Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIT BONE MARROW HARVEST

Facility

$11,975.00

Hospital Charge Code	270678224
Hospital Revenue Code	272
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$1,796.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

KIT BONE MARROW HARVEST

Facility

$10,475.00

Hospital Charge Code	270677368
Hospital Revenue Code	272
Min. Negotiated Rate	$297.49
Max. Negotiated Rate	$5,237.50
Rate for Payer: Aetna Commercial	$3,980.50
Rate for Payer: Aetna Medicare Advantage	$3,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,671.12
Rate for Payer: Cigna Commercial	$5,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,723.50
Rate for Payer: Oxford Commercial	$2,095.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25
Rate for Payer: UnitedHealthcare Commercial	$2,095.00
Rate for Payer: UnitedHealthcare Community & State	$331.01
Rate for Payer: Wellpoint Medicaid Managed Care	$297.49

KIT BONE MARROW HARVEST

Facility

$11,975.00

Hospital Charge Code	270678224
Hospital Revenue Code	272
Min. Negotiated Rate	$340.09
Max. Negotiated Rate	$5,987.50
Rate for Payer: Aetna Commercial	$4,550.50
Rate for Payer: Aetna Medicare Advantage	$3,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.62
Rate for Payer: Cigna Commercial	$5,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,113.50
Rate for Payer: Oxford Commercial	$2,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25
Rate for Payer: UnitedHealthcare Commercial	$2,395.00
Rate for Payer: UnitedHealthcare Community & State	$378.41
Rate for Payer: Wellpoint Medicaid Managed Care	$340.09

KIT BONE MARROW MSC ASPIRATION

Facility

$9,750.00

Hospital Charge Code	270698050
Hospital Revenue Code	272
Min. Negotiated Rate	$276.90
Max. Negotiated Rate	$4,875.00
Rate for Payer: Aetna Commercial	$3,705.00
Rate for Payer: Aetna Medicare Advantage	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,486.25
Rate for Payer: Cigna Commercial	$4,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,535.00
Rate for Payer: Oxford Commercial	$1,950.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50
Rate for Payer: UnitedHealthcare Commercial	$1,950.00
Rate for Payer: UnitedHealthcare Community & State	$308.10
Rate for Payer: Wellpoint Medicaid Managed Care	$276.90

KIT BONE MARROW MSC ASPIRATION

Facility

$9,750.00

Hospital Charge Code	270698050
Hospital Revenue Code	272
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$1,462.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

KIT BONE TAMP

Facility

$14,275.00

Hospital Charge Code	270660326
Hospital Revenue Code	278
Min. Negotiated Rate	$405.41
Max. Negotiated Rate	$7,137.50
Rate for Payer: Aetna Commercial	$5,424.50
Rate for Payer: Aetna Medicare Advantage	$4,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,640.12
Rate for Payer: Cigna Commercial	$7,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25
Rate for Payer: UnitedHealthcare Community & State	$451.09
Rate for Payer: Wellpoint Medicaid Managed Care	$405.41

KIT BONE TAMP

Facility

$14,275.00

Hospital Charge Code	270660326
Hospital Revenue Code	278
Min. Negotiated Rate	$2,141.25
Max. Negotiated Rate	$3,454.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25

KIT BONE TAMP KPX203PB FFX2

Facility

$19,625.00

Hospital Charge Code	270672072
Hospital Revenue Code	278
Min. Negotiated Rate	$2,943.75
Max. Negotiated Rate	$4,749.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,749.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,943.75

KIT BONE TAMP KPX203PB FFX2

Facility

$19,625.00

Hospital Charge Code	270672072
Hospital Revenue Code	278
Min. Negotiated Rate	$557.35
Max. Negotiated Rate	$9,812.50
Rate for Payer: Aetna Commercial	$7,457.50
Rate for Payer: Aetna Medicare Advantage	$5,887.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,004.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,004.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,004.38
Rate for Payer: Cigna Commercial	$9,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,749.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,943.75
Rate for Payer: UnitedHealthcare Community & State	$620.15
Rate for Payer: Wellpoint Medicaid Managed Care	$557.35

