Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CAT SCRATCH DISEASE AB PA II

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028B
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA III

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028C
Hospital Revenue Code	302
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.48
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

CAT SCRATCH DISEASE AB PA III

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028C
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA IV

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028D
Hospital Revenue Code	302
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.48
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

CAT SCRATCH DISEASE AB PA IV

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028D
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA V

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028E
Hospital Revenue Code	302
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.19
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

CAT SCRATCH DISEASE AB PA V

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028E
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CAT SCRATCH DISEASE AB PA VI

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028F
Hospital Revenue Code	302
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.19
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

CAT SCRATCH DISEASE AB PA VI

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028F
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CAT SCRATCH DISEASE AB PA VII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028G
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CAT SCRATCH DISEASE AB PA VII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028G
Hospital Revenue Code	302
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.19
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

CAT SCRATCH DISEASE AB PA VIII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028H
Hospital Revenue Code	302
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.19
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

CAT SCRATCH DISEASE AB PA VIII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028H
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CA URINE QUANT TIMED

Facility

$390.00

Service Code	HCPCS 82340
Hospital Charge Code	39990241B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CA URINE QUANT TIMED

Facility

$390.00

Service Code	HCPCS 82340
Hospital Charge Code	39990241B
Hospital Revenue Code	301
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$195.00
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	$195.00
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	$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	$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	$11.08

CAUTERY C-LINE ACUTEMP 8442000

Facility

$38.25

Hospital Charge Code	270600742
Hospital Revenue Code	272
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$5.74

CAUTERY C-LINE ACUTEMP 8442000

Facility

$38.25

Hospital Charge Code	270600742
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$19.12
Rate for Payer: Aetna Commercial	$14.54
Rate for Payer: Aetna Medicare Advantage	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.75
Rate for Payer: Cigna Commercial	$19.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.95
Rate for Payer: Oxford Commercial	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.74
Rate for Payer: UnitedHealthcare Commercial	$7.65
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$31.73
Rate for Payer: Aetna Commercial	$24.11
Rate for Payer: Aetna Medicare Advantage	$19.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.18
Rate for Payer: Cigna Commercial	$31.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.50
Rate for Payer: Oxford Commercial	$12.69
Rate for Payer: Qualcare PPO/HMO/WC	$9.52
Rate for Payer: UnitedHealthcare Commercial	$12.69
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.80

CAUTERY HIGH TEMP

Facility

$45.50

Hospital Charge Code	270649975N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$17.29
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.83
Rate for Payer: Oxford Commercial	$9.10
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Commercial	$9.10
Rate for Payer: UnitedHealthcare Community & State	$1.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

CAUTERY HIGH TEMP

Facility

$45.50

Hospital Charge Code	270649975N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.52

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.52

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$31.73
Rate for Payer: Aetna Commercial	$24.11
Rate for Payer: Aetna Medicare Advantage	$19.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.18
Rate for Payer: Cigna Commercial	$31.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.50
Rate for Payer: Oxford Commercial	$12.69
Rate for Payer: Qualcare PPO/HMO/WC	$9.52
Rate for Payer: UnitedHealthcare Commercial	$12.69
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.80

CAUTERY HOOK 5mm LPSL5

Facility

$175.00

Hospital Charge Code	270628276
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

CAUTERY HOOK 5mm LPSL5

Facility

$175.00

Hospital Charge Code	270628276
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

Know your out-of-pocket cost for care.

All Charges