Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GUIDEWIRE THRD 2.8MMX220MM

Facility

$723.25

Service Code	HCPCS C1713
Hospital Charge Code	270697388
Hospital Revenue Code	278
Min. Negotiated Rate	$20.54
Max. Negotiated Rate	$361.62
Rate for Payer: Aetna Commercial	$274.83
Rate for Payer: Aetna Medicare Advantage	$216.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.43
Rate for Payer: Cigna Commercial	$361.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.03
Rate for Payer: Qualcare PPO/HMO/WC	$108.49
Rate for Payer: UnitedHealthcare Community & State	$22.85
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

GUIDEWIRE THRD BOTH ENDS 1.6x1

Facility

$173.45

Service Code	HCPCS C1769
Hospital Charge Code	270682258
Hospital Revenue Code	278
Min. Negotiated Rate	$26.02
Max. Negotiated Rate	$41.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.97
Rate for Payer: Qualcare PPO/HMO/WC	$26.02

GUIDEWIRE THRD BOTH ENDS 1.6x1

Facility

$173.45

Service Code	HCPCS C1769
Hospital Charge Code	270682258
Hospital Revenue Code	278
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$86.72
Rate for Payer: Aetna Commercial	$65.91
Rate for Payer: Aetna Medicare Advantage	$52.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.23
Rate for Payer: Cigna Commercial	$86.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.97
Rate for Payer: Qualcare PPO/HMO/WC	$26.02
Rate for Payer: UnitedHealthcare Community & State	$5.48
Rate for Payer: Wellpoint Medicaid Managed Care	$4.93

GUIDE WIRE THREADED 3.2x300MM

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270656520
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

GUIDE WIRE THREADED 3.2x300MM

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270656520
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 THRUWAY .014 130cm

Facility

$400.00

Hospital Charge Code	270634367
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

GUIDEWIRE THRUWAY .014 130cm

Facility

$400.00

Hospital Charge Code	270634367
Hospital Revenue Code	278
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

GUIDEWIRE THRUWAY .014 190cm

Facility

$400.00

Hospital Charge Code	270634768
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

GUIDEWIRE THRUWAY .014 190cm

Facility

$400.00

Hospital Charge Code	270634768
Hospital Revenue Code	278
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

GUIDEWIRE THRUWAY .014 300cm

Facility

$625.00

Service Code	HCPCS C1769
Hospital Charge Code	270634769
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

GUIDEWIRE THRUWAY .014 300cm

Facility

$625.00

Service Code	HCPCS C1769
Hospital Charge Code	270634769
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

GUIDE WIRE TROCAR .034

Facility

$110.00

Service Code	HCPCS C1769
Hospital Charge Code	270679769
Hospital Revenue Code	278
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$26.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

GUIDE WIRE TROCAR .034

Facility

$110.00

Service Code	HCPCS C1769
Hospital Charge Code	270679769
Hospital Revenue Code	278
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

GUIDEWIRE, TROCAR 1.1. MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270690416
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

GUIDEWIRE, TROCAR 1.1. MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270690416
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

GUIDEWIRE TROCAR 1.6 MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270689810
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

GUIDEWIRE TROCAR 1.6 MM

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	270689810
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

GUIDEWIRE TROCAR TIP 1.4X150MM

Facility

$2,095.00

Service Code	HCPCS C1713
Hospital Charge Code	270695506
Hospital Revenue Code	278
Min. Negotiated Rate	$59.50
Max. Negotiated Rate	$1,047.50
Rate for Payer: Aetna Commercial	$796.10
Rate for Payer: Aetna Medicare Advantage	$628.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$534.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$534.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$419.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$534.23
Rate for Payer: Cigna Commercial	$1,047.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$506.99
Rate for Payer: Qualcare PPO/HMO/WC	$314.25
Rate for Payer: UnitedHealthcare Community & State	$66.20
Rate for Payer: Wellpoint Medicaid Managed Care	$59.50

GUIDEWIRE TROCAR TIP 1.4X150MM

Facility

$2,095.00

Service Code	HCPCS C1713
Hospital Charge Code	270695506
Hospital Revenue Code	278
Min. Negotiated Rate	$314.25
Max. Negotiated Rate	$506.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$419.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$506.99
Rate for Payer: Qualcare PPO/HMO/WC	$314.25

GUIDEWIRE TROCAR TIP 1.6X220MM

Facility

$2,285.25

Service Code	HCPCS C1713
Hospital Charge Code	270695505
Hospital Revenue Code	278
Min. Negotiated Rate	$64.90
Max. Negotiated Rate	$1,142.62
Rate for Payer: Aetna Commercial	$868.39
Rate for Payer: Aetna Medicare Advantage	$685.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$582.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$582.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$582.74
Rate for Payer: Cigna Commercial	$1,142.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$553.03
Rate for Payer: Qualcare PPO/HMO/WC	$342.79
Rate for Payer: UnitedHealthcare Community & State	$72.21
Rate for Payer: Wellpoint Medicaid Managed Care	$64.90

GUIDEWIRE TROCAR TIP 1.6X220MM

Facility

$2,285.25

Service Code	HCPCS C1713
Hospital Charge Code	270695505
Hospital Revenue Code	278
Min. Negotiated Rate	$342.79
Max. Negotiated Rate	$553.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$553.03
Rate for Payer: Qualcare PPO/HMO/WC	$342.79

GUIDEWIRE TROCAR TIP THD 2.4X9

Facility

$150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693889
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

GUIDEWIRE TROCAR TIP THD 2.4X9

Facility

$150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693889
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

GUIDE WIRE UNTHD 2.0MM X150M

Facility

$611.05

Hospital Charge Code	270700898
Hospital Revenue Code	272
Min. Negotiated Rate	$17.35
Max. Negotiated Rate	$305.52
Rate for Payer: Aetna Commercial	$232.20
Rate for Payer: Aetna Medicare Advantage	$183.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.82
Rate for Payer: Cigna Commercial	$305.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.87
Rate for Payer: Oxford Commercial	$122.21
Rate for Payer: Qualcare PPO/HMO/WC	$91.66
Rate for Payer: UnitedHealthcare Commercial	$122.21
Rate for Payer: UnitedHealthcare Community & State	$19.31
Rate for Payer: Wellpoint Medicaid Managed Care	$17.35

GUIDE WIRE UNTHD 2.0MM X150M

Facility

$611.05

Hospital Charge Code	270700898
Hospital Revenue Code	272
Min. Negotiated Rate	$91.66
Max. Negotiated Rate	$91.66
Rate for Payer: Qualcare PPO/HMO/WC	$91.66

Know your out-of-pocket cost for care.

All Charges