Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CRESCENT SNARE

Facility

$495.00

Hospital Charge Code	270325501
Hospital Revenue Code	272
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

CRESCENT VBS 30MM X 11MM X 14

Facility

$9,352.00

Hospital Charge Code	270335309
Hospital Revenue Code	278
Min. Negotiated Rate	$1,402.80
Max. Negotiated Rate	$2,263.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,870.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,263.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,402.80

CRESCENT VBS 30MM X 11MM X 14

Facility

$9,352.00

Hospital Charge Code	270335309
Hospital Revenue Code	278
Min. Negotiated Rate	$265.60
Max. Negotiated Rate	$4,676.00
Rate for Payer: Aetna Commercial	$3,553.76
Rate for Payer: Aetna Medicare Advantage	$2,805.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,384.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,384.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,870.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,384.76
Rate for Payer: Cigna Commercial	$4,676.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,263.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,402.80
Rate for Payer: UnitedHealthcare Community & State	$295.52
Rate for Payer: Wellpoint Medicaid Managed Care	$265.60

CRESEMBRA 372MG VAIL

Facility

$2,366.30

Hospital Charge Code	606390585
Hospital Revenue Code	250
Min. Negotiated Rate	$354.94
Max. Negotiated Rate	$354.94
Rate for Payer: Qualcare PPO/HMO/WC	$354.94

CRESEMBRA 372MG VAIL

Facility

$2,366.30

Hospital Charge Code	606390585
Hospital Revenue Code	250
Min. Negotiated Rate	$67.20
Max. Negotiated Rate	$1,183.15
Rate for Payer: Aetna Commercial	$899.19
Rate for Payer: Aetna Medicare Advantage	$709.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$603.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$603.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$603.41
Rate for Payer: Cigna Commercial	$1,183.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.24
Rate for Payer: Oxford Commercial	$473.26
Rate for Payer: Qualcare PPO/HMO/WC	$354.94
Rate for Payer: UnitedHealthcare Commercial	$473.26
Rate for Payer: UnitedHealthcare Community & State	$74.78
Rate for Payer: Wellpoint Medicaid Managed Care	$67.20

CRESENT KNIFE OPHTHALMIC

Facility

$178.00

Hospital Charge Code	270330801
Hospital Revenue Code	272
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$26.70
Rate for Payer: Qualcare PPO/HMO/WC	$26.70

CRESENT KNIFE OPHTHALMIC

Facility

$178.00

Hospital Charge Code	270330801
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$89.00
Rate for Payer: Aetna Commercial	$67.64
Rate for Payer: Aetna Medicare Advantage	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.39
Rate for Payer: Cigna Commercial	$89.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.28
Rate for Payer: Oxford Commercial	$35.60
Rate for Payer: Qualcare PPO/HMO/WC	$26.70
Rate for Payer: UnitedHealthcare Commercial	$35.60
Rate for Payer: UnitedHealthcare Community & State	$5.62
Rate for Payer: Wellpoint Medicaid Managed Care	$5.06

CRESTOR 10MG TABLET

Facility

$55.14

Service Code	NDC 310075139
Hospital Charge Code	60635616
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

CRESTOR 10MG TABLET

Facility

$55.14

Service Code	NDC 310075139
Hospital Charge Code	60635616
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRESTOR 20MG TABLET

Facility

$55.14

Service Code	NDC 310075239
Hospital Charge Code	60635617
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRESTOR 20MG TABLET

Facility

$55.14

Service Code	NDC 310075239
Hospital Charge Code	60635617
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

CRESTOR 2.5 TAB

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	606351004
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRESTOR 2.5 TAB

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	606351004
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

CRESTOR 5MG TABLET

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	60635620
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

CRESTOR 5MG TABLET

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	60635620
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRE WG 12-15MM/180

