Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

COLPOSCOPY CERVIX

Facility

$613.00

Service Code	HCPCS 57452
Hospital Charge Code	87502180
Hospital Revenue Code	361
Min. Negotiated Rate	$17.41
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$653.29
Rate for Payer: Aetna Medicare Advantage	$778.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$240.18
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	$871.25
Rate for Payer: Cigna Commercial	$481.45
Rate for Payer: Cigna Medicare Advantage	$240.18
Rate for Payer: Clover Medicare Advantage	$228.17
Rate for Payer: EmblemHealth Commercial	$720.54
Rate for Payer: Humana Medicare Advantage	$247.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$240.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.38
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.95
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$19.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$240.18
Rate for Payer: Wellcare Medicare Advantage	$240.18
Rate for Payer: Wellpoint Medicaid Managed Care	$17.41

COLPOSCOPY CERVIX

Facility

$613.00

Service Code	HCPCS 57452
Hospital Charge Code	87502180
Hospital Revenue Code	361
Min. Negotiated Rate	$91.95
Max. Negotiated Rate	$91.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.95

COLPOSCOPY CERVIX/VAG W/BX

Facility

$1,573.30

Service Code	HCPCS 57455
Hospital Charge Code	412357455
Hospital Revenue Code	361
Min. Negotiated Rate	$44.68
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$984.72
Rate for Payer: Aetna Medicare Advantage	$1,172.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$362.03
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	$1,313.26
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: Cigna Medicare Advantage	$362.03
Rate for Payer: Clover Medicare Advantage	$343.93
Rate for Payer: EmblemHealth Commercial	$1,086.09
Rate for Payer: Humana Medicare Advantage	$372.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$362.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$409.06
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.00
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$49.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$362.03
Rate for Payer: Wellcare Medicare Advantage	$362.03
Rate for Payer: Wellpoint Medicaid Managed Care	$44.68

COLPOSCOPY CERVIX/VAG W/BX

Facility

$1,573.30

Service Code	HCPCS 57455
Hospital Charge Code	412357455
Hospital Revenue Code	361
Min. Negotiated Rate	$236.00
Max. Negotiated Rate	$236.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.00

COLPOSCOPY W BIOPSY

Facility

$1,480.00

Service Code	HCPCS 57455
Hospital Charge Code	87502590
Hospital Revenue Code	761
Min. Negotiated Rate	$222.00
Max. Negotiated Rate	$222.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.00

COLPOSCOPY W BIOPSY

Facility

$1,480.00

Service Code	HCPCS 57455
Hospital Charge Code	87502590
Hospital Revenue Code	761
Min. Negotiated Rate	$42.03
Max. Negotiated Rate	$1,313.26
Rate for Payer: Aetna Commercial	$984.72
Rate for Payer: Aetna Medicare Advantage	$1,172.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$362.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,313.26
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: Cigna Medicare Advantage	$362.03
Rate for Payer: Clover Medicare Advantage	$343.93
Rate for Payer: EmblemHealth Commercial	$1,086.09
Rate for Payer: Humana Medicare Advantage	$372.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$362.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.80
Rate for Payer: Oxford Commercial	$296.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.00
Rate for Payer: UnitedHealthcare Commercial	$296.00
Rate for Payer: UnitedHealthcare Community & State	$46.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$362.03
Rate for Payer: Wellcare Medicare Advantage	$362.03
Rate for Payer: Wellpoint Medicaid Managed Care	$42.03

COLUMN MEDICAL LP 3.5

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270687075
Hospital Revenue Code	278
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Community & State	$236.21
Rate for Payer: Wellpoint Medicaid Managed Care	$212.29

COLUMN MEDICAL LP 3.5

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270687075
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

COLY-MYCIN

Facility

$1,855.90

Service Code	NDC 63481042105
Hospital Charge Code	606390221
Hospital Revenue Code	250
Min. Negotiated Rate	$278.38
Max. Negotiated Rate	$278.38
Rate for Payer: Qualcare PPO/HMO/WC	$278.38

COLY-MYCIN

Facility

$1,855.90

Service Code	NDC 63481042105
Hospital Charge Code	606390221
Hospital Revenue Code	250
Min. Negotiated Rate	$52.71
Max. Negotiated Rate	$927.95
Rate for Payer: Aetna Commercial	$705.24
Rate for Payer: Aetna Medicare Advantage	$556.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$473.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$473.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$473.25
Rate for Payer: Cigna Commercial	$927.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.53
Rate for Payer: Oxford Commercial	$371.18
Rate for Payer: Qualcare PPO/HMO/WC	$278.38
Rate for Payer: UnitedHealthcare Commercial	$371.18
Rate for Payer: UnitedHealthcare Community & State	$58.65
Rate for Payer: Wellpoint Medicaid Managed Care	$52.71

COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC

Facility

$304,109.96

Service Code	MSDRG 429
Min. Negotiated Rate	$92,597.58
Max. Negotiated Rate	$304,109.96
Rate for Payer: Aetna Commercial	$218,449.12
Rate for Payer: Aetna Medicare Advantage	$304,109.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$97,471.14
Rate for Payer: Cigna Commercial	$200,851.01
Rate for Payer: Cigna Medicare Advantage	$97,471.14
Rate for Payer: Clover Medicare Advantage	$92,597.58
Rate for Payer: EmblemHealth Commercial	$292,413.42
Rate for Payer: Humana Medicare Advantage	$100,395.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$97,471.14
Rate for Payer: Oxford Commercial	$158,749.15
Rate for Payer: UnitedHealthcare Commercial	$212,491.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$97,471.14
Rate for Payer: Wellcare Medicare Advantage	$97,471.14

COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC

Facility

$201,667.85

Service Code	MSDRG 430
Min. Negotiated Rate	$61,405.27
Max. Negotiated Rate	$201,667.85
Rate for Payer: Aetna Commercial	$145,488.67
Rate for Payer: Aetna Medicare Advantage	$201,667.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64,637.13
Rate for Payer: Cigna Commercial	$128,565.96
Rate for Payer: Cigna Medicare Advantage	$64,637.13
Rate for Payer: Clover Medicare Advantage	$61,405.27
Rate for Payer: EmblemHealth Commercial	$193,911.39
Rate for Payer: Humana Medicare Advantage	$66,576.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$64,637.13
Rate for Payer: Oxford Commercial	$101,616.30
Rate for Payer: UnitedHealthcare Commercial	$136,017.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$64,637.13
Rate for Payer: Wellcare Medicare Advantage	$64,637.13

COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC

Facility

$169,554.60

Service Code	MSDRG 454
Min. Negotiated Rate	$169,554.60
Max. Negotiated Rate	$169,554.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169,554.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169,554.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169,554.60

COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC

Facility

$245,466.30

Service Code	MSDRG 453
Min. Negotiated Rate	$245,466.30
Max. Negotiated Rate	$245,466.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245,466.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245,466.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245,466.30

COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC

Facility

$127,720.05

Service Code	MSDRG 455
Min. Negotiated Rate	$127,720.05
Max. Negotiated Rate	$127,720.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127,720.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127,720.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127,720.05

COMB RHC + LHC

Facility

$25,737.16

Service Code	HCPCS 93460
Hospital Charge Code	366893460
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$730.94

COMB RHC + LHC

Facility

$25,737.16

Service Code	HCPCS 93460
Hospital Charge Code	7411241
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

COMB RHC + LHC

Facility

$25,737.16

Service Code	HCPCS 93460
Hospital Charge Code	366893460
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

COMB RHC + LHC

Facility

$25,737.16

Service Code	HCPCS 93460
Hospital Charge Code	7411241
Hospital Revenue Code	481
Min. Negotiated Rate	$730.94
Max. Negotiated Rate	$13,971.32
Rate for Payer: Aetna Commercial	$10,476.08
Rate for Payer: Aetna Medicare Advantage	$12,478.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,971.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,971.32
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Cigna Medicare Advantage	$3,851.50
Rate for Payer: Clover Medicare Advantage	$3,658.93
Rate for Payer: EmblemHealth Commercial	$11,554.50
Rate for Payer: Humana Medicare Advantage	$3,967.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,851.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,691.66
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$813.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,851.50
Rate for Payer: Wellcare Medicare Advantage	$3,851.50
Rate for Payer: Wellpoint Medicaid Managed Care	$730.94

COMET II PRESSURE GUIDEWIRE

Facility

$6,375.00

Hospital Charge Code	270703404
Hospital Revenue Code	278
Min. Negotiated Rate	$956.25
Max. Negotiated Rate	$1,542.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,542.75
Rate for Payer: Qualcare PPO/HMO/WC	$956.25

COMET II PRESSURE GUIDEWIRE

Facility

$6,375.00

Hospital Charge Code	270703404
Hospital Revenue Code	278
Min. Negotiated Rate	$181.05
Max. Negotiated Rate	$3,187.50
Rate for Payer: Aetna Commercial	$2,422.50
Rate for Payer: Aetna Medicare Advantage	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,625.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,625.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,625.62
Rate for Payer: Cigna Commercial	$3,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,542.75
Rate for Payer: Qualcare PPO/HMO/WC	$956.25
Rate for Payer: UnitedHealthcare Community & State	$201.45
Rate for Payer: Wellpoint Medicaid Managed Care	$181.05

COMFORT FORM WRIST/THUMB

Facility

$73.65

Hospital Charge Code	270653984
Hospital Revenue Code	272
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$36.83
Rate for Payer: Aetna Commercial	$27.99
Rate for Payer: Aetna Medicare Advantage	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.78
Rate for Payer: Cigna Commercial	$36.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.15
Rate for Payer: Oxford Commercial	$14.73
Rate for Payer: Qualcare PPO/HMO/WC	$11.05
Rate for Payer: UnitedHealthcare Commercial	$14.73
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.09

COMFORT FORM WRIST/THUMB

Facility

$73.65

Hospital Charge Code	270653984
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.05

COMM ANTEROPOSTEOR COLPORRHPHY

Facility

$46,649.25

Service Code	HCPCS 57260
Hospital Charge Code	1600000433
Hospital Revenue Code	360
Min. Negotiated Rate	$6,997.39
Max. Negotiated Rate	$6,997.39
Rate for Payer: Qualcare PPO/HMO/WC	$6,997.39

COMM ANTEROPOSTEOR COLPORRHPHY

Facility

$46,649.25

Service Code	HCPCS 57260
Hospital Charge Code	1600000433
Hospital Revenue Code	360
Min. Negotiated Rate	$1,324.84
Max. Negotiated Rate	$21,558.38
Rate for Payer: Aetna Commercial	$16,165.07
Rate for Payer: Aetna Medicare Advantage	$19,255.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,943.04
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	$21,558.38
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: Cigna Medicare Advantage	$5,943.04
Rate for Payer: Clover Medicare Advantage	$5,645.89
Rate for Payer: EmblemHealth Commercial	$17,829.12
Rate for Payer: Humana Medicare Advantage	$6,121.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,943.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,128.81
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,997.39
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,474.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,943.04
Rate for Payer: Wellcare Medicare Advantage	$5,943.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1,324.84

Know your out-of-pocket cost for care.

All Charges