Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CARDIO CRP

Facility

$390.00

Service Code	HCPCS 86141
Hospital Charge Code	39900469
Hospital Revenue Code	302
Min. Negotiated Rate	$10.36
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.22
Rate for Payer: Aetna Medicare Advantage	$41.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.98
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.95
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.95
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	$10.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Medicare Advantage	$12.95
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CARDIO CRP

Facility

$390.00

Service Code	HCPCS 86141
Hospital Charge Code	39900469
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIO IQ HEMOGLOBIN A1C

Facility

$390.00

Service Code	HCPCS 83036
Hospital Charge Code	401183036
Hospital Revenue Code	301
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$26.41
Rate for Payer: Aetna Medicare Advantage	$31.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.22
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$9.71
Rate for Payer: Clover Medicare Advantage	$9.22
Rate for Payer: EmblemHealth Commercial	$29.13
Rate for Payer: Humana Medicare Advantage	$10.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.71
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	$7.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.71
Rate for Payer: Wellcare Medicare Advantage	$9.71
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CARDIO IQ HEMOGLOBIN A1C

Facility

$390.00

Service Code	HCPCS 83036
Hospital Charge Code	401183036
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOIQLIPOPROTSUBFRIONMOBSER

Facility

$52.00

Service Code	HCPCS 83704
Hospital Charge Code	401383704
Hospital Revenue Code	301
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$110.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.02
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: Cigna Medicare Advantage	$34.19
Rate for Payer: Clover Medicare Advantage	$32.48
Rate for Payer: EmblemHealth Commercial	$102.57
Rate for Payer: Humana Medicare Advantage	$35.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$27.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.19
Rate for Payer: Wellcare Medicare Advantage	$34.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

CARDIOIQLIPOPROTSUBFRIONMOBSER

Facility

$52.00

Service Code	HCPCS 83704
Hospital Charge Code	401383704
Hospital Revenue Code	301
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CARDIO IQ NT PROBNP

Facility

$390.00

Service Code	HCPCS 83880
Hospital Charge Code	401083880
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$106.79
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.42
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$39.26
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39.26
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	$31.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Medicare Advantage	$39.26
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CARDIO IQ NT PROBNP

Facility

$390.00

Service Code	HCPCS 83880
Hospital Charge Code	401083880
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB,EA IG CLASS

Facility

$501.00

Service Code	HCPCS 86147
Hospital Charge Code	38476183
Hospital Revenue Code	302
Min. Negotiated Rate	$14.23
Max. Negotiated Rate	$250.50
Rate for Payer: Aetna Commercial	$69.22
Rate for Payer: Aetna Medicare Advantage	$82.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.32
Rate for Payer: Cigna Commercial	$250.50
Rate for Payer: Cigna Medicare Advantage	$25.45
Rate for Payer: Clover Medicare Advantage	$24.18
Rate for Payer: EmblemHealth Commercial	$76.35
Rate for Payer: Humana Medicare Advantage	$26.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.45
Rate for Payer: Wellcare Medicare Advantage	$25.45
Rate for Payer: Wellpoint Medicaid Managed Care	$14.23

CARDIOLIPIN AB,EA IG CLASS

Facility

$501.00

Service Code	HCPCS 86147
Hospital Charge Code	38476183
Hospital Revenue Code	302
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$75.15
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

CARDIOLIPIN AB (IGG,A,M) I

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023A
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

CARDIOLIPIN AB (IGG,A,M) I

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB (IGG,A,M) II

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB (IGG,A,M) II

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023B
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

CARDIOLIPIN AB (IGG,A,M) III

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023C
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB (IGG,A,M) III

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023C
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

CARDIOLIPIN AB (IGM)

