Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER RAABE 6FR 70cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270637614
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 90cm

Facility

$375.00

Hospital Charge Code	270629607
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

INTRODUCER RAABE 6FR 90cm

Facility

$375.00

Hospital Charge Code	270629607
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

INTRODUCER RAABE 6FR90CM G1226

Facility

$287.00

Hospital Charge Code	270629607C
Hospital Revenue Code	272
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$43.05
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 6FR90CM G1226

Facility

$287.00

Hospital Charge Code	270629607C
Hospital Revenue Code	272
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$143.50
Rate for Payer: Aetna Commercial	$109.06
Rate for Payer: Aetna Medicare Advantage	$86.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.19
Rate for Payer: Cigna Commercial	$143.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.62
Rate for Payer: Oxford Commercial	$57.40
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Commercial	$57.40
Rate for Payer: UnitedHealthcare Community & State	$9.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.15

INTRODUCER RAABE 7FR 55cm

Facility

$325.00

Service Code	HCPCS C1892
Hospital Charge Code	270629610
Hospital Revenue Code	278
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$78.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

INTRODUCER RAABE 7FR 55cm

Facility

$325.00

Service Code	HCPCS C1892
Hospital Charge Code	270629610
Hospital Revenue Code	278
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Community & State	$10.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.23

INTRODUCER RAABE 7FR 70cm

Facility

$375.00

Hospital Charge Code	270636699
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

INTRODUCER RAABE 7FR 70cm

Facility

$375.00

Hospital Charge Code	270636699
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

INTRODUCER RAABE 7FR 90cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270629609
Hospital Revenue Code	278
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$143.50
Rate for Payer: Aetna Commercial	$109.06
Rate for Payer: Aetna Medicare Advantage	$86.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.19
Rate for Payer: Cigna Commercial	$143.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Community & State	$9.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.15

INTRODUCER RAABE 7FR 90cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270629609
Hospital Revenue Code	278
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$69.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 8FR 55cm

Facility

$220.50

Service Code	HCPCS C1894
Hospital Charge Code	270632469
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 8FR 55cm

Facility

$220.50

Service Code	HCPCS C1894
Hospital Charge Code	270632469
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 8FR 70cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270635952
Hospital Revenue Code	278
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$69.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 8FR 70cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270635952
Hospital Revenue Code	278
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$143.50
Rate for Payer: Aetna Commercial	$109.06
Rate for Payer: Aetna Medicare Advantage	$86.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.19
Rate for Payer: Cigna Commercial	$143.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Community & State	$9.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.15

INTRODUCER RAABE 9FR 55cm

Facility

$325.00

Service Code	HCPCS C1894
Hospital Charge Code	270670723C
Hospital Revenue Code	278
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$78.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

INTRODUCER RAABE 9FR 55cm

Facility

$325.00

Hospital Charge Code	270670723
Hospital Revenue Code	278
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$78.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

INTRODUCER RAABE 9FR 55cm

Facility

$325.00

Service Code	HCPCS C1894
Hospital Charge Code	270670723C
Hospital Revenue Code	278
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Community & State	$10.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.23

INTRODUCER RAABE 9FR 55cm

Facility

$325.00

Hospital Charge Code	270670723
Hospital Revenue Code	278
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Community & State	$10.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.23

INTRODUCER SERTERA 14 GA

Facility

$97.00

Service Code	HCPCS A4649
Hospital Charge Code	270697943
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$48.50
Rate for Payer: Aetna Commercial	$36.86
Rate for Payer: Aetna Medicare Advantage	$29.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.73
Rate for Payer: Cigna Commercial	$48.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.22
Rate for Payer: Oxford Commercial	$19.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.55
Rate for Payer: UnitedHealthcare Commercial	$19.40
Rate for Payer: UnitedHealthcare Community & State	$3.07
Rate for Payer: Wellpoint Medicaid Managed Care	$2.75

INTRODUCER SERTERA 14 GA

Facility

$97.00

Service Code	HCPCS A4649
Hospital Charge Code	270697943
Hospital Revenue Code	272
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$14.55
Rate for Payer: Qualcare PPO/HMO/WC	$14.55

INTRODUCER SHEATH, 10 CM

Facility

$187.00

Service Code	HCPCS C1894
Hospital Charge Code	4800860
Hospital Revenue Code	278
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$45.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$28.05

INTRODUCER SHEATH, 10 CM

Facility

$187.00

Service Code	HCPCS C1894
Hospital Charge Code	4800860
Hospital Revenue Code	278
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$93.50
Rate for Payer: Aetna Commercial	$71.06
Rate for Payer: Aetna Medicare Advantage	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.69
Rate for Payer: Cigna Commercial	$93.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$28.05
Rate for Payer: UnitedHealthcare Community & State	$5.91
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

INTRODUCER SHEATH 14FR 11CM

Facility

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270660038
Hospital Revenue Code	278
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$25.86
Rate for Payer: Aetna Commercial	$19.66
Rate for Payer: Aetna Medicare Advantage	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.19
Rate for Payer: Cigna Commercial	$25.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76
Rate for Payer: UnitedHealthcare Community & State	$1.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.47

INTRODUCER SHEATH 14FR 11CM

Facility

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270660038
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$12.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

Know your out-of-pocket cost for care.

All Charges