Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DEPO MEDROL

Facility

$533.50

Hospital Charge Code	83652700
Hospital Revenue Code	250
Min. Negotiated Rate	$80.03
Max. Negotiated Rate	$80.03
Rate for Payer: Qualcare PPO/HMO/WC	$80.03

DEPO MEDROL

Facility

$533.50

Hospital Charge Code	83652700
Hospital Revenue Code	250
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$266.75
Rate for Payer: Aetna Commercial	$202.73
Rate for Payer: Aetna Medicare Advantage	$160.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.04
Rate for Payer: Cigna Commercial	$266.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.71
Rate for Payer: Oxford Commercial	$106.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.03
Rate for Payer: UnitedHealthcare Commercial	$106.70
Rate for Payer: UnitedHealthcare Community & State	$16.86
Rate for Payer: Wellpoint Medicaid Managed Care	$15.15

DEPO MEDROL 40MG VIAL

Facility

$18.00

Hospital Charge Code	83652561
Hospital Revenue Code	636
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

DEPO MEDROL 40MG VIAL

Facility

$18.00

Hospital Charge Code	83652561
Hospital Revenue Code	636
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$4.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

DEPO-MEDROL/80MG/1ML

Facility

$114.97

Service Code	HCPCS J1010
Hospital Charge Code	60632800
Hospital Revenue Code	636
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$27.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.82
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

DEPO-MEDROL/80MG/1ML

Facility

$114.97

Service Code	HCPCS J1010
Hospital Charge Code	60632800
Hospital Revenue Code	636
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.48
Rate for Payer: Aetna Commercial	$43.69
Rate for Payer: Aetna Medicare Advantage	$34.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.82
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

DEPRESSIVE DISORDERS

Facility

$11,984.99

Service Code	APR-DRG 7513
Min. Negotiated Rate	$11,749.99
Max. Negotiated Rate	$11,984.99
Rate for Payer: UnitedHealthcare Community & State	$11,749.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,984.99
Rate for Payer: Wellpoint Medicaid Managed Care	$11,749.99

DEPRESSIVE DISORDERS

Facility

$5,016.45

Service Code	APR-DRG 7511
Min. Negotiated Rate	$4,918.09
Max. Negotiated Rate	$5,016.45
Rate for Payer: UnitedHealthcare Community & State	$4,918.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,016.45
Rate for Payer: Wellpoint Medicaid Managed Care	$4,918.09

DEPRESSIVE DISORDERS

Facility

$26,320.94

Service Code	APR-DRG 7514
Min. Negotiated Rate	$25,804.84
Max. Negotiated Rate	$26,320.94
Rate for Payer: UnitedHealthcare Community & State	$25,804.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,320.94
Rate for Payer: Wellpoint Medicaid Managed Care	$25,804.84

DEPRESSIVE DISORDERS

Facility

$6,715.72

Service Code	APR-DRG 7512
Min. Negotiated Rate	$6,584.04
Max. Negotiated Rate	$6,715.72
Rate for Payer: UnitedHealthcare Community & State	$6,584.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,715.72
Rate for Payer: Wellpoint Medicaid Managed Care	$6,584.04

DEPRESSIVE NEUROSES

Facility

$49,191.01

Service Code	MSDRG 881
Min. Negotiated Rate	$7,161.00
Max. Negotiated Rate	$49,191.01
Rate for Payer: Aetna Commercial	$36,892.90
Rate for Payer: Aetna Medicare Advantage	$49,191.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,211.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,756.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,161.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,211.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,766.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,211.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,756.00
Rate for Payer: Cigna Commercial	$20,975.48
Rate for Payer: Cigna Medicare Advantage	$15,766.35
Rate for Payer: Clover Medicare Advantage	$14,978.03
Rate for Payer: EmblemHealth Commercial	$47,299.05
Rate for Payer: Humana Medicare Advantage	$16,239.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,766.35
Rate for Payer: Oxford Commercial	$16,578.66
Rate for Payer: UnitedHealthcare Commercial	$22,191.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,766.35
Rate for Payer: Wellcare Medicare Advantage	$15,766.35

DEPTH GAUGE FOR NAIL SYSTEM MU

Facility

$4,462.65

Hospital Charge Code	270688274
Hospital Revenue Code	272
Min. Negotiated Rate	$669.40
Max. Negotiated Rate	$669.40
Rate for Payer: Qualcare PPO/HMO/WC	$669.40

DEPTH GAUGE FOR NAIL SYSTEM MU

Facility

$4,462.65

Hospital Charge Code	270688274
Hospital Revenue Code	272
Min. Negotiated Rate	$126.74
Max. Negotiated Rate	$2,231.32
Rate for Payer: Aetna Commercial	$1,695.81
Rate for Payer: Aetna Medicare Advantage	$1,338.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.98
Rate for Payer: Cigna Commercial	$2,231.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,160.29
Rate for Payer: Oxford Commercial	$892.53
Rate for Payer: Qualcare PPO/HMO/WC	$669.40
Rate for Payer: UnitedHealthcare Commercial	$892.53
Rate for Payer: UnitedHealthcare Community & State	$141.02
Rate for Payer: Wellpoint Medicaid Managed Care	$126.74

