Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH PHASIX ST 20 X 25

Facility

$58,000.00

Service Code	HCPCS C1784
Hospital Charge Code	270687051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,647.20
Max. Negotiated Rate	$29,000.00
Rate for Payer: Aetna Commercial	$22,040.00
Rate for Payer: Aetna Medicare Advantage	$17,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,790.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,790.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,790.00
Rate for Payer: Cigna Commercial	$29,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,036.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,700.00
Rate for Payer: UnitedHealthcare Community & State	$1,832.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,647.20

MESH PHASIX ST 30X35 MM

Facility

$124,915.00

Service Code	HCPCS C1781
Hospital Charge Code	270694006
Hospital Revenue Code	278
Min. Negotiated Rate	$18,737.25
Max. Negotiated Rate	$30,229.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,983.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,229.43
Rate for Payer: Qualcare PPO/HMO/WC	$18,737.25

MESH PHASIX ST 30X35 MM

Facility

$124,915.00

Service Code	HCPCS C1781
Hospital Charge Code	270694006
Hospital Revenue Code	278
Min. Negotiated Rate	$3,547.59
Max. Negotiated Rate	$62,457.50
Rate for Payer: Aetna Commercial	$47,467.70
Rate for Payer: Aetna Medicare Advantage	$37,474.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,853.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,853.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,983.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,853.33
Rate for Payer: Cigna Commercial	$62,457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,229.43
Rate for Payer: Qualcare PPO/HMO/WC	$18,737.25
Rate for Payer: UnitedHealthcare Community & State	$3,947.31
Rate for Payer: Wellpoint Medicaid Managed Care	$3,547.59

MESH PHASIX ST 6X6

Facility

$41,900.00

Service Code	HCPCS C1781
Hospital Charge Code	270693817
Hospital Revenue Code	278
Min. Negotiated Rate	$6,285.00
Max. Negotiated Rate	$10,139.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,139.80
Rate for Payer: Qualcare PPO/HMO/WC	$6,285.00

MESH PHASIX ST 6X6

Facility

$41,900.00

Service Code	HCPCS C1781
Hospital Charge Code	270693817
Hospital Revenue Code	278
Min. Negotiated Rate	$1,189.96
Max. Negotiated Rate	$20,950.00
Rate for Payer: Aetna Commercial	$15,922.00
Rate for Payer: Aetna Medicare Advantage	$12,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,684.50
Rate for Payer: Cigna Commercial	$20,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,139.80
Rate for Payer: Qualcare PPO/HMO/WC	$6,285.00
Rate for Payer: UnitedHealthcare Community & State	$1,324.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1,189.96

MESH PHASIX ST WITH ECHO2

Facility

$50,000.00

Service Code	HCPCS C1781
Hospital Charge Code	270698101
Hospital Revenue Code	278
Min. Negotiated Rate	$1,420.00
Max. Negotiated Rate	$25,000.00
Rate for Payer: Aetna Commercial	$19,000.00
Rate for Payer: Aetna Medicare Advantage	$15,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,750.00
Rate for Payer: Cigna Commercial	$25,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,500.00
Rate for Payer: UnitedHealthcare Community & State	$1,580.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1,420.00

MESH PHASIX ST WITH ECHO2

Facility

$50,000.00

Service Code	HCPCS C1781
Hospital Charge Code	270698101
Hospital Revenue Code	278
Min. Negotiated Rate	$7,500.00
Max. Negotiated Rate	$12,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,500.00

MESH PLUG LG

Facility

$1,775.00

Hospital Charge Code	270699486
Hospital Revenue Code	278
Min. Negotiated Rate	$50.41
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$674.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.55
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Community & State	$56.09
Rate for Payer: Wellpoint Medicaid Managed Care	$50.41

MESH PLUG LG

Facility

$1,775.00

Hospital Charge Code	270699486
Hospital Revenue Code	278
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$429.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.55
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

MESHPLUGMARLEXPERFIX2.5X3.4CM

Facility

$1,402.50

Service Code	HCPCS C1781
Hospital Charge Code	270657649
Hospital Revenue Code	278
Min. Negotiated Rate	$210.38
Max. Negotiated Rate	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.40
Rate for Payer: Qualcare PPO/HMO/WC	$210.38

MESHPLUGMARLEXPERFIX2.5X3.4CM

Facility

$1,402.50

Service Code	HCPCS C1781
Hospital Charge Code	270657649
Hospital Revenue Code	278
Min. Negotiated Rate	$39.83
Max. Negotiated Rate	$701.25
Rate for Payer: Aetna Commercial	$532.95
Rate for Payer: Aetna Medicare Advantage	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.64
Rate for Payer: Cigna Commercial	$701.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.40
Rate for Payer: Qualcare PPO/HMO/WC	$210.38
Rate for Payer: UnitedHealthcare Community & State	$44.32
Rate for Payer: Wellpoint Medicaid Managed Care	$39.83

MESH PLUG PROLOOP MED

Facility

$1,244.60

Hospital Charge Code	270655386
Hospital Revenue Code	278
Min. Negotiated Rate	$186.69
Max. Negotiated Rate	$301.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.19
Rate for Payer: Qualcare PPO/HMO/WC	$186.69

