Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

COLLECTION CAP BLOOD SPECIMEN

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	980833
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

COLLECTION SYSTEM SAFETOUCH BE

Facility

$1,001.85

Hospital Charge Code	270664262
Hospital Revenue Code	270
Min. Negotiated Rate	$28.45
Max. Negotiated Rate	$500.93
Rate for Payer: Aetna Commercial	$380.70
Rate for Payer: Aetna Medicare Advantage	$300.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.47
Rate for Payer: Cigna Commercial	$500.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.48
Rate for Payer: Oxford Commercial	$200.37
Rate for Payer: Qualcare PPO/HMO/WC	$150.28
Rate for Payer: UnitedHealthcare Commercial	$200.37
Rate for Payer: UnitedHealthcare Community & State	$31.66
Rate for Payer: Wellpoint Medicaid Managed Care	$28.45

COLLECTION SYSTEM SAFETOUCH BE

Facility

$1,001.85

Hospital Charge Code	270664262
Hospital Revenue Code	270
Min. Negotiated Rate	$150.28
Max. Negotiated Rate	$150.28
Rate for Payer: Qualcare PPO/HMO/WC	$150.28

COLLECTOR SHARPS 7.5 QTS.

Facility

$28.00

Hospital Charge Code	270331166
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

COLLECTOR SHARPS 7.5 QTS.

Facility

$28.00

Hospital Charge Code	270331166
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

COLLECTOR URINE MID-STREAM

Facility

$5.83

Hospital Charge Code	270301890
Hospital Revenue Code	270
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

COLLECTOR URINE MID-STREAM

Facility

$5.83

Hospital Charge Code	270301890
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna Commercial	$2.22
Rate for Payer: Aetna Medicare Advantage	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.52
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

COLLET LARGE 3.0- 4.2 MM

Facility

$10,134.30

Hospital Charge Code	270688342
Hospital Revenue Code	272
Min. Negotiated Rate	$1,520.14
Max. Negotiated Rate	$1,520.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.14

COLLET LARGE 3.0- 4.2 MM

Facility

$10,134.30

Hospital Charge Code	270688342
Hospital Revenue Code	272
Min. Negotiated Rate	$287.81
Max. Negotiated Rate	$5,067.15
Rate for Payer: Aetna Commercial	$3,851.03
Rate for Payer: Aetna Medicare Advantage	$3,040.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,584.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,584.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,584.25
Rate for Payer: Cigna Commercial	$5,067.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,634.92
Rate for Payer: Oxford Commercial	$2,026.86
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.14
Rate for Payer: UnitedHealthcare Commercial	$2,026.86
Rate for Payer: UnitedHealthcare Community & State	$320.24
Rate for Payer: Wellpoint Medicaid Managed Care	$287.81

COLLOIDAL OATMEAL 100% SKIN PR

Facility

$4.00

Service Code	NDC 8137003662
Hospital Charge Code	6063943191
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

COLLOIDAL OATMEAL 100% SKIN PR

Facility

$4.00

Service Code	NDC 8137003662
Hospital Charge Code	6063943191
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

COLNSCPY FLX W REM LES HBF/BPC

Facility

$8,751.70

Service Code	HCPCS 45384
Hospital Charge Code	16000747
Hospital Revenue Code	360
Min. Negotiated Rate	$248.55
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
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	$5,157.00
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,275.44
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$276.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64
Rate for Payer: Wellpoint Medicaid Managed Care	$248.55

COLNSCPY FLX W REM LES HBF/BPC

Facility

$8,751.70

Service Code	HCPCS 45384
Hospital Charge Code	16000747
Hospital Revenue Code	360
Min. Negotiated Rate	$1,312.76
Max. Negotiated Rate	$1,312.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76

COLONIC DILATOR 18MM 54FR

Facility

$1,355.00

Hospital Charge Code	270332492
Hospital Revenue Code	272
Min. Negotiated Rate	$203.25
Max. Negotiated Rate	$203.25
Rate for Payer: Qualcare PPO/HMO/WC	$203.25