Facility

$390.00

Service Code	HCPCS 86147
Hospital Charge Code	39900359
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$69.22
Rate for Payer: Aetna Medicare Advantage	$82.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.32
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.45
Rate for Payer: Clover Medicare Advantage	$24.18
Rate for Payer: EmblemHealth Commercial	$76.35
Rate for Payer: Humana Medicare Advantage	$26.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.45
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	$20.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.45
Rate for Payer: Wellcare Medicare Advantage	$25.45
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CARDIOLIPIN AB (IGM)

Facility

$390.00

Service Code	HCPCS 86147
Hospital Charge Code	39900359
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOMYOPATHY

Facility

$6,606.24

Service Code	APR-DRG 2051
Min. Negotiated Rate	$6,476.71
Max. Negotiated Rate	$6,606.24
Rate for Payer: UnitedHealthcare Community & State	$6,476.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,606.24
Rate for Payer: Wellpoint Medicaid Managed Care	$6,476.71

CARDIOMYOPATHY

Facility

$12,295.32

Service Code	APR-DRG 2053
Min. Negotiated Rate	$12,054.24
Max. Negotiated Rate	$12,295.32
Rate for Payer: UnitedHealthcare Community & State	$12,054.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,295.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12,054.24

CARDIOMYOPATHY

Facility

$8,271.81

Service Code	APR-DRG 2052
Min. Negotiated Rate	$8,109.62
Max. Negotiated Rate	$8,271.81
Rate for Payer: UnitedHealthcare Community & State	$8,109.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,271.81
Rate for Payer: Wellpoint Medicaid Managed Care	$8,109.62

CARDIOMYOPATHY

Facility

$26,077.94

Service Code	APR-DRG 2054
Min. Negotiated Rate	$25,566.61
Max. Negotiated Rate	$26,077.94
Rate for Payer: UnitedHealthcare Community & State	$25,566.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,077.94
Rate for Payer: Wellpoint Medicaid Managed Care	$25,566.61

CARDIOVERSION

Facility

$1,760.00

Service Code	HCPCS 92960
Hospital Charge Code	366892960
Hospital Revenue Code	480
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$2,848.39
Rate for Payer: Aetna Commercial	$2,135.80
Rate for Payer: Aetna Medicare Advantage	$2,544.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,848.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,848.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$785.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$569.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,848.39
Rate for Payer: Cigna Commercial	$1,573.96
Rate for Payer: Cigna Medicare Advantage	$785.22
Rate for Payer: Clover Medicare Advantage	$745.96
Rate for Payer: EmblemHealth Commercial	$2,355.66
Rate for Payer: Humana Medicare Advantage	$808.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$785.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.60
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$264.00
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$55.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$785.22
Rate for Payer: Wellcare Medicare Advantage	$785.22
Rate for Payer: Wellpoint Medicaid Managed Care	$49.98

CARDIOVERSION

Facility

$1,760.00

Service Code	HCPCS 92960
Hospital Charge Code	366892960
Hospital Revenue Code	480
Min. Negotiated Rate	$264.00
Max. Negotiated Rate	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$264.00

CARDIOVERSION (ELECTIVE)

Facility

$6,070.00

Service Code	HCPCS 92960
Hospital Charge Code	5100078
Hospital Revenue Code	480
Min. Negotiated Rate	$172.39
Max. Negotiated Rate	$2,848.39
Rate for Payer: Aetna Commercial	$2,135.80
Rate for Payer: Aetna Medicare Advantage	$2,544.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,848.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,848.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$785.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$569.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,848.39
Rate for Payer: Cigna Commercial	$1,573.96
Rate for Payer: Cigna Medicare Advantage	$785.22
Rate for Payer: Clover Medicare Advantage	$745.96
Rate for Payer: EmblemHealth Commercial	$2,355.66
Rate for Payer: Humana Medicare Advantage	$808.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$785.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,578.20
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$191.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$785.22
Rate for Payer: Wellcare Medicare Advantage	$785.22
Rate for Payer: Wellpoint Medicaid Managed Care	$172.39

Know your out-of-pocket cost for care.

All Charges