Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MARKER BX TRIMARK TI 13CM

Facility

$338.00

Service Code	HCPCS A4648
Hospital Charge Code	270664834R
Hospital Revenue Code	278
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$169.00
Rate for Payer: Aetna Commercial	$128.44
Rate for Payer: Aetna Medicare Advantage	$101.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.19
Rate for Payer: Cigna Commercial	$169.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.80
Rate for Payer: Qualcare PPO/HMO/WC	$50.70
Rate for Payer: UnitedHealthcare Community & State	$10.68
Rate for Payer: Wellpoint Medicaid Managed Care	$9.60

MARKER BX TUMARK EVIVA18G120MM

Facility

$437.50

Service Code	HCPCS A4648
Hospital Charge Code	270669921R
Hospital Revenue Code	278
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$218.75
Rate for Payer: Aetna Commercial	$166.25
Rate for Payer: Aetna Medicare Advantage	$131.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.56
Rate for Payer: Cigna Commercial	$218.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.88
Rate for Payer: Qualcare PPO/HMO/WC	$65.62
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: Wellpoint Medicaid Managed Care	$12.43

MARKER BX TUMARK EVIVA18G120MM

Facility

$437.50

Service Code	HCPCS A4648
Hospital Charge Code	270669921R
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$105.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.88
Rate for Payer: Qualcare PPO/HMO/WC	$65.62

MARKER BX TUMARK EYE 18G12CM

Facility

$412.50

Service Code	HCPCS A4648
Hospital Charge Code	270683012
Hospital Revenue Code	278
Min. Negotiated Rate	$61.88
Max. Negotiated Rate	$99.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.83
Rate for Payer: Qualcare PPO/HMO/WC	$61.88

MARKER BX TUMARK EYE 18G12CM

Facility

$412.50

Service Code	HCPCS A4648
Hospital Charge Code	270683012
Hospital Revenue Code	278
Min. Negotiated Rate	$11.71
Max. Negotiated Rate	$206.25
Rate for Payer: Aetna Commercial	$156.75
Rate for Payer: Aetna Medicare Advantage	$123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.19
Rate for Payer: Cigna Commercial	$206.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.83
Rate for Payer: Qualcare PPO/HMO/WC	$61.88
Rate for Payer: UnitedHealthcare Community & State	$13.04
Rate for Payer: Wellpoint Medicaid Managed Care	$11.71

MARKERBXTUMARKEYESHAPE18G12CM

Facility

$437.50

Service Code	HCPCS A4648
Hospital Charge Code	270683827R
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$105.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.88
Rate for Payer: Qualcare PPO/HMO/WC	$65.62

MARKERBXTUMARKEYESHAPE18G12CM

Facility

$437.50

Service Code	HCPCS A4648
Hospital Charge Code	270683827R
Hospital Revenue Code	278
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$218.75
Rate for Payer: Aetna Commercial	$166.25
Rate for Payer: Aetna Medicare Advantage	$131.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.56
Rate for Payer: Cigna Commercial	$218.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.88
Rate for Payer: Qualcare PPO/HMO/WC	$65.62
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: Wellpoint Medicaid Managed Care	$12.43

MARKER BX TUMARK Q SHAPE 10CM

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697945
Hospital Revenue Code	278
Min. Negotiated Rate	$61.84
Max. Negotiated Rate	$99.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84

MARKER BX TUMARK Q SHAPE 10CM

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697945
Hospital Revenue Code	278
Min. Negotiated Rate	$11.71
Max. Negotiated Rate	$206.12
Rate for Payer: Aetna Commercial	$156.66
Rate for Payer: Aetna Medicare Advantage	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.12
Rate for Payer: Cigna Commercial	$206.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84
Rate for Payer: UnitedHealthcare Community & State	$13.03
Rate for Payer: Wellpoint Medicaid Managed Care	$11.71

MARKER BX TUMARK VISION 10CM

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697946
Hospital Revenue Code	278
Min. Negotiated Rate	$11.71
Max. Negotiated Rate	$206.12
Rate for Payer: Aetna Commercial	$156.66
Rate for Payer: Aetna Medicare Advantage	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.12
Rate for Payer: Cigna Commercial	$206.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84
Rate for Payer: UnitedHealthcare Community & State	$13.03
Rate for Payer: Wellpoint Medicaid Managed Care	$11.71

MARKER BX TUMARK VISION 10CM

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697946
Hospital Revenue Code	278
Min. Negotiated Rate	$61.84
Max. Negotiated Rate	$99.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84

MARKER BX TUMARK X SHAPE 10CM

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697944
Hospital Revenue Code	278
Min. Negotiated Rate	$61.84
Max. Negotiated Rate	$99.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84