DEPTH GAUGE FOR SMALL SCREW

Facility

$1,845.00

Hospital Charge Code	270656229
Hospital Revenue Code	272
Min. Negotiated Rate	$52.40
Max. Negotiated Rate	$922.50
Rate for Payer: Aetna Commercial	$701.10
Rate for Payer: Aetna Medicare Advantage	$553.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$470.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$470.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$470.48
Rate for Payer: Cigna Commercial	$922.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$479.70
Rate for Payer: Oxford Commercial	$369.00
Rate for Payer: Qualcare PPO/HMO/WC	$276.75
Rate for Payer: UnitedHealthcare Commercial	$369.00
Rate for Payer: UnitedHealthcare Community & State	$58.30
Rate for Payer: Wellpoint Medicaid Managed Care	$52.40

DEPTH GAUGE FOR SMALL SCREW

Facility

$1,845.00

Hospital Charge Code	270656229
Hospital Revenue Code	272
Min. Negotiated Rate	$276.75
Max. Negotiated Rate	$276.75
Rate for Payer: Qualcare PPO/HMO/WC	$276.75

DEPTH GAUGE SML FRAG SET 2.7MM

Facility

$1,779.10

Hospital Charge Code	270643522
Hospital Revenue Code	272
Min. Negotiated Rate	$50.53
Max. Negotiated Rate	$889.55
Rate for Payer: Aetna Commercial	$676.06
Rate for Payer: Aetna Medicare Advantage	$533.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$453.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$453.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$453.67
Rate for Payer: Cigna Commercial	$889.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.57
Rate for Payer: Oxford Commercial	$355.82
Rate for Payer: Qualcare PPO/HMO/WC	$266.87
Rate for Payer: UnitedHealthcare Commercial	$355.82
Rate for Payer: UnitedHealthcare Community & State	$56.22
Rate for Payer: Wellpoint Medicaid Managed Care	$50.53

DEPTH GAUGE SML FRAG SET 2.7MM

Facility

$1,779.10

Hospital Charge Code	270643522
Hospital Revenue Code	272
Min. Negotiated Rate	$266.87
Max. Negotiated Rate	$266.87
Rate for Payer: Qualcare PPO/HMO/WC	$266.87

DEPTH GUAGE

Facility

$2,385.00

Hospital Charge Code	270659777
Hospital Revenue Code	272
Min. Negotiated Rate	$67.73
Max. Negotiated Rate	$1,192.50
Rate for Payer: Aetna Commercial	$906.30
Rate for Payer: Aetna Medicare Advantage	$715.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$608.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$608.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$608.17
Rate for Payer: Cigna Commercial	$1,192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$620.10
Rate for Payer: Oxford Commercial	$477.00
Rate for Payer: Qualcare PPO/HMO/WC	$357.75
Rate for Payer: UnitedHealthcare Commercial	$477.00
Rate for Payer: UnitedHealthcare Community & State	$75.37
Rate for Payer: Wellpoint Medicaid Managed Care	$67.73

DEPTH GUAGE

Facility

$2,385.00

Hospital Charge Code	270659777
Hospital Revenue Code	272
Min. Negotiated Rate	$357.75
Max. Negotiated Rate	$357.75
Rate for Payer: Qualcare PPO/HMO/WC	$357.75

DEPTH REAMER 2.0MM STERILE

Facility

$1,000.00

Hospital Charge Code	270665478
Hospital Revenue Code	270
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

DEPTH REAMER 2.0MM STERILE

Facility

$1,000.00

Hospital Charge Code	270665478
Hospital Revenue Code	270
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

DERMABOND

Facility

$221.00

Hospital Charge Code	5792185
Hospital Revenue Code	250
Min. Negotiated Rate	$33.15
Max. Negotiated Rate	$33.15
Rate for Payer: Qualcare PPO/HMO/WC	$33.15

DERMABOND

Facility

$221.00

Hospital Charge Code	5792185
Hospital Revenue Code	250
Min. Negotiated Rate	$6.28
Max. Negotiated Rate	$110.50
Rate for Payer: Aetna Commercial	$83.98
Rate for Payer: Aetna Medicare Advantage	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.35
Rate for Payer: Cigna Commercial	$110.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.46
Rate for Payer: Oxford Commercial	$44.20
Rate for Payer: Qualcare PPO/HMO/WC	$33.15
Rate for Payer: UnitedHealthcare Commercial	$44.20
Rate for Payer: UnitedHealthcare Community & State	$6.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.28

DERMABOND ADVANCE

Facility

$185.65

Hospital Charge Code	270653957
Hospital Revenue Code	272
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$92.83
Rate for Payer: Aetna Commercial	$70.55
Rate for Payer: Aetna Medicare Advantage	$55.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.34
Rate for Payer: Cigna Commercial	$92.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.27
Rate for Payer: Oxford Commercial	$37.13
Rate for Payer: Qualcare PPO/HMO/WC	$27.85
Rate for Payer: UnitedHealthcare Commercial	$37.13
Rate for Payer: UnitedHealthcare Community & State	$5.87
Rate for Payer: Wellpoint Medicaid Managed Care	$5.27

DERMABOND ADVANCE

Facility

$185.65

Hospital Charge Code	270653957
Hospital Revenue Code	272
Min. Negotiated Rate	$27.85
Max. Negotiated Rate	$27.85
Rate for Payer: Qualcare PPO/HMO/WC	$27.85

Know your out-of-pocket cost for care.

All Charges