Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CALCIUM,TOTAL

Facility

$145.00

Service Code	HCPCS 82310
Hospital Charge Code	38472149
Hospital Revenue Code	301
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$14.04
Rate for Payer: Aetna Medicare Advantage	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.16
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	$18.72
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Clover Medicare Advantage	$4.90
Rate for Payer: EmblemHealth Commercial	$15.48
Rate for Payer: Humana Medicare Advantage	$5.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.16
Rate for Payer: Wellcare Medicare Advantage	$5.16
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

CALCIUM, URINE

Facility

$517.00

Service Code	HCPCS 82340
Hospital Charge Code	38472152
Hospital Revenue Code	301
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$258.50
Rate for Payer: Aetna Commercial	$16.40
Rate for Payer: Aetna Medicare Advantage	$19.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.87
Rate for Payer: Cigna Commercial	$258.50
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$5.73
Rate for Payer: EmblemHealth Commercial	$18.09
Rate for Payer: Humana Medicare Advantage	$6.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.42
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.55
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.03
Rate for Payer: Wellcare Medicare Advantage	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$14.68

CALCIUM, URINE

Facility

$517.00

Service Code	HCPCS 82340
Hospital Charge Code	38472152
Hospital Revenue Code	301
Min. Negotiated Rate	$77.55
Max. Negotiated Rate	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$77.55

CALCULUS QUANT CHEMICAL

Facility

$91.00

Service Code	HCPCS 82360
Hospital Charge Code	38477109
Hospital Revenue Code	301
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.01
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.69
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: Cigna Medicare Advantage	$12.87
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Medicare Advantage	$12.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

CALCULUS QUANT CHEMICAL

Facility

$91.00

Service Code	HCPCS 82360
Hospital Charge Code	38477109
Hospital Revenue Code	301
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$13.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

CALIBRATED DRILL 4.3MM SHORT

Facility

$800.00

Hospital Charge Code	270663170
Hospital Revenue Code	270
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CALIBRATED DRILL 4.3MM SHORT

Facility

$800.00

Hospital Charge Code	270663170
Hospital Revenue Code	270
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

CALIBRATED DRILL BIT 4.2X145MM

Facility

$2,270.00

Hospital Charge Code	270703862
Hospital Revenue Code	272
Min. Negotiated Rate	$340.50
Max. Negotiated Rate	$340.50
Rate for Payer: Qualcare PPO/HMO/WC	$340.50

CALIBRATED DRILL BIT 4.2X145MM

Facility

$2,270.00

Hospital Charge Code	270703862
Hospital Revenue Code	272
Min. Negotiated Rate	$64.47
Max. Negotiated Rate	$1,135.00
Rate for Payer: Aetna Commercial	$862.60
Rate for Payer: Aetna Medicare Advantage	$681.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$578.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$578.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$578.85
Rate for Payer: Cigna Commercial	$1,135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$590.20
Rate for Payer: Oxford Commercial	$454.00
Rate for Payer: Qualcare PPO/HMO/WC	$340.50
Rate for Payer: UnitedHealthcare Commercial	$454.00
Rate for Payer: UnitedHealthcare Community & State	$71.73
Rate for Payer: Wellpoint Medicaid Managed Care	$64.47

CALIBRATED DRILL BIT 4.3

Facility

$1,550.00

Hospital Charge Code	270657812
Hospital Revenue Code	272
Min. Negotiated Rate	$232.50
Max. Negotiated Rate	$232.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.50

CALIBRATED DRILL BIT 4.3

Facility

$1,550.00

Hospital Charge Code	270657812
Hospital Revenue Code	272
Min. Negotiated Rate	$44.02
Max. Negotiated Rate	$775.00
Rate for Payer: Aetna Commercial	$589.00
Rate for Payer: Aetna Medicare Advantage	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.25
Rate for Payer: Cigna Commercial	$775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.00
Rate for Payer: Oxford Commercial	$310.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.50
Rate for Payer: UnitedHealthcare Commercial	$310.00
Rate for Payer: UnitedHealthcare Community & State	$48.98
Rate for Payer: Wellpoint Medicaid Managed Care	$44.02

CALPORTECTIN, STOOL

Facility

$134.90

Service Code	HCPCS 83993
Hospital Charge Code	39900117
Hospital Revenue Code	301
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$53.39
Rate for Payer: Aetna Medicare Advantage	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.21
Rate for Payer: Cigna Commercial	$67.45
Rate for Payer: Cigna Medicare Advantage	$19.63
Rate for Payer: Clover Medicare Advantage	$18.65
Rate for Payer: EmblemHealth Commercial	$58.89
Rate for Payer: Humana Medicare Advantage	$20.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.07
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.23
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.63
Rate for Payer: Wellcare Medicare Advantage	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.83

CALPORTECTIN, STOOL

Facility

$134.90

Service Code	HCPCS 83993
Hospital Charge Code	39900117
Hospital Revenue Code	301
Min. Negotiated Rate	$20.23
Max. Negotiated Rate	$20.23
Rate for Payer: Qualcare PPO/HMO/WC	$20.23