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270680629
Hospital Revenue Code	278
Min. Negotiated Rate	$30.31
Max. Negotiated Rate	$533.67
Rate for Payer: Aetna Commercial	$405.59
Rate for Payer: Aetna Medicare Advantage	$320.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.17
Rate for Payer: Cigna Commercial	$533.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10
Rate for Payer: UnitedHealthcare Community & State	$33.73
Rate for Payer: Wellpoint Medicaid Managed Care	$30.31

CRE WG 12-15MM/180

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270680629
Hospital Revenue Code	278
Min. Negotiated Rate	$160.10
Max. Negotiated Rate	$258.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10

CRE WG 15-18MM/180/5.5F/G 5843

Facility

$1,089.15

Service Code	HCPCS C1726
Hospital Charge Code	270619660
Hospital Revenue Code	278
Min. Negotiated Rate	$163.37
Max. Negotiated Rate	$263.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.57
Rate for Payer: Qualcare PPO/HMO/WC	$163.37

CRE WG 15-18MM/180/5.5F/G 5843

Facility

$1,089.15

Service Code	HCPCS C1726
Hospital Charge Code	270619660
Hospital Revenue Code	278
Min. Negotiated Rate	$30.93
Max. Negotiated Rate	$544.58
Rate for Payer: Aetna Commercial	$413.88
Rate for Payer: Aetna Medicare Advantage	$326.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.73
Rate for Payer: Cigna Commercial	$544.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.57
Rate for Payer: Qualcare PPO/HMO/WC	$163.37
Rate for Payer: UnitedHealthcare Community & State	$34.42
Rate for Payer: Wellpoint Medicaid Managed Care	$30.93

CRICOTHYROTOMY EMERGENCY

Facility

$746.00

Hospital Charge Code	270332334
Hospital Revenue Code	272
Min. Negotiated Rate	$21.19
Max. Negotiated Rate	$373.00
Rate for Payer: Aetna Commercial	$283.48
Rate for Payer: Aetna Medicare Advantage	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$190.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$190.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$190.23
Rate for Payer: Cigna Commercial	$373.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.96
Rate for Payer: Oxford Commercial	$149.20
Rate for Payer: Qualcare PPO/HMO/WC	$111.90
Rate for Payer: UnitedHealthcare Commercial	$149.20
Rate for Payer: UnitedHealthcare Community & State	$23.57
Rate for Payer: Wellpoint Medicaid Managed Care	$21.19

CRICOTHYROTOMY EMERGENCY

Facility

$746.00

Hospital Charge Code	270332334
Hospital Revenue Code	272
Min. Negotiated Rate	$111.90
Max. Negotiated Rate	$111.90
Rate for Payer: Qualcare PPO/HMO/WC	$111.90

CRISIS ADULT/30MIN MEDICAID

Facility

$1,000.00

Service Code	HCPCS 90839
Hospital Charge Code	4822604
Hospital Revenue Code	914
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

CRISIS ADULT/30MIN MEDICAID

Facility

$1,000.00

Service Code	HCPCS 90839
Hospital Charge Code	4504604
Hospital Revenue Code	914
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CRISIS ADULT/30MIN MEDICAID

Facility

$1,000.00

Service Code	HCPCS 90839
Hospital Charge Code	4818604
Hospital Revenue Code	914
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$764.93
Rate for Payer: Aetna Commercial	$573.57
Rate for Payer: Aetna Medicare Advantage	$683.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$210.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.93
Rate for Payer: Cigna Commercial	$422.69
Rate for Payer: Cigna Medicare Advantage	$210.87
Rate for Payer: Clover Medicare Advantage	$200.33
Rate for Payer: EmblemHealth Commercial	$632.61
Rate for Payer: Humana Medicare Advantage	$217.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$210.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$210.87
Rate for Payer: Wellcare Medicare Advantage	$210.87
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

CRISIS ADULT/30MIN MEDICAID

Facility

$1,000.00

Service Code	HCPCS 90839
Hospital Charge Code	4832604
Hospital Revenue Code	914
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

Know your out-of-pocket cost for care.

All Charges