Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.10

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$647.00
Rate for Payer: Aetna Commercial	$491.72
Rate for Payer: Aetna Medicare Advantage	$388.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.97
Rate for Payer: Cigna Commercial	$647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.10
Rate for Payer: UnitedHealthcare Community & State	$40.89
Rate for Payer: Wellpoint Medicaid Managed Care	$36.75

INTRODUCER PINNACLE 9FRX 10 CM

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683728
Hospital Revenue Code	278
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

INTRODUCER PINNACLE 9FRX 10 CM

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683728
Hospital Revenue Code	278
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$21.53
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.61

INTRODUCER PORTED 15x70CM

Facility

$34.00

Hospital Charge Code	270683633
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$12.92
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.84
Rate for Payer: Oxford Commercial	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$6.80
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

INTRODUCER PORTED 15x70CM

Facility

$34.00

Hospital Charge Code	270683633
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

INTRODUCER PRE SHEATH 6F 11x35

Facility

$725.00

Hospital Charge Code	270658199
Hospital Revenue Code	279
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$22.91
Rate for Payer: Wellpoint Medicaid Managed Care	$20.59

INTRODUCER PRE SHEATH 6F 11x35

Facility

$725.00

Hospital Charge Code	270658199
Hospital Revenue Code	279
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

INTRODUCER PRO SHEATH 5FR

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658194
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

INTRODUCER PRO SHEATH 5FR

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658194
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$239.25

Hospital Charge Code	270658198
Hospital Revenue Code	279
Min. Negotiated Rate	$35.89
Max. Negotiated Rate	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.89

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$239.25

Hospital Charge Code	270658198
Hospital Revenue Code	279
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$119.62
Rate for Payer: Aetna Commercial	$90.92
Rate for Payer: Aetna Medicare Advantage	$71.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.01
Rate for Payer: Cigna Commercial	$119.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.20
Rate for Payer: Oxford Commercial	$47.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.89
Rate for Payer: UnitedHealthcare Commercial	$47.85
Rate for Payer: UnitedHealthcare Community & State	$7.56
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$50.00

Service Code	HCPCS C1887
Hospital Charge Code	270658198N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$50.00

Service Code	HCPCS C1887
Hospital Charge Code	270658198N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$12.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

INTRODUCER PRO SHEATH 7F 35X50

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658201
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

INTRODUCER PRO SHEATH 7F 35X50

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658201
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$14.15
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$14.15
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$14.15
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER RAABE 6FR 55cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270629608
Hospital Revenue Code	278
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$53.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

INTRODUCER RAABE 6FR 55cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270629608
Hospital Revenue Code	278
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$83.79
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Community & State	$6.97
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

INTRODUCER RAABE 6FR 70cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270637614
Hospital Revenue Code	278
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$83.79
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Community & State	$6.97
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

Know your out-of-pocket cost for care.

All Charges