Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ENDO CANNULA TRANSPORT

Facility

$450.00

Hospital Charge Code	270668506
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

ENDOCATCH

Facility

$2,114.00

Hospital Charge Code	270335193
Hospital Revenue Code	272
Min. Negotiated Rate	$317.10
Max. Negotiated Rate	$317.10
Rate for Payer: Qualcare PPO/HMO/WC	$317.10

ENDOCATCH

Facility

$2,114.00

Hospital Charge Code	270335193
Hospital Revenue Code	272
Min. Negotiated Rate	$60.04
Max. Negotiated Rate	$1,057.00
Rate for Payer: Aetna Commercial	$803.32
Rate for Payer: Aetna Medicare Advantage	$634.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.07
Rate for Payer: Cigna Commercial	$1,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$549.64
Rate for Payer: Oxford Commercial	$422.80
Rate for Payer: Qualcare PPO/HMO/WC	$317.10
Rate for Payer: UnitedHealthcare Commercial	$422.80
Rate for Payer: UnitedHealthcare Community & State	$66.80
Rate for Payer: Wellpoint Medicaid Managed Care	$60.04

ENDO CATCH GOLD POUCH 10MM

Facility

$2,028.10

Hospital Charge Code	270600099
Hospital Revenue Code	272
Min. Negotiated Rate	$304.21
Max. Negotiated Rate	$304.21
Rate for Payer: Qualcare PPO/HMO/WC	$304.21

ENDO CATCH GOLD POUCH 10MM

Facility

$2,028.10

Hospital Charge Code	270600099
Hospital Revenue Code	272
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$1,014.05
Rate for Payer: Aetna Commercial	$770.68
Rate for Payer: Aetna Medicare Advantage	$608.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.17
Rate for Payer: Cigna Commercial	$1,014.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.31
Rate for Payer: Oxford Commercial	$405.62
Rate for Payer: Qualcare PPO/HMO/WC	$304.21
Rate for Payer: UnitedHealthcare Commercial	$405.62
Rate for Payer: UnitedHealthcare Community & State	$64.09
Rate for Payer: Wellpoint Medicaid Managed Care	$57.60

ENDO CATCH SPECIMEN POUCH 10mm

Facility

$316.20

Hospital Charge Code	270657207
Hospital Revenue Code	272
Min. Negotiated Rate	$8.98
Max. Negotiated Rate	$158.10
Rate for Payer: Aetna Commercial	$120.16
Rate for Payer: Aetna Medicare Advantage	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.63
Rate for Payer: Cigna Commercial	$158.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.21
Rate for Payer: Oxford Commercial	$63.24
Rate for Payer: Qualcare PPO/HMO/WC	$47.43
Rate for Payer: UnitedHealthcare Commercial	$63.24
Rate for Payer: UnitedHealthcare Community & State	$9.99
Rate for Payer: Wellpoint Medicaid Managed Care	$8.98

ENDO CATCH SPECIMEN POUCH 10mm

Facility

$316.20

Hospital Charge Code	270657207
Hospital Revenue Code	272
Min. Negotiated Rate	$47.43
Max. Negotiated Rate	$47.43
Rate for Payer: Qualcare PPO/HMO/WC	$47.43

ENDO CATH II 15MM POUCH SPECIM

Facility

$1,800.97

Hospital Charge Code	270622365
Hospital Revenue Code	272
Min. Negotiated Rate	$51.15
Max. Negotiated Rate	$900.49
Rate for Payer: Aetna Commercial	$684.37
Rate for Payer: Aetna Medicare Advantage	$540.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.25
Rate for Payer: Cigna Commercial	$900.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.25
Rate for Payer: Oxford Commercial	$360.19
Rate for Payer: Qualcare PPO/HMO/WC	$270.15
Rate for Payer: UnitedHealthcare Commercial	$360.19
Rate for Payer: UnitedHealthcare Community & State	$56.91
Rate for Payer: Wellpoint Medicaid Managed Care	$51.15

ENDO CATH II 15MM POUCH SPECIM

Facility

$1,800.97

Hospital Charge Code	270622365
Hospital Revenue Code	272
Min. Negotiated Rate	$270.15
Max. Negotiated Rate	$270.15
Rate for Payer: Qualcare PPO/HMO/WC	$270.15

