Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

COLLAR FOAM SERPENTINE LARGE

Facility

$19.05

Hospital Charge Code	270649375
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$9.53
Rate for Payer: Aetna Commercial	$7.24
Rate for Payer: Aetna Medicare Advantage	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.86
Rate for Payer: Cigna Commercial	$9.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.95
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.86
Rate for Payer: UnitedHealthcare Commercial	$3.81
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

COLLAR FOAM SERPENTINE LARGE

Facility

$19.05

Hospital Charge Code	270649375
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.86

COLLAR FOAM SERPENTINE MEDIUM

Facility

$19.05

Hospital Charge Code	270649376
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.86

COLLAR FOAM SERPENTINE MEDIUM

Facility

$19.05

Hospital Charge Code	270649376
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$9.53
Rate for Payer: Aetna Commercial	$7.24
Rate for Payer: Aetna Medicare Advantage	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.86
Rate for Payer: Cigna Commercial	$9.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.95
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.86
Rate for Payer: UnitedHealthcare Commercial	$3.81
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

COLLAR FOAM SERPENTINE SMALL

Facility

$18.50

Hospital Charge Code	270649377
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$9.25
Rate for Payer: Aetna Commercial	$7.03
Rate for Payer: Aetna Medicare Advantage	$5.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.72
Rate for Payer: Cigna Commercial	$9.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.81
Rate for Payer: Oxford Commercial	$3.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.77
Rate for Payer: UnitedHealthcare Commercial	$3.70
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

COLLAR FOAM SERPENTINE SMALL

Facility

$18.50

Hospital Charge Code	270649377
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$2.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.77

COLLAR FOAM SERPENTINE X-LG

Facility

$19.05

Hospital Charge Code	270649378
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.86

COLLAR FOAM SERPENTINE X-LG

Facility

$19.05

Hospital Charge Code	270649378
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$9.53
Rate for Payer: Aetna Commercial	$7.24
Rate for Payer: Aetna Medicare Advantage	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.86
Rate for Payer: Cigna Commercial	$9.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.95
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.86
Rate for Payer: UnitedHealthcare Commercial	$3.81
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

COLLAR FORM FIT CERVICAL MED

Facility

$16.05

Hospital Charge Code	270649876
Hospital Revenue Code	270
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$2.41
Rate for Payer: Qualcare PPO/HMO/WC	$2.41

COLLAR FORM FIT CERVICAL MED

Facility

$16.05

Hospital Charge Code	270649876
Hospital Revenue Code	270
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$8.03
Rate for Payer: Aetna Commercial	$6.10
Rate for Payer: Aetna Medicare Advantage	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.09
Rate for Payer: Cigna Commercial	$8.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: Oxford Commercial	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.41
Rate for Payer: UnitedHealthcare Commercial	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

COLLAR LD CONTOUR 3 FOAM XLG

Facility

$23.80

Hospital Charge Code	270654990
Hospital Revenue Code	270
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$11.90
Rate for Payer: Aetna Commercial	$9.04
Rate for Payer: Aetna Medicare Advantage	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.07
Rate for Payer: Cigna Commercial	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.19
Rate for Payer: Oxford Commercial	$4.76
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$4.76
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

COLLAR LD CONTOUR 3 FOAM XLG

Facility

$23.80

Hospital Charge Code	270654990
Hospital Revenue Code	270
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

COLLAR MIAMI J MEDIUM

Facility

$196.50

Service Code	HCPCS L0174
Hospital Charge Code	270670525
Hospital Revenue Code	274
Min. Negotiated Rate	$5.58
Max. Negotiated Rate	$98.25
Rate for Payer: Aetna Commercial	$74.67
Rate for Payer: Aetna Medicare Advantage	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.11
Rate for Payer: Cigna Commercial	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.55
Rate for Payer: Qualcare PPO/HMO/WC	$29.48
Rate for Payer: UnitedHealthcare Community & State	$6.21
Rate for Payer: Wellpoint Medicaid Managed Care	$5.58

COLLAR MIAMI J MEDIUM

Facility

$196.50

Service Code	HCPCS L0174
Hospital Charge Code	270670525
Hospital Revenue Code	274
Min. Negotiated Rate	$29.48
Max. Negotiated Rate	$47.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.55
Rate for Payer: Qualcare PPO/HMO/WC	$29.48

COLLAR MIAMI J MED MJ400

Facility

$463.25

Hospital Charge Code	270610724
Hospital Revenue Code	270
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

COLLAR MIAMI J MED MJ400

Facility

$463.25

Hospital Charge Code	270610724
Hospital Revenue Code	270
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.44
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$14.64
Rate for Payer: Wellpoint Medicaid Managed Care	$13.16

COLL BLOOD VAD IMPLANT

Facility

$259.00

Service Code	HCPCS 36591
Hospital Charge Code	3400072
Hospital Revenue Code	761
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$573.36
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.34
Rate for Payer: Oxford Commercial	$51.80
Rate for Payer: Qualcare PPO/HMO/WC	$38.85
Rate for Payer: UnitedHealthcare Commercial	$51.80
Rate for Payer: UnitedHealthcare Community & State	$8.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$7.36

COLL BLOOD VAD IMPLANT

Facility

$259.00

Service Code	HCPCS 36591
Hospital Charge Code	3400072
Hospital Revenue Code	761
Min. Negotiated Rate	$38.85
Max. Negotiated Rate	$38.85
Rate for Payer: Qualcare PPO/HMO/WC	$38.85

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	321736592
Hospital Revenue Code	361
Min. Negotiated Rate	$93.53
Max. Negotiated Rate	$93.53
Rate for Payer: Qualcare PPO/HMO/WC	$93.53

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	321736592
Hospital Revenue Code	361
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.12
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.53
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$19.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$17.71

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	73662007
Hospital Revenue Code	361
Min. Negotiated Rate	$93.53
Max. Negotiated Rate	$93.53
Rate for Payer: Qualcare PPO/HMO/WC	$93.53

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	73662007
Hospital Revenue Code	361
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.12
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.53
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$19.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$17.71

COLLECTION BONE DUST BONE VAC

Facility

$6,420.00

Hospital Charge Code	270691627
Hospital Revenue Code	272
Min. Negotiated Rate	$182.33
Max. Negotiated Rate	$3,210.00
Rate for Payer: Aetna Commercial	$2,439.60
Rate for Payer: Aetna Medicare Advantage	$1,926.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,637.10
Rate for Payer: Cigna Commercial	$3,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,669.20
Rate for Payer: Oxford Commercial	$1,284.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00
Rate for Payer: UnitedHealthcare Commercial	$1,284.00
Rate for Payer: UnitedHealthcare Community & State	$202.87
Rate for Payer: Wellpoint Medicaid Managed Care	$182.33

COLLECTION BONE DUST BONE VAC

Facility

$6,420.00

Hospital Charge Code	270691627
Hospital Revenue Code	272
Min. Negotiated Rate	$963.00
Max. Negotiated Rate	$963.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00

COLLECTION CAP BLOOD SPECIMEN

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	980833
Hospital Revenue Code	300
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Know your out-of-pocket cost for care.

All Charges