Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

IR VASC SEL CATH 1ST A/P/LE

Facility

$364.00

Service Code	HCPCS 36245
Hospital Charge Code	321036245
Hospital Revenue Code	361
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

IR VASC SEL CATH 1ST A/P/LE

Facility

$364.00

Service Code	HCPCS 36245
Hospital Charge Code	321036245
Hospital Revenue Code	361
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$138.32
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.82
Rate for Payer: Cigna Commercial	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.64
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.60
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$11.50
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	321036246
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	2004265
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	411036246
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	7411431
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	321036246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	366836246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	7411431
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	366836246
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	2004265
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	411036246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	366836247
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	366836247
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	321036247
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	321036247
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	7411432
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	411036247
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	411036247
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	2004257
Hospital Revenue Code	361
Min. Negotiated Rate	$246.99
Max. Negotiated Rate	$4,348.50
Rate for Payer: Aetna Commercial	$3,304.86
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,217.74
Rate for Payer: Cigna Commercial	$4,348.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,261.22
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$274.83
Rate for Payer: Wellpoint Medicaid Managed Care	$246.99

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	7411432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	2004257
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH INTR 1ST T/B

Facility

$1,518.00

Service Code	HCPCS 36215
Hospital Charge Code	7411426
Hospital Revenue Code	361
Min. Negotiated Rate	$227.70
Max. Negotiated Rate	$227.70
Rate for Payer: Qualcare PPO/HMO/WC	$227.70

IR VASC SEL CATH INTR 1ST T/B

Facility

$1,518.00

Service Code	HCPCS 36215
Hospital Charge Code	7411426
Hospital Revenue Code	361
Min. Negotiated Rate	$43.11
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$576.84
Rate for Payer: Aetna Medicare Advantage	$455.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.09
Rate for Payer: Cigna Commercial	$759.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.68
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$227.70
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$47.97
Rate for Payer: Wellpoint Medicaid Managed Care	$43.11

IR VASC SEL CATH INTR 1ST T/B

Facility

$1,518.00

Service Code	HCPCS 36215
Hospital Charge Code	2004307
Hospital Revenue Code	361
Min. Negotiated Rate	$227.70
Max. Negotiated Rate	$227.70
Rate for Payer: Qualcare PPO/HMO/WC	$227.70

Know your out-of-pocket cost for care.

All Charges