Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ELECTRODE CUTTING LOOP 24FR

Facility

$364.58

Hospital Charge Code	270655404
Hospital Revenue Code	271
Min. Negotiated Rate	$54.69
Max. Negotiated Rate	$54.69
Rate for Payer: Qualcare PPO/HMO/WC	$54.69

ELECTRODE CUTTING LOOP 26FR

Facility

$353.33

Hospital Charge Code	270655405
Hospital Revenue Code	272
Min. Negotiated Rate	$53.00
Max. Negotiated Rate	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.00

ELECTRODE CUTTING LOOP 26FR

Facility

$353.33

Hospital Charge Code	270655405
Hospital Revenue Code	272
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$176.66
Rate for Payer: Aetna Commercial	$134.27
Rate for Payer: Aetna Medicare Advantage	$106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.10
Rate for Payer: Cigna Commercial	$176.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.87
Rate for Payer: Oxford Commercial	$70.67
Rate for Payer: Qualcare PPO/HMO/WC	$53.00
Rate for Payer: UnitedHealthcare Commercial	$70.67
Rate for Payer: UnitedHealthcare Community & State	$11.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.03

ELECTRODE CUTTING LOOPS 24FR.

Facility

$464.00

Hospital Charge Code	270331566
Hospital Revenue Code	272
Min. Negotiated Rate	$13.18
Max. Negotiated Rate	$232.00
Rate for Payer: Aetna Commercial	$176.32
Rate for Payer: Aetna Medicare Advantage	$139.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.32
Rate for Payer: Cigna Commercial	$232.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.64
Rate for Payer: Oxford Commercial	$92.80
Rate for Payer: Qualcare PPO/HMO/WC	$69.60
Rate for Payer: UnitedHealthcare Commercial	$92.80
Rate for Payer: UnitedHealthcare Community & State	$14.66
Rate for Payer: Wellpoint Medicaid Managed Care	$13.18

ELECTRODE CUTTING LOOPS 24FR.

Facility

$464.00

Hospital Charge Code	270331566
Hospital Revenue Code	272
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

ELECTRODE DEFIB CADENCE 2255OR

Facility

$103.20

Hospital Charge Code	270633060
Hospital Revenue Code	272
Min. Negotiated Rate	$15.48
Max. Negotiated Rate	$15.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.48

ELECTRODE DEFIB CADENCE 2255OR

Facility

$103.20

Hospital Charge Code	270633060
Hospital Revenue Code	272
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$51.60
Rate for Payer: Aetna Commercial	$39.22
Rate for Payer: Aetna Medicare Advantage	$30.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.32
Rate for Payer: Cigna Commercial	$51.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.83
Rate for Payer: Oxford Commercial	$20.64
Rate for Payer: Qualcare PPO/HMO/WC	$15.48
Rate for Payer: UnitedHealthcare Commercial	$20.64
Rate for Payer: UnitedHealthcare Community & State	$3.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.93

ELECTRODE DISPERSIVE

Facility

$86.65

Hospital Charge Code	270670973
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$43.33
Rate for Payer: Aetna Commercial	$32.93
Rate for Payer: Aetna Medicare Advantage	$26.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.10
Rate for Payer: Cigna Commercial	$43.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Oxford Commercial	$17.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.00
Rate for Payer: UnitedHealthcare Commercial	$17.33
Rate for Payer: UnitedHealthcare Community & State	$2.74
Rate for Payer: Wellpoint Medicaid Managed Care	$2.46

ELECTRODE DISPERSIVE

Facility

$86.65

Hospital Charge Code	270670973
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.00

ELECTRODE ECG Q TRACE 5500

Facility

$220.40

Hospital Charge Code	270653995
Hospital Revenue Code	270
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.20
Rate for Payer: Aetna Commercial	$83.75
Rate for Payer: Aetna Medicare Advantage	$66.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.20
Rate for Payer: Cigna Commercial	$110.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.30
Rate for Payer: Oxford Commercial	$44.08
Rate for Payer: Qualcare PPO/HMO/WC	$33.06
Rate for Payer: UnitedHealthcare Commercial	$44.08
Rate for Payer: UnitedHealthcare Community & State	$6.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

ELECTRODE ECG Q TRACE 5500

Facility

$220.40

Hospital Charge Code	270653995
Hospital Revenue Code	270
Min. Negotiated Rate	$33.06
Max. Negotiated Rate	$33.06
Rate for Payer: Qualcare PPO/HMO/WC	$33.06

ELECTRODEEMGNDLNEUROL28G38MM

Facility

$28.30

Hospital Charge Code	270698240
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.15
Rate for Payer: Aetna Commercial	$10.75
Rate for Payer: Aetna Medicare Advantage	$8.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.22
Rate for Payer: Cigna Commercial	$14.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.36
Rate for Payer: Oxford Commercial	$5.66
Rate for Payer: Qualcare PPO/HMO/WC	$4.25
Rate for Payer: UnitedHealthcare Commercial	$5.66
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

