Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ELLIPSE, FEMORAL DISC

Facility

$550.00

Hospital Charge Code	270703198
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

ELLIPSE, FEMORAL DISC

Facility

$550.00

Hospital Charge Code	270703198
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

ELLMAN PROBE

Facility

$1,617.00

Hospital Charge Code	270338808
Hospital Revenue Code	272
Min. Negotiated Rate	$45.92
Max. Negotiated Rate	$808.50
Rate for Payer: Aetna Commercial	$614.46
Rate for Payer: Aetna Medicare Advantage	$485.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$412.33
Rate for Payer: Cigna Commercial	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$420.42
Rate for Payer: Oxford Commercial	$323.40
Rate for Payer: Qualcare PPO/HMO/WC	$242.55
Rate for Payer: UnitedHealthcare Commercial	$323.40
Rate for Payer: UnitedHealthcare Community & State	$51.10
Rate for Payer: Wellpoint Medicaid Managed Care	$45.92

ELLMAN PROBE

Facility

$1,617.00

Hospital Charge Code	270338808
Hospital Revenue Code	272
Min. Negotiated Rate	$242.55
Max. Negotiated Rate	$242.55
Rate for Payer: Qualcare PPO/HMO/WC	$242.55

ELLMAN PROBE

Facility

$1,127.00

Hospital Charge Code	270335308
Hospital Revenue Code	272
Min. Negotiated Rate	$169.05
Max. Negotiated Rate	$169.05
Rate for Payer: Qualcare PPO/HMO/WC	$169.05

ELLMAN PROBE

Facility

$1,127.00

Hospital Charge Code	270335308
Hospital Revenue Code	272
Min. Negotiated Rate	$32.01
Max. Negotiated Rate	$563.50
Rate for Payer: Aetna Commercial	$428.26
Rate for Payer: Aetna Medicare Advantage	$338.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.38
Rate for Payer: Cigna Commercial	$563.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.02
Rate for Payer: Oxford Commercial	$225.40
Rate for Payer: Qualcare PPO/HMO/WC	$169.05
Rate for Payer: UnitedHealthcare Commercial	$225.40
Rate for Payer: UnitedHealthcare Community & State	$35.61
Rate for Payer: Wellpoint Medicaid Managed Care	$32.01

Elmer's Glue Sticks (pack of

Facility

$94.95

Hospital Charge Code	270663153
Hospital Revenue Code	270
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$47.48
Rate for Payer: Aetna Commercial	$36.08
Rate for Payer: Aetna Medicare Advantage	$28.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.21
Rate for Payer: Cigna Commercial	$47.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.69
Rate for Payer: Oxford Commercial	$18.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.24
Rate for Payer: UnitedHealthcare Commercial	$18.99
Rate for Payer: UnitedHealthcare Community & State	$3.00
Rate for Payer: Wellpoint Medicaid Managed Care	$2.70

Elmer's Glue Sticks (pack of

Facility

$94.95

Hospital Charge Code	270663153
Hospital Revenue Code	270
Min. Negotiated Rate	$14.24
Max. Negotiated Rate	$14.24
Rate for Payer: Qualcare PPO/HMO/WC	$14.24

ELSPAR 10,000 UNITS

Facility

$489.70

Service Code	HCPCS J9020
Hospital Charge Code	60635703
Hospital Revenue Code	636
Min. Negotiated Rate	$73.45
Max. Negotiated Rate	$118.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.51
Rate for Payer: Qualcare PPO/HMO/WC	$73.45

ELSPAR 10,000 UNITS

Facility

$489.70

Service Code	HCPCS J9020
Hospital Charge Code	60635703
Hospital Revenue Code	636
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$244.85
Rate for Payer: Aetna Commercial	$186.09
Rate for Payer: Aetna Medicare Advantage	$146.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.87
Rate for Payer: Cigna Commercial	$244.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.51
Rate for Payer: Qualcare PPO/HMO/WC	$73.45
Rate for Payer: UnitedHealthcare Community & State	$15.47
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

EMBOLECTOMY CATH 2FR 60CM

Facility

$489.00

Hospital Charge Code	270331051
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

EMBOLECTOMY CATH 2FR 60CM

Facility

$489.00

Hospital Charge Code	270331051
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

EMBOLECTOMY CATH.5FR. 80CM

Facility

$264.00

Hospital Charge Code	270331052
Hospital Revenue Code	278
Min. Negotiated Rate	$39.60
Max. Negotiated Rate	$63.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.89
Rate for Payer: Qualcare PPO/HMO/WC	$39.60

EMBOLECTOMY CATH.5FR. 80CM

Facility

$264.00

Hospital Charge Code	270331052
Hospital Revenue Code	278
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$132.00
Rate for Payer: Aetna Commercial	$100.32
Rate for Payer: Aetna Medicare Advantage	$79.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.32
Rate for Payer: Cigna Commercial	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.89
Rate for Payer: Qualcare PPO/HMO/WC	$39.60
Rate for Payer: UnitedHealthcare Community & State	$8.34
Rate for Payer: Wellpoint Medicaid Managed Care	$7.50

EMBOLECTOMY CATH 6FR 80CM

Facility

$314.00

Hospital Charge Code	270331053
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$157.00
Rate for Payer: Aetna Commercial	$119.32
Rate for Payer: Aetna Medicare Advantage	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.07
Rate for Payer: Cigna Commercial	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.99
Rate for Payer: Qualcare PPO/HMO/WC	$47.10
Rate for Payer: UnitedHealthcare Community & State	$9.92
Rate for Payer: Wellpoint Medicaid Managed Care	$8.92

EMBOLECTOMY CATH 6FR 80CM

Facility

$314.00

Hospital Charge Code	270331053
Hospital Revenue Code	278
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$75.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.99
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

EMBOLIZATION COILS .035 4.1CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658347
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

EMBOLIZATION COILS .035 4.1CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658347N
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

EMBOLIZATION COILS .035 4.1CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658347
Hospital Revenue Code	278
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$182.40
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.63

EMBOLIZATION COILS .035 4.1CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658347N
Hospital Revenue Code	278
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$182.40
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.63

EMBOLIZATION COILS .035 8.2CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658350
Hospital Revenue Code	278
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$182.40
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.63

EMBOLIZATION COILS .035 8.2CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658350N
Hospital Revenue Code	278
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$182.40
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.63

EMBOLIZATION COILS .035 8.2CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658350N
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

EMBOLIZATION COILS .035 8.2CM

Facility

$480.00

Service Code	HCPCS C1884
Hospital Charge Code	270658350
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

EMBOLIZATION DIALYS CIRC ADDON

Facility

$979.50

Service Code	HCPCS 36909
Hospital Charge Code	2692149
Hospital Revenue Code	361
Min. Negotiated Rate	$146.93
Max. Negotiated Rate	$146.93
Rate for Payer: Qualcare PPO/HMO/WC	$146.93

Know your out-of-pocket cost for care.

All Charges