Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIT GAST PEG SAFEPUSH 20F 6673

Facility

$585.00

Hospital Charge Code	270632928
Hospital Revenue Code	272
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$87.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

KIT GAST PEG SAFEPUSH 20F 6673

Facility

$585.00

Hospital Charge Code	270632928
Hospital Revenue Code	272
Min. Negotiated Rate	$16.61
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.10
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Commercial	$117.00
Rate for Payer: UnitedHealthcare Community & State	$18.49
Rate for Payer: Wellpoint Medicaid Managed Care	$16.61

KIT GASTRIC LAVAGE 34F

Facility

$272.54

Hospital Charge Code	270607144
Hospital Revenue Code	272
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$136.27
Rate for Payer: Aetna Commercial	$103.57
Rate for Payer: Aetna Medicare Advantage	$81.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.50
Rate for Payer: Cigna Commercial	$136.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.86
Rate for Payer: Oxford Commercial	$54.51
Rate for Payer: Qualcare PPO/HMO/WC	$40.88
Rate for Payer: UnitedHealthcare Commercial	$54.51
Rate for Payer: UnitedHealthcare Community & State	$8.61
Rate for Payer: Wellpoint Medicaid Managed Care	$7.74

KIT GASTRIC LAVAGE 34F

Facility

$272.54

Hospital Charge Code	270607144
Hospital Revenue Code	272
Min. Negotiated Rate	$40.88
Max. Negotiated Rate	$40.88
Rate for Payer: Qualcare PPO/HMO/WC	$40.88

KIT GASTROSTOMY 18F 2.5 CM

Facility

$527.55

Hospital Charge Code	270696646
Hospital Revenue Code	272
Min. Negotiated Rate	$79.13
Max. Negotiated Rate	$79.13
Rate for Payer: Qualcare PPO/HMO/WC	$79.13

KIT GASTROSTOMY 18F 2.5 CM

Facility

$527.55

Hospital Charge Code	270696646
Hospital Revenue Code	272
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$263.77
Rate for Payer: Aetna Commercial	$200.47
Rate for Payer: Aetna Medicare Advantage	$158.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.53
Rate for Payer: Cigna Commercial	$263.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.16
Rate for Payer: Oxford Commercial	$105.51
Rate for Payer: Qualcare PPO/HMO/WC	$79.13
Rate for Payer: UnitedHealthcare Commercial	$105.51
Rate for Payer: UnitedHealthcare Community & State	$16.67
Rate for Payer: Wellpoint Medicaid Managed Care	$14.98

KIT GENZYME ESSENTIALS 82004

Facility

$750.00

Hospital Charge Code	270634128
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

KIT GENZYME ESSENTIALS 82004

Facility

$750.00

Hospital Charge Code	270634128
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

KIT GOOSE NECK SNARE 10 GN1000

Facility

$1,494.50

Hospital Charge Code	270632044
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GOOSE NECK SNARE 10 GN1000

Facility

$1,494.50

Hospital Charge Code	270632044
Hospital Revenue Code	272
Min. Negotiated Rate	$42.44
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$567.91
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.57
Rate for Payer: Oxford Commercial	$298.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$298.90
Rate for Payer: UnitedHealthcare Community & State	$47.23
Rate for Payer: Wellpoint Medicaid Managed Care	$42.44

KIT GOOSE NECK SNARE 25 GN2500

Facility

$1,494.50

Hospital Charge Code	270632045
Hospital Revenue Code	272
Min. Negotiated Rate	$42.44
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$567.91
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.57
Rate for Payer: Oxford Commercial	$298.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$298.90
Rate for Payer: UnitedHealthcare Community & State	$47.23
Rate for Payer: Wellpoint Medicaid Managed Care	$42.44

KIT GOOSE NECK SNARE 25 GN2500

Facility

$1,494.50

Hospital Charge Code	270632045
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GOOSE NECK SNARE 5 GN500

Facility

$1,494.50

Hospital Charge Code	270632043
Hospital Revenue Code	272
Min. Negotiated Rate	$42.44
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$567.91
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.57
Rate for Payer: Oxford Commercial	$298.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$298.90
Rate for Payer: UnitedHealthcare Community & State	$47.23
Rate for Payer: Wellpoint Medicaid Managed Care	$42.44

KIT GOOSE NECK SNARE 5 GN500

Facility

$1,494.50

Hospital Charge Code	270632043
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GPS KNEE USER

Facility

$4,500.00

Hospital Charge Code	270668735
Hospital Revenue Code	272
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

KIT GPS KNEE USER

Facility

$4,500.00

Hospital Charge Code	270668735
Hospital Revenue Code	272
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Commercial	$900.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

KIT GRAFT TRANSFER

Facility

$3,050.00

Hospital Charge Code	270680503
Hospital Revenue Code	272
Min. Negotiated Rate	$457.50
Max. Negotiated Rate	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$457.50

KIT GRAFT TRANSFER

Facility

$3,050.00

Hospital Charge Code	270680503
Hospital Revenue Code	272
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$1,525.00
Rate for Payer: Aetna Commercial	$1,159.00
Rate for Payer: Aetna Medicare Advantage	$915.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$777.75
Rate for Payer: Cigna Commercial	$1,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.00
Rate for Payer: Oxford Commercial	$610.00
Rate for Payer: Qualcare PPO/HMO/WC	$457.50
Rate for Payer: UnitedHealthcare Commercial	$610.00
Rate for Payer: UnitedHealthcare Community & State	$96.38
Rate for Payer: Wellpoint Medicaid Managed Care	$86.62

KIT HAND AND WRIST INTERNAL BR

Facility

$7,475.00

Hospital Charge Code	270682062
Hospital Revenue Code	272
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,943.50
Rate for Payer: Oxford Commercial	$1,495.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Commercial	$1,495.00
Rate for Payer: UnitedHealthcare Community & State	$236.21
Rate for Payer: Wellpoint Medicaid Managed Care	$212.29

KIT HAND AND WRIST INTERNAL BR

Facility

$7,475.00

Hospital Charge Code	270682062
Hospital Revenue Code	272
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338S
Hospital Revenue Code	271
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338S
Hospital Revenue Code	271
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338
Hospital Revenue Code	271
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338N
Hospital Revenue Code	271
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

KIT HEART RIGHT K0903252

Facility

$105.00

Hospital Charge Code	270658338
Hospital Revenue Code	271
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

Know your out-of-pocket cost for care.

All Charges