Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CROUPETTE

Facility

$94.54

Hospital Charge Code	270655477
Hospital Revenue Code	270
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$47.27
Rate for Payer: Aetna Commercial	$35.93
Rate for Payer: Aetna Medicare Advantage	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.11
Rate for Payer: Cigna Commercial	$47.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.58
Rate for Payer: Oxford Commercial	$18.91
Rate for Payer: Qualcare PPO/HMO/WC	$14.18
Rate for Payer: UnitedHealthcare Commercial	$18.91
Rate for Payer: UnitedHealthcare Community & State	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

CROUPETTE

Facility

$94.54

Hospital Charge Code	270655477
Hospital Revenue Code	270
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$14.18
Rate for Payer: Qualcare PPO/HMO/WC	$14.18

CRP,CARDIO,HIGH-SENSITIVE

Facility

$93.00

Service Code	HCPCS 86141
Hospital Charge Code	38476300
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

CRP,CARDIO,HIGH-SENSITIVE

Facility

$93.00

Service Code	HCPCS 86141
Hospital Charge Code	38476300
Hospital Revenue Code	302
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.22
Rate for Payer: Aetna Medicare Advantage	$41.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.98
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: Cigna Medicare Advantage	$12.95
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Medicare Advantage	$12.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

CRT PECARDIAL WNDW/PARTL RESEC

Facility

$9,005.00

Service Code	HCPCS 33025
Hospital Charge Code	16000934
Hospital Revenue Code	360
Min. Negotiated Rate	$255.74
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$3,421.90
Rate for Payer: Aetna Medicare Advantage	$2,701.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,296.28
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	$2,296.28
Rate for Payer: Cigna Commercial	$4,502.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,341.30
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.75
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$284.56
Rate for Payer: Wellpoint Medicaid Managed Care	$255.74

CRT PECARDIAL WNDW/PARTL RESEC

Facility

$9,005.00

Service Code	HCPCS 33025
Hospital Charge Code	16000934
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.75
Max. Negotiated Rate	$1,350.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.75

CRUCIATE RETAIN FEMORAL SZ4 RT

Facility

$11,055.90

Service Code	HCPCS C1776
Hospital Charge Code	270690856
Hospital Revenue Code	278
Min. Negotiated Rate	$313.99
Max. Negotiated Rate	$5,527.95
Rate for Payer: Aetna Commercial	$4,201.24
Rate for Payer: Aetna Medicare Advantage	$3,316.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,819.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,819.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,211.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,819.25
Rate for Payer: Cigna Commercial	$5,527.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,675.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,658.38
Rate for Payer: UnitedHealthcare Community & State	$349.37
Rate for Payer: Wellpoint Medicaid Managed Care	$313.99

CRUCIATE RETAIN FEMORAL SZ4 RT

Facility

$11,055.90

Service Code	HCPCS C1776
Hospital Charge Code	270690856
Hospital Revenue Code	278
Min. Negotiated Rate	$1,658.38
Max. Negotiated Rate	$2,675.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,211.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,675.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,658.38

CRUSH MIX 1CC

Facility

$1,975.00

Service Code	HCPCS C1765
Hospital Charge Code	270704511
Hospital Revenue Code	278
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

CRUSH MIX 1CC

Facility

$1,975.00

Service Code	HCPCS C1765
Hospital Charge Code	270704511
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CRUTCHES

Facility

$211.00

Hospital Charge Code	84202105
Hospital Revenue Code	270
Min. Negotiated Rate	$31.65
Max. Negotiated Rate	$31.65
Rate for Payer: Qualcare PPO/HMO/WC	$31.65