KIT BOWL 125ML

Facility

$356.25

Hospital Charge Code	270663105
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$178.12
Rate for Payer: Aetna Commercial	$135.38
Rate for Payer: Aetna Medicare Advantage	$106.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.84
Rate for Payer: Cigna Commercial	$178.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.62
Rate for Payer: Oxford Commercial	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$53.44
Rate for Payer: UnitedHealthcare Commercial	$71.25
Rate for Payer: UnitedHealthcare Community & State	$11.26
Rate for Payer: Wellpoint Medicaid Managed Care	$10.12

KIT BOWL 125ML

Facility

$356.25

Hospital Charge Code	270663105
Hospital Revenue Code	272
Min. Negotiated Rate	$53.44
Max. Negotiated Rate	$53.44
Rate for Payer: Qualcare PPO/HMO/WC	$53.44

KIT BPH

Facility

$18,750.00

Hospital Charge Code	270703594
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$4,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

KIT BPH

Facility

$18,750.00

Hospital Charge Code	270703594
Hospital Revenue Code	278
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$9,375.00
Rate for Payer: Aetna Commercial	$7,125.00
Rate for Payer: Aetna Medicare Advantage	$5,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,781.25
Rate for Payer: Cigna Commercial	$9,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50
Rate for Payer: UnitedHealthcare Community & State	$592.50
Rate for Payer: Wellpoint Medicaid Managed Care	$532.50

KIT CANNULA IN OUT FLOW

Facility

$2,042.75

Hospital Charge Code	270688259
Hospital Revenue Code	272
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$306.41
Rate for Payer: Qualcare PPO/HMO/WC	$306.41

KIT CANNULA IN OUT FLOW

Facility

$2,042.75

Hospital Charge Code	270688259
Hospital Revenue Code	272
Min. Negotiated Rate	$58.01
Max. Negotiated Rate	$1,021.38
Rate for Payer: Aetna Commercial	$776.25
Rate for Payer: Aetna Medicare Advantage	$612.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$520.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$520.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$520.90
Rate for Payer: Cigna Commercial	$1,021.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$531.12
Rate for Payer: Oxford Commercial	$408.55
Rate for Payer: Qualcare PPO/HMO/WC	$306.41
Rate for Payer: UnitedHealthcare Commercial	$408.55
Rate for Payer: UnitedHealthcare Community & State	$64.55
Rate for Payer: Wellpoint Medicaid Managed Care	$58.01

KIT CANNULA UNIVERSAL

Facility

$800.00

Hospital Charge Code	270657831
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

KIT CANNULA UNIVERSAL

Facility

$800.00

Hospital Charge Code	270657831
Hospital Revenue Code	272
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

KIT CATHETER ASCENDA INTRA

Facility

$2,750.00

Hospital Charge Code	270691699
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

KIT CATHETER ASCENDA INTRA

Facility

$2,750.00

Hospital Charge Code	270691699
Hospital Revenue Code	272
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

KIT CATHETER POWERMIDLINE 5F

Facility

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270682902
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

KIT CATHETER POWERMIDLINE 5F

Facility

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270682902
Hospital Revenue Code	278
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

KIT CATHETER SILVERSOAKER ON-Q

Facility

$230.00

Hospital Charge Code	270650274
Hospital Revenue Code	271
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

KIT CATHETER SILVERSOAKER ON-Q

Facility

$230.00

Hospital Charge Code	270650274
Hospital Revenue Code	271
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$87.40
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$46.00
Rate for Payer: UnitedHealthcare Community & State	$7.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

KIT CATH HEMOSPLIT 14.5 FR

Facility

$1,615.00

Service Code	HCPCS C1750
Hospital Charge Code	270637884
Hospital Revenue Code	278
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$390.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

KIT CATH HEMOSPLIT 14.5 FR

Facility

$1,615.00

Service Code	HCPCS C1750
Hospital Charge Code	270637884
Hospital Revenue Code	278
Min. Negotiated Rate	$45.87
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$613.70
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$45.87

Know your out-of-pocket cost for care.

All Charges