Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH CIRCLE 6 IN VENTRALIGHT

Facility

$5,594.00

Service Code	HCPCS C1781
Hospital Charge Code	270690921
Hospital Revenue Code	278
Min. Negotiated Rate	$839.10
Max. Negotiated Rate	$1,353.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,353.75
Rate for Payer: Qualcare PPO/HMO/WC	$839.10

MESH CIRCLE 8 IN VENTRALIGHT

Facility

$9,251.00

Service Code	HCPCS C1781
Hospital Charge Code	270690922
Hospital Revenue Code	278
Min. Negotiated Rate	$1,387.65
Max. Negotiated Rate	$2,238.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,850.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,238.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,387.65

MESH CIRCLE 8 IN VENTRALIGHT

Facility

$9,251.00

Service Code	HCPCS C1781
Hospital Charge Code	270690922
Hospital Revenue Code	278
Min. Negotiated Rate	$262.73
Max. Negotiated Rate	$4,625.50
Rate for Payer: Aetna Commercial	$3,515.38
Rate for Payer: Aetna Medicare Advantage	$2,775.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,359.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,359.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,850.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,359.01
Rate for Payer: Cigna Commercial	$4,625.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,238.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,387.65
Rate for Payer: UnitedHealthcare Community & State	$292.33
Rate for Payer: Wellpoint Medicaid Managed Care	$262.73

MESH,COMPOSIX

Facility

$2,882.00

Hospital Charge Code	270335393
Hospital Revenue Code	278
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$1,441.00
Rate for Payer: Aetna Commercial	$1,095.16
Rate for Payer: Aetna Medicare Advantage	$864.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$576.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.91
Rate for Payer: Cigna Commercial	$1,441.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$697.44
Rate for Payer: Qualcare PPO/HMO/WC	$432.30
Rate for Payer: UnitedHealthcare Community & State	$91.07
Rate for Payer: Wellpoint Medicaid Managed Care	$81.85

MESH,COMPOSIX

Facility

$2,882.00

Hospital Charge Code	270335393
Hospital Revenue Code	278
Min. Negotiated Rate	$432.30
Max. Negotiated Rate	$697.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$576.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$697.44
Rate for Payer: Qualcare PPO/HMO/WC	$432.30

MESH,COMPOSIX

Facility

$4,846.00

Hospital Charge Code	270335392
Hospital Revenue Code	278
Min. Negotiated Rate	$726.90
Max. Negotiated Rate	$1,172.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$969.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,172.73
Rate for Payer: Qualcare PPO/HMO/WC	$726.90

MESH,COMPOSIX

Facility

$4,846.00

Hospital Charge Code	270335392
Hospital Revenue Code	278
Min. Negotiated Rate	$137.63
Max. Negotiated Rate	$2,423.00
Rate for Payer: Aetna Commercial	$1,841.48
Rate for Payer: Aetna Medicare Advantage	$1,453.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,235.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,235.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$969.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,235.73
Rate for Payer: Cigna Commercial	$2,423.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,172.73
Rate for Payer: Qualcare PPO/HMO/WC	$726.90
Rate for Payer: UnitedHealthcare Community & State	$153.13
Rate for Payer: Wellpoint Medicaid Managed Care	$137.63

MESH, COMPOSIX 3X6

Facility

$1,113.00

Hospital Charge Code	270335394
Hospital Revenue Code	278
Min. Negotiated Rate	$166.95
Max. Negotiated Rate	$269.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.35
Rate for Payer: Qualcare PPO/HMO/WC	$166.95

MESH, COMPOSIX 3X6

Facility

$1,113.00

Hospital Charge Code	270335394
Hospital Revenue Code	278
Min. Negotiated Rate	$31.61
Max. Negotiated Rate	$556.50
Rate for Payer: Aetna Commercial	$422.94
Rate for Payer: Aetna Medicare Advantage	$333.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.81
Rate for Payer: Cigna Commercial	$556.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.35
Rate for Payer: Qualcare PPO/HMO/WC	$166.95
Rate for Payer: UnitedHealthcare Community & State	$35.17
Rate for Payer: Wellpoint Medicaid Managed Care	$31.61

