Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CEMENT W/MIXER COMBO KIT

Facility

$773.85

Service Code	HCPCS C1713
Hospital Charge Code	270633747
Hospital Revenue Code	278
Min. Negotiated Rate	$21.98
Max. Negotiated Rate	$386.93
Rate for Payer: Aetna Commercial	$294.06
Rate for Payer: Aetna Medicare Advantage	$232.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.33
Rate for Payer: Cigna Commercial	$386.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.27
Rate for Payer: Qualcare PPO/HMO/WC	$116.08
Rate for Payer: UnitedHealthcare Community & State	$24.45
Rate for Payer: Wellpoint Medicaid Managed Care	$21.98

CEMENT W/MIXER COMBO KIT

Facility

$773.85

Service Code	HCPCS C1713
Hospital Charge Code	270633747
Hospital Revenue Code	278
Min. Negotiated Rate	$116.08
Max. Negotiated Rate	$187.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.27
Rate for Payer: Qualcare PPO/HMO/WC	$116.08

CEMIPLIMAB-RWLC 50MG/ML

Facility

$64,384.66

Service Code	HCPCS J9119
Hospital Charge Code	606390550
Hospital Revenue Code	636
Min. Negotiated Rate	$9,657.70
Max. Negotiated Rate	$15,581.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,581.09
Rate for Payer: Qualcare PPO/HMO/WC	$9,657.70

CEMIPLIMAB-RWLC 50MG/ML

Facility

$64,384.66

Service Code	HCPCS J9119
Hospital Charge Code	606390550
Hospital Revenue Code	636
Min. Negotiated Rate	$28.27
Max. Negotiated Rate	$15,581.09
Rate for Payer: Aetna Commercial	$80.95
Rate for Payer: Aetna Medicare Advantage	$96.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.95
Rate for Payer: Cigna Medicare Advantage	$29.76
Rate for Payer: Clover Medicare Advantage	$28.27
Rate for Payer: EmblemHealth Commercial	$89.28
Rate for Payer: Humana Medicare Advantage	$30.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,581.09
Rate for Payer: Qualcare PPO/HMO/WC	$9,657.70
Rate for Payer: UnitedHealthcare Community & State	$2,034.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.76
Rate for Payer: Wellcare Medicare Advantage	$29.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,828.52

CENTER BLADE

Facility

$465.50

Hospital Charge Code	270665055
Hospital Revenue Code	270
Min. Negotiated Rate	$13.22
Max. Negotiated Rate	$232.75
Rate for Payer: Aetna Commercial	$176.89
Rate for Payer: Aetna Medicare Advantage	$139.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.70
Rate for Payer: Cigna Commercial	$232.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.03
Rate for Payer: Oxford Commercial	$93.10
Rate for Payer: Qualcare PPO/HMO/WC	$69.83
Rate for Payer: UnitedHealthcare Commercial	$93.10
Rate for Payer: UnitedHealthcare Community & State	$14.71
Rate for Payer: Wellpoint Medicaid Managed Care	$13.22

CENTER BLADE

Facility

$465.50

Hospital Charge Code	270665055
Hospital Revenue Code	270
Min. Negotiated Rate	$69.83
Max. Negotiated Rate	$69.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.83

CENTERLINE DIPOSABLE KIT

Facility

$1,000.00

Hospital Charge Code	270662180
Hospital Revenue Code	270
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

CENTERLINE DIPOSABLE KIT

Facility

$1,000.00

Hospital Charge Code	270662180
Hospital Revenue Code	270
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CENTRAFLEX PLACENT MATRI 2X3CM

Facility

$8,500.00

Service Code	HCPCS C1762
Hospital Charge Code	270698091
Hospital Revenue Code	278
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

CENTRAFLEX PLACENT MATRI 2X3CM

Facility

$8,500.00

Service Code	HCPCS C1762
Hospital Charge Code	270698091
Hospital Revenue Code	278
Min. Negotiated Rate	$241.40
Max. Negotiated Rate	$4,250.00
Rate for Payer: Aetna Commercial	$3,230.00
Rate for Payer: Aetna Medicare Advantage	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.50
Rate for Payer: Cigna Commercial	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00
Rate for Payer: UnitedHealthcare Community & State	$268.60
Rate for Payer: Wellpoint Medicaid Managed Care	$241.40

