Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ABSORABLE PIN (50MM X 1.3MM)

Facility

$279.00

Hospital Charge Code	270335505
Hospital Revenue Code	278
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$67.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

ABSORABLE PIN (50MM X 1.3MM)

Facility

$279.00

Hospital Charge Code	270335505
Hospital Revenue Code	278
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$139.50
Rate for Payer: Aetna Commercial	$106.02
Rate for Payer: Aetna Medicare Advantage	$83.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: Qualcare PPO/HMO/WC	$41.85
Rate for Payer: UnitedHealthcare Community & State	$8.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.92

ABSORBABLE ANCHORS

Facility

$555.00

Hospital Charge Code	270335620
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

ABSORBABLE ANCHORS

Facility

$555.00

Hospital Charge Code	270335620
Hospital Revenue Code	278
Min. Negotiated Rate	$15.76
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$210.90
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Community & State	$17.54
Rate for Payer: Wellpoint Medicaid Managed Care	$15.76

ABSORBATCK30 ABSATACK

Facility

$21.40

Hospital Charge Code	270659393
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

ABSORBATCK30 ABSATACK

Facility

$21.40

Hospital Charge Code	270659393
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

ABSORB COLLAGEN HEMOST FIBRILL

Facility

$125.63

Service Code	NDC 66977031001
Hospital Charge Code	60627503
Hospital Revenue Code	250
Min. Negotiated Rate	$18.84
Max. Negotiated Rate	$18.84
Rate for Payer: Qualcare PPO/HMO/WC	$18.84

ABSORB COLLAGEN HEMOST FIBRILL

Facility

$125.63

Service Code	NDC 66977031001
Hospital Charge Code	60627503
Hospital Revenue Code	250
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$62.81
Rate for Payer: Aetna Commercial	$47.74
Rate for Payer: Aetna Medicare Advantage	$37.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.04
Rate for Payer: Cigna Commercial	$62.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.66
Rate for Payer: Oxford Commercial	$25.13
Rate for Payer: Qualcare PPO/HMO/WC	$18.84
Rate for Payer: UnitedHealthcare Commercial	$25.13
Rate for Payer: UnitedHealthcare Community & State	$3.97
Rate for Payer: Wellpoint Medicaid Managed Care	$3.57

ABSORBENT PAD 23INx40IN

Facility

$52.23

Hospital Charge Code	270665156
Hospital Revenue Code	270
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$7.83
Rate for Payer: Qualcare PPO/HMO/WC	$7.83

ABSORBENT PAD 23INx40IN

Facility

$52.23

Hospital Charge Code	270665156
Hospital Revenue Code	270
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$26.11
Rate for Payer: Aetna Commercial	$19.85
Rate for Payer: Aetna Medicare Advantage	$15.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.32
Rate for Payer: Cigna Commercial	$26.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.58
Rate for Payer: Oxford Commercial	$10.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.83
Rate for Payer: UnitedHealthcare Commercial	$10.45
Rate for Payer: UnitedHealthcare Community & State	$1.65
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

ABSORBENT PAD 46INX72IN

Facility

$175.45

Hospital Charge Code	270665157
Hospital Revenue Code	270
Min. Negotiated Rate	$26.32
Max. Negotiated Rate	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$26.32

ABSORBENT PAD 46INX72IN

Facility

$175.45

Hospital Charge Code	270665157
Hospital Revenue Code	270
Min. Negotiated Rate	$4.98
Max. Negotiated Rate	$87.72
Rate for Payer: Aetna Commercial	$66.67
Rate for Payer: Aetna Medicare Advantage	$52.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.74
Rate for Payer: Cigna Commercial	$87.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.62
Rate for Payer: Oxford Commercial	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$26.32
Rate for Payer: UnitedHealthcare Commercial	$35.09
Rate for Payer: UnitedHealthcare Community & State	$5.54
Rate for Payer: Wellpoint Medicaid Managed Care	$4.98

ABSORB GEL SPNG SZ12-7

Facility

$60.37

Service Code	NDC 9034201
Hospital Charge Code	60627526
Hospital Revenue Code	270
Min. Negotiated Rate	$9.06
Max. Negotiated Rate	$9.06
Rate for Payer: Qualcare PPO/HMO/WC	$9.06

ABSORB GEL SPNG SZ12-7

Facility

$60.37

Service Code	NDC 9034201
Hospital Charge Code	60627526
Hospital Revenue Code	270
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$30.18
Rate for Payer: Aetna Commercial	$22.94
Rate for Payer: Aetna Medicare Advantage	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.39
Rate for Payer: Cigna Commercial	$30.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.70
Rate for Payer: Oxford Commercial	$12.07
Rate for Payer: Qualcare PPO/HMO/WC	$9.06
Rate for Payer: UnitedHealthcare Commercial	$12.07
Rate for Payer: UnitedHealthcare Community & State	$1.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.71

