Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MARKER SITE ID 2ND SHAPE

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270644703
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$201.88
Rate for Payer: Aetna Commercial	$153.43
Rate for Payer: Aetna Medicare Advantage	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.96
Rate for Payer: Cigna Commercial	$201.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: Qualcare PPO/HMO/WC	$60.56
Rate for Payer: UnitedHealthcare Community & State	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$11.47

MARKER SITE ID 2ND SHAPE

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270644703
Hospital Revenue Code	278
Min. Negotiated Rate	$60.56
Max. Negotiated Rate	$97.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: Qualcare PPO/HMO/WC	$60.56

MARKER SITE ID EVIVA 1ST SHAPE

Facility

$410.00

Service Code	HCPCS A4648
Hospital Charge Code	270642616
Hospital Revenue Code	278
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$155.80
Rate for Payer: Aetna Medicare Advantage	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.55
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.22
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Community & State	$12.96
Rate for Payer: Wellpoint Medicaid Managed Care	$11.64

MARKER SITE ID EVIVA 1ST SHAPE

Facility

$410.00

Service Code	HCPCS A4648
Hospital Charge Code	270642616
Hospital Revenue Code	278
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$99.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.22
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

MARKER SKIN

Facility

$596.25

Hospital Charge Code	270655643
Hospital Revenue Code	271
Min. Negotiated Rate	$89.44
Max. Negotiated Rate	$89.44
Rate for Payer: Qualcare PPO/HMO/WC	$89.44

MARKER SKIN

Facility

$596.25

Hospital Charge Code	270655643
Hospital Revenue Code	271
Min. Negotiated Rate	$16.93
Max. Negotiated Rate	$298.12
Rate for Payer: Aetna Commercial	$226.57
Rate for Payer: Aetna Medicare Advantage	$178.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.04
Rate for Payer: Cigna Commercial	$298.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.03
Rate for Payer: Oxford Commercial	$119.25
Rate for Payer: Qualcare PPO/HMO/WC	$89.44
Rate for Payer: UnitedHealthcare Commercial	$119.25
Rate for Payer: UnitedHealthcare Community & State	$18.84
Rate for Payer: Wellpoint Medicaid Managed Care	$16.93

MARKERS MINI SKIN

Facility

$711.45

Hospital Charge Code	270663902
Hospital Revenue Code	270
Min. Negotiated Rate	$20.21
Max. Negotiated Rate	$355.73
Rate for Payer: Aetna Commercial	$270.35
Rate for Payer: Aetna Medicare Advantage	$213.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.42
Rate for Payer: Cigna Commercial	$355.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.98
Rate for Payer: Oxford Commercial	$142.29
Rate for Payer: Qualcare PPO/HMO/WC	$106.72
Rate for Payer: UnitedHealthcare Commercial	$142.29
Rate for Payer: UnitedHealthcare Community & State	$22.48
Rate for Payer: Wellpoint Medicaid Managed Care	$20.21

MARKERS MINI SKIN

Facility

$711.45

Hospital Charge Code	270663902
Hospital Revenue Code	270
Min. Negotiated Rate	$106.72
Max. Negotiated Rate	$106.72
Rate for Payer: Qualcare PPO/HMO/WC	$106.72

MARKER SURVELLANCE PERC PIN

Facility

$2,250.00

Hospital Charge Code	270696764
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

MARKER SURVELLANCE PERC PIN

Facility

$2,250.00

Hospital Charge Code	270696764
Hospital Revenue Code	272
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

MARKER TRIMARK CLIP TI TD13MR

Facility

$388.00

Service Code	HCPCS A4648
Hospital Charge Code	270673749R
Hospital Revenue Code	278
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$58.20

MARKER TRIMARK CLIP TI TD13MR

Facility

$388.00

Service Code	HCPCS A4648
Hospital Charge Code	270673749R
Hospital Revenue Code	278
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$194.00
Rate for Payer: Aetna Commercial	$147.44
Rate for Payer: Aetna Medicare Advantage	$116.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.94
Rate for Payer: Cigna Commercial	$194.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$58.20
Rate for Payer: UnitedHealthcare Community & State	$12.26
Rate for Payer: Wellpoint Medicaid Managed Care	$11.02

MARKERTUMARKCLIPUSHAPE18G10CM

Facility

$375.00

Service Code	HCPCS A4648
Hospital Charge Code	270673704R
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MARKERTUMARKCLIPUSHAPE18G10CM

