Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CYSTICERCUS IgG AB,WB(SER

Facility

$89.40

Service Code	HCPCS 86682
Hospital Charge Code	39900238
Hospital Revenue Code	302
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$44.70
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.41
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.54

CYSTIC FIBROSIS DNA

Facility

$395.00

Service Code	HCPCS 81220
Hospital Charge Code	39900015
Hospital Revenue Code	310
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

CYSTIC FIBROSIS DNA

Facility

$395.00

Service Code	HCPCS 81220
Hospital Charge Code	39900015
Hospital Revenue Code	310
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$2,019.07
Rate for Payer: Aetna Commercial	$1,513.95
Rate for Payer: Aetna Medicare Advantage	$1,803.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$556.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,019.07
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: Cigna Medicare Advantage	$556.60
Rate for Payer: Clover Medicare Advantage	$528.77
Rate for Payer: EmblemHealth Commercial	$1,669.80
Rate for Payer: Humana Medicare Advantage	$573.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$556.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$445.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$556.60
Rate for Payer: Wellcare Medicare Advantage	$556.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

CYSTIC FIBROSIS GENE MUTATION

Facility

$395.00

Service Code	HCPCS 81220
Hospital Charge Code	38476284
Hospital Revenue Code	310
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$2,019.07
Rate for Payer: Aetna Commercial	$1,513.95
Rate for Payer: Aetna Medicare Advantage	$1,803.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$556.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,019.07
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: Cigna Medicare Advantage	$556.60
Rate for Payer: Clover Medicare Advantage	$528.77
Rate for Payer: EmblemHealth Commercial	$1,669.80
Rate for Payer: Humana Medicare Advantage	$573.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$556.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$445.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$556.60
Rate for Payer: Wellcare Medicare Advantage	$556.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

CYSTIC FIBROSIS GENE MUTATION

Facility

$395.00

Service Code	HCPCS 81220
Hospital Charge Code	38476284
Hospital Revenue Code	310
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

Cystic Fibrosis Intron Poly-T

Facility

$400.00

Service Code	HCPCS 81224
Hospital Charge Code	39708017
Hospital Revenue Code	310
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$612.14
Rate for Payer: Aetna Commercial	$459.00
Rate for Payer: Aetna Medicare Advantage	$546.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$168.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.14
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: Cigna Medicare Advantage	$168.75
Rate for Payer: Clover Medicare Advantage	$160.31
Rate for Payer: EmblemHealth Commercial	$506.25
Rate for Payer: Humana Medicare Advantage	$173.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$168.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$135.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$168.75
Rate for Payer: Wellcare Medicare Advantage	$168.75
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

Cystic Fibrosis Intron Poly-T

Facility

$400.00

Service Code	HCPCS 81224
Hospital Charge Code	39708017
Hospital Revenue Code	310
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

CYSTIC FIBROSIS PANEL

Facility

$390.00

Service Code	HCPCS 81220
Hospital Charge Code	3036006EX
Hospital Revenue Code	310
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CYSTIC FIBROSIS PANEL

Facility

$390.00

Service Code	HCPCS 81220
Hospital Charge Code	3036006EX
Hospital Revenue Code	310
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$2,019.07
Rate for Payer: Aetna Commercial	$1,513.95
Rate for Payer: Aetna Medicare Advantage	$1,803.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$556.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,019.07
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$556.60
Rate for Payer: Clover Medicare Advantage	$528.77
Rate for Payer: EmblemHealth Commercial	$1,669.80
Rate for Payer: Humana Medicare Advantage	$573.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$556.60
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	$445.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$556.60
Rate for Payer: Wellcare Medicare Advantage	$556.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$35,133.41

Service Code	APR-DRG 1314
Min. Negotiated Rate	$34,444.52
Max. Negotiated Rate	$35,133.41
Rate for Payer: UnitedHealthcare Community & State	$34,444.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$35,133.41
Rate for Payer: Wellpoint Medicaid Managed Care	$34,444.52

CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$15,222.09

Service Code	APR-DRG 1311
Min. Negotiated Rate	$14,923.62
Max. Negotiated Rate	$15,222.09
Rate for Payer: UnitedHealthcare Community & State	$14,923.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,222.09
Rate for Payer: Wellpoint Medicaid Managed Care	$14,923.62

CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$19,971.74

Service Code	APR-DRG 1312
Min. Negotiated Rate	$19,580.14
Max. Negotiated Rate	$19,971.74
Rate for Payer: UnitedHealthcare Community & State	$19,580.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,971.74
Rate for Payer: Wellpoint Medicaid Managed Care	$19,580.14

CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$27,063.82

Service Code	APR-DRG 1313
Min. Negotiated Rate	$26,533.16
Max. Negotiated Rate	$27,063.82
Rate for Payer: UnitedHealthcare Community & State	$26,533.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,063.82
Rate for Payer: Wellpoint Medicaid Managed Care	$26,533.16

CYSTIC FIBROSIS SCREEN PANEL

Facility

$395.00

Service Code	HCPCS 81220
Hospital Charge Code	38474124
Hospital Revenue Code	310
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

