Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CRUTCHES CHILD ALUM

Facility

$195.25

Hospital Charge Code	270603237
Hospital Revenue Code	270
Min. Negotiated Rate	$29.29
Max. Negotiated Rate	$29.29
Rate for Payer: Qualcare PPO/HMO/WC	$29.29

CRUTCHES YOUTH

Facility

$46.59

Hospital Charge Code	270300750
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 YOUTH

Facility

$46.59

Hospital Charge Code	270300750
Hospital Revenue Code	270
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

CRUTCHES-YOUTH

Facility

$50.43

Hospital Charge Code	270650307
Hospital Revenue Code	272
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$7.56

CRUTCHES-YOUTH

Facility

$50.43

Hospital Charge Code	270650307
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$25.21
Rate for Payer: Aetna Commercial	$19.16
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.11
Rate for Payer: Oxford Commercial	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.56
Rate for Payer: UnitedHealthcare Commercial	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.43

CRYOBALLON BOA C2

Facility

$425.00

Hospital Charge Code	270679448
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

CRYOBALLON BOA C2

Facility

$425.00

Hospital Charge Code	270679448
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

CRYOBALLON FOCAL CONTROLLER

Facility

$3,250.00

Hospital Charge Code	270679446
Hospital Revenue Code	272
Min. Negotiated Rate	$92.30
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.00
Rate for Payer: Oxford Commercial	$650.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$650.00
Rate for Payer: UnitedHealthcare Community & State	$102.70
Rate for Payer: Wellpoint Medicaid Managed Care	$92.30

CRYOBALLON FOCAL CONTROLLER

Facility

$3,250.00

Hospital Charge Code	270679446
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

CRYOGLOBULIN

Facility

$390.00

Service Code	HCPCS 82595
Hospital Charge Code	39900479
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CRYOGLOBULIN

Facility

$390.00

Service Code	HCPCS 82595
Hospital Charge Code	39900479
Hospital Revenue Code	301
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$17.60
Rate for Payer: Aetna Medicare Advantage	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.47
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.47
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	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Medicare Advantage	$6.47
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CRYOGLOBULINS

Facility

$94.00

Service Code	HCPCS 82595
Hospital Charge Code	38472247
Hospital Revenue Code	301
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

CRYOGLOBULINS

Facility

$94.00

Service Code	HCPCS 82595
Hospital Charge Code	38472247
Hospital Revenue Code	301
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$17.60
Rate for Payer: Aetna Medicare Advantage	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.47
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Medicare Advantage	$6.47
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

CRYOPRECIPITATE (1 UNIT)

Facility

$300.00

Hospital Charge Code	38471046
Hospital Revenue Code	390
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

CRYOPRECIPITATE (1 UNIT)

Facility

$300.00

Hospital Charge Code	38471046
Hospital Revenue Code	390
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CRYOPRECIPITATE X5

Facility

$1,550.00

Service Code	HCPCS P9012
Hospital Charge Code	397031104
Hospital Revenue Code	390
Min. Negotiated Rate	$232.50
Max. Negotiated Rate	$232.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.50

CRYOPRECIPITATE X5

Facility

$1,550.00

Service Code	HCPCS P9012
Hospital Charge Code	397031104
Hospital Revenue Code	390
Min. Negotiated Rate	$44.02
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$227.58
Rate for Payer: Aetna Medicare Advantage	$271.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$83.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.51
Rate for Payer: Cigna Commercial	$167.72
Rate for Payer: Cigna Medicare Advantage	$83.67
Rate for Payer: Clover Medicare Advantage	$79.49
Rate for Payer: EmblemHealth Commercial	$251.01
Rate for Payer: Humana Medicare Advantage	$86.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$83.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.00
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.50
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$48.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$83.67
Rate for Payer: Wellcare Medicare Advantage	$83.67
Rate for Payer: Wellpoint Medicaid Managed Care	$44.02

CRYO SPRAY ABLATION KIT

Facility

$1,953.00

Hospital Charge Code	270325683
Hospital Revenue Code	272
Min. Negotiated Rate	$292.95
Max. Negotiated Rate	$292.95
Rate for Payer: Qualcare PPO/HMO/WC	$292.95