CALPROTECTIN, FECAL

Facility

$390.00

Service Code	HCPCS 83993
Hospital Charge Code	3038141
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$53.39
Rate for Payer: Aetna Medicare Advantage	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.21
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$19.63
Rate for Payer: Clover Medicare Advantage	$18.65
Rate for Payer: EmblemHealth Commercial	$58.89
Rate for Payer: Humana Medicare Advantage	$20.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.63
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	$15.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.63
Rate for Payer: Wellcare Medicare Advantage	$19.63
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CALPROTECTIN, FECAL

Facility

$390.00

Service Code	HCPCS 83993
Hospital Charge Code	3038141
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CAMERA SOAKER CAP 1488/1288

Facility

$240.55

Hospital Charge Code	270688264
Hospital Revenue Code	272
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$120.28
Rate for Payer: Aetna Commercial	$91.41
Rate for Payer: Aetna Medicare Advantage	$72.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.34
Rate for Payer: Cigna Commercial	$120.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.54
Rate for Payer: Oxford Commercial	$48.11
Rate for Payer: Qualcare PPO/HMO/WC	$36.08
Rate for Payer: UnitedHealthcare Commercial	$48.11
Rate for Payer: UnitedHealthcare Community & State	$7.60
Rate for Payer: Wellpoint Medicaid Managed Care	$6.83

CAMERA SOAKER CAP 1488/1288

Facility

$240.55

Hospital Charge Code	270688264
Hospital Revenue Code	272
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$36.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.08

CAMPYLOBACT JEJUN AB ELISA SER

Facility

$209.23

Service Code	HCPCS 86625
Hospital Charge Code	401386625
Hospital Revenue Code	302
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.69
Rate for Payer: Aetna Medicare Advantage	$42.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.59
Rate for Payer: Cigna Commercial	$104.61
Rate for Payer: Cigna Medicare Advantage	$13.12
Rate for Payer: Clover Medicare Advantage	$12.46
Rate for Payer: EmblemHealth Commercial	$39.36
Rate for Payer: Humana Medicare Advantage	$13.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.38
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.12
Rate for Payer: Wellcare Medicare Advantage	$13.12
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

CAMPYLOBACT JEJUN AB ELISA SER

Facility

$209.23

Service Code	HCPCS 86625
Hospital Charge Code	401386625
Hospital Revenue Code	302
Min. Negotiated Rate	$31.38
Max. Negotiated Rate	$31.38
Rate for Payer: Qualcare PPO/HMO/WC	$31.38

CAM WALKER II LARGE SIZE 10.5

Facility

$807.75

Service Code	HCPCS L4386
Hospital Charge Code	270662590
Hospital Revenue Code	271
Min. Negotiated Rate	$121.16
Max. Negotiated Rate	$121.16
Rate for Payer: Qualcare PPO/HMO/WC	$121.16

CAM WALKER II LARGE SIZE 10.5

Facility

$807.75

Service Code	HCPCS L4386
Hospital Charge Code	270662590
Hospital Revenue Code	271
Min. Negotiated Rate	$22.94
Max. Negotiated Rate	$403.88
Rate for Payer: Aetna Commercial	$306.94
Rate for Payer: Aetna Medicare Advantage	$242.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.98
Rate for Payer: Cigna Commercial	$403.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.01
Rate for Payer: Oxford Commercial	$161.55
Rate for Payer: Qualcare PPO/HMO/WC	$121.16
Rate for Payer: UnitedHealthcare Commercial	$161.55
Rate for Payer: UnitedHealthcare Community & State	$25.52
Rate for Payer: Wellpoint Medicaid Managed Care	$22.94

CANAKINUMAB 150MG/ML

Facility

$3,830.00

Service Code	HCPCS J0638
Hospital Charge Code	6064943018
Hospital Revenue Code	636
Min. Negotiated Rate	$108.77
Max. Negotiated Rate	$926.86
Rate for Payer: Aetna Commercial	$406.83
Rate for Payer: Aetna Medicare Advantage	$484.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$542.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$542.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$149.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$542.57
Rate for Payer: Cigna Medicare Advantage	$149.57
Rate for Payer: Clover Medicare Advantage	$142.09
Rate for Payer: EmblemHealth Commercial	$448.71
Rate for Payer: Humana Medicare Advantage	$154.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$149.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$926.86
Rate for Payer: Qualcare PPO/HMO/WC	$574.50
Rate for Payer: UnitedHealthcare Community & State	$121.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$149.57
Rate for Payer: Wellcare Medicare Advantage	$149.57
Rate for Payer: Wellpoint Medicaid Managed Care	$108.77

CANAKINUMAB 150MG/ML

Facility

$3,830.00

Service Code	HCPCS J0638
Hospital Charge Code	6064943018
Hospital Revenue Code	636
Min. Negotiated Rate	$574.50
Max. Negotiated Rate	$926.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$926.86
Rate for Payer: Qualcare PPO/HMO/WC	$574.50

CANC BON CHP 4 030400300

Facility

$2,175.00

Hospital Charge Code	270639514
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

CANC BON CHP 4 030400300

Facility

$2,175.00

Hospital Charge Code	270639514
Hospital Revenue Code	272
Min. Negotiated Rate	$61.77
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$826.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.50
Rate for Payer: Oxford Commercial	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Commercial	$435.00
Rate for Payer: UnitedHealthcare Community & State	$68.73
Rate for Payer: Wellpoint Medicaid Managed Care	$61.77

Know your out-of-pocket cost for care.

All Charges