MESH PLUG PROLOOP MED

Facility

$1,244.60

Hospital Charge Code	270655386
Hospital Revenue Code	278
Min. Negotiated Rate	$35.35
Max. Negotiated Rate	$622.30
Rate for Payer: Aetna Commercial	$472.95
Rate for Payer: Aetna Medicare Advantage	$373.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.37
Rate for Payer: Cigna Commercial	$622.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.19
Rate for Payer: Qualcare PPO/HMO/WC	$186.69
Rate for Payer: UnitedHealthcare Community & State	$39.33
Rate for Payer: Wellpoint Medicaid Managed Care	$35.35

MESH PLUG ULTRAPRO LG 5CM

Facility

$898.65

Service Code	HCPCS C1781
Hospital Charge Code	270698947
Hospital Revenue Code	278
Min. Negotiated Rate	$25.52
Max. Negotiated Rate	$449.32
Rate for Payer: Aetna Commercial	$341.49
Rate for Payer: Aetna Medicare Advantage	$269.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.16
Rate for Payer: Cigna Commercial	$449.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.47
Rate for Payer: Qualcare PPO/HMO/WC	$134.80
Rate for Payer: UnitedHealthcare Community & State	$28.40
Rate for Payer: Wellpoint Medicaid Managed Care	$25.52

MESH PLUG ULTRAPRO LG 5CM

Facility

$898.65

Service Code	HCPCS C1781
Hospital Charge Code	270698947
Hospital Revenue Code	278
Min. Negotiated Rate	$134.80
Max. Negotiated Rate	$217.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.47
Rate for Payer: Qualcare PPO/HMO/WC	$134.80

MESH PLUG ULTRAPRO MEDIUM 4CM

Facility

$889.85

Service Code	HCPCS C1781
Hospital Charge Code	270698946
Hospital Revenue Code	278
Min. Negotiated Rate	$133.48
Max. Negotiated Rate	$215.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.34
Rate for Payer: Qualcare PPO/HMO/WC	$133.48

MESH PLUG ULTRAPRO MEDIUM 4CM

Facility

$889.85

Service Code	HCPCS C1781
Hospital Charge Code	270698946
Hospital Revenue Code	278
Min. Negotiated Rate	$25.27
Max. Negotiated Rate	$444.93
Rate for Payer: Aetna Commercial	$338.14
Rate for Payer: Aetna Medicare Advantage	$266.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.91
Rate for Payer: Cigna Commercial	$444.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.34
Rate for Payer: Qualcare PPO/HMO/WC	$133.48
Rate for Payer: UnitedHealthcare Community & State	$28.12
Rate for Payer: Wellpoint Medicaid Managed Care	$25.27

MESH POUCH PET THREAD 20x25MM

Facility

$40,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270674905
Hospital Revenue Code	278
Min. Negotiated Rate	$1,136.00
Max. Negotiated Rate	$20,000.00
Rate for Payer: Aetna Commercial	$15,200.00
Rate for Payer: Aetna Medicare Advantage	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,200.00
Rate for Payer: Cigna Commercial	$20,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,000.00
Rate for Payer: UnitedHealthcare Community & State	$1,264.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1,136.00

MESH POUCH PET THREAD 20x25MM

Facility

$40,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270674905
Hospital Revenue Code	278
Min. Negotiated Rate	$6,000.00
Max. Negotiated Rate	$9,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,000.00

MESH PRGRP ANTMCL LT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665726
Hospital Revenue Code	278
Min. Negotiated Rate	$371.24
Max. Negotiated Rate	$598.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24

MESH PRGRP ANTMCL LT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665726
Hospital Revenue Code	278
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.47
Rate for Payer: Aetna Commercial	$940.48
Rate for Payer: Aetna Medicare Advantage	$742.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.11
Rate for Payer: Cigna Commercial	$1,237.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

MESH PRGRP ANTMCL RT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665725
Hospital Revenue Code	278
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.47
Rate for Payer: Aetna Commercial	$940.48
Rate for Payer: Aetna Medicare Advantage	$742.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.11
Rate for Payer: Cigna Commercial	$1,237.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

MESH PRGRP ANTMCL RT 10x15CM

Facility

$2,474.95

Service Code	HCPCS C1781
Hospital Charge Code	270665725
Hospital Revenue Code	278
Min. Negotiated Rate	$371.24
Max. Negotiated Rate	$598.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.94
Rate for Payer: Qualcare PPO/HMO/WC	$371.24

MESH PRIMATRIX 8X 8 CM

Facility

$12,163.20

Service Code	HCPCS Q4110
Hospital Charge Code	270684335
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.48
Max. Negotiated Rate	$2,943.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,432.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,943.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.48

MESH PRIMATRIX 8X 8 CM

Facility

$12,163.20

Service Code	HCPCS Q4110
Hospital Charge Code	270684335
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$2,943.49
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	$2,432.64
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	$2,943.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.48
Rate for Payer: UnitedHealthcare Community & State	$384.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$345.43

Know your out-of-pocket cost for care.

All Charges