Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH 3DMAX MID LG RT 10X16CM

Facility

$2,064.45

Service Code	HCPCS C1781
Hospital Charge Code	270693769
Hospital Revenue Code	278
Min. Negotiated Rate	$309.67
Max. Negotiated Rate	$499.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$412.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$499.60
Rate for Payer: Qualcare PPO/HMO/WC	$309.67

MESH 3DMAX MID LG RT 10X16CM

Facility

$2,064.45

Service Code	HCPCS C1781
Hospital Charge Code	270693769
Hospital Revenue Code	278
Min. Negotiated Rate	$58.63
Max. Negotiated Rate	$1,032.22
Rate for Payer: Aetna Commercial	$784.49
Rate for Payer: Aetna Medicare Advantage	$619.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$526.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$526.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$412.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$526.43
Rate for Payer: Cigna Commercial	$1,032.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$499.60
Rate for Payer: Qualcare PPO/HMO/WC	$309.67
Rate for Payer: UnitedHealthcare Community & State	$65.24
Rate for Payer: Wellpoint Medicaid Managed Care	$58.63

MESH 3D MAX XL LEFT 7X5IN

Facility

$1,585.00

Service Code	HCPCS C1781
Hospital Charge Code	270693173
Hospital Revenue Code	278
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$383.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

MESH 3D MAX XL LEFT 7X5IN

Facility

$1,585.00

Service Code	HCPCS C1781
Hospital Charge Code	270693173
Hospital Revenue Code	278
Min. Negotiated Rate	$45.01
Max. Negotiated Rate	$792.50
Rate for Payer: Aetna Commercial	$602.30
Rate for Payer: Aetna Medicare Advantage	$475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.18
Rate for Payer: Cigna Commercial	$792.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75
Rate for Payer: UnitedHealthcare Community & State	$50.09
Rate for Payer: Wellpoint Medicaid Managed Care	$45.01

MESH 3D MAX XL RIGHT 7X5IN

Facility

$1,585.00

Service Code	HCPCS C1781
Hospital Charge Code	270693174
Hospital Revenue Code	278
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$383.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

MESH 3D MAX XL RIGHT 7X5IN

Facility

$1,585.00

Service Code	HCPCS C1781
Hospital Charge Code	270693174
Hospital Revenue Code	278
Min. Negotiated Rate	$45.01
Max. Negotiated Rate	$792.50
Rate for Payer: Aetna Commercial	$602.30
Rate for Payer: Aetna Medicare Advantage	$475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.18
Rate for Payer: Cigna Commercial	$792.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75
Rate for Payer: UnitedHealthcare Community & State	$50.09
Rate for Payer: Wellpoint Medicaid Managed Care	$45.01

MESH 3D MID LEFT XL

Facility

$2,285.00

Service Code	HCPCS C1781
Hospital Charge Code	270694711
Hospital Revenue Code	278
Min. Negotiated Rate	$64.89
Max. Negotiated Rate	$1,142.50
Rate for Payer: Aetna Commercial	$868.30
Rate for Payer: Aetna Medicare Advantage	$685.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$582.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$582.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$582.67
Rate for Payer: Cigna Commercial	$1,142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.97
Rate for Payer: Qualcare PPO/HMO/WC	$342.75
Rate for Payer: UnitedHealthcare Community & State	$72.21
Rate for Payer: Wellpoint Medicaid Managed Care	$64.89

MESH 3D MID LEFT XL

Facility

$2,285.00

Service Code	HCPCS C1781
Hospital Charge Code	270694711
Hospital Revenue Code	278
Min. Negotiated Rate	$342.75
Max. Negotiated Rate	$552.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.97
Rate for Payer: Qualcare PPO/HMO/WC	$342.75

MESH 3D MID MED LT 3.1X5.3IN

Facility

$412.89

Service Code	HCPCS C1781
Hospital Charge Code	270695723
Hospital Revenue Code	278
Min. Negotiated Rate	$11.73
Max. Negotiated Rate	$206.44
Rate for Payer: Aetna Commercial	$156.90
Rate for Payer: Aetna Medicare Advantage	$123.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.29
Rate for Payer: Cigna Commercial	$206.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.92
Rate for Payer: Qualcare PPO/HMO/WC	$61.93
Rate for Payer: UnitedHealthcare Community & State	$13.05
Rate for Payer: Wellpoint Medicaid Managed Care	$11.73

MESH 3D MID MED LT 3.1X5.3IN

Facility

$412.89

Service Code	HCPCS C1781
Hospital Charge Code	270695723
Hospital Revenue Code	278
Min. Negotiated Rate	$61.93
Max. Negotiated Rate	$99.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.92
Rate for Payer: Qualcare PPO/HMO/WC	$61.93

MESH 3D MID RIGHT XL

Facility

$2,285.00

Service Code	HCPCS C1781
Hospital Charge Code	270694710
Hospital Revenue Code	278
Min. Negotiated Rate	$342.75
Max. Negotiated Rate	$552.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.97
Rate for Payer: Qualcare PPO/HMO/WC	$342.75

MESH 3D MID RIGHT XL

Facility

$2,285.00

Service Code	HCPCS C1781
Hospital Charge Code	270694710
Hospital Revenue Code	278
Min. Negotiated Rate	$64.89
Max. Negotiated Rate	$1,142.50
Rate for Payer: Aetna Commercial	$868.30
Rate for Payer: Aetna Medicare Advantage	$685.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$582.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$582.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$582.67
Rate for Payer: Cigna Commercial	$1,142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.97
Rate for Payer: Qualcare PPO/HMO/WC	$342.75
Rate for Payer: UnitedHealthcare Community & State	$72.21
Rate for Payer: Wellpoint Medicaid Managed Care	$64.89

