Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ENOXAPARIN 40 MG SYRINGE

Facility

$241.87

Service Code	HCPCS J1650
Hospital Charge Code	60628889
Hospital Revenue Code	636
Min. Negotiated Rate	$36.28
Max. Negotiated Rate	$58.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.53
Rate for Payer: Qualcare PPO/HMO/WC	$36.28

ENOXAPARIN 40 MG SYRINGE

Facility

$241.87

Service Code	HCPCS J1650
Hospital Charge Code	60628889
Hospital Revenue Code	636
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$120.94
Rate for Payer: Aetna Commercial	$91.91
Rate for Payer: Aetna Medicare Advantage	$72.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.68
Rate for Payer: Cigna Commercial	$120.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.53
Rate for Payer: Qualcare PPO/HMO/WC	$36.28
Rate for Payer: UnitedHealthcare Community & State	$7.64
Rate for Payer: Wellpoint Medicaid Managed Care	$6.87

ENOXAPARIN 60 MG SYRINGE

Facility

$363.14

Service Code	HCPCS J1650
Hospital Charge Code	60628948
Hospital Revenue Code	636
Min. Negotiated Rate	$54.47
Max. Negotiated Rate	$87.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.88
Rate for Payer: Qualcare PPO/HMO/WC	$54.47

ENOXAPARIN 60 MG SYRINGE

Facility

$363.14

Service Code	HCPCS J1650
Hospital Charge Code	60628948
Hospital Revenue Code	636
Min. Negotiated Rate	$10.31
Max. Negotiated Rate	$181.57
Rate for Payer: Aetna Commercial	$137.99
Rate for Payer: Aetna Medicare Advantage	$108.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.60
Rate for Payer: Cigna Commercial	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.88
Rate for Payer: Qualcare PPO/HMO/WC	$54.47
Rate for Payer: UnitedHealthcare Community & State	$11.48
Rate for Payer: Wellpoint Medicaid Managed Care	$10.31

ENOXAPARIN 80 MG SYRINGE

Facility

$484.41

Service Code	HCPCS J1650
Hospital Charge Code	60629000
Hospital Revenue Code	636
Min. Negotiated Rate	$72.66
Max. Negotiated Rate	$117.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.23
Rate for Payer: Qualcare PPO/HMO/WC	$72.66

ENOXAPARIN 80 MG SYRINGE

Facility

$484.41

Service Code	HCPCS J1650
Hospital Charge Code	60629000
Hospital Revenue Code	636
Min. Negotiated Rate	$13.76
Max. Negotiated Rate	$242.21
Rate for Payer: Aetna Commercial	$184.08
Rate for Payer: Aetna Medicare Advantage	$145.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.52
Rate for Payer: Cigna Commercial	$242.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.23
Rate for Payer: Qualcare PPO/HMO/WC	$72.66
Rate for Payer: UnitedHealthcare Community & State	$15.31
Rate for Payer: Wellpoint Medicaid Managed Care	$13.76

ENSARE SYST 7FR 18-30MM 120CM

Facility

$1,648.00

Hospital Charge Code	270645890
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.48
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$52.08
Rate for Payer: Wellpoint Medicaid Managed Care	$46.80

ENSARE SYST 7FR 18-30MM 120CM

Facility

$1,648.00

Hospital Charge Code	270645890
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

ENSARE SYST 7FR 18-30MM 120CM

Facility

$1,648.00

Hospital Charge Code	270645890A
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.48
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$52.08
Rate for Payer: Wellpoint Medicaid Managed Care	$46.80

ENSARE SYST 7FR 18-30MM 120CM

Facility

$1,648.00

Hospital Charge Code	270645890A
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

ENSEAL LAPARSCOPIC 35 CM

Facility

$2,469.79

Hospital Charge Code	270691431
Hospital Revenue Code	272
Min. Negotiated Rate	$370.47
Max. Negotiated Rate	$370.47
Rate for Payer: Qualcare PPO/HMO/WC	$370.47

ENSEAL LAPARSCOPIC 35 CM

Facility

$2,469.79

Hospital Charge Code	270691431
Hospital Revenue Code	272
Min. Negotiated Rate	$70.14
Max. Negotiated Rate	$1,234.89
Rate for Payer: Aetna Commercial	$938.52
Rate for Payer: Aetna Medicare Advantage	$740.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.80
Rate for Payer: Cigna Commercial	$1,234.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$642.15
Rate for Payer: Oxford Commercial	$493.96
Rate for Payer: Qualcare PPO/HMO/WC	$370.47
Rate for Payer: UnitedHealthcare Commercial	$493.96
Rate for Payer: UnitedHealthcare Community & State	$78.05
Rate for Payer: Wellpoint Medicaid Managed Care	$70.14

