Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CHOLESTEROL

Facility

$278.00

Service Code	HCPCS 82465
Hospital Charge Code	38472194
Hospital Revenue Code	301
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$41.70
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

CHOLESTEROL,FLUID

Facility

$278.00

Service Code	HCPCS 82465
Hospital Charge Code	38479015
Hospital Revenue Code	301
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$11.83
Rate for Payer: Aetna Medicare Advantage	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.78
Rate for Payer: Cigna Commercial	$139.00
Rate for Payer: Cigna Medicare Advantage	$4.35
Rate for Payer: Clover Medicare Advantage	$4.13
Rate for Payer: EmblemHealth Commercial	$13.05
Rate for Payer: Humana Medicare Advantage	$4.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.28
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.35
Rate for Payer: Wellcare Medicare Advantage	$4.35
Rate for Payer: Wellpoint Medicaid Managed Care	$7.90

CHOLESTEROL,FLUID

Facility

$278.00

Service Code	HCPCS 82465
Hospital Charge Code	38479015
Hospital Revenue Code	301
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$41.70
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

CHOLESTEROL SERUM

Facility

$390.00

Service Code	HCPCS 82465
Hospital Charge Code	3000775
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CHOLESTEROL SERUM

Facility

$390.00

Service Code	HCPCS 82465
Hospital Charge Code	3000775
Hospital Revenue Code	301
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$11.83
Rate for Payer: Aetna Medicare Advantage	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.78
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$4.35
Rate for Payer: Clover Medicare Advantage	$4.13
Rate for Payer: EmblemHealth Commercial	$13.05
Rate for Payer: Humana Medicare Advantage	$4.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.35
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	$3.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.35
Rate for Payer: Wellcare Medicare Advantage	$4.35
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CHOLESTYRAMINE 4 G/PKT UD

Facility

$14.14

Service Code	NDC 49884046564
Hospital Charge Code	60627619
Hospital Revenue Code	250
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$7.07
Rate for Payer: Aetna Commercial	$5.37
Rate for Payer: Aetna Medicare Advantage	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.61
Rate for Payer: Cigna Commercial	$7.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.68
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.12
Rate for Payer: UnitedHealthcare Commercial	$2.83
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

CHOLESTYRAMINE 4 G/PKT UD

Facility

$14.14

Service Code	NDC 49884046564
Hospital Charge Code	60627619
Hospital Revenue Code	250
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.12

CHOLINESTERASE

Facility

$390.00

Service Code	HCPCS 82480
Hospital Charge Code	39900470
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CHOLINESTERASE

Facility

$390.00

Service Code	HCPCS 82480
Hospital Charge Code	39900470
Hospital Revenue Code	301
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.55
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$7.87
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.87
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	$6.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Medicare Advantage	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CHOLINESTERASE,RBC (ACETYL-CHO

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38472198
Hospital Revenue Code	301
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CHOLINESTERASE,RBC (ACETYL-CHO

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38472198
Hospital Revenue Code	301
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$26.68
Rate for Payer: Aetna Medicare Advantage	$31.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.59
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: Cigna Medicare Advantage	$9.81
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Medicare Advantage	$9.81
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

CHOLINESTERASE RBC,PL

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38479077
Hospital Revenue Code	301
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CHOLINESTERASE RBC,PL

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38479077
Hospital Revenue Code	301
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$26.68
Rate for Payer: Aetna Medicare Advantage	$31.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.59
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: Cigna Medicare Advantage	$9.81
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Medicare Advantage	$9.81
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

CHOLINESTERASE,SERUM

Facility

$147.00

Service Code	HCPCS 82480
Hospital Charge Code	38472199
Hospital Revenue Code	301
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.55
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: Cigna Medicare Advantage	$7.87
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.22
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Medicare Advantage	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.17

CHOLINESTERASE,SERUM

Facility

$147.00

Service Code	HCPCS 82480
Hospital Charge Code	38472199
Hospital Revenue Code	301
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

CHONDRAFIX OSTEOCHONDRAL ALLOG

Facility

$17,350.00

Hospital Charge Code	270339534
Hospital Revenue Code	272
Min. Negotiated Rate	$492.74
Max. Negotiated Rate	$8,675.00
Rate for Payer: Aetna Commercial	$6,593.00
Rate for Payer: Aetna Medicare Advantage	$5,205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,424.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,424.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,424.25
Rate for Payer: Cigna Commercial	$8,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,511.00
Rate for Payer: Oxford Commercial	$3,470.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,602.50
Rate for Payer: UnitedHealthcare Commercial	$3,470.00
Rate for Payer: UnitedHealthcare Community & State	$548.26
Rate for Payer: Wellpoint Medicaid Managed Care	$492.74

