Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CAST PADDING WEBRIL STER 6

Facility

$11.54

Hospital Charge Code	270649180
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

CAST PADDING WEBRIL STER 6

Facility

$11.54

Hospital Charge Code	270649180
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$5.77
Rate for Payer: Aetna Commercial	$4.39
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

CATARACT EYE KIT

Facility

$129.00

Hospital Charge Code	270338741
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

CATARACT EYE KIT

Facility

$129.00

Hospital Charge Code	270338741
Hospital Revenue Code	272
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.54
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$25.80
Rate for Payer: UnitedHealthcare Community & State	$4.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

CATECHOLAMINE,FRAC/TOT,PL

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900328
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.59
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
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	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CATECHOLAMINE,FRAC/TOT,PL

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900328
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATECHOLAMINE,FRAC W/O CR

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900057
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.59
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
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	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CATECHOLAMINE,FRAC W/O CR

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900057
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATECHOLAMINES;BLOOD

Facility

$176.00

Service Code	HCPCS 82383
Hospital Charge Code	38477178
Hospital Revenue Code	301
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$26.40
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

CATECHOLAMINES;BLOOD

Facility

$176.00

Service Code	HCPCS 82383
Hospital Charge Code	38477178
Hospital Revenue Code	301
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$79.10
Rate for Payer: Aetna Medicare Advantage	$94.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.49
Rate for Payer: Cigna Commercial	$88.00
Rate for Payer: Cigna Medicare Advantage	$29.08
Rate for Payer: Clover Medicare Advantage	$27.63
Rate for Payer: EmblemHealth Commercial	$87.24
Rate for Payer: Humana Medicare Advantage	$29.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.08
Rate for Payer: Wellcare Medicare Advantage	$29.08
Rate for Payer: Wellpoint Medicaid Managed Care	$5.00

CATECHOLAMINES FRACTIONATED

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	401182384
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATECHOLAMINES FRACTIONATED

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	401182384
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.59
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
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	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CATECHOLAMINES FRACTIONATED,PL

Facility

$338.00

Service Code	HCPCS 82384
Hospital Charge Code	38472173
Hospital Revenue Code	301
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$169.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.59
Rate for Payer: Cigna Commercial	$169.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.88
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$9.60

CATECHOLAMINES FRACTIONATED,PL

Facility

$338.00

Service Code	HCPCS 82384
Hospital Charge Code	38472173
Hospital Revenue Code	301
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$50.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.70

CATECHOLAMINES,FRAC URINE

Facility

$506.00

Service Code	HCPCS 82384
Hospital Charge Code	38472176
Hospital Revenue Code	301
Min. Negotiated Rate	$75.90
Max. Negotiated Rate	$75.90
Rate for Payer: Qualcare PPO/HMO/WC	$75.90

CATECHOLAMINES,FRAC URINE

Facility

$506.00

Service Code	HCPCS 82384
Hospital Charge Code	38472176
Hospital Revenue Code	301
Min. Negotiated Rate	$14.37
Max. Negotiated Rate	$253.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.59
Rate for Payer: Cigna Commercial	$253.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$14.37

CATH 11.5FRX19.5CM MAHURKAR

Facility

$626.68

Service Code	HCPCS C1752
Hospital Charge Code	278649890
Hospital Revenue Code	278
Min. Negotiated Rate	$94.00
Max. Negotiated Rate	$151.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.66
Rate for Payer: Qualcare PPO/HMO/WC	$94.00

CATH 11.5FRX19.5CM MAHURKAR

Facility

$626.68

Service Code	HCPCS C1752
Hospital Charge Code	278649890
Hospital Revenue Code	278
Min. Negotiated Rate	$17.80
Max. Negotiated Rate	$313.34
Rate for Payer: Aetna Commercial	$238.14
Rate for Payer: Aetna Medicare Advantage	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.80
Rate for Payer: Cigna Commercial	$313.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.66
Rate for Payer: Qualcare PPO/HMO/WC	$94.00
Rate for Payer: UnitedHealthcare Community & State	$19.80
Rate for Payer: Wellpoint Medicaid Managed Care	$17.80

CATH 2/30MICRON 14M PRDSC30200

Facility

$21.40

Hospital Charge Code	270661303
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATH 2/30MICRON 14M PRDSC30200

Facility

$21.40

Hospital Charge Code	270661303
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.56
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

CATH 24FR 3WAY 5CC 0119S124

Facility

$65.21

Hospital Charge Code	270649019
Hospital Revenue Code	272
Min. Negotiated Rate	$9.78
Max. Negotiated Rate	$9.78
Rate for Payer: Qualcare PPO/HMO/WC	$9.78

CATH 24FR 3WAY 5CC 0119S124

Facility

$65.21

Hospital Charge Code	270649019
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$32.60
Rate for Payer: Aetna Commercial	$24.78
Rate for Payer: Aetna Medicare Advantage	$19.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.63
Rate for Payer: Cigna Commercial	$32.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.95
Rate for Payer: Oxford Commercial	$13.04
Rate for Payer: Qualcare PPO/HMO/WC	$9.78
Rate for Payer: UnitedHealthcare Commercial	$13.04
Rate for Payer: UnitedHealthcare Community & State	$2.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

CATH 2 WAY 12FR 5ML 0165SI12

Facility

$39.25

Hospital Charge Code	270302520
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CATH 2 WAY 12FR 5ML 0165SI12

Facility

$39.25

Hospital Charge Code	270302520
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.21
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$7.85
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

CATH 2 WAY 30FR 5CC 0165SI30

Facility

$39.25

Hospital Charge Code	270649051
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.21
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$7.85
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

Know your out-of-pocket cost for care.

All Charges