Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FLAT WASHER 6.5..

Facility

$292.50

Hospital Charge Code	270684882
Hospital Revenue Code	278
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$146.25
Rate for Payer: Aetna Commercial	$111.15
Rate for Payer: Aetna Medicare Advantage	$87.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.59
Rate for Payer: Cigna Commercial	$146.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.78
Rate for Payer: Qualcare PPO/HMO/WC	$43.88
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$8.31

FLAT WASHER 6.5..

Facility

$292.50

Hospital Charge Code	270684882
Hospital Revenue Code	278
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$70.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.78
Rate for Payer: Qualcare PPO/HMO/WC	$43.88

FLAT WIRE 2.4F PLATINUM CLASS

Facility

$602.40

Hospital Charge Code	270682481
Hospital Revenue Code	272
Min. Negotiated Rate	$90.36
Max. Negotiated Rate	$90.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.36

FLAT WIRE 2.4F PLATINUM CLASS

Facility

$602.40

Hospital Charge Code	270682481
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$301.20
Rate for Payer: Aetna Commercial	$228.91
Rate for Payer: Aetna Medicare Advantage	$180.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.61
Rate for Payer: Cigna Commercial	$301.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.62
Rate for Payer: Oxford Commercial	$120.48
Rate for Payer: Qualcare PPO/HMO/WC	$90.36
Rate for Payer: UnitedHealthcare Commercial	$120.48
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$17.11

FLAT WIRE 3FR 18MM 115CM

Facility

$602.40

Hospital Charge Code	270682478
Hospital Revenue Code	272
Min. Negotiated Rate	$90.36
Max. Negotiated Rate	$90.36
Rate for Payer: Qualcare PPO/HMO/WC	$90.36

FLAT WIRE 3FR 18MM 115CM

Facility

$602.40

Hospital Charge Code	270682478
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$301.20
Rate for Payer: Aetna Commercial	$228.91
Rate for Payer: Aetna Medicare Advantage	$180.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.61
Rate for Payer: Cigna Commercial	$301.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.62
Rate for Payer: Oxford Commercial	$120.48
Rate for Payer: Qualcare PPO/HMO/WC	$90.36
Rate for Payer: UnitedHealthcare Commercial	$120.48
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$17.11

FLECAINIDE ACETATE

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38472670
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$60.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Medicare Advantage	$18.64
Rate for Payer: Wellpoint Medicaid Managed Care	$9.20

FLECAINIDE ACETATE

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38472670
Hospital Revenue Code	301
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

FLEET ENEMA

Facility

$13.20

Service Code	NDC 132020140
Hospital Charge Code	60628138
Hospital Revenue Code	250
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

FLEET ENEMA

Facility

$13.20

Service Code	NDC 132020140
Hospital Charge Code	60628138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$6.60
Rate for Payer: Aetna Commercial	$5.02
Rate for Payer: Aetna Medicare Advantage	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.37
Rate for Payer: Cigna Commercial	$6.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.43
Rate for Payer: Oxford Commercial	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.98
Rate for Payer: UnitedHealthcare Commercial	$2.64
Rate for Payer: UnitedHealthcare Community & State	$0.42
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

FLEET ENEMA (PED )

Facility

$16.42

Service Code	NDC 132020220
Hospital Charge Code	60628750
Hospital Revenue Code	250
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.21
Rate for Payer: Aetna Commercial	$6.24
Rate for Payer: Aetna Medicare Advantage	$4.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.19
Rate for Payer: Cigna Commercial	$8.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.27
Rate for Payer: Oxford Commercial	$3.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$3.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

FLEET ENEMA (PED )

Facility

$16.42

Service Code	NDC 132020220
Hospital Charge Code	60628750
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

FLEXBAND DYNAMIC MATRIX

Facility

$16,150.00

Service Code	HCPCS C1889
Hospital Charge Code	270704270
Hospital Revenue Code	278
Min. Negotiated Rate	$458.66
Max. Negotiated Rate	$8,075.00
Rate for Payer: Aetna Commercial	$6,137.00
Rate for Payer: Aetna Medicare Advantage	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,118.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,118.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,118.25
Rate for Payer: Cigna Commercial	$8,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,908.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,422.50
Rate for Payer: UnitedHealthcare Community & State	$510.34
Rate for Payer: Wellpoint Medicaid Managed Care	$458.66

FLEXBAND DYNAMIC MATRIX

Facility

$16,150.00

Service Code	HCPCS C1889
Hospital Charge Code	270704270
Hospital Revenue Code	278
Min. Negotiated Rate	$2,422.50
Max. Negotiated Rate	$3,908.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,908.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,422.50