MARKER BX TUMARK X SHAPE 10CM

Facility

$412.25

Service Code	HCPCS A4648
Hospital Charge Code	270697944
Hospital Revenue Code	278
Min. Negotiated Rate	$11.71
Max. Negotiated Rate	$206.12
Rate for Payer: Aetna Commercial	$156.66
Rate for Payer: Aetna Medicare Advantage	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.12
Rate for Payer: Cigna Commercial	$206.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.84
Rate for Payer: UnitedHealthcare Community & State	$13.03
Rate for Payer: Wellpoint Medicaid Managed Care	$11.71

MARKER EVIVA 13MM SHAPE 1 BUCK

Facility

$359.15

Service Code	HCPCS A4648
Hospital Charge Code	270675352
Hospital Revenue Code	278
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$179.57
Rate for Payer: Aetna Commercial	$136.48
Rate for Payer: Aetna Medicare Advantage	$107.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.58
Rate for Payer: Cigna Commercial	$179.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.87
Rate for Payer: UnitedHealthcare Community & State	$11.35
Rate for Payer: Wellpoint Medicaid Managed Care	$10.20

MARKER EVIVA 13MM SHAPE 1 BUCK

Facility

$359.13

Hospital Charge Code	270675352N
Hospital Revenue Code	272
Min. Negotiated Rate	$53.87
Max. Negotiated Rate	$53.87
Rate for Payer: Qualcare PPO/HMO/WC	$53.87

MARKER EVIVA 13MM SHAPE 1 BUCK

Facility

$359.15

Service Code	HCPCS A4648
Hospital Charge Code	270675352
Hospital Revenue Code	278
Min. Negotiated Rate	$53.87
Max. Negotiated Rate	$86.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.87

MARKER EVIVA 13MM SHAPE 1 BUCK

Facility

$359.13

Hospital Charge Code	270675352N
Hospital Revenue Code	272
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$179.56
Rate for Payer: Aetna Commercial	$136.47
Rate for Payer: Aetna Medicare Advantage	$107.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.58
Rate for Payer: Cigna Commercial	$179.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.37
Rate for Payer: Oxford Commercial	$71.83
Rate for Payer: Qualcare PPO/HMO/WC	$53.87
Rate for Payer: UnitedHealthcare Commercial	$71.83
Rate for Payer: UnitedHealthcare Community & State	$11.35
Rate for Payer: Wellpoint Medicaid Managed Care	$10.20

MARKER LEADING RADIO 5FR 7 CM

Facility

$385.00

Service Code	HCPCS C2617
Hospital Charge Code	270679134
Hospital Revenue Code	278
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

MARKER LEADING RADIO 5FR 7 CM

Facility

$385.00

Service Code	HCPCS C2617
Hospital Charge Code	270679134
Hospital Revenue Code	278
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

MARKER LEADING RADIO 5FRx 12cm

Facility

$385.00

Service Code	HCPCS C2617
Hospital Charge Code	270679135
Hospital Revenue Code	278
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

MARKER LEADING RADIO 5FRx 12cm

Facility

$385.00

Service Code	HCPCS C2617
Hospital Charge Code	270679135
Hospital Revenue Code	278
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

MARKER PASSIVE 6143.2591S

Facility

$12.67

Hospital Charge Code	270692793
Hospital Revenue Code	270
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.90

MARKER PASSIVE 6143.2591S

Facility

$12.67

Hospital Charge Code	270692793
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.33
Rate for Payer: Aetna Commercial	$4.81
Rate for Payer: Aetna Medicare Advantage	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.23
Rate for Payer: Cigna Commercial	$6.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.29
Rate for Payer: Oxford Commercial	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.90
Rate for Payer: UnitedHealthcare Commercial	$2.53
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

MARKER SECURE MARK BX SITE

Facility

$4,037.50

Hospital Charge Code	270664833
Hospital Revenue Code	270
Min. Negotiated Rate	$114.67
Max. Negotiated Rate	$2,018.75
Rate for Payer: Aetna Commercial	$1,534.25
Rate for Payer: Aetna Medicare Advantage	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,029.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,029.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,029.56
Rate for Payer: Cigna Commercial	$2,018.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,049.75
Rate for Payer: Oxford Commercial	$807.50
Rate for Payer: Qualcare PPO/HMO/WC	$605.62
Rate for Payer: UnitedHealthcare Commercial	$807.50
Rate for Payer: UnitedHealthcare Community & State	$127.58
Rate for Payer: Wellpoint Medicaid Managed Care	$114.67

MARKER SECURE MARK BX SITE

Facility

$4,037.50

Hospital Charge Code	270664833
Hospital Revenue Code	270
Min. Negotiated Rate	$605.62
Max. Negotiated Rate	$605.62
Rate for Payer: Qualcare PPO/HMO/WC	$605.62

Know your out-of-pocket cost for care.

All Charges