ENDOCERV CURETTAGE W/SCOPE

Facility

$1,573.30

Service Code	HCPCS 57456
Hospital Charge Code	412357456
Hospital Revenue Code	361
Min. Negotiated Rate	$236.00
Max. Negotiated Rate	$236.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.00

ENDOCERV CURETTAGE W/SCOPE

Facility

$1,573.30

Service Code	HCPCS 57456
Hospital Charge Code	412357456
Hospital Revenue Code	361
Min. Negotiated Rate	$44.68
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$984.72
Rate for Payer: Aetna Medicare Advantage	$1,172.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$362.03
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	$1,313.26
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: Cigna Medicare Advantage	$362.03
Rate for Payer: Clover Medicare Advantage	$343.93
Rate for Payer: EmblemHealth Commercial	$1,086.09
Rate for Payer: Humana Medicare Advantage	$372.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$362.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$409.06
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.00
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$49.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$362.03
Rate for Payer: Wellcare Medicare Advantage	$362.03
Rate for Payer: Wellpoint Medicaid Managed Care	$44.68

ENDOCLIP APPLIER 10MM

Facility

$211.00

Hospital Charge Code	270338726
Hospital Revenue Code	272
Min. Negotiated Rate	$31.65
Max. Negotiated Rate	$31.65
Rate for Payer: Qualcare PPO/HMO/WC	$31.65

ENDOCLIP APPLIER 10MM

Facility

$211.00

Hospital Charge Code	270338726
Hospital Revenue Code	272
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$105.50
Rate for Payer: Aetna Commercial	$80.18
Rate for Payer: Aetna Medicare Advantage	$63.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.80
Rate for Payer: Cigna Commercial	$105.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.86
Rate for Payer: Oxford Commercial	$42.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.65
Rate for Payer: UnitedHealthcare Commercial	$42.20
Rate for Payer: UnitedHealthcare Community & State	$6.67
Rate for Payer: Wellpoint Medicaid Managed Care	$5.99

ENDOCLIP APPLIER 5MM

Facility

$279.00

Hospital Charge Code	270338725
Hospital Revenue Code	272
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$41.85
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

ENDOCLIP APPLIER 5MM

Facility

$279.00

Hospital Charge Code	270338725
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$139.50
Rate for Payer: Aetna Commercial	$106.02
Rate for Payer: Aetna Medicare Advantage	$83.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.54
Rate for Payer: Oxford Commercial	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$41.85
Rate for Payer: UnitedHealthcare Commercial	$55.80
Rate for Payer: UnitedHealthcare Community & State	$8.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.92

ENDOCLIP LG 10MM PISTOL GRIP

Facility

$1,496.82

Hospital Charge Code	270600102
Hospital Revenue Code	272
Min. Negotiated Rate	$42.51
Max. Negotiated Rate	$748.41
Rate for Payer: Aetna Commercial	$568.79
Rate for Payer: Aetna Medicare Advantage	$449.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.69
Rate for Payer: Cigna Commercial	$748.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.17
Rate for Payer: Oxford Commercial	$299.36
Rate for Payer: Qualcare PPO/HMO/WC	$224.52
Rate for Payer: UnitedHealthcare Commercial	$299.36
Rate for Payer: UnitedHealthcare Community & State	$47.30
Rate for Payer: Wellpoint Medicaid Managed Care	$42.51

ENDOCLIP LG 10MM PISTOL GRIP

Facility

$1,496.82

Hospital Charge Code	270600102
Hospital Revenue Code	272
Min. Negotiated Rate	$224.52
Max. Negotiated Rate	$224.52
Rate for Payer: Qualcare PPO/HMO/WC	$224.52

ENDO CLIP MED-LG DISP APPLIER

Facility

$103.00

Hospital Charge Code	270334625
Hospital Revenue Code	272
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$15.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.45

ENDO CLIP MED-LG DISP APPLIER

Facility

$103.00

Hospital Charge Code	270334625
Hospital Revenue Code	272
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$51.50
Rate for Payer: Aetna Commercial	$39.14
Rate for Payer: Aetna Medicare Advantage	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.27
Rate for Payer: Cigna Commercial	$51.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.78
Rate for Payer: Oxford Commercial	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.45
Rate for Payer: UnitedHealthcare Commercial	$20.60
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2.93

