Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE SHEALTH PINNACLE 8FR 90

Facility

$675.75

Service Code	HCPCS C1894
Hospital Charge Code	270686367O
Hospital Revenue Code	278
Min. Negotiated Rate	$19.19
Max. Negotiated Rate	$337.88
Rate for Payer: Aetna Commercial	$256.79
Rate for Payer: Aetna Medicare Advantage	$202.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.32
Rate for Payer: Cigna Commercial	$337.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.53
Rate for Payer: Qualcare PPO/HMO/WC	$101.36
Rate for Payer: UnitedHealthcare Community & State	$21.35
Rate for Payer: Wellpoint Medicaid Managed Care	$19.19

GUIDE SHEALTH PINNACLE 8FR 90

Facility

$675.75

Service Code	HCPCS C1894
Hospital Charge Code	270686367O
Hospital Revenue Code	278
Min. Negotiated Rate	$101.36
Max. Negotiated Rate	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.53
Rate for Payer: Qualcare PPO/HMO/WC	$101.36

GUIDE SHEALTH PINNACLE 8FR 90

Facility

$675.75

Service Code	HCPCS C1894
Hospital Charge Code	270686367
Hospital Revenue Code	278
Min. Negotiated Rate	$101.36
Max. Negotiated Rate	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.53
Rate for Payer: Qualcare PPO/HMO/WC	$101.36

GUIDESHEATH INTRO 6FR X 10

Facility

$280.00

Hospital Charge Code	270666813
Hospital Revenue Code	270
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

GUIDESHEATH INTRO 6FR X 10

Facility

$280.00

Hospital Charge Code	270666813
Hospital Revenue Code	270
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.80
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$8.85
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366
Hospital Revenue Code	278
Min. Negotiated Rate	$17.46
Max. Negotiated Rate	$307.40
Rate for Payer: Aetna Commercial	$233.62
Rate for Payer: Aetna Medicare Advantage	$184.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.77
Rate for Payer: Cigna Commercial	$307.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22
Rate for Payer: UnitedHealthcare Community & State	$19.43
Rate for Payer: Wellpoint Medicaid Managed Care	$17.46

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366O
Hospital Revenue Code	278
Min. Negotiated Rate	$17.46
Max. Negotiated Rate	$307.40
Rate for Payer: Aetna Commercial	$233.62
Rate for Payer: Aetna Medicare Advantage	$184.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.77
Rate for Payer: Cigna Commercial	$307.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22
Rate for Payer: UnitedHealthcare Community & State	$19.43
Rate for Payer: Wellpoint Medicaid Managed Care	$17.46

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$148.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366O
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$148.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22

GUIDE SIZING SPEED COMPRESS

Facility

$180.00

Hospital Charge Code	270681554
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

GUIDE SIZING SPEED COMPRESS

Facility

$180.00

Hospital Charge Code	270681554
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 WIRE

Facility

$125.00

Hospital Charge Code	270675634
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

GUIDE WIRE

Facility

$125.00

Hospital Charge Code	270675634
Hospital Revenue Code	278
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

GUIDE WIRE

Facility

$1,113.00

Hospital Charge Code	270330602
Hospital Revenue Code	278
Min. Negotiated Rate	$166.95
Max. Negotiated Rate	$269.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.35
Rate for Payer: Qualcare PPO/HMO/WC	$166.95

GUIDE WIRE

Facility

$719.00

Service Code	HCPCS C1769
Hospital Charge Code	4800920
Hospital Revenue Code	278
Min. Negotiated Rate	$20.42
Max. Negotiated Rate	$359.50
Rate for Payer: Aetna Commercial	$273.22
Rate for Payer: Aetna Medicare Advantage	$215.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.34
Rate for Payer: Cigna Commercial	$359.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.85
Rate for Payer: UnitedHealthcare Community & State	$22.72
Rate for Payer: Wellpoint Medicaid Managed Care	$20.42

GUIDE WIRE

Facility

$719.00

Service Code	HCPCS C1769
Hospital Charge Code	4800920
Hospital Revenue Code	278
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.85

GUIDE WIRE

Facility

$1,113.00

Hospital Charge Code	270330602
Hospital Revenue Code	278
Min. Negotiated Rate	$31.61
Max. Negotiated Rate	$556.50
Rate for Payer: Aetna Commercial	$422.94
Rate for Payer: Aetna Medicare Advantage	$333.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.81
Rate for Payer: Cigna Commercial	$556.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.35
Rate for Payer: Qualcare PPO/HMO/WC	$166.95
Rate for Payer: UnitedHealthcare Community & State	$35.17
Rate for Payer: Wellpoint Medicaid Managed Care	$31.61

GUIDEWIRE

Facility

$375.00

Hospital Charge Code	270705778
Hospital Revenue Code	279
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE

Facility

$680.00

Hospital Charge Code	270661544
Hospital Revenue Code	278
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$340.00
Rate for Payer: Aetna Commercial	$258.40
Rate for Payer: Aetna Medicare Advantage	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.40
Rate for Payer: Cigna Commercial	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.56
Rate for Payer: Qualcare PPO/HMO/WC	$102.00
Rate for Payer: UnitedHealthcare Community & State	$21.49
Rate for Payer: Wellpoint Medicaid Managed Care	$19.31

GUIDEWIRE

Facility

$680.00

Hospital Charge Code	270661544
Hospital Revenue Code	278
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$164.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.56
Rate for Payer: Qualcare PPO/HMO/WC	$102.00

GUIDEWIRE

Facility

$600.00

Hospital Charge Code	270703310
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

GUIDEWIRE

Facility

$600.00

Hospital Charge Code	270703490
Hospital Revenue Code	270
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

GUIDEWIRE

Facility

$600.00

Hospital Charge Code	270703490
Hospital Revenue Code	270
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

GUIDEWIRE

Facility

$375.00

Hospital Charge Code	270705778
Hospital Revenue Code	279
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

GUIDEWIRE

Facility

$585.00

Service Code	HCPCS C1769
Hospital Charge Code	270681349
Hospital Revenue Code	278
Min. Negotiated Rate	$16.61
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Community & State	$18.49
Rate for Payer: Wellpoint Medicaid Managed Care	$16.61

Know your out-of-pocket cost for care.

All Charges