CENTRAFLEX PLACENT MATRI 3X3CM

Facility

$12,250.00

Service Code	HCPCS C1762
Hospital Charge Code	270698092
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

CENTRAFLEX PLACENT MATRI 3X3CM

Facility

$12,250.00

Service Code	HCPCS C1762
Hospital Charge Code	270698092
Hospital Revenue Code	278
Min. Negotiated Rate	$347.90
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$387.10
Rate for Payer: Wellpoint Medicaid Managed Care	$347.90

CENTRALIZER BMT DI 13MM 162658

Facility

$775.00

Service Code	HCPCS C1776
Hospital Charge Code	270609034
Hospital Revenue Code	278
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

CENTRALIZER BMT DI 13MM 162658

Facility

$775.00

Service Code	HCPCS C1776
Hospital Charge Code	270609034
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CENTRALIZER DISTAL 11MM

Facility

$775.00

Service Code	HCPCS C1776
Hospital Charge Code	270605408
Hospital Revenue Code	278
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

CENTRALIZER DISTAL 11MM

Facility

$775.00

Service Code	HCPCS C1776
Hospital Charge Code	270605408
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CENTRALIZER DISTAL 9mm 162656

Facility

$700.00

Service Code	HCPCS C1776
Hospital Charge Code	270625861
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

CENTRALIZER DISTAL 9mm 162656

Facility

$700.00

Service Code	HCPCS C1776
Hospital Charge Code	270625861
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CENTRAL VENOUS CATHETERIZATION

Facility

$129.67

Hospital Charge Code	270650291
Hospital Revenue Code	272
Min. Negotiated Rate	$19.45
Max. Negotiated Rate	$19.45
Rate for Payer: Qualcare PPO/HMO/WC	$19.45

CENTRAL VENOUS CATHETERIZATION

Facility

$129.67

Hospital Charge Code	270650291
Hospital Revenue Code	272
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$64.83
Rate for Payer: Aetna Commercial	$49.27
Rate for Payer: Aetna Medicare Advantage	$38.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.07
Rate for Payer: Cigna Commercial	$64.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.71
Rate for Payer: Oxford Commercial	$25.93
Rate for Payer: Qualcare PPO/HMO/WC	$19.45
Rate for Payer: UnitedHealthcare Commercial	$25.93
Rate for Payer: UnitedHealthcare Community & State	$4.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

CENTROMERE ANTIBODIES

Facility

$409.00

Service Code	HCPCS 86038
Hospital Charge Code	38476191
Hospital Revenue Code	302
Min. Negotiated Rate	$9.67
Max. Negotiated Rate	$204.50
Rate for Payer: Aetna Commercial	$32.88
Rate for Payer: Aetna Medicare Advantage	$39.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$204.50
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$11.49
Rate for Payer: EmblemHealth Commercial	$36.27
Rate for Payer: Humana Medicare Advantage	$12.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.09
Rate for Payer: Wellcare Medicare Advantage	$12.09
Rate for Payer: Wellpoint Medicaid Managed Care	$11.62

CENTROMERE ANTIBODIES

Facility

$409.00

Service Code	HCPCS 86038
Hospital Charge Code	38476191
Hospital Revenue Code	302
Min. Negotiated Rate	$61.35
Max. Negotiated Rate	$61.35
Rate for Payer: Qualcare PPO/HMO/WC	$61.35

CENTROMERE B AB

Facility

$390.00

Service Code	HCPCS 86038
Hospital Charge Code	39900191
Hospital Revenue Code	302
Min. Negotiated Rate	$9.67
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$32.88
Rate for Payer: Aetna Medicare Advantage	$39.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$11.49
Rate for Payer: EmblemHealth Commercial	$36.27
Rate for Payer: Humana Medicare Advantage	$12.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.09
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	$9.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.09
Rate for Payer: Wellcare Medicare Advantage	$12.09
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CENTROMERE B AB

Facility

$390.00

Service Code	HCPCS 86038
Hospital Charge Code	39900191
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CEPACOL LOZENGE

Facility

$4.00

Service Code	NDC 363070008
Hospital Charge Code	60628588
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

Know your out-of-pocket cost for care.

All Charges