CYSTIC FIBROSIS SCREEN PANEL

Facility

$395.00

Service Code	HCPCS 81220
Hospital Charge Code	38474124
Hospital Revenue Code	310
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$2,019.07
Rate for Payer: Aetna Commercial	$1,513.95
Rate for Payer: Aetna Medicare Advantage	$1,803.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,019.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$556.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,019.07
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: Cigna Medicare Advantage	$556.60
Rate for Payer: Clover Medicare Advantage	$528.77
Rate for Payer: EmblemHealth Commercial	$1,669.80
Rate for Payer: Humana Medicare Advantage	$573.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$556.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$445.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$556.60
Rate for Payer: Wellcare Medicare Advantage	$556.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

CYSTINE

Facility

$646.00

Service Code	HCPCS 82139
Hospital Charge Code	38473102
Hospital Revenue Code	301
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$323.00
Rate for Payer: Aetna Commercial	$45.89
Rate for Payer: Aetna Medicare Advantage	$54.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$323.00
Rate for Payer: Cigna Medicare Advantage	$16.87
Rate for Payer: Clover Medicare Advantage	$16.03
Rate for Payer: EmblemHealth Commercial	$50.61
Rate for Payer: Humana Medicare Advantage	$17.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.96
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.87
Rate for Payer: Wellcare Medicare Advantage	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.35

CYSTINE

Facility

$646.00

Service Code	HCPCS 82139
Hospital Charge Code	38473102
Hospital Revenue Code	301
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$96.90
Rate for Payer: Qualcare PPO/HMO/WC	$96.90

CYSTINE,QUALITATIVE URINE

Facility

$390.00

Service Code	HCPCS 82131
Hospital Charge Code	3009342
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CYSTINE,QUALITATIVE URINE

Facility

$390.00

Service Code	HCPCS 82131
Hospital Charge Code	3009342
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$62.51
Rate for Payer: Aetna Medicare Advantage	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.36
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$22.98
Rate for Payer: Clover Medicare Advantage	$21.83
Rate for Payer: EmblemHealth Commercial	$68.94
Rate for Payer: Humana Medicare Advantage	$23.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.98
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	$18.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.98
Rate for Payer: Wellcare Medicare Advantage	$22.98
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CYSTINE,URINE

Facility

$646.00

Service Code	HCPCS 82131
Hospital Charge Code	38473103
Hospital Revenue Code	301
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$96.90
Rate for Payer: Qualcare PPO/HMO/WC	$96.90

CYSTINE,URINE

Facility

$646.00

Service Code	HCPCS 82131
Hospital Charge Code	38473103
Hospital Revenue Code	301
Min. Negotiated Rate	$18.35
Max. Negotiated Rate	$323.00
Rate for Payer: Aetna Commercial	$62.51
Rate for Payer: Aetna Medicare Advantage	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.36
Rate for Payer: Cigna Commercial	$323.00
Rate for Payer: Cigna Medicare Advantage	$22.98
Rate for Payer: Clover Medicare Advantage	$21.83
Rate for Payer: EmblemHealth Commercial	$68.94
Rate for Payer: Humana Medicare Advantage	$23.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.96
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$18.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.98
Rate for Payer: Wellcare Medicare Advantage	$22.98
Rate for Payer: Wellpoint Medicaid Managed Care	$18.35

CYSTLITHTMY W REM STNE WVN RES

Facility

$23,841.70

Service Code	HCPCS 51050
Hospital Charge Code	1600000509
Hospital Revenue Code	360
Min. Negotiated Rate	$677.10
Max. Negotiated Rate	$23,107.03
Rate for Payer: Aetna Commercial	$17,326.29
Rate for Payer: Aetna Medicare Advantage	$20,638.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,107.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,107.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,369.96
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	$23,107.03
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: Cigna Medicare Advantage	$6,369.96
Rate for Payer: Clover Medicare Advantage	$6,051.46
Rate for Payer: EmblemHealth Commercial	$19,109.88
Rate for Payer: Humana Medicare Advantage	$6,561.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,369.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,198.84
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,576.26
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$753.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,369.96
Rate for Payer: Wellcare Medicare Advantage	$6,369.96
Rate for Payer: Wellpoint Medicaid Managed Care	$677.10

CYSTLITHTMY W REM STNE WVN RES

Facility

$23,841.70

Service Code	HCPCS 51050
Hospital Charge Code	1600000509
Hospital Revenue Code	360
Min. Negotiated Rate	$3,576.26
Max. Negotiated Rate	$3,576.26
Rate for Payer: Qualcare PPO/HMO/WC	$3,576.26

CYSTOCATH SUPRAPUBIC 12FR

Facility

$283.00

Service Code	HCPCS C2627
Hospital Charge Code	270331132
Hospital Revenue Code	278
Min. Negotiated Rate	$8.04
Max. Negotiated Rate	$141.50
Rate for Payer: Aetna Commercial	$107.54
Rate for Payer: Aetna Medicare Advantage	$84.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.17
Rate for Payer: Cigna Commercial	$141.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.45
Rate for Payer: UnitedHealthcare Community & State	$8.94
Rate for Payer: Wellpoint Medicaid Managed Care	$8.04

CYSTOCATH SUPRAPUBIC 12FR

Facility

$283.00

Service Code	HCPCS C2627
Hospital Charge Code	270331132
Hospital Revenue Code	278
Min. Negotiated Rate	$42.45
Max. Negotiated Rate	$68.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.45

Know your out-of-pocket cost for care.

All Charges