Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CLEFT LIP AND PALATE REPAIR

Facility

$18,272.39

Service Code	APR-DRG 0953
Min. Negotiated Rate	$17,914.11
Max. Negotiated Rate	$18,272.39
Rate for Payer: UnitedHealthcare Community & State	$17,914.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,272.39
Rate for Payer: Wellpoint Medicaid Managed Care	$17,914.11

CLEFT LIP AND PALATE REPAIR

Facility

$30,409.09

Service Code	APR-DRG 0954
Min. Negotiated Rate	$29,812.83
Max. Negotiated Rate	$30,409.09
Rate for Payer: UnitedHealthcare Community & State	$29,812.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,409.09
Rate for Payer: Wellpoint Medicaid Managed Care	$29,812.83

CLEOCIN 300 MG CAPSULE

Facility

$24.92

Service Code	NDC 591293201
Hospital Charge Code	60635039
Hospital Revenue Code	250
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.46
Rate for Payer: Aetna Commercial	$9.47
Rate for Payer: Aetna Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.35
Rate for Payer: Cigna Commercial	$12.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.48
Rate for Payer: Oxford Commercial	$4.98
Rate for Payer: Qualcare PPO/HMO/WC	$3.74
Rate for Payer: UnitedHealthcare Commercial	$4.98
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

CLEOCIN 300 MG CAPSULE

Facility

$24.92

Service Code	NDC 591293201
Hospital Charge Code	60635039
Hospital Revenue Code	250
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$3.74
Rate for Payer: Qualcare PPO/HMO/WC	$3.74

CLIK ANCHOR HEX WRENCH DISP

Facility

$225.00

Hospital Charge Code	270696219
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

CLIK ANCHOR HEX WRENCH DISP

Facility

$225.00

Hospital Charge Code	270696219
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CLINDAMYCIN 150 MG/ML INJ

Facility

$92.86

Service Code	NDC 9312403
Hospital Charge Code	6006332
Hospital Revenue Code	250
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$46.43
Rate for Payer: Aetna Commercial	$35.29
Rate for Payer: Aetna Medicare Advantage	$27.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.68
Rate for Payer: Cigna Commercial	$46.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.14
Rate for Payer: Oxford Commercial	$18.57
Rate for Payer: Qualcare PPO/HMO/WC	$13.93
Rate for Payer: UnitedHealthcare Commercial	$18.57
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

CLINDAMYCIN 150 MG/ML INJ

Facility

$92.86

Service Code	NDC 9312403
Hospital Charge Code	6006332
Hospital Revenue Code	250
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$13.93
Rate for Payer: Qualcare PPO/HMO/WC	$13.93

CLINDAMYCIN 300MG/2ML

Facility

$50.79

Service Code	NDC 9087026
Hospital Charge Code	60632361
Hospital Revenue Code	250
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$7.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.62

CLINDAMYCIN 300MG/2ML

Facility

$50.79

Service Code	NDC 9087026
Hospital Charge Code	60632361
Hospital Revenue Code	250
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$25.39
Rate for Payer: Aetna Commercial	$19.30
Rate for Payer: Aetna Medicare Advantage	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.95
Rate for Payer: Cigna Commercial	$25.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.21
Rate for Payer: Oxford Commercial	$10.16
Rate for Payer: Qualcare PPO/HMO/WC	$7.62
Rate for Payer: UnitedHealthcare Commercial	$10.16
Rate for Payer: UnitedHealthcare Community & State	$1.60
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

CLINDAMYCIN 300MG/50ML

Facility

$67.00

Service Code	NDC 338954524
Hospital Charge Code	60627323
Hospital Revenue Code	250
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

CLINDAMYCIN 300MG/50ML

Facility

$67.00

Service Code	NDC 338954524
Hospital Charge Code	60627323
Hospital Revenue Code	250
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$25.46
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Oxford Commercial	$13.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.05
Rate for Payer: UnitedHealthcare Commercial	$13.40
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.90

CLINDAMYCIN 300MG/50ML D5W

Facility

$65.93

Service Code	NDC 781922009
Hospital Charge Code	606390188
Hospital Revenue Code	250
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$32.97
Rate for Payer: Aetna Commercial	$25.05
Rate for Payer: Aetna Medicare Advantage	$19.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.81
Rate for Payer: Cigna Commercial	$32.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.14
Rate for Payer: Oxford Commercial	$13.19
Rate for Payer: Qualcare PPO/HMO/WC	$9.89
Rate for Payer: UnitedHealthcare Commercial	$13.19
Rate for Payer: UnitedHealthcare Community & State	$2.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

CLINDAMYCIN 300MG/50ML D5W

Facility

$65.93

Service Code	NDC 781922009
Hospital Charge Code	606390188
Hospital Revenue Code	250
Min. Negotiated Rate	$9.89
Max. Negotiated Rate	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.89

