Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FLEXI-SEAL FECAL MGMT SYSTEM

Facility

$796.53

Hospital Charge Code	270646928
Hospital Revenue Code	272
Min. Negotiated Rate	$119.48
Max. Negotiated Rate	$119.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.48

FLEXI-SEAL FECAL MGMT SYSTEM

Facility

$796.53

Hospital Charge Code	270646928
Hospital Revenue Code	272
Min. Negotiated Rate	$22.62
Max. Negotiated Rate	$398.26
Rate for Payer: Aetna Commercial	$302.68
Rate for Payer: Aetna Medicare Advantage	$238.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.12
Rate for Payer: Cigna Commercial	$398.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.10
Rate for Payer: Oxford Commercial	$159.31
Rate for Payer: Qualcare PPO/HMO/WC	$119.48
Rate for Payer: UnitedHealthcare Commercial	$159.31
Rate for Payer: UnitedHealthcare Community & State	$25.17
Rate for Payer: Wellpoint Medicaid Managed Care	$22.62

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951N
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$286.90
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951S
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$286.90
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 4FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686951N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953N
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$286.90
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953S
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$286.90
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

FLEXOR SHUTTLE-SL 5FR 110 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686953S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952N
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952N
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$286.90
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952S
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$286.90
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.44

FLEXOR SHUTTLE-SL 5FR 90 CM

Facility

$755.00

Service Code	HCPCS C1894
Hospital Charge Code	270686952S
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

FLEXPATCH 3X4CM

Facility

$13,740.00

Service Code	HCPCS C1781
Hospital Charge Code	270700031
Hospital Revenue Code	278
Min. Negotiated Rate	$2,061.00
Max. Negotiated Rate	$3,325.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00

FLEXPATCH 3X4CM

Facility

$13,740.00

Service Code	HCPCS C1781
Hospital Charge Code	270700031
Hospital Revenue Code	278
Min. Negotiated Rate	$390.22
Max. Negotiated Rate	$6,870.00
Rate for Payer: Aetna Commercial	$5,221.20
Rate for Payer: Aetna Medicare Advantage	$4,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,503.70
Rate for Payer: Cigna Commercial	$6,870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00
Rate for Payer: UnitedHealthcare Community & State	$434.18
Rate for Payer: Wellpoint Medicaid Managed Care	$390.22

FLEXPATCH DYNAMIC MATRIX 4X6CM

Facility

$14,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270700032
Hospital Revenue Code	278
Min. Negotiated Rate	$2,190.00
Max. Negotiated Rate	$3,533.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,920.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,533.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,190.00

FLEXPATCH DYNAMIC MATRIX 4X6CM

Facility

$14,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270700032
Hospital Revenue Code	278
Min. Negotiated Rate	$414.64
Max. Negotiated Rate	$7,300.00
Rate for Payer: Aetna Commercial	$5,548.00
Rate for Payer: Aetna Medicare Advantage	$4,380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,723.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,723.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,920.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,723.00
Rate for Payer: Cigna Commercial	$7,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,533.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,190.00
Rate for Payer: UnitedHealthcare Community & State	$461.36
Rate for Payer: Wellpoint Medicaid Managed Care	$414.64

FLEX SHAFT CONN W JACOB CHUCK

Facility

$1,724.20

Service Code	HCPCS C1713
Hospital Charge Code	270626345
Hospital Revenue Code	278
Min. Negotiated Rate	$258.63
Max. Negotiated Rate	$417.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.26
Rate for Payer: Qualcare PPO/HMO/WC	$258.63

FLEX SHAFT CONN W JACOB CHUCK

Facility

$1,724.20

Service Code	HCPCS C1713
Hospital Charge Code	270626345
Hospital Revenue Code	278
Min. Negotiated Rate	$48.97
Max. Negotiated Rate	$862.10
Rate for Payer: Aetna Commercial	$655.20
Rate for Payer: Aetna Medicare Advantage	$517.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.67
Rate for Payer: Cigna Commercial	$862.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.26
Rate for Payer: Qualcare PPO/HMO/WC	$258.63
Rate for Payer: UnitedHealthcare Community & State	$54.48
Rate for Payer: Wellpoint Medicaid Managed Care	$48.97

FLEX TENDON REP ZONE 2 EACH

Facility

$26,471.80

Service Code	HCPCS 26356
Hospital Charge Code	16000361
Hospital Revenue Code	360
Min. Negotiated Rate	$3,970.77
Max. Negotiated Rate	$3,970.77
Rate for Payer: Qualcare PPO/HMO/WC	$3,970.77

FLEX TENDON REP ZONE 2 EACH

Facility

$26,471.80

Service Code	HCPCS 26356
Hospital Charge Code	16000361
Hospital Revenue Code	360
Min. Negotiated Rate	$751.80
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,882.67
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,970.77
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$836.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$751.80

FLEX TIP NUCLEOTOMY BLADE

Facility

$983.00

Hospital Charge Code	270335307
Hospital Revenue Code	272
Min. Negotiated Rate	$27.92
Max. Negotiated Rate	$491.50
Rate for Payer: Aetna Commercial	$373.54
Rate for Payer: Aetna Medicare Advantage	$294.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.66
Rate for Payer: Cigna Commercial	$491.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.58
Rate for Payer: Oxford Commercial	$196.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.45
Rate for Payer: UnitedHealthcare Commercial	$196.60
Rate for Payer: UnitedHealthcare Community & State	$31.06
Rate for Payer: Wellpoint Medicaid Managed Care	$27.92

FLEX TIP NUCLEOTOMY BLADE

Facility

$983.00

Hospital Charge Code	270335307
Hospital Revenue Code	272
Min. Negotiated Rate	$147.45
Max. Negotiated Rate	$147.45
Rate for Payer: Qualcare PPO/HMO/WC	$147.45

FLEXTIP RF PROBE, 28CM

Facility

$2,975.00

Hospital Charge Code	270702073
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

Know your out-of-pocket cost for care.

All Charges