Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH INGUINAL 3DMAX LARGE 4X6

Facility

$1,235.00

Service Code	HCPCS C1781
Hospital Charge Code	270685691
Hospital Revenue Code	278
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$298.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.87
Rate for Payer: Qualcare PPO/HMO/WC	$185.25

MESH INTERPROY SLING SYSTEM

Facility

$4,550.00

Hospital Charge Code	270669200
Hospital Revenue Code	278
Min. Negotiated Rate	$682.50
Max. Negotiated Rate	$1,101.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.10
Rate for Payer: Qualcare PPO/HMO/WC	$682.50

MESH INTERPROY SLING SYSTEM

Facility

$4,550.00

Hospital Charge Code	270669200
Hospital Revenue Code	278
Min. Negotiated Rate	$129.22
Max. Negotiated Rate	$2,275.00
Rate for Payer: Aetna Commercial	$1,729.00
Rate for Payer: Aetna Medicare Advantage	$1,365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.25
Rate for Payer: Cigna Commercial	$2,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.10
Rate for Payer: Qualcare PPO/HMO/WC	$682.50
Rate for Payer: UnitedHealthcare Community & State	$143.78
Rate for Payer: Wellpoint Medicaid Managed Care	$129.22

MESH LAP PROGRIP 10cmX15cm

Facility

$5,196.20

Service Code	HCPCS C1781
Hospital Charge Code	270678841
Hospital Revenue Code	278
Min. Negotiated Rate	$779.43
Max. Negotiated Rate	$1,257.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,039.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,257.48
Rate for Payer: Qualcare PPO/HMO/WC	$779.43

MESH LAP PROGRIP 10cmX15cm

Facility

$5,196.20

Service Code	HCPCS C1781
Hospital Charge Code	270678841
Hospital Revenue Code	278
Min. Negotiated Rate	$147.57
Max. Negotiated Rate	$2,598.10
Rate for Payer: Aetna Commercial	$1,974.56
Rate for Payer: Aetna Medicare Advantage	$1,558.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,325.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,325.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,039.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,325.03
Rate for Payer: Cigna Commercial	$2,598.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,257.48
Rate for Payer: Qualcare PPO/HMO/WC	$779.43
Rate for Payer: UnitedHealthcare Community & State	$164.20
Rate for Payer: Wellpoint Medicaid Managed Care	$147.57

MESH LAP PROGRIP 10 X 15

Facility

$2,125.00

Service Code	HCPCS C1781
Hospital Charge Code	270665624
Hospital Revenue Code	278
Min. Negotiated Rate	$60.35
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$807.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Community & State	$67.15
Rate for Payer: Wellpoint Medicaid Managed Care	$60.35

MESH LAP PROGRIP 10 X 15

Facility

$2,155.00

Service Code	HCPCS C1781
Hospital Charge Code	270665623
Hospital Revenue Code	278
Min. Negotiated Rate	$323.25
Max. Negotiated Rate	$521.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.51
Rate for Payer: Qualcare PPO/HMO/WC	$323.25

MESH LAP PROGRIP 10 X 15

Facility

$2,125.00

Service Code	HCPCS C1781
Hospital Charge Code	270665624
Hospital Revenue Code	278
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$514.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

MESH LAP PROGRIP 10 X 15

Facility

$2,155.00

Service Code	HCPCS C1781
Hospital Charge Code	270665623
Hospital Revenue Code	278
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$1,077.50
Rate for Payer: Aetna Commercial	$818.90
Rate for Payer: Aetna Medicare Advantage	$646.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$549.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$549.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$549.52
Rate for Payer: Cigna Commercial	$1,077.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.51
Rate for Payer: Qualcare PPO/HMO/WC	$323.25
Rate for Payer: UnitedHealthcare Community & State	$68.10
Rate for Payer: Wellpoint Medicaid Managed Care	$61.20

MESH LARGE 3D MAX RIGHT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689458
Hospital Revenue Code	278
Min. Negotiated Rate	$43.41
Max. Negotiated Rate	$764.25
Rate for Payer: Aetna Commercial	$580.83
Rate for Payer: Aetna Medicare Advantage	$458.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.77
Rate for Payer: Cigna Commercial	$764.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28
Rate for Payer: UnitedHealthcare Community & State	$48.30
Rate for Payer: Wellpoint Medicaid Managed Care	$43.41

MESH LARGE 3D MAX RIGHT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689458
Hospital Revenue Code	278
Min. Negotiated Rate	$229.28
Max. Negotiated Rate	$369.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28

MESH LARGE LIGHT 3DMAX LEFT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689455
Hospital Revenue Code	278
Min. Negotiated Rate	$43.41
Max. Negotiated Rate	$764.25
Rate for Payer: Aetna Commercial	$580.83
Rate for Payer: Aetna Medicare Advantage	$458.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.77
Rate for Payer: Cigna Commercial	$764.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28
Rate for Payer: UnitedHealthcare Community & State	$48.30
Rate for Payer: Wellpoint Medicaid Managed Care	$43.41

MESH LARGE LIGHT 3DMAX LEFT

Facility

$1,528.50

Service Code	HCPCS C1781
Hospital Charge Code	270689455
Hospital Revenue Code	278
Min. Negotiated Rate	$229.28
Max. Negotiated Rate	$369.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.28

