Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH PRIMATRIX AG 6X6CM

Facility

$9,904.20

Service Code	HCPCS Q4110
Hospital Charge Code	270697900
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.63
Max. Negotiated Rate	$2,396.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,980.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63

MESH PRIMATRIX AG 6X6CM

Facility

$9,904.20

Service Code	HCPCS Q4110
Hospital Charge Code	270697900
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$2,396.82
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	$1,980.84
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	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63
Rate for Payer: UnitedHealthcare Community & State	$312.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$281.28

MESH PROGRIP 16X12 LEFT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690862
Hospital Revenue Code	278
Min. Negotiated Rate	$74.10
Max. Negotiated Rate	$1,304.65
Rate for Payer: Aetna Commercial	$991.53
Rate for Payer: Aetna Medicare Advantage	$782.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$665.37
Rate for Payer: Cigna Commercial	$1,304.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39
Rate for Payer: UnitedHealthcare Community & State	$82.45
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

MESH PROGRIP 16X12 LEFT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690862
Hospital Revenue Code	278
Min. Negotiated Rate	$391.39
Max. Negotiated Rate	$631.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39

MESH PROGRIP 16X12MM LT

Facility

$2,470.00

Service Code	HCPCS C1781
Hospital Charge Code	270692351
Hospital Revenue Code	278
Min. Negotiated Rate	$370.50
Max. Negotiated Rate	$597.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.74
Rate for Payer: Qualcare PPO/HMO/WC	$370.50

MESH PROGRIP 16X12MM LT

Facility

$2,470.00

Service Code	HCPCS C1781
Hospital Charge Code	270692351
Hospital Revenue Code	278
Min. Negotiated Rate	$70.15
Max. Negotiated Rate	$1,235.00
Rate for Payer: Aetna Commercial	$938.60
Rate for Payer: Aetna Medicare Advantage	$741.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.85
Rate for Payer: Cigna Commercial	$1,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.74
Rate for Payer: Qualcare PPO/HMO/WC	$370.50
Rate for Payer: UnitedHealthcare Community & State	$78.05
Rate for Payer: Wellpoint Medicaid Managed Care	$70.15

MESH PROGRIP 16X12MM RT

Facility

$2,634.90

Service Code	HCPCS C1781
Hospital Charge Code	270692352
Hospital Revenue Code	278
Min. Negotiated Rate	$395.24
Max. Negotiated Rate	$637.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.65
Rate for Payer: Qualcare PPO/HMO/WC	$395.24

MESH PROGRIP 16X12MM RT

Facility

$2,634.90

Service Code	HCPCS C1781
Hospital Charge Code	270692352
Hospital Revenue Code	278
Min. Negotiated Rate	$74.83
Max. Negotiated Rate	$1,317.45
Rate for Payer: Aetna Commercial	$1,001.26
Rate for Payer: Aetna Medicare Advantage	$790.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$671.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$671.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$671.90
Rate for Payer: Cigna Commercial	$1,317.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.65
Rate for Payer: Qualcare PPO/HMO/WC	$395.24
Rate for Payer: UnitedHealthcare Community & State	$83.26
Rate for Payer: Wellpoint Medicaid Managed Care	$74.83

MESH PROGRIP 16X12 RIGHT

Facility

$2,329.75

Service Code	HCPCS C1781
Hospital Charge Code	270691302
Hospital Revenue Code	278
Min. Negotiated Rate	$349.46
Max. Negotiated Rate	$563.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.80
Rate for Payer: Qualcare PPO/HMO/WC	$349.46

MESH PROGRIP 16X12 RIGHT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690863
Hospital Revenue Code	278
Min. Negotiated Rate	$74.10
Max. Negotiated Rate	$1,304.65
Rate for Payer: Aetna Commercial	$991.53
Rate for Payer: Aetna Medicare Advantage	$782.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$665.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$665.37
Rate for Payer: Cigna Commercial	$1,304.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39
Rate for Payer: UnitedHealthcare Community & State	$82.45
Rate for Payer: Wellpoint Medicaid Managed Care	$74.10

MESH PROGRIP 16X12 RIGHT

Facility

$2,609.30

Service Code	HCPCS C1781
Hospital Charge Code	270690863
Hospital Revenue Code	278
Min. Negotiated Rate	$391.39
Max. Negotiated Rate	$631.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.45
Rate for Payer: Qualcare PPO/HMO/WC	$391.39

MESH PROGRIP 16X12 RIGHT

Facility

$2,329.75

Service Code	HCPCS C1781
Hospital Charge Code	270691302
Hospital Revenue Code	278
Min. Negotiated Rate	$66.16
Max. Negotiated Rate	$1,164.88
Rate for Payer: Aetna Commercial	$885.30
Rate for Payer: Aetna Medicare Advantage	$698.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$594.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$594.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$594.09
Rate for Payer: Cigna Commercial	$1,164.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.80
Rate for Payer: Qualcare PPO/HMO/WC	$349.46
Rate for Payer: UnitedHealthcare Community & State	$73.62
Rate for Payer: Wellpoint Medicaid Managed Care	$66.16

MESH PROLE HERNIA 4IN D/S PHSL

Facility

$1,489.45

Service Code	HCPCS C1781
Hospital Charge Code	270637980
Hospital Revenue Code	278
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$744.73
Rate for Payer: Aetna Commercial	$565.99
Rate for Payer: Aetna Medicare Advantage	$446.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.81
Rate for Payer: Cigna Commercial	$744.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.45
Rate for Payer: Qualcare PPO/HMO/WC	$223.42
Rate for Payer: UnitedHealthcare Community & State	$47.07
Rate for Payer: Wellpoint Medicaid Managed Care	$42.30

