Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER MANDREL 5FR

Facility

$84.75

Hospital Charge Code	270676663
Hospital Revenue Code	272
Min. Negotiated Rate	$12.71
Max. Negotiated Rate	$12.71
Rate for Payer: Qualcare PPO/HMO/WC	$12.71

INTRODUCER MANDREL 5FR

Facility

$84.75

Hospital Charge Code	270676663
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$42.38
Rate for Payer: Aetna Commercial	$32.20
Rate for Payer: Aetna Medicare Advantage	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.61
Rate for Payer: Cigna Commercial	$42.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.04
Rate for Payer: Oxford Commercial	$16.95
Rate for Payer: Qualcare PPO/HMO/WC	$12.71
Rate for Payer: UnitedHealthcare Commercial	$16.95
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

INTRODUCER OPTISEAL 8FR 13CM

Facility

$292.50

Hospital Charge Code	270677417
Hospital Revenue Code	272
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$146.25
Rate for Payer: Aetna Commercial	$111.15
Rate for Payer: Aetna Medicare Advantage	$87.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.59
Rate for Payer: Cigna Commercial	$146.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.05
Rate for Payer: Oxford Commercial	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.88
Rate for Payer: UnitedHealthcare Commercial	$58.50
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$8.31

INTRODUCER OPTISEAL 8FR 13CM

Facility

$292.50

Hospital Charge Code	270677417
Hospital Revenue Code	272
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$43.88
Rate for Payer: Qualcare PPO/HMO/WC	$43.88

INTRODUCER PEEL AWAY 11FR

Facility

$300.00

Hospital Charge Code	270657082
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

INTRODUCER PEEL AWAY 11FR

Facility

$300.00

Hospital Charge Code	270657082
Hospital Revenue Code	278
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

INTRODUCER PEEL-AWAY 20FR

Facility

$246.95

Hospital Charge Code	270677522
Hospital Revenue Code	278
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$123.47
Rate for Payer: Aetna Commercial	$93.84
Rate for Payer: Aetna Medicare Advantage	$74.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.97
Rate for Payer: Cigna Commercial	$123.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.76
Rate for Payer: Qualcare PPO/HMO/WC	$37.04
Rate for Payer: UnitedHealthcare Community & State	$7.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7.01

INTRODUCER PEEL-AWAY 20FR

Facility

$246.95

Hospital Charge Code	270677522
Hospital Revenue Code	278
Min. Negotiated Rate	$37.04
Max. Negotiated Rate	$59.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.76
Rate for Payer: Qualcare PPO/HMO/WC	$37.04

INTRODUCER PEEL AWAY SET

Facility

$291.25

Hospital Charge Code	270655673
Hospital Revenue Code	271
Min. Negotiated Rate	$43.69
Max. Negotiated Rate	$43.69
Rate for Payer: Qualcare PPO/HMO/WC	$43.69

INTRODUCER PEEL AWAY SET

Facility

$291.25

Hospital Charge Code	270655673
Hospital Revenue Code	271
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$145.62
Rate for Payer: Aetna Commercial	$110.67
Rate for Payer: Aetna Medicare Advantage	$87.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.27
Rate for Payer: Cigna Commercial	$145.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.72
Rate for Payer: Oxford Commercial	$58.25
Rate for Payer: Qualcare PPO/HMO/WC	$43.69
Rate for Payer: UnitedHealthcare Commercial	$58.25
Rate for Payer: UnitedHealthcare Community & State	$9.20
Rate for Payer: Wellpoint Medicaid Managed Care	$8.27

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270657500
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270657500
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245A
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$177.60
Rate for Payer: Aetna Commercial	$134.98
Rate for Payer: Aetna Medicare Advantage	$106.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.58
Rate for Payer: Cigna Commercial	$177.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: Qualcare PPO/HMO/WC	$53.28
Rate for Payer: UnitedHealthcare Community & State	$11.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10.09

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245
Hospital Revenue Code	278
Min. Negotiated Rate	$53.28
Max. Negotiated Rate	$85.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: Qualcare PPO/HMO/WC	$53.28

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245A
Hospital Revenue Code	278
Min. Negotiated Rate	$53.28
Max. Negotiated Rate	$85.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: Qualcare PPO/HMO/WC	$53.28

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$177.60
Rate for Payer: Aetna Commercial	$134.98
Rate for Payer: Aetna Medicare Advantage	$106.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.58
Rate for Payer: Cigna Commercial	$177.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: Qualcare PPO/HMO/WC	$53.28
Rate for Payer: UnitedHealthcare Community & State	$11.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10.09

INTRODUCER PINN 6F 25CM RSS605

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643051A
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$59.38
Rate for Payer: Aetna Commercial	$45.12
Rate for Payer: Aetna Medicare Advantage	$35.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.28
Rate for Payer: Cigna Commercial	$59.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.81
Rate for Payer: UnitedHealthcare Community & State	$3.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.37

INTRODUCER PINN 6F 25CM RSS605

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643051C
Hospital Revenue Code	278
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.81

INTRODUCER PINN 6F 25CM RSS605

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643051C
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$59.38
Rate for Payer: Aetna Commercial	$45.12
Rate for Payer: Aetna Medicare Advantage	$35.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.28
Rate for Payer: Cigna Commercial	$59.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.81
Rate for Payer: UnitedHealthcare Community & State	$3.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.37

INTRODUCER PINN 6F 25CM RSS605

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643051A
Hospital Revenue Code	278
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.81

INTRODUCER PINN 6FR 10C RSS602

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642942C
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

INTRODUCER PINN 6FR 10C RSS602

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642942C
Hospital Revenue Code	278
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

INTRODUCER PINNA 5F 10 RSS502

Facility

$45.50

Service Code	HCPCS C1894
Hospital Charge Code	270642944N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$11.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

INTRODUCER PINNA 5F 10 RSS502

Facility

$45.50

Service Code	HCPCS C1894
Hospital Charge Code	270642944N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$17.29
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Community & State	$1.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

INTRODUCER PINNA 5F 10 RSS502

Facility

$45.50

Service Code	HCPCS C1894
Hospital Charge Code	270642944S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$17.29
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Community & State	$1.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

Know your out-of-pocket cost for care.

All Charges