Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GLIDESCOPE BFLEX 5.0 MM

Facility

$1,700.00

Hospital Charge Code	270690090
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

GLIDESCOPE BFLEX 5.8

Facility

$1,700.00

Hospital Charge Code	270689144
Hospital Revenue Code	272
Min. Negotiated Rate	$48.28
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.00
Rate for Payer: Oxford Commercial	$340.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$340.00
Rate for Payer: UnitedHealthcare Community & State	$53.72
Rate for Payer: Wellpoint Medicaid Managed Care	$48.28

GLIDESCOPE BFLEX 5.8

Facility

$1,700.00

Hospital Charge Code	270689144
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

GLIDESCOPE BFLEX 5.8 MM

Facility

$1,700.00

Hospital Charge Code	270690089
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

GLIDESCOPE BFLEX 5.8 MM

Facility

$1,700.00

Hospital Charge Code	270690089
Hospital Revenue Code	272
Min. Negotiated Rate	$48.28
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.00
Rate for Payer: Oxford Commercial	$340.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$340.00
Rate for Payer: UnitedHealthcare Community & State	$53.72
Rate for Payer: Wellpoint Medicaid Managed Care	$48.28

GLIDESCOPE CORE ONE TOUCH

Facility

$72,765.00

Hospital Charge Code	270689146
Hospital Revenue Code	272
Min. Negotiated Rate	$10,914.75
Max. Negotiated Rate	$10,914.75
Rate for Payer: Qualcare PPO/HMO/WC	$10,914.75

GLIDESCOPE CORE ONE TOUCH

Facility

$72,765.00

Hospital Charge Code	270689146
Hospital Revenue Code	272
Min. Negotiated Rate	$2,066.53
Max. Negotiated Rate	$36,382.50
Rate for Payer: Aetna Commercial	$27,650.70
Rate for Payer: Aetna Medicare Advantage	$21,829.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,555.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,555.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,555.08
Rate for Payer: Cigna Commercial	$36,382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,918.90
Rate for Payer: Oxford Commercial	$14,553.00
Rate for Payer: Qualcare PPO/HMO/WC	$10,914.75
Rate for Payer: UnitedHealthcare Commercial	$14,553.00
Rate for Payer: UnitedHealthcare Community & State	$2,299.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2,066.53

GLIDESCOPE LOPRO S1

Facility

$260.00

Hospital Charge Code	270683598
Hospital Revenue Code	272
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$98.80
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.60
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$52.00
Rate for Payer: UnitedHealthcare Community & State	$8.22
Rate for Payer: Wellpoint Medicaid Managed Care	$7.38

GLIDESCOPE LOPRO S1

Facility

$260.00

Hospital Charge Code	270683598
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

GLIDESCOPE LPPRO 2.5 PEDS DISP

Facility

$114.50

Hospital Charge Code	270678444
Hospital Revenue Code	272
Min. Negotiated Rate	$17.18
Max. Negotiated Rate	$17.18
Rate for Payer: Qualcare PPO/HMO/WC	$17.18

GLIDESCOPE LPPRO 2.5 PEDS DISP

Facility

$114.50

Hospital Charge Code	270678444
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$57.25
Rate for Payer: Aetna Commercial	$43.51
Rate for Payer: Aetna Medicare Advantage	$34.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.20
Rate for Payer: Cigna Commercial	$57.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.77
Rate for Payer: Oxford Commercial	$22.90
Rate for Payer: Qualcare PPO/HMO/WC	$17.18
Rate for Payer: UnitedHealthcare Commercial	$22.90
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.25

GLIDESHEATH 6FR

Facility

$211.50

Service Code	HCPCS C1894
Hospital Charge Code	270686954S
Hospital Revenue Code	278
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$105.75
Rate for Payer: Aetna Commercial	$80.37
Rate for Payer: Aetna Medicare Advantage	$63.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.93
Rate for Payer: Cigna Commercial	$105.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.18
Rate for Payer: Qualcare PPO/HMO/WC	$31.73
Rate for Payer: UnitedHealthcare Community & State	$6.68
Rate for Payer: Wellpoint Medicaid Managed Care	$6.01