CRYO SPRAY ABLATION KIT

Facility

$1,953.00

Hospital Charge Code	270325683
Hospital Revenue Code	272
Min. Negotiated Rate	$55.47
Max. Negotiated Rate	$976.50
Rate for Payer: Aetna Commercial	$742.14
Rate for Payer: Aetna Medicare Advantage	$585.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$498.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$498.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$498.01
Rate for Payer: Cigna Commercial	$976.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$507.78
Rate for Payer: Oxford Commercial	$390.60
Rate for Payer: Qualcare PPO/HMO/WC	$292.95
Rate for Payer: UnitedHealthcare Commercial	$390.60
Rate for Payer: UnitedHealthcare Community & State	$61.71
Rate for Payer: Wellpoint Medicaid Managed Care	$55.47

CRYOSURGERY ANAL LESIONS

Facility

$1,330.15

Service Code	HCPCS 46916
Hospital Charge Code	87502940
Hospital Revenue Code	761
Min. Negotiated Rate	$199.52
Max. Negotiated Rate	$199.52
Rate for Payer: Qualcare PPO/HMO/WC	$199.52

CRYOSURGERY ANAL LESIONS

Facility

$1,330.15

Service Code	HCPCS 46916
Hospital Charge Code	87502940
Hospital Revenue Code	761
Min. Negotiated Rate	$37.78
Max. Negotiated Rate	$864.65
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.65
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.84
Rate for Payer: Oxford Commercial	$266.03
Rate for Payer: Qualcare PPO/HMO/WC	$199.52
Rate for Payer: UnitedHealthcare Commercial	$266.03
Rate for Payer: UnitedHealthcare Community & State	$42.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$37.78

CRYOSURGERY PENIS LESION(S)

Facility

$1,105.55

Service Code	HCPCS 54056
Hospital Charge Code	412354056
Hospital Revenue Code	761
Min. Negotiated Rate	$31.40
Max. Negotiated Rate	$864.65
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.65
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.44
Rate for Payer: Oxford Commercial	$221.11
Rate for Payer: Qualcare PPO/HMO/WC	$165.83
Rate for Payer: UnitedHealthcare Commercial	$221.11
Rate for Payer: UnitedHealthcare Community & State	$34.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$31.40

CRYOSURGERY PENIS LESION(S)

Facility

$1,105.55

Service Code	HCPCS 54056
Hospital Charge Code	412354056
Hospital Revenue Code	761
Min. Negotiated Rate	$165.83
Max. Negotiated Rate	$165.83
Rate for Payer: Qualcare PPO/HMO/WC	$165.83

CRYOTHERAPY OF SKIN FOR ACNE

Facility

$208.40

Service Code	HCPCS 17340
Hospital Charge Code	412317340
Hospital Revenue Code	761
Min. Negotiated Rate	$31.26
Max. Negotiated Rate	$31.26
Rate for Payer: Qualcare PPO/HMO/WC	$31.26

CRYOTHERAPY OF SKIN FOR ACNE

Facility

$208.40

Service Code	HCPCS 17340
Hospital Charge Code	412317340
Hospital Revenue Code	761
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$254.22
Rate for Payer: Aetna Commercial	$190.62
Rate for Payer: Aetna Medicare Advantage	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$70.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.22
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: Cigna Medicare Advantage	$70.08
Rate for Payer: Clover Medicare Advantage	$66.58
Rate for Payer: EmblemHealth Commercial	$210.24
Rate for Payer: Humana Medicare Advantage	$72.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$70.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.18
Rate for Payer: Oxford Commercial	$41.68
Rate for Payer: Qualcare PPO/HMO/WC	$31.26
Rate for Payer: UnitedHealthcare Commercial	$41.68
Rate for Payer: UnitedHealthcare Community & State	$6.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$70.08
Rate for Payer: Wellcare Medicare Advantage	$70.08
Rate for Payer: Wellpoint Medicaid Managed Care	$5.92

Know your out-of-pocket cost for care.

All Charges