MESH COMPOSIX 4x6 ELLIPTICAL

Facility

$2,511.50

Service Code	HCPCS C1781
Hospital Charge Code	270644629
Hospital Revenue Code	278
Min. Negotiated Rate	$376.73
Max. Negotiated Rate	$607.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$502.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.78
Rate for Payer: Qualcare PPO/HMO/WC	$376.73

MESH COMPOSIX 4x6 ELLIPTICAL

Facility

$2,511.50

Service Code	HCPCS C1781
Hospital Charge Code	270644629
Hospital Revenue Code	278
Min. Negotiated Rate	$71.33
Max. Negotiated Rate	$1,255.75
Rate for Payer: Aetna Commercial	$954.37
Rate for Payer: Aetna Medicare Advantage	$753.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$640.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$640.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$502.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$640.43
Rate for Payer: Cigna Commercial	$1,255.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.78
Rate for Payer: Qualcare PPO/HMO/WC	$376.73
Rate for Payer: UnitedHealthcare Community & State	$79.36
Rate for Payer: Wellpoint Medicaid Managed Care	$71.33

MESH COMPOSIX LP ELLIPSE 6x8

Facility

$5,288.00

Service Code	HCPCS C1781
Hospital Charge Code	270643867
Hospital Revenue Code	278
Min. Negotiated Rate	$793.20
Max. Negotiated Rate	$1,279.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,057.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,279.70
Rate for Payer: Qualcare PPO/HMO/WC	$793.20

MESH COMPOSIX LP ELLIPSE 6x8

Facility

$5,288.00

Service Code	HCPCS C1781
Hospital Charge Code	270643867
Hospital Revenue Code	278
Min. Negotiated Rate	$150.18
Max. Negotiated Rate	$2,644.00
Rate for Payer: Aetna Commercial	$2,009.44
Rate for Payer: Aetna Medicare Advantage	$1,586.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,348.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,348.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,057.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,348.44
Rate for Payer: Cigna Commercial	$2,644.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,279.70
Rate for Payer: Qualcare PPO/HMO/WC	$793.20
Rate for Payer: UnitedHealthcare Community & State	$167.10
Rate for Payer: Wellpoint Medicaid Managed Care	$150.18

MESH COMPOSIX PS 6.2x8.2

Facility

$6,825.55

Service Code	HCPCS C1781
Hospital Charge Code	270647905
Hospital Revenue Code	278
Min. Negotiated Rate	$193.85
Max. Negotiated Rate	$3,412.78
Rate for Payer: Aetna Commercial	$2,593.71
Rate for Payer: Aetna Medicare Advantage	$2,047.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,740.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,740.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,365.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,740.52
Rate for Payer: Cigna Commercial	$3,412.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.83
Rate for Payer: UnitedHealthcare Community & State	$215.69
Rate for Payer: Wellpoint Medicaid Managed Care	$193.85

MESH COMPOSIX PS 6.2x8.2

Facility

$6,825.55

Service Code	HCPCS C1781
Hospital Charge Code	270647905
Hospital Revenue Code	278
Min. Negotiated Rate	$1,023.83
Max. Negotiated Rate	$1,651.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,365.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.83

MESH C-QUR 3X6

Facility

$1,324.05

Service Code	HCPCS C1781
Hospital Charge Code	270657915
Hospital Revenue Code	278
Min. Negotiated Rate	$198.61
Max. Negotiated Rate	$320.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.42
Rate for Payer: Qualcare PPO/HMO/WC	$198.61