CHONDRAFIX OSTEOCHONDRAL ALLOG

Facility

$17,350.00

Hospital Charge Code	270339534
Hospital Revenue Code	272
Min. Negotiated Rate	$2,602.50
Max. Negotiated Rate	$2,602.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,602.50

CHONDROCYTES AUTOLOGOUS CULTRD

Facility

$188,000.00

Service Code	HCPCS J7330
Hospital Charge Code	270669117
Hospital Revenue Code	636
Min. Negotiated Rate	$28,200.00
Max. Negotiated Rate	$45,496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45,496.00
Rate for Payer: Qualcare PPO/HMO/WC	$28,200.00

CHONDROCYTES AUTOLOGOUS CULTRD

Facility

$188,000.00

Service Code	HCPCS J7330
Hospital Charge Code	270669117
Hospital Revenue Code	636
Min. Negotiated Rate	$5,339.20
Max. Negotiated Rate	$94,000.00
Rate for Payer: Aetna Commercial	$71,440.00
Rate for Payer: Aetna Medicare Advantage	$56,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,940.00
Rate for Payer: Cigna Commercial	$94,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45,496.00
Rate for Payer: Qualcare PPO/HMO/WC	$28,200.00
Rate for Payer: UnitedHealthcare Community & State	$5,940.80
Rate for Payer: Wellpoint Medicaid Managed Care	$5,339.20

CHONDROFIX OC GRAFT, 11MM

Facility

$18,415.00

Hospital Charge Code	270665050
Hospital Revenue Code	270
Min. Negotiated Rate	$2,762.25
Max. Negotiated Rate	$2,762.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,762.25

CHONDROFIX OC GRAFT, 11MM

Facility

$18,415.00

Hospital Charge Code	270665050
Hospital Revenue Code	270
Min. Negotiated Rate	$522.99
Max. Negotiated Rate	$9,207.50
Rate for Payer: Aetna Commercial	$6,997.70
Rate for Payer: Aetna Medicare Advantage	$5,524.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,695.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,695.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,695.82
Rate for Payer: Cigna Commercial	$9,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,787.90
Rate for Payer: Oxford Commercial	$3,683.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,762.25
Rate for Payer: UnitedHealthcare Commercial	$3,683.00
Rate for Payer: UnitedHealthcare Community & State	$581.91
Rate for Payer: Wellpoint Medicaid Managed Care	$522.99

CHONDROITIN SOD HYALURNTE INJ

Facility

$1,010.96

Service Code	NDC 8065183905
Hospital Charge Code	60628087
Hospital Revenue Code	250
Min. Negotiated Rate	$151.64
Max. Negotiated Rate	$151.64
Rate for Payer: Qualcare PPO/HMO/WC	$151.64

CHONDROITIN SOD HYALURNTE INJ

Facility

$1,010.96

Service Code	NDC 8065183905
Hospital Charge Code	60628087
Hospital Revenue Code	250
Min. Negotiated Rate	$28.71
Max. Negotiated Rate	$505.48
Rate for Payer: Aetna Commercial	$384.16
Rate for Payer: Aetna Medicare Advantage	$303.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.79
Rate for Payer: Cigna Commercial	$505.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.85
Rate for Payer: Oxford Commercial	$202.19
Rate for Payer: Qualcare PPO/HMO/WC	$151.64
Rate for Payer: UnitedHealthcare Commercial	$202.19
Rate for Payer: UnitedHealthcare Community & State	$31.95
Rate for Payer: Wellpoint Medicaid Managed Care	$28.71

CH OXALATE

Facility

$390.00

Service Code	HCPCS 83945
Hospital Charge Code	397071029
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.30
Rate for Payer: Aetna Medicare Advantage	$46.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.42
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.45
Rate for Payer: Clover Medicare Advantage	$13.73
Rate for Payer: EmblemHealth Commercial	$43.35
Rate for Payer: Humana Medicare Advantage	$14.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.45
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	$11.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.45
Rate for Payer: Wellcare Medicare Advantage	$14.45
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CH OXALATE

Facility

$390.00

Service Code	HCPCS 83945
Hospital Charge Code	397071029
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges