Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CEA, CARCINOEMBRYONIC AG

Facility

$667.59

Service Code	HCPCS 82378
Hospital Charge Code	3000668
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CEA PLEURAL FLUID

Facility

$130.40

Service Code	HCPCS 82378
Hospital Charge Code	39900055
Hospital Revenue Code	301
Min. Negotiated Rate	$19.56
Max. Negotiated Rate	$19.56
Rate for Payer: Qualcare PPO/HMO/WC	$19.56

CEA PLEURAL FLUID

Facility

$130.40

Service Code	HCPCS 82378
Hospital Charge Code	39900055
Hospital Revenue Code	301
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$51.57
Rate for Payer: Aetna Medicare Advantage	$61.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.78
Rate for Payer: Cigna Commercial	$65.20
Rate for Payer: Cigna Medicare Advantage	$18.96
Rate for Payer: Clover Medicare Advantage	$18.01
Rate for Payer: EmblemHealth Commercial	$56.88
Rate for Payer: Humana Medicare Advantage	$19.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.90
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.56
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.96
Rate for Payer: Wellcare Medicare Advantage	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$3.70

CEFAZOLIN 1GM INJECTION

Facility

$36.05

Service Code	HCPCS J0690
Hospital Charge Code	60632292
Hospital Revenue Code	636
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$8.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.72
Rate for Payer: Qualcare PPO/HMO/WC	$5.41

CEFAZOLIN 1GM INJECTION

Facility

$36.05

Service Code	HCPCS J0690
Hospital Charge Code	60632292
Hospital Revenue Code	636
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$18.02
Rate for Payer: Aetna Commercial	$13.70
Rate for Payer: Aetna Medicare Advantage	$10.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.19
Rate for Payer: Cigna Commercial	$18.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.72
Rate for Payer: Qualcare PPO/HMO/WC	$5.41
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.02

CEFAZOLIN 2GM/100ML NACL IVPB

Facility

$142.11

Service Code	HCPCS J0690
Hospital Charge Code	606390508
Hospital Revenue Code	636
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$71.06
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$42.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.24
Rate for Payer: Cigna Commercial	$71.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.32
Rate for Payer: UnitedHealthcare Community & State	$4.49
Rate for Payer: Wellpoint Medicaid Managed Care	$4.04

CEFAZOLIN 2GM/100ML NACL IVPB

Facility

$142.11

Service Code	HCPCS J0690
Hospital Charge Code	606390508
Hospital Revenue Code	636
Min. Negotiated Rate	$21.32
Max. Negotiated Rate	$34.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.32

CEFAZOLIN 2GM/50 ML DUPLEX

Facility

$58.69

Service Code	HCPCS J0690
Hospital Charge Code	606350942
Hospital Revenue Code	636
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$14.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$8.80

CEFAZOLIN 2GM/50 ML DUPLEX

Facility

$58.69

Service Code	HCPCS J0690
Hospital Charge Code	606350942
Hospital Revenue Code	636
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$29.34
Rate for Payer: Aetna Commercial	$22.30
Rate for Payer: Aetna Medicare Advantage	$17.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.97
Rate for Payer: Cigna Commercial	$29.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

CEFAZOLIN 2GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	606390502
Hospital Revenue Code	636
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

CEFAZOLIN 2GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	606390502
Hospital Revenue Code	636
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.64
Rate for Payer: Aetna Commercial	$16.45
Rate for Payer: Aetna Medicare Advantage	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.04
Rate for Payer: Cigna Commercial	$21.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CEFAZOLIN 500 MG INJ

Facility

$14.54

Service Code	HCPCS J0690
Hospital Charge Code	60629075
Hospital Revenue Code	636
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$7.27
Rate for Payer: Aetna Commercial	$5.53
Rate for Payer: Aetna Medicare Advantage	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.71
Rate for Payer: Cigna Commercial	$7.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.18
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

CEFAZOLIN 500 MG INJ

Facility

$14.54

Service Code	HCPCS J0690
Hospital Charge Code	60629075
Hospital Revenue Code	636
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$3.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.18

CEFAZOLIN FORTIFIED OPTH DROPS

Facility

$36.73

Service Code	NDC 75245201
Hospital Charge Code	60628996
Hospital Revenue Code	250
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

CEFAZOLIN FORTIFIED OPTH DROPS

Facility

$36.73

Service Code	NDC 75245201
Hospital Charge Code	60628996
Hospital Revenue Code	250
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$13.96
Rate for Payer: Aetna Medicare Advantage	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.37
Rate for Payer: Cigna Commercial	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.55
Rate for Payer: Oxford Commercial	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$7.35
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.04

CEFAZOLIN SODIUM 1 GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	60627254
Hospital Revenue Code	636
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.64
Rate for Payer: Aetna Commercial	$16.45
Rate for Payer: Aetna Medicare Advantage	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.04
Rate for Payer: Cigna Commercial	$21.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CEFAZOLIN SODIUM 1 GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	60627254
Hospital Revenue Code	636
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

CEFDINIR 250MG/5ML SUSP

Facility

$55.54

Service Code	NDC 68180072304
Hospital Charge Code	6063943075
Hospital Revenue Code	250
Min. Negotiated Rate	$8.33
Max. Negotiated Rate	$8.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.33

CEFDINIR 250MG/5ML SUSP

Facility

$55.54

Service Code	NDC 68180072304
Hospital Charge Code	6063943075
Hospital Revenue Code	250
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$27.77
Rate for Payer: Aetna Commercial	$21.11
Rate for Payer: Aetna Medicare Advantage	$16.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.16
Rate for Payer: Cigna Commercial	$27.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.44
Rate for Payer: Oxford Commercial	$11.11
Rate for Payer: Qualcare PPO/HMO/WC	$8.33
Rate for Payer: UnitedHealthcare Commercial	$11.11
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.58

CEFDINIR 300MG CAP

Facility

$34.24

Service Code	NDC 93316006
Hospital Charge Code	6063943076
Hospital Revenue Code	250
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.14

CEFDINIR 300MG CAP

Facility

$34.24

Service Code	NDC 93316006
Hospital Charge Code	6063943076
Hospital Revenue Code	250
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$17.12
Rate for Payer: Aetna Commercial	$13.01
Rate for Payer: Aetna Medicare Advantage	$10.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.73
Rate for Payer: Cigna Commercial	$17.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.90
Rate for Payer: Oxford Commercial	$6.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.14
Rate for Payer: UnitedHealthcare Commercial	$6.85
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

CEFEPIME 2G FROZEN BAG

Facility

$342.37

Service Code	HCPCS J0692
Hospital Charge Code	60635694
Hospital Revenue Code	636
Min. Negotiated Rate	$51.36
Max. Negotiated Rate	$82.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.85
Rate for Payer: Qualcare PPO/HMO/WC	$51.36

CEFEPIME 2G FROZEN BAG

Facility

$342.37

Service Code	HCPCS J0692
Hospital Charge Code	60635694
Hospital Revenue Code	636
Min. Negotiated Rate	$9.72
Max. Negotiated Rate	$171.19
Rate for Payer: Aetna Commercial	$130.10
Rate for Payer: Aetna Medicare Advantage	$102.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.30
Rate for Payer: Cigna Commercial	$171.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.85
Rate for Payer: Qualcare PPO/HMO/WC	$51.36
Rate for Payer: UnitedHealthcare Community & State	$10.82
Rate for Payer: Wellpoint Medicaid Managed Care	$9.72

CEFEPIME HCL 5% 2MG 50ML PB

Facility

$139.76

Service Code	HCPCS J0703
Hospital Charge Code	606494028
Hospital Revenue Code	636
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$69.88
Rate for Payer: Aetna Commercial	$53.11
Rate for Payer: Aetna Medicare Advantage	$41.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.64
Rate for Payer: Cigna Commercial	$69.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.82
Rate for Payer: Qualcare PPO/HMO/WC	$20.96
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

CEFEPIME HCL 5% 2MG 50ML PB

Facility

$139.76

Service Code	HCPCS J0703
Hospital Charge Code	606494028
Hospital Revenue Code	636
Min. Negotiated Rate	$20.96
Max. Negotiated Rate	$33.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.82
Rate for Payer: Qualcare PPO/HMO/WC	$20.96

Know your out-of-pocket cost for care.

All Charges