Facility

$375.00

Service Code	HCPCS A4648
Hospital Charge Code	270673704R
Hospital Revenue Code	278
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

MARLEX MESH

Facility

$2,604.00

Hospital Charge Code	270335106
Hospital Revenue Code	278
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$1,302.00
Rate for Payer: Aetna Commercial	$989.52
Rate for Payer: Aetna Medicare Advantage	$781.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$664.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$664.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$520.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$664.02
Rate for Payer: Cigna Commercial	$1,302.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.17
Rate for Payer: Qualcare PPO/HMO/WC	$390.60
Rate for Payer: UnitedHealthcare Community & State	$82.29
Rate for Payer: Wellpoint Medicaid Managed Care	$73.95

MARLEX MESH

Facility

$2,604.00

Hospital Charge Code	270335106
Hospital Revenue Code	278
Min. Negotiated Rate	$390.60
Max. Negotiated Rate	$630.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$520.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.17
Rate for Payer: Qualcare PPO/HMO/WC	$390.60

MARLEX MESH 1 X 4

Facility

$821.00

Hospital Charge Code	270335117
Hospital Revenue Code	278
Min. Negotiated Rate	$23.32
Max. Negotiated Rate	$410.50
Rate for Payer: Aetna Commercial	$311.98
Rate for Payer: Aetna Medicare Advantage	$246.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.35
Rate for Payer: Cigna Commercial	$410.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.68
Rate for Payer: Qualcare PPO/HMO/WC	$123.15
Rate for Payer: UnitedHealthcare Community & State	$25.94
Rate for Payer: Wellpoint Medicaid Managed Care	$23.32

MARLEX MESH 1 X 4

Facility

$821.00

Hospital Charge Code	270335117
Hospital Revenue Code	278
Min. Negotiated Rate	$123.15
Max. Negotiated Rate	$198.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.68
Rate for Payer: Qualcare PPO/HMO/WC	$123.15

MARLEX MESH 3 X 6

Facility

$1,276.00

Hospital Charge Code	270335118
Hospital Revenue Code	278
Min. Negotiated Rate	$36.24
Max. Negotiated Rate	$638.00
Rate for Payer: Aetna Commercial	$484.88
Rate for Payer: Aetna Medicare Advantage	$382.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$255.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.38
Rate for Payer: Cigna Commercial	$638.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.79
Rate for Payer: Qualcare PPO/HMO/WC	$191.40
Rate for Payer: UnitedHealthcare Community & State	$40.32
Rate for Payer: Wellpoint Medicaid Managed Care	$36.24

MARLEX MESH 3 X 6

Facility

$1,276.00

Hospital Charge Code	270335118
Hospital Revenue Code	278
Min. Negotiated Rate	$191.40
Max. Negotiated Rate	$308.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$255.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.79
Rate for Payer: Qualcare PPO/HMO/WC	$191.40

MARLEX MESH PLUG

Facility

$1,456.00

Hospital Charge Code	270335304
Hospital Revenue Code	278
Min. Negotiated Rate	$41.35
Max. Negotiated Rate	$728.00
Rate for Payer: Aetna Commercial	$553.28
Rate for Payer: Aetna Medicare Advantage	$436.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.28
Rate for Payer: Cigna Commercial	$728.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40
Rate for Payer: UnitedHealthcare Community & State	$46.01
Rate for Payer: Wellpoint Medicaid Managed Care	$41.35

MARLEX MESH PLUG

Facility

$1,456.00

Hospital Charge Code	270335304
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

MASK 1032 TODDLER SZ 3

Facility

$15.00

Hospital Charge Code	270667185
Hospital Revenue Code	270
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

MASK 1032 TODDLER SZ 3

Facility

$15.00

Hospital Charge Code	270667185
Hospital Revenue Code	270
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

MASK 1145 CHILD SZ4 BUBBLE

Facility

$15.80

Hospital Charge Code	270667184
Hospital Revenue Code	270
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.90
Rate for Payer: Aetna Commercial	$6.00
Rate for Payer: Aetna Medicare Advantage	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.03
Rate for Payer: Cigna Commercial	$7.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.11
Rate for Payer: Oxford Commercial	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$3.16
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

Know your out-of-pocket cost for care.

All Charges