Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE WIRE BALL TIPPED

Facility

$2,297.75

Hospital Charge Code	270661241
Hospital Revenue Code	278
Min. Negotiated Rate	$344.66
Max. Negotiated Rate	$556.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.06
Rate for Payer: Qualcare PPO/HMO/WC	$344.66

GUIDEWIRE BAL MDL WT 190cm

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270651830
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE BAL MDL WT 190cm

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270651830S
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE BAL MDL WT 190cm

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270651830S
Hospital Revenue Code	278
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) NJ Health	$75.00
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	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

GUIDEWIRE BAL MDL WT 190cm

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270651830
Hospital Revenue Code	278
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) NJ Health	$75.00
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	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

GUIDEWIRE BAL MDL WT 190cm

Facility

$75.00

Service Code	HCPCS C1769
Hospital Charge Code	270651830N
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

GUIDEWIRE BAL MDL WT 190cm

Facility

$75.00

Service Code	HCPCS C1769
Hospital Charge Code	270651830N
Hospital Revenue Code	278
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

GUIDEWIRE BEAD TIP 2.6mmx80cm

Facility

$600.00

Service Code	HCPCS C1769
Hospital Charge Code	270646652
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 BEAD TIP 2.6mmx80cm

Facility

$600.00

Service Code	HCPCS C1769
Hospital Charge Code	270646652
Hospital Revenue Code	278
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) NJ Health	$120.00
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	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

GUIDEWIRE BEAD TIP 27934

Facility

$460.00

Hospital Charge Code	270637525
Hospital Revenue Code	272
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

GUIDEWIRE BEAD TIP 27934

Facility

$460.00

Hospital Charge Code	270637525
Hospital Revenue Code	272
Min. Negotiated Rate	$13.06
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$174.80
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$92.00
Rate for Payer: UnitedHealthcare Community & State	$14.54
Rate for Payer: Wellpoint Medicaid Managed Care	$13.06

GUIDEWIRE BEADTIP 3.0MM

Facility

$955.00

Service Code	HCPCS C1769
Hospital Charge Code	270677453
Hospital Revenue Code	278
Min. Negotiated Rate	$27.12
Max. Negotiated Rate	$477.50
Rate for Payer: Aetna Commercial	$362.90
Rate for Payer: Aetna Medicare Advantage	$286.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.53
Rate for Payer: Cigna Commercial	$477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25
Rate for Payer: UnitedHealthcare Community & State	$30.18
Rate for Payer: Wellpoint Medicaid Managed Care	$27.12

GUIDEWIRE BEADTIP 3.0MM

Facility

$955.00

Service Code	HCPCS C1769
Hospital Charge Code	270677453
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$231.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

GUIDEWIRE BENSTON 035 150cm

Facility

$76.29

Service Code	HCPCS C1769
Hospital Charge Code	270652348
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.15
Rate for Payer: Aetna Commercial	$28.99
Rate for Payer: Aetna Medicare Advantage	$22.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.45
Rate for Payer: Cigna Commercial	$38.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Qualcare PPO/HMO/WC	$11.44
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

GUIDEWIRE BENSTON 035 150cm

Facility

$76.29

Service Code	HCPCS C1769
Hospital Charge Code	270652348
Hospital Revenue Code	278
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$18.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Qualcare PPO/HMO/WC	$11.44

GUIDEWIRE BENTSON 035 150cm

Facility

$69.92

Service Code	HCPCS C1769
Hospital Charge Code	270652346
Hospital Revenue Code	278
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$16.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.92
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

GUIDEWIRE BENTSON 035 150cm

Facility

$69.92

Service Code	HCPCS C1769
Hospital Charge Code	270652346
Hospital Revenue Code	278
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$34.96
Rate for Payer: Aetna Commercial	$26.57
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.83
Rate for Payer: Cigna Commercial	$34.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.92
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

GUIDEWIRE BENTSON 035 150CM

Facility

$76.29

Service Code	HCPCS C1769
Hospital Charge Code	270652348S
Hospital Revenue Code	278
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$18.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Qualcare PPO/HMO/WC	$11.44

GUIDEWIRE BENTSON 035 150CM

Facility

$76.29

Service Code	HCPCS C1769
Hospital Charge Code	270652348S
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.15
Rate for Payer: Aetna Commercial	$28.99
Rate for Payer: Aetna Medicare Advantage	$22.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.45
Rate for Payer: Cigna Commercial	$38.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Qualcare PPO/HMO/WC	$11.44
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

GUIDEWIRE BENTSON .035 180cm

Facility

$77.24

Service Code	HCPCS C1769
Hospital Charge Code	270624072S
Hospital Revenue Code	278
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$38.62
Rate for Payer: Aetna Commercial	$29.35
Rate for Payer: Aetna Medicare Advantage	$23.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.70
Rate for Payer: Cigna Commercial	$38.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.59
Rate for Payer: UnitedHealthcare Community & State	$2.44
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

GUIDEWIRE BENTSON .035 180cm

Facility

$77.24

Service Code	HCPCS C1769
Hospital Charge Code	270624072
Hospital Revenue Code	278
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$38.62
Rate for Payer: Aetna Commercial	$29.35
Rate for Payer: Aetna Medicare Advantage	$23.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.70
Rate for Payer: Cigna Commercial	$38.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.59
Rate for Payer: UnitedHealthcare Community & State	$2.44
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

GUIDEWIRE BENTSON .035 180cm

Facility

$39.90

Service Code	HCPCS C1769
Hospital Charge Code	270624072N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$19.95
Rate for Payer: Aetna Commercial	$15.16
Rate for Payer: Aetna Medicare Advantage	$11.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.17
Rate for Payer: Cigna Commercial	$19.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.66
Rate for Payer: Qualcare PPO/HMO/WC	$5.99
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.13

GUIDEWIRE BENTSON .035 180cm

Facility

$77.24

Service Code	HCPCS C1769
Hospital Charge Code	270624072S
Hospital Revenue Code	278
Min. Negotiated Rate	$11.59
Max. Negotiated Rate	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.59

GUIDEWIRE BENTSON .035 180cm

Facility

$39.90

Service Code	HCPCS C1769
Hospital Charge Code	270624072N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.66
Rate for Payer: Qualcare PPO/HMO/WC	$5.99

GUIDEWIRE BENTSON .035 180cm

Facility

$77.24

Service Code	HCPCS C1769
Hospital Charge Code	270624072
Hospital Revenue Code	278
Min. Negotiated Rate	$11.59
Max. Negotiated Rate	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.59

Know your out-of-pocket cost for care.

All Charges