GLIDESHEATH 6FR

Facility

$211.50

Service Code	HCPCS C1894
Hospital Charge Code	270686954N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$105.75
Rate for Payer: Aetna Commercial	$80.37
Rate for Payer: Aetna Medicare Advantage	$63.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.93
Rate for Payer: Cigna Commercial	$105.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.18
Rate for Payer: Qualcare PPO/HMO/WC	$31.73
Rate for Payer: UnitedHealthcare Community & State	$6.68
Rate for Payer: Wellpoint Medicaid Managed Care	$6.01

GLIDESHEATH 6FR

Facility

$211.50

Service Code	HCPCS C1894
Hospital Charge Code	270686954S
Hospital Revenue Code	278
Min. Negotiated Rate	$31.73
Max. Negotiated Rate	$51.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.18
Rate for Payer: Qualcare PPO/HMO/WC	$31.73

GLIDESHEATH 6FR

Facility

$211.50

Service Code	HCPCS C1894
Hospital Charge Code	270686954N
Hospital Revenue Code	278
Min. Negotiated Rate	$31.73
Max. Negotiated Rate	$51.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.18
Rate for Payer: Qualcare PPO/HMO/WC	$31.73

GLIDESHEATH ACCESS KIT 5FR

Facility

$300.00

Hospital Charge Code	270644320C
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

GLIDESHEATH ACCESS KIT 5FR

Facility

$300.00

Hospital Charge Code	270644320C
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

GLIDESHEATH B KIT INTRODUCER

Facility

$46.10

Hospital Charge Code	270682540
Hospital Revenue Code	272
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

GLIDESHEATH B KIT INTRODUCER

Facility

$46.10

Hospital Charge Code	270682540
Hospital Revenue Code	272
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$23.05
Rate for Payer: Aetna Commercial	$17.52
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.76
Rate for Payer: Cigna Commercial	$23.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.99
Rate for Payer: Oxford Commercial	$9.22
Rate for Payer: Qualcare PPO/HMO/WC	$6.92
Rate for Payer: UnitedHealthcare Commercial	$9.22
Rate for Payer: UnitedHealthcare Community & State	$1.46
Rate for Payer: Wellpoint Medicaid Managed Care	$1.31

GLIDESHEATH NITINOL KIT .021

Facility

$74.12

Hospital Charge Code	270682541
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.06
Rate for Payer: Aetna Commercial	$28.17
Rate for Payer: Aetna Medicare Advantage	$22.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.90
Rate for Payer: Cigna Commercial	$37.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.27
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Commercial	$14.82
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

GLIDESHEATH NITINOL KIT .021

Facility

$74.12

Hospital Charge Code	270682541
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$11.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

GLIDESHEATH RADL 6FR PINN 10cm

Facility

$247.50

Hospital Charge Code	270646471C
Hospital Revenue Code	272
Min. Negotiated Rate	$7.03
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$94.05
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.35
Rate for Payer: Oxford Commercial	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Commercial	$49.50
Rate for Payer: UnitedHealthcare Community & State	$7.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.03

GLIDESHEATH RADL 6FR PINN 10cm

Facility

$247.50

Hospital Charge Code	270646471C
Hospital Revenue Code	272
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$37.12
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

GLIDESHEATH RADL 6 RMAFGG10HAT

Facility

$446.00

Hospital Charge Code	270643103C
Hospital Revenue Code	272
Min. Negotiated Rate	$66.90
Max. Negotiated Rate	$66.90
Rate for Payer: Qualcare PPO/HMO/WC	$66.90

GLIDESHEATH RADL 6 RMAFGG10HAT

Facility

$446.00

Hospital Charge Code	270643103C
Hospital Revenue Code	272
Min. Negotiated Rate	$12.67
Max. Negotiated Rate	$223.00
Rate for Payer: Aetna Commercial	$169.48
Rate for Payer: Aetna Medicare Advantage	$133.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.73
Rate for Payer: Cigna Commercial	$223.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.96
Rate for Payer: Oxford Commercial	$89.20
Rate for Payer: Qualcare PPO/HMO/WC	$66.90
Rate for Payer: UnitedHealthcare Commercial	$89.20
Rate for Payer: UnitedHealthcare Community & State	$14.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.67

Know your out-of-pocket cost for care.

All Charges