Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ABDOMINAL AORTA

Facility

$6,700.00

Service Code	HCPCS 76705
Hospital Charge Code	94061165
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

ABDOMINAL AORTOGRAM

Facility

$13,077.65

Service Code	HCPCS 76525
Hospital Charge Code	1600000660
Hospital Revenue Code	360
Min. Negotiated Rate	$1,961.65
Max. Negotiated Rate	$1,961.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.65

ABDOMINAL AORTOGRAM

Facility

$13,077.65

Service Code	HCPCS 76525
Hospital Charge Code	1600000660
Hospital Revenue Code	360
Min. Negotiated Rate	$371.41
Max. Negotiated Rate	$6,538.82
Rate for Payer: Aetna Commercial	$4,969.51
Rate for Payer: Aetna Medicare Advantage	$3,923.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.80
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	$3,334.80
Rate for Payer: Cigna Commercial	$6,538.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,400.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.65
Rate for Payer: UnitedHealthcare Community & State	$413.25
Rate for Payer: Wellpoint Medicaid Managed Care	$371.41

ABDOMINAL BINDER 3PANEL 30-45

Facility

$38.55

Hospital Charge Code	270649881
Hospital Revenue Code	270
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$19.27
Rate for Payer: Aetna Commercial	$14.65
Rate for Payer: Aetna Medicare Advantage	$11.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.83
Rate for Payer: Cigna Commercial	$19.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.02
Rate for Payer: Oxford Commercial	$7.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.78
Rate for Payer: UnitedHealthcare Commercial	$7.71
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

ABDOMINAL BINDER 3PANEL 30-45

Facility

$38.55

Hospital Charge Code	270649881
Hospital Revenue Code	270
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$5.78
Rate for Payer: Qualcare PPO/HMO/WC	$5.78

ABDOMINAL BINDER 3PANEL 46-64

Facility

$38.95

Hospital Charge Code	270649882
Hospital Revenue Code	270
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$19.48
Rate for Payer: Aetna Commercial	$14.80
Rate for Payer: Aetna Medicare Advantage	$11.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.93
Rate for Payer: Cigna Commercial	$19.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.13
Rate for Payer: Oxford Commercial	$7.79
Rate for Payer: Qualcare PPO/HMO/WC	$5.84
Rate for Payer: UnitedHealthcare Commercial	$7.79
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

ABDOMINAL BINDER 3PANEL 46-64

Facility

$38.95

Hospital Charge Code	270649882
Hospital Revenue Code	270
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$5.84
Rate for Payer: Qualcare PPO/HMO/WC	$5.84

ABDOMINAL BINDER 3 PANEL 74-84

Facility

$51.55

Hospital Charge Code	270649883
Hospital Revenue Code	270
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$25.77
Rate for Payer: Aetna Commercial	$19.59
Rate for Payer: Aetna Medicare Advantage	$15.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.15
Rate for Payer: Cigna Commercial	$25.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.40
Rate for Payer: Oxford Commercial	$10.31
Rate for Payer: Qualcare PPO/HMO/WC	$7.73
Rate for Payer: UnitedHealthcare Commercial	$10.31
Rate for Payer: UnitedHealthcare Community & State	$1.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

ABDOMINAL BINDER 3 PANEL 74-84

Facility

$51.55

Hospital Charge Code	270649883
Hospital Revenue Code	270
Min. Negotiated Rate	$7.73
Max. Negotiated Rate	$7.73
Rate for Payer: Qualcare PPO/HMO/WC	$7.73

ABDOMINAL PAIN

Facility

$10,945.76

Service Code	APR-DRG 2513
Min. Negotiated Rate	$10,731.14
Max. Negotiated Rate	$10,945.76
Rate for Payer: UnitedHealthcare Community & State	$10,731.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,945.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10,731.14

ABDOMINAL PAIN

Facility

$6,454.53

Service Code	APR-DRG 2511
Min. Negotiated Rate	$6,327.97
Max. Negotiated Rate	$6,454.53
Rate for Payer: UnitedHealthcare Community & State	$6,327.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,454.53
Rate for Payer: Wellpoint Medicaid Managed Care	$6,327.97

ABDOMINAL PAIN

Facility

$8,281.65

Service Code	APR-DRG 2512
Min. Negotiated Rate	$8,119.26
Max. Negotiated Rate	$8,281.65
Rate for Payer: UnitedHealthcare Community & State	$8,119.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,281.65
Rate for Payer: Wellpoint Medicaid Managed Care	$8,119.26

ABDOMINAL PAIN

Facility

$17,029.54

Service Code	APR-DRG 2514
Min. Negotiated Rate	$16,695.63
Max. Negotiated Rate	$17,029.54
Rate for Payer: UnitedHealthcare Community & State	$16,695.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,029.54
Rate for Payer: Wellpoint Medicaid Managed Care	$16,695.63

ABD PARACENTESIS

Facility

$3,961.60

Service Code	HCPCS 49082
Hospital Charge Code	16000275
Hospital Revenue Code	360
Min. Negotiated Rate	$112.51
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$2,930.85
Rate for Payer: Aetna Medicare Advantage	$3,491.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,077.52
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	$3,908.70
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: Cigna Medicare Advantage	$1,077.52
Rate for Payer: Clover Medicare Advantage	$1,023.64
Rate for Payer: EmblemHealth Commercial	$3,232.56
Rate for Payer: Humana Medicare Advantage	$1,109.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,077.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,030.02
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$594.24
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$125.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,077.52
Rate for Payer: Wellcare Medicare Advantage	$1,077.52
Rate for Payer: Wellpoint Medicaid Managed Care	$112.51

