Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ANGIOSEAL VIP 6FR

Facility

$995.00

Service Code	HCPCS C1760
Hospital Charge Code	270637740S
Hospital Revenue Code	278
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$31.44
Rate for Payer: Wellpoint Medicaid Managed Care	$28.26

ANGIOSEAL VIP 6FR

Facility

$241.00

Service Code	HCPCS C1760
Hospital Charge Code	270637740N
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$58.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.32
Rate for Payer: Qualcare PPO/HMO/WC	$36.15

ANGIOSEAL VIP 6FR

Facility

$995.00

Service Code	HCPCS C1760
Hospital Charge Code	270637740S
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

ANGIOSEAL VIP 6FR 610130

Facility

$995.00

Service Code	HCPCS C1760
Hospital Charge Code	270637740C
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

ANGIOSEAL VIP 6FR 610130

Facility

$995.00

Service Code	HCPCS C1760
Hospital Charge Code	270637740C
Hospital Revenue Code	278
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$31.44
Rate for Payer: Wellpoint Medicaid Managed Care	$28.26

ANGIOSEAL VIP 8FR 610131

Facility

$12,000.00

Hospital Charge Code	270637741
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

ANGIOSEAL VIP 8FR 610131

Facility

$12,000.00

Hospital Charge Code	270637741
Hospital Revenue Code	278
Min. Negotiated Rate	$340.80
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$4,560.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Community & State	$379.20
Rate for Payer: Wellpoint Medicaid Managed Care	$340.80

ANGIOSEAL VIP 8FR 610131

Facility

$1,150.00

Service Code	HCPCS C1760
Hospital Charge Code	270637741S
Hospital Revenue Code	278
Min. Negotiated Rate	$32.66
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$437.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50
Rate for Payer: UnitedHealthcare Community & State	$36.34
Rate for Payer: Wellpoint Medicaid Managed Care	$32.66

ANGIOSEAL VIP 8FR 610131

Facility

$1,150.00

Service Code	HCPCS C1760
Hospital Charge Code	270637741N
Hospital Revenue Code	278
Min. Negotiated Rate	$32.66
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$437.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50
Rate for Payer: UnitedHealthcare Community & State	$36.34
Rate for Payer: Wellpoint Medicaid Managed Care	$32.66

ANGIOSEAL VIP 8FR 610131

Facility

$1,150.00

Service Code	HCPCS C1760
Hospital Charge Code	270637741N
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

ANGIOSEAL VIP 8FR 610131

Facility

$1,150.00

Service Code	HCPCS C1760
Hospital Charge Code	270637741S
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

ANGIOTENSIN CONV ENZY,CSF

Facility

$390.00

Service Code	HCPCS 82164
Hospital Charge Code	39900326
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.71
Rate for Payer: Aetna Medicare Advantage	$47.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.96
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.60
Rate for Payer: Clover Medicare Advantage	$13.87
Rate for Payer: EmblemHealth Commercial	$43.80
Rate for Payer: Humana Medicare Advantage	$15.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.60
Rate for Payer: Wellcare Medicare Advantage	$14.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ANGIOTENSIN CONV ENZY,CSF

Facility

$390.00

Service Code	HCPCS 82164
Hospital Charge Code	39900326
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ANGIOTENSIN CONVERTING EN

Facility

$390.00

Service Code	HCPCS 82164
Hospital Charge Code	39900043
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ANGIOTENSIN CONVERTING EN

Facility

$390.00

Service Code	HCPCS 82164
Hospital Charge Code	39900043
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.71
Rate for Payer: Aetna Medicare Advantage	$47.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.96
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.60
Rate for Payer: Clover Medicare Advantage	$13.87
Rate for Payer: EmblemHealth Commercial	$43.80
Rate for Payer: Humana Medicare Advantage	$15.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.60
Rate for Payer: Wellcare Medicare Advantage	$14.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ANGIOTENSIN CONVERTING ENZYME

Facility

$509.00

Service Code	HCPCS 82164
Hospital Charge Code	38472113
Hospital Revenue Code	301
Min. Negotiated Rate	$76.35
Max. Negotiated Rate	$76.35
Rate for Payer: Qualcare PPO/HMO/WC	$76.35

ANGIOTENSIN CONVERTING ENZYME

Facility

$509.00

Service Code	HCPCS 82164
Hospital Charge Code	38472113
Hospital Revenue Code	301
Min. Negotiated Rate	$11.68
Max. Negotiated Rate	$254.50
Rate for Payer: Aetna Commercial	$39.71
Rate for Payer: Aetna Medicare Advantage	$47.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.96
Rate for Payer: Cigna Commercial	$254.50
Rate for Payer: Cigna Medicare Advantage	$14.60
Rate for Payer: Clover Medicare Advantage	$13.87
Rate for Payer: EmblemHealth Commercial	$43.80
Rate for Payer: Humana Medicare Advantage	$15.04
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.60
Rate for Payer: Wellcare Medicare Advantage	$14.60
Rate for Payer: Wellpoint Medicaid Managed Care	$14.46

ANGIOTENSIN II

Facility

$144.00

Service Code	HCPCS 82163
Hospital Charge Code	38477167
Hospital Revenue Code	301
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

ANGIOTENSIN II

Facility

$144.00

Service Code	HCPCS 82163
Hospital Charge Code	38477167
Hospital Revenue Code	301
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$55.81
Rate for Payer: Aetna Medicare Advantage	$66.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.44
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: Cigna Medicare Advantage	$20.52
Rate for Payer: Clover Medicare Advantage	$19.49
Rate for Payer: EmblemHealth Commercial	$61.56
Rate for Payer: Humana Medicare Advantage	$21.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.52
Rate for Payer: Wellcare Medicare Advantage	$20.52
Rate for Payer: Wellpoint Medicaid Managed Care	$4.09

ANGIO TRAY

Facility

$67.00

Hospital Charge Code	4800955
Hospital Revenue Code	272
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$25.46
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Oxford Commercial	$13.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.05
Rate for Payer: UnitedHealthcare Commercial	$13.40
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.90

ANGIO TRAY

Facility

$67.00

Hospital Charge Code	4800955
Hospital Revenue Code	272
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

ANGLED PHALANX SMALL

Facility

$5,390.00

Service Code	HCPCS C1776
Hospital Charge Code	270678675
Hospital Revenue Code	278
Min. Negotiated Rate	$153.08
Max. Negotiated Rate	$2,695.00
Rate for Payer: Aetna Commercial	$2,048.20
Rate for Payer: Aetna Medicare Advantage	$1,617.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,374.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,374.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,374.45
Rate for Payer: Cigna Commercial	$2,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.38
Rate for Payer: Qualcare PPO/HMO/WC	$808.50
Rate for Payer: UnitedHealthcare Community & State	$170.32
Rate for Payer: Wellpoint Medicaid Managed Care	$153.08

ANGLED PHALANX SMALL

Facility

$5,390.00

Service Code	HCPCS C1776
Hospital Charge Code	270678675
Hospital Revenue Code	278
Min. Negotiated Rate	$808.50
Max. Negotiated Rate	$1,304.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.38
Rate for Payer: Qualcare PPO/HMO/WC	$808.50

ANGLE SCREW SELF DRILL 3.8X16

Facility

$2,500.00

Hospital Charge Code	270703196
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

ANGLE SCREW SELF DRILL 3.8X16

Facility

$2,500.00

Hospital Charge Code	270703196
Hospital Revenue Code	278
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

Know your out-of-pocket cost for care.

All Charges