Aetna Medicare Advantage	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.00
Rate for Payer: Cigna Commercial	$33.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.33
Rate for Payer: Oxford Commercial	$13.33
Rate for Payer: Qualcare PPO/HMO/WC	$10.00
Rate for Payer: UnitedHealthcare Commercial	$13.33
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

BRUSH CYTOLOGY RX WIRE GUID

Facility

$525.00

Hospital Charge Code	270628065
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

BRUSH CYTOLOGY RX WIRE GUID

Facility

$525.00

Hospital Charge Code	270628065
Hospital Revenue Code	272
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

BRUSH DISPOSABLE CYTOLOGY

Facility

$79.54

Hospital Charge Code	270655058
Hospital Revenue Code	272
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$11.93

BRUSH DISPOSABLE CYTOLOGY

Facility

$79.54

Hospital Charge Code	270655058
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$39.77
Rate for Payer: Aetna Commercial	$30.23
Rate for Payer: Aetna Medicare Advantage	$23.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.28
Rate for Payer: Cigna Commercial	$39.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.68
Rate for Payer: Oxford Commercial	$15.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.93
Rate for Payer: UnitedHealthcare Commercial	$15.91
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

BRUSH ENDO 5MM CHANNEL 2-4MM

Facility

$12.88

Hospital Charge Code	270677794
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$6.44
Rate for Payer: Aetna Commercial	$4.89
Rate for Payer: Aetna Medicare Advantage	$3.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$2.58
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

BRUSH ENDO 5MM CHANNEL 2-4MM

Facility

$12.88

Hospital Charge Code	270677794
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

Know your out-of-pocket cost for care.

All Charges