ABD PARACENTESIS

Facility

$3,961.60

Service Code	HCPCS 49082
Hospital Charge Code	16000275
Hospital Revenue Code	360
Min. Negotiated Rate	$594.24
Max. Negotiated Rate	$594.24
Rate for Payer: Qualcare PPO/HMO/WC	$594.24

ABD PARACENTESIS W/IMAGING

Facility

$6,050.94

Service Code	HCPCS 49083
Hospital Charge Code	16000173
Hospital Revenue Code	360
Min. Negotiated Rate	$907.64
Max. Negotiated Rate	$907.64
Rate for Payer: Qualcare PPO/HMO/WC	$907.64

ABD PARACENTESIS W/IMAGING

Facility

$6,050.94

Service Code	HCPCS 49083
Hospital Charge Code	16000173
Hospital Revenue Code	360
Min. Negotiated Rate	$171.85
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$2,930.85
Rate for Payer: Aetna Medicare Advantage	$3,491.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,077.52
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	$3,908.70
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: Cigna Medicare Advantage	$1,077.52
Rate for Payer: Clover Medicare Advantage	$1,023.64
Rate for Payer: EmblemHealth Commercial	$3,232.56
Rate for Payer: Humana Medicare Advantage	$1,109.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,077.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.24
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$907.64
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$191.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,077.52
Rate for Payer: Wellcare Medicare Advantage	$1,077.52
Rate for Payer: Wellpoint Medicaid Managed Care	$171.85

ABD PARACENTESIS W/IMG

Facility

$2,275.00

Service Code	HCPCS 49083
Hospital Charge Code	5770040
Hospital Revenue Code	450
Min. Negotiated Rate	$64.61
Max. Negotiated Rate	$3,908.70
Rate for Payer: Aetna Commercial	$2,930.85
Rate for Payer: Aetna Medicare Advantage	$3,491.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,908.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,077.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,908.70
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: Cigna Medicare Advantage	$1,077.52
Rate for Payer: Clover Medicare Advantage	$1,023.64
Rate for Payer: EmblemHealth Commercial	$3,232.56
Rate for Payer: Humana Medicare Advantage	$1,109.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,077.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$591.50
Rate for Payer: Qualcare PPO/HMO/WC	$341.25
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,077.52
Rate for Payer: Wellcare Medicare Advantage	$1,077.52
Rate for Payer: Wellpoint Medicaid Managed Care	$64.61

ABD PARACENTESIS W/IMG

Facility

$2,275.00

Service Code	HCPCS 49083
Hospital Charge Code	5770040
Hospital Revenue Code	450
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

ABD & PELVIS W/CONTRAST

Facility

$9,500.00

Service Code	HCPCS 74177
Hospital Charge Code	2200047
Hospital Revenue Code	352
Min. Negotiated Rate	$248.57
Max. Negotiated Rate	$3,916.00
Rate for Payer: Aetna Commercial	$1,127.36
Rate for Payer: Aetna Medicare Advantage	$1,342.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,503.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,503.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$414.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,503.49
Rate for Payer: Cigna Commercial	$830.80
Rate for Payer: Cigna Medicare Advantage	$290.13
Rate for Payer: Clover Medicare Advantage	$393.75
Rate for Payer: EmblemHealth Commercial	$1,243.41
Rate for Payer: Humana Medicare Advantage	$426.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$414.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Oxford Commercial	$3,774.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,916.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$414.47
Rate for Payer: Wellcare Medicare Advantage	$414.47
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

ABD & PELVIS W/CONTRAST

Facility

$9,500.00

Service Code	HCPCS 74177
Hospital Charge Code	2200047
Hospital Revenue Code	352
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

ABD & PELVIS W/O CONTRAST

Facility

$9,500.00

Service Code	HCPCS 74176
Hospital Charge Code	2200054
Hospital Revenue Code	352
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

ABD & PELVIS W/O CONTRAST

Facility

$9,500.00

Service Code	HCPCS 74176
Hospital Charge Code	2200054
Hospital Revenue Code	352
Min. Negotiated Rate	$156.91
Max. Negotiated Rate	$3,916.00
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$918.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,028.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$283.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,028.29
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: Cigna Medicare Advantage	$198.43
Rate for Payer: Clover Medicare Advantage	$269.30
Rate for Payer: EmblemHealth Commercial	$850.41
Rate for Payer: Humana Medicare Advantage	$291.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$283.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,470.00
Rate for Payer: Oxford Commercial	$3,774.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,916.00
Rate for Payer: UnitedHealthcare Community & State	$300.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$283.47
Rate for Payer: Wellcare Medicare Advantage	$283.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,837.38
Rate for Payer: Wellpoint Medicaid Managed Care	$269.80

ABDUCTION PILLOW SMALL SUB

Facility

$90.85

Hospital Charge Code	270659505
Hospital Revenue Code	270
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$45.42
Rate for Payer: Aetna Commercial	$34.52
Rate for Payer: Aetna Medicare Advantage	$27.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.17
Rate for Payer: Cigna Commercial	$45.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.62
Rate for Payer: Oxford Commercial	$18.17
Rate for Payer: Qualcare PPO/HMO/WC	$13.63
Rate for Payer: UnitedHealthcare Commercial	$18.17
Rate for Payer: UnitedHealthcare Community & State	$2.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

ABDUCTION PILLOW SMALL SUB

Facility

$90.85

Hospital Charge Code	270659505
Hospital Revenue Code	270
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$13.63
Rate for Payer: Qualcare PPO/HMO/WC	$13.63

Know your out-of-pocket cost for care.

All Charges