ELECTRODEEMGNDLNEUROL28G38MM

Facility

$28.30

Hospital Charge Code	270698240
Hospital Revenue Code	272
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$4.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.25

ELECTRODE EXT BLADE MODIFIED

Facility

$23.43

Hospital Charge Code	270646996
Hospital Revenue Code	270
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$3.51
Rate for Payer: Qualcare PPO/HMO/WC	$3.51

ELECTRODE EXT BLADE MODIFIED

Facility

$23.43

Hospital Charge Code	270646996
Hospital Revenue Code	270
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.71
Rate for Payer: Aetna Commercial	$8.90
Rate for Payer: Aetna Medicare Advantage	$7.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.97
Rate for Payer: Cigna Commercial	$11.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.09
Rate for Payer: Oxford Commercial	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$3.51
Rate for Payer: UnitedHealthcare Commercial	$4.69
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

ELECTRODE EXTENSION

Facility

$383.00

Hospital Charge Code	270331398
Hospital Revenue Code	272
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$191.50
Rate for Payer: Aetna Commercial	$145.54
Rate for Payer: Aetna Medicare Advantage	$114.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.67
Rate for Payer: Cigna Commercial	$191.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.58
Rate for Payer: Oxford Commercial	$76.60
Rate for Payer: Qualcare PPO/HMO/WC	$57.45
Rate for Payer: UnitedHealthcare Commercial	$76.60
Rate for Payer: UnitedHealthcare Community & State	$12.10
Rate for Payer: Wellpoint Medicaid Managed Care	$10.88

ELECTRODE EXTENSION

Facility

$383.00

Hospital Charge Code	270331398
Hospital Revenue Code	272
Min. Negotiated Rate	$57.45
Max. Negotiated Rate	$57.45
Rate for Payer: Qualcare PPO/HMO/WC	$57.45

ELECTRODE E-Z CLEAN L SHAPE

Facility

$283.25

Hospital Charge Code	270665152
Hospital Revenue Code	270
Min. Negotiated Rate	$42.49
Max. Negotiated Rate	$42.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.49

ELECTRODE E-Z CLEAN L SHAPE

Facility

$283.25

Hospital Charge Code	270665152
Hospital Revenue Code	270
Min. Negotiated Rate	$8.04
Max. Negotiated Rate	$141.62
Rate for Payer: Aetna Commercial	$107.64
Rate for Payer: Aetna Medicare Advantage	$84.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.23
Rate for Payer: Cigna Commercial	$141.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.64
Rate for Payer: Oxford Commercial	$56.65
Rate for Payer: Qualcare PPO/HMO/WC	$42.49
Rate for Payer: UnitedHealthcare Commercial	$56.65
Rate for Payer: UnitedHealthcare Community & State	$8.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.04

ELECTRODE FLAT L HOOK 36 MM

Facility

$15.88

Hospital Charge Code	270692387
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.38

ELECTRODE FLAT L HOOK 36 MM

Facility

$15.88

Hospital Charge Code	270692387
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.94
Rate for Payer: Aetna Commercial	$6.03
Rate for Payer: Aetna Medicare Advantage	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.05
Rate for Payer: Cigna Commercial	$7.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.13
Rate for Payer: Oxford Commercial	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$2.38
Rate for Payer: UnitedHealthcare Commercial	$3.18
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

ELECTRODE LAP L-HOOK 2.4 M M

Facility

$207.31

Hospital Charge Code	270666025
Hospital Revenue Code	270
Min. Negotiated Rate	$31.10
Max. Negotiated Rate	$31.10
Rate for Payer: Qualcare PPO/HMO/WC	$31.10

ELECTRODE LAP L-HOOK 2.4 M M

Facility

$207.31

Hospital Charge Code	270666025
Hospital Revenue Code	270
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$103.66
Rate for Payer: Aetna Commercial	$78.78
Rate for Payer: Aetna Medicare Advantage	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.86
Rate for Payer: Cigna Commercial	$103.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.90
Rate for Payer: Oxford Commercial	$41.46
Rate for Payer: Qualcare PPO/HMO/WC	$31.10
Rate for Payer: UnitedHealthcare Commercial	$41.46
Rate for Payer: UnitedHealthcare Community & State	$6.55
Rate for Payer: Wellpoint Medicaid Managed Care	$5.89

ELECTRODE LARYNX STIM KIT

Facility

$400.00

Hospital Charge Code	270697495
Hospital Revenue Code	272
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

ELECTRODE LARYNX STIM KIT

Facility

$400.00

Hospital Charge Code	270697495
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

Know your out-of-pocket cost for care.

All Charges