COLONIC DILATOR 18MM 54FR

Facility

$1,355.00

Hospital Charge Code	270332492
Hospital Revenue Code	272
Min. Negotiated Rate	$38.48
Max. Negotiated Rate	$677.50
Rate for Payer: Aetna Commercial	$514.90
Rate for Payer: Aetna Medicare Advantage	$406.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$345.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$345.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$345.52
Rate for Payer: Cigna Commercial	$677.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.30
Rate for Payer: Oxford Commercial	$271.00
Rate for Payer: Qualcare PPO/HMO/WC	$203.25
Rate for Payer: UnitedHealthcare Commercial	$271.00
Rate for Payer: UnitedHealthcare Community & State	$42.82
Rate for Payer: Wellpoint Medicaid Managed Care	$38.48

COLONO.DIAGN.VIA COLOST.W/WOBR

Facility

$7,639.30

Hospital Charge Code	16000150
Hospital Revenue Code	360
Min. Negotiated Rate	$1,145.89
Max. Negotiated Rate	$1,145.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89

COLONO.DIAGN.VIA COLOST.W/WOBR

Facility

$7,639.30

Hospital Charge Code	16000150
Hospital Revenue Code	360
Min. Negotiated Rate	$216.96
Max. Negotiated Rate	$3,819.65
Rate for Payer: Aetna Commercial	$2,902.93
Rate for Payer: Aetna Medicare Advantage	$2,291.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,948.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,948.02
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	$1,948.02
Rate for Payer: Cigna Commercial	$3,819.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,986.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89
Rate for Payer: UnitedHealthcare Community & State	$241.40
Rate for Payer: Wellpoint Medicaid Managed Care	$216.96

COLONOSCOPE SUBMUCOUS INJ

Facility

$8,751.70

Service Code	HCPCS 45381
Hospital Charge Code	16000367
Hospital Revenue Code	360
Min. Negotiated Rate	$1,312.76
Max. Negotiated Rate	$1,312.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76

COLONOSCOPE SUBMUCOUS INJ

Facility

$8,751.70

Service Code	HCPCS 45381
Hospital Charge Code	16000367
Hospital Revenue Code	360
Min. Negotiated Rate	$248.55
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
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	$5,157.00
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,275.44
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$276.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64
Rate for Payer: Wellpoint Medicaid Managed Care	$248.55

COLONOSCOPY,FLEX,DX

Facility

$8,652.00

Service Code	HCPCS 45378
Hospital Charge Code	16000208
Hospital Revenue Code	360
Min. Negotiated Rate	$1,297.80
Max. Negotiated Rate	$1,297.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,297.80

COLONOSCOPY,FLEX,DX

Facility

$8,652.00

Service Code	HCPCS 45378
Hospital Charge Code	16000208
Hospital Revenue Code	360
Min. Negotiated Rate	$245.72
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$3,005.08
Rate for Payer: Aetna Medicare Advantage	$3,579.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,104.81
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	$4,007.70
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: Cigna Medicare Advantage	$1,104.81
Rate for Payer: Clover Medicare Advantage	$1,049.57
Rate for Payer: EmblemHealth Commercial	$3,314.43
Rate for Payer: Humana Medicare Advantage	$1,137.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,104.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,249.52
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,297.80
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$273.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,104.81
Rate for Payer: Wellcare Medicare Advantage	$1,104.81
Rate for Payer: Wellpoint Medicaid Managed Care	$245.72

COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)

Facility

$5,347.00

Service Code	CPT 45378
Hospital Revenue Code	750
Min. Negotiated Rate	$182.71
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$3,005.08
Rate for Payer: Aetna Medicare Advantage	$3,579.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,007.70
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: Cigna Medicare Advantage	$1,104.81
Rate for Payer: Clover Medicare Advantage	$1,049.57
Rate for Payer: EmblemHealth Commercial	$3,314.43
Rate for Payer: Humana Medicare Advantage	$1,137.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,104.81
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,104.81
Rate for Payer: Wellcare Medicare Advantage	$1,104.81

COLONOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)

Facility

$5,347.00

Service Code	CPT 45398
Hospital Revenue Code	750
Min. Negotiated Rate	$470.70
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$470.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,157.00
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64

COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE

Facility

$5,347.00

Service Code	CPT 45380
Hospital Revenue Code	750
Min. Negotiated Rate	$220.22
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,157.00
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64

COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE

Facility

$5,347.00

Service Code	CPT 45381
Hospital Revenue Code	750
Min. Negotiated Rate	$221.10
Max. Negotiated Rate	$5,347.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$221.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,157.00
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64

Know your out-of-pocket cost for care.

All Charges