CRUTCHES

Facility

$211.00

Hospital Charge Code	84202105
Hospital Revenue Code	270
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$105.50
Rate for Payer: Aetna Commercial	$80.18
Rate for Payer: Aetna Medicare Advantage	$63.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.80
Rate for Payer: Cigna Commercial	$105.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.86
Rate for Payer: Oxford Commercial	$42.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.65
Rate for Payer: UnitedHealthcare Commercial	$42.20
Rate for Payer: UnitedHealthcare Community & State	$6.67
Rate for Payer: Wellpoint Medicaid Managed Care	$5.99

CRUTCHES ADULT LGE 48

Facility

$46.59

Hospital Charge Code	270300755
Hospital Revenue Code	270
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.11
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CRUTCHES ADULT LGE 48

Facility

$46.59

Hospital Charge Code	270300755
Hospital Revenue Code	270
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES ADULT MED 42

Facility

$46.59

Hospital Charge Code	270300760
Hospital Revenue Code	270
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES ADULT MED 42

Facility

$46.59

Hospital Charge Code	270300760
Hospital Revenue Code	270
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.11
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CRUTCHES-ADULT MEDIUM

Facility

$46.59

Hospital Charge Code	270649393
Hospital Revenue Code	272
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES-ADULT MEDIUM

Facility

$46.59

Hospital Charge Code	270649393
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.11
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CRUTCHES-ADULT TALL

Facility

$46.59

Hospital Charge Code	270649392
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$17.70
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.88
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.11
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$9.32
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CRUTCHES-ADULT TALL

Facility

$46.59

Hospital Charge Code	270649392
Hospital Revenue Code	272
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES BARIATRIC ADULT

Facility

$266.05

Service Code	HCPCS E0114
Hospital Charge Code	270651025
Hospital Revenue Code	292
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$133.03
Rate for Payer: Aetna Commercial	$101.10
Rate for Payer: Aetna Medicare Advantage	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.84
Rate for Payer: Cigna Commercial	$133.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.17
Rate for Payer: Qualcare PPO/HMO/WC	$39.91
Rate for Payer: UnitedHealthcare Community & State	$8.41
Rate for Payer: Wellpoint Medicaid Managed Care	$7.56

CRUTCHES BARIATRIC ADULT

Facility

$266.05

Service Code	HCPCS E0114
Hospital Charge Code	270651025
Hospital Revenue Code	292
Min. Negotiated Rate	$39.91
Max. Negotiated Rate	$39.91
Rate for Payer: Qualcare PPO/HMO/WC	$39.91

CRUTCHES BARIATRIC TALL ADULT

Facility

$266.10

Service Code	HCPCS E0114
Hospital Charge Code	270651026
Hospital Revenue Code	292
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$133.05
Rate for Payer: Aetna Commercial	$101.12
Rate for Payer: Aetna Medicare Advantage	$79.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.86
Rate for Payer: Cigna Commercial	$133.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.19
Rate for Payer: Qualcare PPO/HMO/WC	$39.91
Rate for Payer: UnitedHealthcare Community & State	$8.41
Rate for Payer: Wellpoint Medicaid Managed Care	$7.56

CRUTCHES BARIATRIC TALL ADULT

Facility

$266.10

Service Code	HCPCS E0114
Hospital Charge Code	270651026
Hospital Revenue Code	292
Min. Negotiated Rate	$39.91
Max. Negotiated Rate	$39.91
Rate for Payer: Qualcare PPO/HMO/WC	$39.91

CRUTCHES CHILD ALUM

Facility

$195.25

Hospital Charge Code	270603237
Hospital Revenue Code	270
Min. Negotiated Rate	$5.55
Max. Negotiated Rate	$97.62
Rate for Payer: Aetna Commercial	$74.19
Rate for Payer: Aetna Medicare Advantage	$58.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.79
Rate for Payer: Cigna Commercial	$97.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.77
Rate for Payer: Oxford Commercial	$39.05
Rate for Payer: Qualcare PPO/HMO/WC	$29.29
Rate for Payer: UnitedHealthcare Commercial	$39.05
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$5.55

Know your out-of-pocket cost for care.

All Charges