ENDO CLIP ML 176615

Facility

$1,192.00

Hospital Charge Code	270600103
Hospital Revenue Code	272
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$596.00
Rate for Payer: Aetna Commercial	$452.96
Rate for Payer: Aetna Medicare Advantage	$357.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.96
Rate for Payer: Cigna Commercial	$596.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$309.92
Rate for Payer: Oxford Commercial	$238.40
Rate for Payer: Qualcare PPO/HMO/WC	$178.80
Rate for Payer: UnitedHealthcare Commercial	$238.40
Rate for Payer: UnitedHealthcare Community & State	$37.67
Rate for Payer: Wellpoint Medicaid Managed Care	$33.85

ENDO CLIP ML 176615

Facility

$1,192.00

Hospital Charge Code	270600103
Hospital Revenue Code	272
Min. Negotiated Rate	$178.80
Max. Negotiated Rate	$178.80
Rate for Payer: Qualcare PPO/HMO/WC	$178.80

ENDOCRINE DISORDERS WITH CC

Facility

$51,848.13

Service Code	MSDRG 644
Min. Negotiated Rate	$15,787.09
Max. Negotiated Rate	$51,848.13
Rate for Payer: Aetna Commercial	$38,785.32
Rate for Payer: Aetna Medicare Advantage	$51,848.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,367.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,367.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,617.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,367.30
Rate for Payer: Cigna Commercial	$22,850.33
Rate for Payer: Cigna Medicare Advantage	$16,617.99
Rate for Payer: Clover Medicare Advantage	$15,787.09
Rate for Payer: EmblemHealth Commercial	$49,853.97
Rate for Payer: Humana Medicare Advantage	$17,116.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,617.99
Rate for Payer: Oxford Commercial	$18,060.50
Rate for Payer: UnitedHealthcare Commercial	$24,174.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,617.99
Rate for Payer: Wellcare Medicare Advantage	$16,617.99

ENDOCRINE DISORDERS WITH MCC

Facility

$71,470.74

Service Code	MSDRG 643
Min. Negotiated Rate	$21,761.93
Max. Negotiated Rate	$71,470.74
Rate for Payer: Aetna Commercial	$52,760.79
Rate for Payer: Aetna Medicare Advantage	$71,470.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,713.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,713.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,907.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,713.25
Rate for Payer: Cigna Commercial	$36,696.51
Rate for Payer: Cigna Medicare Advantage	$22,907.29
Rate for Payer: Clover Medicare Advantage	$21,761.93
Rate for Payer: EmblemHealth Commercial	$68,721.87
Rate for Payer: Humana Medicare Advantage	$23,594.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,907.29
Rate for Payer: Oxford Commercial	$29,004.28
Rate for Payer: UnitedHealthcare Commercial	$38,823.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,907.29
Rate for Payer: Wellcare Medicare Advantage	$22,907.29

ENDOCRINE DISORDERS WITHOUT CC/MCC

Facility

$43,737.97

Service Code	MSDRG 645
Min. Negotiated Rate	$13,317.65
Max. Negotiated Rate	$43,737.97
Rate for Payer: Aetna Commercial	$33,009.18
Rate for Payer: Aetna Medicare Advantage	$43,737.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,055.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,055.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,018.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,055.80
Rate for Payer: Cigna Commercial	$17,127.71
Rate for Payer: Cigna Medicare Advantage	$14,018.58
Rate for Payer: Clover Medicare Advantage	$13,317.65
Rate for Payer: EmblemHealth Commercial	$42,055.74
Rate for Payer: Humana Medicare Advantage	$14,439.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,018.58
Rate for Payer: Oxford Commercial	$13,537.45
Rate for Payer: UnitedHealthcare Commercial	$18,120.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,018.58
Rate for Payer: Wellcare Medicare Advantage	$14,018.58

ENDO DISC KIT

Facility

$12,500.00

Hospital Charge Code	270702956
Hospital Revenue Code	272
Min. Negotiated Rate	$355.00
Max. Negotiated Rate	$6,250.00
Rate for Payer: Aetna Commercial	$4,750.00
Rate for Payer: Aetna Medicare Advantage	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.50
Rate for Payer: Cigna Commercial	$6,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,250.00
Rate for Payer: Oxford Commercial	$2,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00
Rate for Payer: UnitedHealthcare Commercial	$2,500.00
Rate for Payer: UnitedHealthcare Community & State	$395.00
Rate for Payer: Wellpoint Medicaid Managed Care	$355.00

Know your out-of-pocket cost for care.

All Charges