FLEXBAND DYNAMIC MATRIX 0.5X8C

Facility

$15,238.90

Service Code	HCPCS C1713
Hospital Charge Code	270704739
Hospital Revenue Code	278
Min. Negotiated Rate	$432.78
Max. Negotiated Rate	$7,619.45
Rate for Payer: Aetna Commercial	$5,790.78
Rate for Payer: Aetna Medicare Advantage	$4,571.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,885.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,885.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,047.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,885.92
Rate for Payer: Cigna Commercial	$7,619.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,687.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,285.84
Rate for Payer: UnitedHealthcare Community & State	$481.55
Rate for Payer: Wellpoint Medicaid Managed Care	$432.78

FLEXBAND DYNAMIC MATRIX 0.5X8C

Facility

$15,238.90

Service Code	HCPCS C1713
Hospital Charge Code	270704739
Hospital Revenue Code	278
Min. Negotiated Rate	$2,285.84
Max. Negotiated Rate	$3,687.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,047.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,687.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,285.84

FLEXBAND PLUS MATRIX GFT .3X16

Facility

$15,930.00

Service Code	HCPCS C1763
Hospital Charge Code	270700040
Hospital Revenue Code	278
Min. Negotiated Rate	$452.41
Max. Negotiated Rate	$7,965.00
Rate for Payer: Aetna Commercial	$6,053.40
Rate for Payer: Aetna Medicare Advantage	$4,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,062.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,062.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,062.15
Rate for Payer: Cigna Commercial	$7,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,855.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,389.50
Rate for Payer: UnitedHealthcare Community & State	$503.39
Rate for Payer: Wellpoint Medicaid Managed Care	$452.41

FLEXBAND PLUS MATRIX GFT .3X16

Facility

$15,930.00

Service Code	HCPCS C1763
Hospital Charge Code	270700040
Hospital Revenue Code	278
Min. Negotiated Rate	$2,389.50
Max. Negotiated Rate	$3,855.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,855.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,389.50

FLEXBAND TWIST.12

Facility

$26,101.25

Service Code	HCPCS C1713
Hospital Charge Code	270705115
Hospital Revenue Code	278
Min. Negotiated Rate	$741.28
Max. Negotiated Rate	$13,050.62
Rate for Payer: Aetna Commercial	$9,918.48
Rate for Payer: Aetna Medicare Advantage	$7,830.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,655.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,655.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,220.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,655.82
Rate for Payer: Cigna Commercial	$13,050.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,316.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,915.19
Rate for Payer: UnitedHealthcare Community & State	$824.80
Rate for Payer: Wellpoint Medicaid Managed Care	$741.28

FLEXBAND TWIST.12

Facility

$26,101.25

Service Code	HCPCS C1713
Hospital Charge Code	270705115
Hospital Revenue Code	278
Min. Negotiated Rate	$3,915.19
Max. Negotiated Rate	$6,316.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,220.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,316.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,915.19

FLEXCEL CAROT SHUNT

Facility

$270.00

Hospital Charge Code	270683757
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

FLEXCEL CAROT SHUNT

Facility

$270.00

Hospital Charge Code	270683757
Hospital Revenue Code	278
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Community & State	$8.53
Rate for Payer: Wellpoint Medicaid Managed Care	$7.67

FLEX DRILL

Facility

$2,670.00

Hospital Charge Code	270683740
Hospital Revenue Code	272
Min. Negotiated Rate	$400.50
Max. Negotiated Rate	$400.50
Rate for Payer: Qualcare PPO/HMO/WC	$400.50

FLEX DRILL

Facility

$2,670.00

Hospital Charge Code	270683740
Hospital Revenue Code	272
Min. Negotiated Rate	$75.83
Max. Negotiated Rate	$1,335.00
Rate for Payer: Aetna Commercial	$1,014.60
Rate for Payer: Aetna Medicare Advantage	$801.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$680.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$680.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$680.85
Rate for Payer: Cigna Commercial	$1,335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$694.20
Rate for Payer: Oxford Commercial	$534.00
Rate for Payer: Qualcare PPO/HMO/WC	$400.50
Rate for Payer: UnitedHealthcare Commercial	$534.00
Rate for Payer: UnitedHealthcare Community & State	$84.37
Rate for Payer: Wellpoint Medicaid Managed Care	$75.83

FLEX DYNAM NATRIX 0.5X16CM

Facility

$21,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704501
Hospital Revenue Code	279
Min. Negotiated Rate	$609.18
Max. Negotiated Rate	$10,725.00
Rate for Payer: Aetna Commercial	$8,151.00
Rate for Payer: Aetna Medicare Advantage	$6,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,469.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,469.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,469.75
Rate for Payer: Cigna Commercial	$10,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,577.00
Rate for Payer: Oxford Commercial	$4,290.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,217.50
Rate for Payer: UnitedHealthcare Commercial	$4,290.00
Rate for Payer: UnitedHealthcare Community & State	$677.82
Rate for Payer: Wellpoint Medicaid Managed Care	$609.18

Know your out-of-pocket cost for care.

All Charges