Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE 035x180cm ROADRUNN

Facility

$215.00

Service Code	HCPCS C1769
Hospital Charge Code	270679802
Hospital Revenue Code	278
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Community & State	$6.79
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

GUIDE 035x180cm ROADRUNN

Facility

$239.70

Service Code	HCPCS C1769
Hospital Charge Code	270679802N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.81
Max. Negotiated Rate	$119.85
Rate for Payer: Aetna Commercial	$91.09
Rate for Payer: Aetna Medicare Advantage	$71.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.12
Rate for Payer: Cigna Commercial	$119.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.01
Rate for Payer: Qualcare PPO/HMO/WC	$35.95
Rate for Payer: UnitedHealthcare Community & State	$7.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

GUIDE 035x180cm ROADRUNN

Facility

$215.00

Service Code	HCPCS C1769
Hospital Charge Code	270679802S
Hospital Revenue Code	278
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Community & State	$6.79
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

GUIDE 035x180cm ROADRUNN

Facility

$215.00

Service Code	HCPCS C1769
Hospital Charge Code	270679802S
Hospital Revenue Code	278
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$52.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

GUIDE ACL 7MM

Facility

$4,175.00

Hospital Charge Code	270676467
Hospital Revenue Code	272
Min. Negotiated Rate	$626.25
Max. Negotiated Rate	$626.25
Rate for Payer: Qualcare PPO/HMO/WC	$626.25

GUIDE ACL 7MM

Facility

$4,175.00

Hospital Charge Code	270676467
Hospital Revenue Code	272
Min. Negotiated Rate	$118.57
Max. Negotiated Rate	$2,087.50
Rate for Payer: Aetna Commercial	$1,586.50
Rate for Payer: Aetna Medicare Advantage	$1,252.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,064.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,064.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,064.62
Rate for Payer: Cigna Commercial	$2,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,085.50
Rate for Payer: Oxford Commercial	$835.00
Rate for Payer: Qualcare PPO/HMO/WC	$626.25
Rate for Payer: UnitedHealthcare Commercial	$835.00
Rate for Payer: UnitedHealthcare Community & State	$131.93
Rate for Payer: Wellpoint Medicaid Managed Care	$118.57

GUIDE A.I.M ING 1.5MM

Facility

$180.00

Hospital Charge Code	270661782
Hospital Revenue Code	272
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

GUIDE A.I.M ING 1.5MM

Facility

$180.00

Hospital Charge Code	270661782
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$358.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334N
Hospital Revenue Code	278
Min. Negotiated Rate	$10.19
Max. Negotiated Rate	$179.38
Rate for Payer: Aetna Commercial	$136.32
Rate for Payer: Aetna Medicare Advantage	$107.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.48
Rate for Payer: Cigna Commercial	$179.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.82
Rate for Payer: Qualcare PPO/HMO/WC	$53.81
Rate for Payer: UnitedHealthcare Community & State	$11.34
Rate for Payer: Wellpoint Medicaid Managed Care	$10.19

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$362.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334C
Hospital Revenue Code	278
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$181.38
Rate for Payer: Aetna Commercial	$137.84
Rate for Payer: Aetna Medicare Advantage	$108.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.50
Rate for Payer: Cigna Commercial	$181.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.79
Rate for Payer: Qualcare PPO/HMO/WC	$54.41
Rate for Payer: UnitedHealthcare Community & State	$11.46
Rate for Payer: Wellpoint Medicaid Managed Care	$10.30

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$358.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334N
Hospital Revenue Code	278
Min. Negotiated Rate	$53.81
Max. Negotiated Rate	$86.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.82
Rate for Payer: Qualcare PPO/HMO/WC	$53.81

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$362.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334C
Hospital Revenue Code	278
Min. Negotiated Rate	$54.41
Max. Negotiated Rate	$87.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.79
Rate for Payer: Qualcare PPO/HMO/WC	$54.41

GUIDE BIOPSY BIPLANE FOR 8818

Facility

$80.56

Hospital Charge Code	270665893
Hospital Revenue Code	270
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

GUIDE BIOPSY BIPLANE FOR 8818

Facility

$80.56

Hospital Charge Code	270665893
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$30.61
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.95
Rate for Payer: Oxford Commercial	$16.11
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$16.11
Rate for Payer: UnitedHealthcare Community & State	$2.55
Rate for Payer: Wellpoint Medicaid Managed Care	$2.29

GUIDE BIOPSY ENDFIRE FOR 8818

Facility

$80.56

Hospital Charge Code	270665892
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$30.61
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.95
Rate for Payer: Oxford Commercial	$16.11
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$16.11
Rate for Payer: UnitedHealthcare Community & State	$2.55
Rate for Payer: Wellpoint Medicaid Managed Care	$2.29

GUIDE BIOPSY ENDFIRE FOR 8818

Facility

$80.56

Hospital Charge Code	270665892
Hospital Revenue Code	270
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

GUIDE CATH 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270637096
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

GUIDE CATH 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270637096
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

GUIDE CATH 7F AR 2 SH

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270658387
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

GUIDE CATH 7F AR 2 SH

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270658387
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

GUIDE CATH 7F JR XB 3.0SH

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636378
Hospital Revenue Code	278
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

GUIDE CATH 7F JR XB 3.0SH

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636378
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

GUIDE CATH 7F XB 3.5

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636379
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

GUIDE CATH 7F XB 3.5

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636379
Hospital Revenue Code	278
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

GUIDE CATH 7F XB 3.5 SH

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636380
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

Know your out-of-pocket cost for care.

All Charges