Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER COAXIAL 4F 10CM

Facility

$88.85

Hospital Charge Code	270669538
Hospital Revenue Code	272
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$44.42
Rate for Payer: Aetna Commercial	$33.76
Rate for Payer: Aetna Medicare Advantage	$26.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.66
Rate for Payer: Cigna Commercial	$44.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.10
Rate for Payer: Oxford Commercial	$17.77
Rate for Payer: Qualcare PPO/HMO/WC	$13.33
Rate for Payer: UnitedHealthcare Commercial	$17.77
Rate for Payer: UnitedHealthcare Community & State	$2.81
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538S
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$33.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.76
Rate for Payer: Oxford Commercial	$17.51
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$17.51
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538O
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538O
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$33.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.76
Rate for Payer: Oxford Commercial	$17.51
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$17.51
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

INTRODUCER CRD 11 7F 504-607X

Facility

$39.75

Service Code	HCPCS C1894
Hospital Charge Code	270614820
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$9.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

INTRODUCER CRD 11 7F 504-607X

Facility

$39.75

Service Code	HCPCS C1894
Hospital Charge Code	270614820
Hospital Revenue Code	278
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$19.88
Rate for Payer: Aetna Commercial	$15.11
Rate for Payer: Aetna Medicare Advantage	$11.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.14
Rate for Payer: Cigna Commercial	$19.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.13

INTRODUCER CRD HEM 5F 504-605X

Facility

$238.75

Hospital Charge Code	270617154
Hospital Revenue Code	279
Min. Negotiated Rate	$35.81
Max. Negotiated Rate	$35.81
Rate for Payer: Qualcare PPO/HMO/WC	$35.81

INTRODUCER CRD HEM 5F 504-605X

Facility

$238.75

Hospital Charge Code	270617154
Hospital Revenue Code	279
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$119.38
Rate for Payer: Aetna Commercial	$90.72
Rate for Payer: Aetna Medicare Advantage	$71.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.88
Rate for Payer: Cigna Commercial	$119.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.08
Rate for Payer: Oxford Commercial	$47.75
Rate for Payer: Qualcare PPO/HMO/WC	$35.81
Rate for Payer: UnitedHealthcare Commercial	$47.75
Rate for Payer: UnitedHealthcare Community & State	$7.54
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

INTRODUCER FLEXOR SIDEARM 6FR

Facility

$775.00

Hospital Charge Code	270636222
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

INTRODUCER FLEXOR SIDEARM 6FR

Facility

$775.00

Hospital Charge Code	270636222
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028
Hospital Revenue Code	272
Min. Negotiated Rate	$28.31
Max. Negotiated Rate	$498.43
Rate for Payer: Aetna Commercial	$378.80
Rate for Payer: Aetna Medicare Advantage	$299.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.20
Rate for Payer: Cigna Commercial	$498.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: Oxford Commercial	$199.37
Rate for Payer: Qualcare PPO/HMO/WC	$149.53
Rate for Payer: UnitedHealthcare Commercial	$199.37
Rate for Payer: UnitedHealthcare Community & State	$31.50
Rate for Payer: Wellpoint Medicaid Managed Care	$28.31

INTRODUCER KIT MIC JTJ18 98436

Facility

$997.50

Hospital Charge Code	270672028N
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

INTRODUCER KIT MIC JTJ18 98436

Facility

$997.50

Hospital Charge Code	270672028N
Hospital Revenue Code	272
Min. Negotiated Rate	$28.33
Max. Negotiated Rate	$498.75
Rate for Payer: Aetna Commercial	$379.05
Rate for Payer: Aetna Medicare Advantage	$299.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.36
Rate for Payer: Cigna Commercial	$498.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.35
Rate for Payer: Oxford Commercial	$199.50
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$199.50
Rate for Payer: UnitedHealthcare Community & State	$31.52
Rate for Payer: Wellpoint Medicaid Managed Care	$28.33

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028S
Hospital Revenue Code	272
Min. Negotiated Rate	$28.31
Max. Negotiated Rate	$498.43
Rate for Payer: Aetna Commercial	$378.80
Rate for Payer: Aetna Medicare Advantage	$299.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.20
Rate for Payer: Cigna Commercial	$498.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: Oxford Commercial	$199.37
Rate for Payer: Qualcare PPO/HMO/WC	$149.53
Rate for Payer: UnitedHealthcare Commercial	$199.37
Rate for Payer: UnitedHealthcare Community & State	$31.50
Rate for Payer: Wellpoint Medicaid Managed Care	$28.31

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028S
Hospital Revenue Code	272
Min. Negotiated Rate	$149.53
Max. Negotiated Rate	$149.53
Rate for Payer: Qualcare PPO/HMO/WC	$149.53

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028
Hospital Revenue Code	272
Min. Negotiated Rate	$149.53
Max. Negotiated Rate	$149.53
Rate for Payer: Qualcare PPO/HMO/WC	$149.53

INTRODUCER KIT MIC-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676
Hospital Revenue Code	272
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$486.55
Rate for Payer: Aetna Commercial	$369.78
Rate for Payer: Aetna Medicare Advantage	$291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.14
Rate for Payer: Cigna Commercial	$486.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: Oxford Commercial	$194.62
Rate for Payer: Qualcare PPO/HMO/WC	$145.97
Rate for Payer: UnitedHealthcare Commercial	$194.62
Rate for Payer: UnitedHealthcare Community & State	$30.75
Rate for Payer: Wellpoint Medicaid Managed Care	$27.64

INTRODUCER KIT MIC-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676
Hospital Revenue Code	272
Min. Negotiated Rate	$145.97
Max. Negotiated Rate	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$145.97

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676S
Hospital Revenue Code	272
Min. Negotiated Rate	$145.97
Max. Negotiated Rate	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$145.97

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676S
Hospital Revenue Code	272
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$486.55
Rate for Payer: Aetna Commercial	$369.78
Rate for Payer: Aetna Medicare Advantage	$291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.14
Rate for Payer: Cigna Commercial	$486.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: Oxford Commercial	$194.62
Rate for Payer: Qualcare PPO/HMO/WC	$145.97
Rate for Payer: UnitedHealthcare Commercial	$194.62
Rate for Payer: UnitedHealthcare Community & State	$30.75
Rate for Payer: Wellpoint Medicaid Managed Care	$27.64

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676N
Hospital Revenue Code	272
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$486.55
Rate for Payer: Aetna Commercial	$369.78
Rate for Payer: Aetna Medicare Advantage	$291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.14
Rate for Payer: Cigna Commercial	$486.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: Oxford Commercial	$194.62
Rate for Payer: Qualcare PPO/HMO/WC	$145.97
Rate for Payer: UnitedHealthcare Commercial	$194.62
Rate for Payer: UnitedHealthcare Community & State	$30.75
Rate for Payer: Wellpoint Medicaid Managed Care	$27.64

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676N
Hospital Revenue Code	272
Min. Negotiated Rate	$145.97
Max. Negotiated Rate	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$145.97

INTRODUCER KIT PERCUTANEOUS

Facility

$450.00

Hospital Charge Code	270660590
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

INTRODUCER KIT PERCUTANEOUS

Facility

$450.00

Hospital Charge Code	270660590
Hospital Revenue Code	270
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

Know your out-of-pocket cost for care.

All Charges