MESH LP PRGRP FLAT SHT 10x15CM

Facility

$2,201.35

Service Code	HCPCS C1781
Hospital Charge Code	270665625
Hospital Revenue Code	278
Min. Negotiated Rate	$62.52
Max. Negotiated Rate	$1,100.67
Rate for Payer: Aetna Commercial	$836.51
Rate for Payer: Aetna Medicare Advantage	$660.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.34
Rate for Payer: Cigna Commercial	$1,100.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.73
Rate for Payer: Qualcare PPO/HMO/WC	$330.20
Rate for Payer: UnitedHealthcare Community & State	$69.56
Rate for Payer: Wellpoint Medicaid Managed Care	$62.52

MESH LP PRGRP FLAT SHT 10x15CM

Facility

$2,201.35

Service Code	HCPCS C1781
Hospital Charge Code	270665625
Hospital Revenue Code	278
Min. Negotiated Rate	$330.20
Max. Negotiated Rate	$532.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.73
Rate for Payer: Qualcare PPO/HMO/WC	$330.20

MESH MALLEABLE L/PRO 100x100MM

Facility

$13,430.00

Hospital Charge Code	270660972
Hospital Revenue Code	278
Min. Negotiated Rate	$381.41
Max. Negotiated Rate	$6,715.00
Rate for Payer: Aetna Commercial	$5,103.40
Rate for Payer: Aetna Medicare Advantage	$4,029.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,424.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,424.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,686.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,424.65
Rate for Payer: Cigna Commercial	$6,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,250.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.50
Rate for Payer: UnitedHealthcare Community & State	$424.39
Rate for Payer: Wellpoint Medicaid Managed Care	$381.41

MESH MALLEABLE L/PRO 100x100MM

Facility

$13,430.00

Hospital Charge Code	270660972
Hospital Revenue Code	278
Min. Negotiated Rate	$2,014.50
Max. Negotiated Rate	$3,250.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,686.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,250.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.50

MESH MARLEX 10x14 0112660

Facility

$697.50

Service Code	HCPCS C1781
Hospital Charge Code	270626940
Hospital Revenue Code	278
Min. Negotiated Rate	$19.81
Max. Negotiated Rate	$348.75
Rate for Payer: Aetna Commercial	$265.05
Rate for Payer: Aetna Medicare Advantage	$209.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.86
Rate for Payer: Cigna Commercial	$348.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.79
Rate for Payer: Qualcare PPO/HMO/WC	$104.62
Rate for Payer: UnitedHealthcare Community & State	$22.04
Rate for Payer: Wellpoint Medicaid Managed Care	$19.81

MESH MARLEX 10x14 0112660

Facility

$697.50

Service Code	HCPCS C1781
Hospital Charge Code	270626940
Hospital Revenue Code	278
Min. Negotiated Rate	$104.62
Max. Negotiated Rate	$168.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.79
Rate for Payer: Qualcare PPO/HMO/WC	$104.62

MESH MARLEX 6 X 6 011272

Facility

$828.85

Service Code	HCPCS C1781
Hospital Charge Code	270600418
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$200.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

MESH MARLEX 6 X 6 011272

Facility

$828.85

Service Code	HCPCS C1781
Hospital Charge Code	270600418
Hospital Revenue Code	278
Min. Negotiated Rate	$23.54
Max. Negotiated Rate	$414.43
Rate for Payer: Aetna Commercial	$314.96
Rate for Payer: Aetna Medicare Advantage	$248.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.36
Rate for Payer: Cigna Commercial	$414.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33
Rate for Payer: UnitedHealthcare Community & State	$26.19
Rate for Payer: Wellpoint Medicaid Managed Care	$23.54

MESH MARLEX PLUG PERFIX SMALL

Facility

$2,535.50

Service Code	HCPCS C1781
Hospital Charge Code	270657712
Hospital Revenue Code	278
Min. Negotiated Rate	$72.01
Max. Negotiated Rate	$1,267.75
Rate for Payer: Aetna Commercial	$963.49
Rate for Payer: Aetna Medicare Advantage	$760.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$646.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$646.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$507.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$646.55
Rate for Payer: Cigna Commercial	$1,267.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.59
Rate for Payer: Qualcare PPO/HMO/WC	$380.32
Rate for Payer: UnitedHealthcare Community & State	$80.12
Rate for Payer: Wellpoint Medicaid Managed Care	$72.01

MESH MARLEX PLUG PERFIX SMALL

Facility

$2,535.50

Service Code	HCPCS C1781
Hospital Charge Code	270657712
Hospital Revenue Code	278
Min. Negotiated Rate	$380.32
Max. Negotiated Rate	$613.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$507.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.59
Rate for Payer: Qualcare PPO/HMO/WC	$380.32

MESH MARLEX PLUG XL

Facility

$1,698.50

Service Code	HCPCS C1781
Hospital Charge Code	270653977
Hospital Revenue Code	278
Min. Negotiated Rate	$48.24
Max. Negotiated Rate	$849.25
Rate for Payer: Aetna Commercial	$645.43
Rate for Payer: Aetna Medicare Advantage	$509.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$339.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.12
Rate for Payer: Cigna Commercial	$849.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.04
Rate for Payer: Qualcare PPO/HMO/WC	$254.78
Rate for Payer: UnitedHealthcare Community & State	$53.67
Rate for Payer: Wellpoint Medicaid Managed Care	$48.24

MESH MARLEX PLUG XL

Facility

$1,698.50

Service Code	HCPCS C1781
Hospital Charge Code	270653977
Hospital Revenue Code	278
Min. Negotiated Rate	$254.78
Max. Negotiated Rate	$411.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$339.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.04
Rate for Payer: Qualcare PPO/HMO/WC	$254.78

Know your out-of-pocket cost for care.

All Charges