CLINDAMYCIN 600MG/50ML

Facility

$50.59

Service Code	NDC 781328991
Hospital Charge Code	6006324
Hospital Revenue Code	250
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$25.30
Rate for Payer: Aetna Commercial	$19.22
Rate for Payer: Aetna Medicare Advantage	$15.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.90
Rate for Payer: Cigna Commercial	$25.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.15
Rate for Payer: Oxford Commercial	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.59
Rate for Payer: UnitedHealthcare Commercial	$10.12
Rate for Payer: UnitedHealthcare Community & State	$1.60
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

CLINDAMYCIN 600MG/50ML

Facility

$50.59

Service Code	NDC 781328991
Hospital Charge Code	6006324
Hospital Revenue Code	250
Min. Negotiated Rate	$7.59
Max. Negotiated Rate	$7.59
Rate for Payer: Qualcare PPO/HMO/WC	$7.59

CLINDAMYCIN 75 MG/5 ML SUSP

Facility

$9.85

Service Code	NDC 574012901
Hospital Charge Code	6063943326
Hospital Revenue Code	250
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$4.92
Rate for Payer: Aetna Commercial	$3.74
Rate for Payer: Aetna Medicare Advantage	$2.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.51
Rate for Payer: Cigna Commercial	$4.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.56
Rate for Payer: Oxford Commercial	$1.97
Rate for Payer: Qualcare PPO/HMO/WC	$1.48
Rate for Payer: UnitedHealthcare Commercial	$1.97
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

CLINDAMYCIN 75 MG/5 ML SUSP

Facility

$9.85

Service Code	NDC 574012901
Hospital Charge Code	6063943326
Hospital Revenue Code	250
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$1.48
Rate for Payer: Qualcare PPO/HMO/WC	$1.48

CLINDAMYCIN 900MG/D5W 50ML

Facility

$121.40

Service Code	NDC 781922209
Hospital Charge Code	606390397
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$60.70
Rate for Payer: Aetna Commercial	$46.13
Rate for Payer: Aetna Medicare Advantage	$36.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.96
Rate for Payer: Cigna Commercial	$60.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.56
Rate for Payer: Oxford Commercial	$24.28
Rate for Payer: Qualcare PPO/HMO/WC	$18.21
Rate for Payer: UnitedHealthcare Commercial	$24.28
Rate for Payer: UnitedHealthcare Community & State	$3.84
Rate for Payer: Wellpoint Medicaid Managed Care	$3.45

CLINDAMYCIN 900MG/D5W 50ML

Facility

$121.40

Service Code	NDC 781922209
Hospital Charge Code	606390397
Hospital Revenue Code	250
Min. Negotiated Rate	$18.21
Max. Negotiated Rate	$18.21
Rate for Payer: Qualcare PPO/HMO/WC	$18.21

CLINDAMYCIN 90 MG/NS 50 ML

Facility

$104.92

Service Code	NDC 338955350
Hospital Charge Code	606390277
Hospital Revenue Code	250
Min. Negotiated Rate	$15.74
Max. Negotiated Rate	$15.74
Rate for Payer: Qualcare PPO/HMO/WC	$15.74

CLINDAMYCIN 90 MG/NS 50 ML

Facility

$104.92

Service Code	NDC 338955350
Hospital Charge Code	606390277
Hospital Revenue Code	250
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.46
Rate for Payer: Aetna Commercial	$39.87
Rate for Payer: Aetna Medicare Advantage	$31.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.75
Rate for Payer: Cigna Commercial	$52.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.28
Rate for Payer: Oxford Commercial	$20.98
Rate for Payer: Qualcare PPO/HMO/WC	$15.74
Rate for Payer: UnitedHealthcare Commercial	$20.98
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

CLINDAMYCIN HCL 150MG CAPSULE

Facility

$4.89

Service Code	NDC 904595961
Hospital Charge Code	60632362
Hospital Revenue Code	250
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

CLINDAMYCIN HCL 150MG CAPSULE

Facility

$4.89

Service Code	NDC 904595961
Hospital Charge Code	60632362
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.44
Rate for Payer: Aetna Commercial	$1.86
Rate for Payer: Aetna Medicare Advantage	$1.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.25
Rate for Payer: Cigna Commercial	$2.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.27
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$0.98
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

CLINDAMYCIN LEVEL

Facility

$376.00

Service Code	HCPCS 80299
Hospital Charge Code	38473067
Hospital Revenue Code	301
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$188.00
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$60.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.62
Rate for Payer: Cigna Commercial	$188.00
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Medicare Advantage	$18.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.68

Know your out-of-pocket cost for care.

All Charges