MESH C-QUR 3X6

Facility

$1,324.05

Service Code	HCPCS C1781
Hospital Charge Code	270657915
Hospital Revenue Code	278
Min. Negotiated Rate	$37.60
Max. Negotiated Rate	$662.02
Rate for Payer: Aetna Commercial	$503.14
Rate for Payer: Aetna Medicare Advantage	$397.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.63
Rate for Payer: Cigna Commercial	$662.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.42
Rate for Payer: Qualcare PPO/HMO/WC	$198.61
Rate for Payer: UnitedHealthcare Community & State	$41.84
Rate for Payer: Wellpoint Medicaid Managed Care	$37.60

MESH C-QUR 6X8

Facility

$3,128.25

Service Code	HCPCS C1781
Hospital Charge Code	270653394
Hospital Revenue Code	278
Min. Negotiated Rate	$88.84
Max. Negotiated Rate	$1,564.12
Rate for Payer: Aetna Commercial	$1,188.73
Rate for Payer: Aetna Medicare Advantage	$938.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$797.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$797.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$797.70
Rate for Payer: Cigna Commercial	$1,564.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.04
Rate for Payer: Qualcare PPO/HMO/WC	$469.24
Rate for Payer: UnitedHealthcare Community & State	$98.85
Rate for Payer: Wellpoint Medicaid Managed Care	$88.84

MESH C-QUR 6X8

Facility

$3,128.25

Service Code	HCPCS C1781
Hospital Charge Code	270653394
Hospital Revenue Code	278
Min. Negotiated Rate	$469.24
Max. Negotiated Rate	$757.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.04
Rate for Payer: Qualcare PPO/HMO/WC	$469.24

MESH C-QUR RND 8.0x8.0CM

Facility

$2,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270653392
Hospital Revenue Code	278
Min. Negotiated Rate	$80.94
Max. Negotiated Rate	$1,425.00
Rate for Payer: Aetna Commercial	$1,083.00
Rate for Payer: Aetna Medicare Advantage	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$726.75
Rate for Payer: Cigna Commercial	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50
Rate for Payer: UnitedHealthcare Community & State	$90.06
Rate for Payer: Wellpoint Medicaid Managed Care	$80.94

MESH C-QUR RND 8.0x8.0CM

Facility

$2,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270653392
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$689.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

MESH ECHELON REINFORCEMNT 60MM

Facility

$1,308.00

Service Code	HCPCS C1781
Hospital Charge Code	270694423
Hospital Revenue Code	278
Min. Negotiated Rate	$37.15
Max. Negotiated Rate	$654.00
Rate for Payer: Aetna Commercial	$497.04
Rate for Payer: Aetna Medicare Advantage	$392.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.54
Rate for Payer: Cigna Commercial	$654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: Qualcare PPO/HMO/WC	$196.20
Rate for Payer: UnitedHealthcare Community & State	$41.33
Rate for Payer: Wellpoint Medicaid Managed Care	$37.15

MESH ECHELON REINFORCEMNT 60MM

Facility

$1,308.00

Service Code	HCPCS C1781
Hospital Charge Code	270694423
Hospital Revenue Code	278
Min. Negotiated Rate	$196.20
Max. Negotiated Rate	$316.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: Qualcare PPO/HMO/WC	$196.20

MESHED BILAYER MATRIX 8X10

Facility

$42,505.00

Service Code	HCPCS Q4104
Hospital Charge Code	270667912
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$10,286.21
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	$8,501.00
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	$10,286.21
Rate for Payer: Qualcare PPO/HMO/WC	$6,375.75
Rate for Payer: UnitedHealthcare Community & State	$1,343.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$1,207.14

MESHED BILAYER MATRIX 8X10

Facility

$42,505.00

Service Code	HCPCS Q4104
Hospital Charge Code	270667912
Hospital Revenue Code	278
Min. Negotiated Rate	$6,375.75
Max. Negotiated Rate	$10,286.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,501.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,286.21
Rate for Payer: Qualcare PPO/HMO/WC	$6,375.75

Know your out-of-pocket cost for care.

All Charges