ENSEAL X1 CURVED

Facility

$4,187.78

Hospital Charge Code	270692880
Hospital Revenue Code	272
Min. Negotiated Rate	$628.17
Max. Negotiated Rate	$628.17
Rate for Payer: Qualcare PPO/HMO/WC	$628.17

ENSEAL X1 CURVED

Facility

$4,187.78

Hospital Charge Code	270692880
Hospital Revenue Code	272
Min. Negotiated Rate	$118.93
Max. Negotiated Rate	$2,093.89
Rate for Payer: Aetna Commercial	$1,591.36
Rate for Payer: Aetna Medicare Advantage	$1,256.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,067.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,067.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,067.88
Rate for Payer: Cigna Commercial	$2,093.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,088.82
Rate for Payer: Oxford Commercial	$837.56
Rate for Payer: Qualcare PPO/HMO/WC	$628.17
Rate for Payer: UnitedHealthcare Commercial	$837.56
Rate for Payer: UnitedHealthcare Community & State	$132.33
Rate for Payer: Wellpoint Medicaid Managed Care	$118.93

ENSEAL X1 LARGE JAW TISSUE SEA

Facility

$5,460.00

Hospital Charge Code	270680771
Hospital Revenue Code	272
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$819.00
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

ENSEAL X1 LARGE JAW TISSUE SEA

Facility

$5,460.00

Hospital Charge Code	270680771
Hospital Revenue Code	272
Min. Negotiated Rate	$155.06
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$2,074.80
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,419.60
Rate for Payer: Oxford Commercial	$1,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$819.00
Rate for Payer: UnitedHealthcare Commercial	$1,092.00
Rate for Payer: UnitedHealthcare Community & State	$172.54
Rate for Payer: Wellpoint Medicaid Managed Care	$155.06

ENSEAL X1 LG JAW TISSUE SEALER

Facility

$2,730.00

Hospital Charge Code	270680837
Hospital Revenue Code	272
Min. Negotiated Rate	$77.53
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$1,037.40
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$709.80
Rate for Payer: Oxford Commercial	$546.00
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Commercial	$546.00
Rate for Payer: UnitedHealthcare Community & State	$86.27
Rate for Payer: Wellpoint Medicaid Managed Care	$77.53

ENSEAL X1 LG JAW TISSUE SEALER

Facility

$2,730.00

Hospital Charge Code	270680837
Hospital Revenue Code	272
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$409.50
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280N
Hospital Revenue Code	272
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$258.75
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280
Hospital Revenue Code	272
Min. Negotiated Rate	$48.99
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$655.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.50
Rate for Payer: Oxford Commercial	$345.00
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Commercial	$345.00
Rate for Payer: UnitedHealthcare Community & State	$54.51
Rate for Payer: Wellpoint Medicaid Managed Care	$48.99

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280
Hospital Revenue Code	272
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$258.75
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

ENSNARE CATHETER SYSTEM 18x30m

Facility

$1,725.00

Hospital Charge Code	270658280N
Hospital Revenue Code	272
Min. Negotiated Rate	$48.99
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$655.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.50
Rate for Payer: Oxford Commercial	$345.00
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Commercial	$345.00
Rate for Payer: UnitedHealthcare Community & State	$54.51
Rate for Payer: Wellpoint Medicaid Managed Care	$48.99

ENTACAPONE 200MG TAB

Facility

$44.82

Service Code	NDC 52427080001
Hospital Charge Code	60632275
Hospital Revenue Code	250
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$22.41
Rate for Payer: Aetna Commercial	$17.03
Rate for Payer: Aetna Medicare Advantage	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.43
Rate for Payer: Cigna Commercial	$22.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$8.96
Rate for Payer: Qualcare PPO/HMO/WC	$6.72
Rate for Payer: UnitedHealthcare Commercial	$8.96
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

ENTACAPONE 200MG TAB

Facility

$44.82

Service Code	NDC 52427080001
Hospital Charge Code	60632275
Hospital Revenue Code	250
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$6.72
Rate for Payer: Qualcare PPO/HMO/WC	$6.72

ENTEROENTERSTMY ANASTOM OF INT

Facility

$20,505.04

Service Code	HCPCS 44130
Hospital Charge Code	1600000574
Hospital Revenue Code	360
Min. Negotiated Rate	$582.34
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$7,791.92
Rate for Payer: Aetna Medicare Advantage	$6,151.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,228.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,228.79
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	$5,228.79
Rate for Payer: Cigna Commercial	$10,252.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,331.31
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.76
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$647.96
Rate for Payer: Wellpoint Medicaid Managed Care	$582.34

Know your out-of-pocket cost for care.

All Charges