ABSORBTACK 20 TACK SHORT

Facility

$1,944.38

Hospital Charge Code	270657453
Hospital Revenue Code	272
Min. Negotiated Rate	$291.66
Max. Negotiated Rate	$291.66
Rate for Payer: Qualcare PPO/HMO/WC	$291.66

ABSORBTACK 20 TACK SHORT

Facility

$1,944.38

Hospital Charge Code	270657453
Hospital Revenue Code	272
Min. Negotiated Rate	$55.22
Max. Negotiated Rate	$972.19
Rate for Payer: Aetna Commercial	$738.86
Rate for Payer: Aetna Medicare Advantage	$583.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.82
Rate for Payer: Cigna Commercial	$972.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$505.54
Rate for Payer: Oxford Commercial	$388.88
Rate for Payer: Qualcare PPO/HMO/WC	$291.66
Rate for Payer: UnitedHealthcare Commercial	$388.88
Rate for Payer: UnitedHealthcare Community & State	$61.44
Rate for Payer: Wellpoint Medicaid Managed Care	$55.22

ABSTACK 5mm W/20 TACKS B000596

Facility

$2,392.25

Service Code	HCPCS C1713
Hospital Charge Code	270645859
Hospital Revenue Code	278
Min. Negotiated Rate	$358.84
Max. Negotiated Rate	$578.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.92
Rate for Payer: Qualcare PPO/HMO/WC	$358.84

ABSTACK 5mm W/20 TACKS B000596

Facility

$2,392.25

Service Code	HCPCS C1713
Hospital Charge Code	270645859
Hospital Revenue Code	278
Min. Negotiated Rate	$67.94
Max. Negotiated Rate	$1,196.12
Rate for Payer: Aetna Commercial	$909.05
Rate for Payer: Aetna Medicare Advantage	$717.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.02
Rate for Payer: Cigna Commercial	$1,196.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.92
Rate for Payer: Qualcare PPO/HMO/WC	$358.84
Rate for Payer: UnitedHealthcare Community & State	$75.60
Rate for Payer: Wellpoint Medicaid Managed Care	$67.94

AB TOXOPLASMA

Facility

$390.00

Service Code	HCPCS 86777
Hospital Charge Code	401386777
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

AB TOXOPLASMA

Facility

$390.00

Service Code	HCPCS 86777
Hospital Charge Code	401386777
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.14
Rate for Payer: Aetna Medicare Advantage	$46.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.39
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	$52.20
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.39
Rate for Payer: Clover Medicare Advantage	$13.67
Rate for Payer: EmblemHealth Commercial	$43.17
Rate for Payer: Humana Medicare Advantage	$14.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.39
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	$11.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.39
Rate for Payer: Wellcare Medicare Advantage	$14.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

AB TOXOPLASMA IGM

Facility

$390.00

Service Code	HCPCS 86778
Hospital Charge Code	401386778
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

AB TOXOPLASMA IGM

Facility

$390.00

Service Code	HCPCS 86778
Hospital Charge Code	401386778
Hospital Revenue Code	306
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.20
Rate for Payer: Aetna Medicare Advantage	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.41
Rate for Payer: Clover Medicare Advantage	$13.69
Rate for Payer: EmblemHealth Commercial	$43.23
Rate for Payer: Humana Medicare Advantage	$14.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.41
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	$11.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.41
Rate for Payer: Wellcare Medicare Advantage	$14.41
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

AB VIRUS,NON SPECIFIC

Facility

$218.00

Service Code	HCPCS 86790
Hospital Charge Code	38476269
Hospital Revenue Code	302
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

AB VIRUS,NON SPECIFIC

Facility

$218.00

Service Code	HCPCS 86790
Hospital Charge Code	38476269
Hospital Revenue Code	302
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$391.36
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$391.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.72
Rate for Payer: Cigna Commercial	$109.00
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$6.19

ACAPELLA PEDIATRIC BLUE

Facility

$205.49

Hospital Charge Code	270664899
Hospital Revenue Code	270
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$102.75
Rate for Payer: Aetna Commercial	$78.09
Rate for Payer: Aetna Medicare Advantage	$61.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.40
Rate for Payer: Cigna Commercial	$102.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.43
Rate for Payer: Oxford Commercial	$41.10
Rate for Payer: Qualcare PPO/HMO/WC	$30.82
Rate for Payer: UnitedHealthcare Commercial	$41.10
Rate for Payer: UnitedHealthcare Community & State	$6.49
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

Know your out-of-pocket cost for care.

All Charges