MESH 6.1x10.1 OVAL 0010219

Facility

$10,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270647200
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

MESH 6.1x10.1 OVAL 0010219

Facility

$10,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270647200
Hospital Revenue Code	278
Min. Negotiated Rate	$298.20
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$331.80
Rate for Payer: Wellpoint Medicaid Managed Care	$298.20

MESH BILAYER 4x5INTEGRA/SQCMJW

Facility

$952.50

Hospital Charge Code	270648773W
Hospital Revenue Code	636
Min. Negotiated Rate	$27.05
Max. Negotiated Rate	$476.25
Rate for Payer: Aetna Commercial	$361.95
Rate for Payer: Aetna Medicare Advantage	$285.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.89
Rate for Payer: Cigna Commercial	$476.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.88
Rate for Payer: UnitedHealthcare Community & State	$30.10
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

MESH BILAYER 4x5INTEGRA/SQCMJW

Facility

$952.50

Hospital Charge Code	270648773W
Hospital Revenue Code	636
Min. Negotiated Rate	$142.88
Max. Negotiated Rate	$230.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.88

MESH BILAYER GRAFT 2x2IN

Facility

$9,555.00

Service Code	HCPCS Q4104
Hospital Charge Code	270648094
Hospital Revenue Code	278
Min. Negotiated Rate	$1,433.25
Max. Negotiated Rate	$2,312.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,911.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,312.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,433.25

MESH BILAYER GRAFT 2x2IN

Facility

$9,555.00

Service Code	HCPCS Q4104
Hospital Charge Code	270648094
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$2,312.31
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,911.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,312.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,433.25
Rate for Payer: UnitedHealthcare Community & State	$301.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$271.36

MESH BIO-A TISSU 8 CM X8 CM

Facility

$2,005.00

Service Code	HCPCS C1781
Hospital Charge Code	270683492
Hospital Revenue Code	278
Min. Negotiated Rate	$300.75
Max. Negotiated Rate	$485.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.21
Rate for Payer: Qualcare PPO/HMO/WC	$300.75

MESH BIO-A TISSU 8 CM X8 CM

Facility

$2,005.00

Service Code	HCPCS C1781
Hospital Charge Code	270683492
Hospital Revenue Code	278
Min. Negotiated Rate	$56.94
Max. Negotiated Rate	$1,002.50
Rate for Payer: Aetna Commercial	$761.90
Rate for Payer: Aetna Medicare Advantage	$601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.27
Rate for Payer: Cigna Commercial	$1,002.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.21
Rate for Payer: Qualcare PPO/HMO/WC	$300.75
Rate for Payer: UnitedHealthcare Community & State	$63.36
Rate for Payer: Wellpoint Medicaid Managed Care	$56.94

MESH BIOD HERN PRESHAPE 7X10-U

Facility

$10,242.10

Service Code	HCPCS C1763
Hospital Charge Code	270692874
Hospital Revenue Code	278
Min. Negotiated Rate	$290.88
Max. Negotiated Rate	$5,121.05
Rate for Payer: Aetna Commercial	$3,892.00
Rate for Payer: Aetna Medicare Advantage	$3,072.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,611.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,611.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,048.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,611.74
Rate for Payer: Cigna Commercial	$5,121.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,478.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,536.32
Rate for Payer: UnitedHealthcare Community & State	$323.65
Rate for Payer: Wellpoint Medicaid Managed Care	$290.88

MESH BIOD HERN PRESHAPE 7X10-U

Facility

$10,242.10

Service Code	HCPCS C1763
Hospital Charge Code	270692874
Hospital Revenue Code	278
Min. Negotiated Rate	$1,536.32
Max. Negotiated Rate	$2,478.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,048.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,478.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,536.32

MESH BIOD HIAT HERN STD 7X10ST

Facility

$10,242.10

Service Code	HCPCS C1763
Hospital Charge Code	270692875
Hospital Revenue Code	278
Min. Negotiated Rate	$290.88
Max. Negotiated Rate	$5,121.05
Rate for Payer: Aetna Commercial	$3,892.00
Rate for Payer: Aetna Medicare Advantage	$3,072.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,611.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,611.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,048.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,611.74
Rate for Payer: Cigna Commercial	$5,121.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,478.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,536.32
Rate for Payer: UnitedHealthcare Community & State	$323.65
Rate for Payer: Wellpoint Medicaid Managed Care	$290.88

MESH BIOD HIAT HERN STD 7X10ST

Facility

$10,242.10

Service Code	HCPCS C1763
Hospital Charge Code	270692875
Hospital Revenue Code	278
Min. Negotiated Rate	$1,536.32
Max. Negotiated Rate	$2,478.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,048.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,478.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,536.32

MESH CIRCLE 6 IN VENTRALIGHT

Facility

$5,594.00

Service Code	HCPCS C1781
Hospital Charge Code	270690921
Hospital Revenue Code	278
Min. Negotiated Rate	$158.87
Max. Negotiated Rate	$2,797.00
Rate for Payer: Aetna Commercial	$2,125.72
Rate for Payer: Aetna Medicare Advantage	$1,678.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,426.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,426.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,426.47
Rate for Payer: Cigna Commercial	$2,797.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,353.75
Rate for Payer: Qualcare PPO/HMO/WC	$839.10
Rate for Payer: UnitedHealthcare Community & State	$176.77
Rate for Payer: Wellpoint Medicaid Managed Care	$158.87

Know your out-of-pocket cost for care.

All Charges