MESH PROLE HERNIA 4IN D/S PHSL

Facility

$1,489.45

Service Code	HCPCS C1781
Hospital Charge Code	270637980
Hospital Revenue Code	278
Min. Negotiated Rate	$223.42
Max. Negotiated Rate	$360.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.45
Rate for Payer: Qualcare PPO/HMO/WC	$223.42

MESH PROLENE 12 X 12 23000PML

Facility

$592.65

Service Code	HCPCS C1781
Hospital Charge Code	270611263
Hospital Revenue Code	278
Min. Negotiated Rate	$88.90
Max. Negotiated Rate	$143.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.42
Rate for Payer: Qualcare PPO/HMO/WC	$88.90

MESH PROLENE 12 X 12 23000PML

Facility

$592.65

Service Code	HCPCS C1781
Hospital Charge Code	270611263
Hospital Revenue Code	278
Min. Negotiated Rate	$16.83
Max. Negotiated Rate	$296.32
Rate for Payer: Aetna Commercial	$225.21
Rate for Payer: Aetna Medicare Advantage	$177.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.13
Rate for Payer: Cigna Commercial	$296.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.42
Rate for Payer: Qualcare PPO/HMO/WC	$88.90
Rate for Payer: UnitedHealthcare Community & State	$18.73
Rate for Payer: Wellpoint Medicaid Managed Care	$16.83

MESH PROLENE 3 HRN 230000PHSM

Facility

$2,148.82

Service Code	HCPCS C1781
Hospital Charge Code	270612392
Hospital Revenue Code	278
Min. Negotiated Rate	$61.03
Max. Negotiated Rate	$1,074.41
Rate for Payer: Aetna Commercial	$816.55
Rate for Payer: Aetna Medicare Advantage	$644.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$547.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$547.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$429.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$547.95
Rate for Payer: Cigna Commercial	$1,074.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.01
Rate for Payer: Qualcare PPO/HMO/WC	$322.32
Rate for Payer: UnitedHealthcare Community & State	$67.90
Rate for Payer: Wellpoint Medicaid Managed Care	$61.03

MESH PROLENE 3 HRN 230000PHSM

Facility

$2,148.82

Service Code	HCPCS C1781
Hospital Charge Code	270612392
Hospital Revenue Code	278
Min. Negotiated Rate	$322.32
Max. Negotiated Rate	$520.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$429.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.01
Rate for Payer: Qualcare PPO/HMO/WC	$322.32

MESH PROLENE 3x6

Facility

$604.91

Service Code	HCPCS C1781
Hospital Charge Code	270652755
Hospital Revenue Code	278
Min. Negotiated Rate	$17.18
Max. Negotiated Rate	$302.45
Rate for Payer: Aetna Commercial	$229.87
Rate for Payer: Aetna Medicare Advantage	$181.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.25
Rate for Payer: Cigna Commercial	$302.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.39
Rate for Payer: Qualcare PPO/HMO/WC	$90.74
Rate for Payer: UnitedHealthcare Community & State	$19.12
Rate for Payer: Wellpoint Medicaid Managed Care	$17.18

MESH PROLENE 3x6

Facility

$604.91

Service Code	HCPCS C1781
Hospital Charge Code	270652755
Hospital Revenue Code	278
Min. Negotiated Rate	$90.74
Max. Negotiated Rate	$146.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.39
Rate for Payer: Qualcare PPO/HMO/WC	$90.74

MESH PROLENE 6 IN X 6 IN

Facility

$271.31

Service Code	HCPCS C1781
Hospital Charge Code	270665964
Hospital Revenue Code	278
Min. Negotiated Rate	$7.71
Max. Negotiated Rate	$135.66
Rate for Payer: Aetna Commercial	$103.10
Rate for Payer: Aetna Medicare Advantage	$81.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.18
Rate for Payer: Cigna Commercial	$135.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.66
Rate for Payer: Qualcare PPO/HMO/WC	$40.70
Rate for Payer: UnitedHealthcare Community & State	$8.57
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

MESH PROLENE 6 IN X 6 IN

Facility

$271.31

Service Code	HCPCS C1781
Hospital Charge Code	270665964
Hospital Revenue Code	278
Min. Negotiated Rate	$40.70
Max. Negotiated Rate	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.66
Rate for Payer: Qualcare PPO/HMO/WC	$40.70

MESH PROLENE EXTENDED 6

Facility

$1,448.78

Service Code	HCPCS C1781
Hospital Charge Code	270651826
Hospital Revenue Code	278
Min. Negotiated Rate	$41.15
Max. Negotiated Rate	$724.39
Rate for Payer: Aetna Commercial	$550.54
Rate for Payer: Aetna Medicare Advantage	$434.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.44
Rate for Payer: Cigna Commercial	$724.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.60
Rate for Payer: Qualcare PPO/HMO/WC	$217.32
Rate for Payer: UnitedHealthcare Community & State	$45.78
Rate for Payer: Wellpoint Medicaid Managed Care	$41.15

MESH PROLENE EXTENDED 6

Facility

$1,448.78

Service Code	HCPCS C1781
Hospital Charge Code	270651826
Hospital Revenue Code	278
Min. Negotiated Rate	$217.32
Max. Negotiated Rate	$350.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.60
Rate for Payer: Qualcare PPO/HMO/WC	$217.32

MESH PROLENE HERNIA SYSTEM LG

Facility

$2,198.46

Service Code	HCPCS C1781
Hospital Charge Code	270659431
Hospital Revenue Code	278
Min. Negotiated Rate	$329.77
Max. Negotiated Rate	$532.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$439.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.03
Rate for Payer: Qualcare PPO/HMO/WC	$329.77

Know your out-of-pocket cost for care.

All Charges