Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH PROLENE HERNIA SYSTEM LG

Facility

$2,198.46

Service Code	HCPCS C1781
Hospital Charge Code	270659431
Hospital Revenue Code	278
Min. Negotiated Rate	$62.44
Max. Negotiated Rate	$1,099.23
Rate for Payer: Aetna Commercial	$835.41
Rate for Payer: Aetna Medicare Advantage	$659.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$560.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$560.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$439.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$560.61
Rate for Payer: Cigna Commercial	$1,099.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.03
Rate for Payer: Qualcare PPO/HMO/WC	$329.77
Rate for Payer: UnitedHealthcare Community & State	$69.47
Rate for Payer: Wellpoint Medicaid Managed Care	$62.44

MESH PROLITE 1010303-05

Facility

$585.90

Service Code	HCPCS C1781
Hospital Charge Code	270661162
Hospital Revenue Code	278
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$292.95
Rate for Payer: Aetna Commercial	$222.64
Rate for Payer: Aetna Medicare Advantage	$175.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.40
Rate for Payer: Cigna Commercial	$292.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.79
Rate for Payer: Qualcare PPO/HMO/WC	$87.89
Rate for Payer: UnitedHealthcare Community & State	$18.51
Rate for Payer: Wellpoint Medicaid Managed Care	$16.64

MESH PROLITE 1010303-05

Facility

$585.90

Service Code	HCPCS C1781
Hospital Charge Code	270661162
Hospital Revenue Code	278
Min. Negotiated Rate	$87.89
Max. Negotiated Rate	$141.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.79
Rate for Payer: Qualcare PPO/HMO/WC	$87.89

MESH PROLOOP LARGE 30902

Facility

$1,244.60

Service Code	HCPCS C1781
Hospital Charge Code	270651871
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 PROLOOP LARGE 30902

Facility

$1,244.60

Service Code	HCPCS C1781
Hospital Charge Code	270651871
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 PROLOOP LARGE POLYPROPYLE

Facility

$615.90

Service Code	HCPCS C1780
Hospital Charge Code	270653355
Hospital Revenue Code	278
Min. Negotiated Rate	$92.39
Max. Negotiated Rate	$149.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.05
Rate for Payer: Qualcare PPO/HMO/WC	$92.39

MESH PROLOOP LARGE POLYPROPYLE

Facility

$615.90

Service Code	HCPCS C1780
Hospital Charge Code	270653355
Hospital Revenue Code	278
Min. Negotiated Rate	$17.49
Max. Negotiated Rate	$307.95
Rate for Payer: Aetna Commercial	$234.04
Rate for Payer: Aetna Medicare Advantage	$184.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.05
Rate for Payer: Cigna Commercial	$307.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.05
Rate for Payer: Qualcare PPO/HMO/WC	$92.39
Rate for Payer: UnitedHealthcare Community & State	$19.46
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

MESH PROLOOP PLUG LG. 2/BOX

Facility

$673.75

Service Code	HCPCS C1781
Hospital Charge Code	270653907
Hospital Revenue Code	278
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$336.88
Rate for Payer: Aetna Commercial	$256.02
Rate for Payer: Aetna Medicare Advantage	$202.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.81
Rate for Payer: Cigna Commercial	$336.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.05
Rate for Payer: Qualcare PPO/HMO/WC	$101.06
Rate for Payer: UnitedHealthcare Community & State	$21.29
Rate for Payer: Wellpoint Medicaid Managed Care	$19.13

MESH PROLOOP PLUG LG. 2/BOX

Facility

$673.75

Service Code	HCPCS C1781
Hospital Charge Code	270653907
Hospital Revenue Code	278
Min. Negotiated Rate	$101.06
Max. Negotiated Rate	$163.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.05
Rate for Payer: Qualcare PPO/HMO/WC	$101.06

MESH PROLOOP PLUG XL

Facility

$1,333.80

Service Code	HCPCS C1781
Hospital Charge Code	270655388
Hospital Revenue Code	278
Min. Negotiated Rate	$37.88
Max. Negotiated Rate	$666.90
Rate for Payer: Aetna Commercial	$506.84
Rate for Payer: Aetna Medicare Advantage	$400.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.12
Rate for Payer: Cigna Commercial	$666.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.78
Rate for Payer: Qualcare PPO/HMO/WC	$200.07
Rate for Payer: UnitedHealthcare Community & State	$42.15
Rate for Payer: Wellpoint Medicaid Managed Care	$37.88

MESH PROLOOP PLUG XL

Facility

$1,333.80

Service Code	HCPCS C1781
Hospital Charge Code	270655388
Hospital Revenue Code	278
Min. Negotiated Rate	$200.07
Max. Negotiated Rate	$322.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.78
Rate for Payer: Qualcare PPO/HMO/WC	$200.07

MESH PROLOOP PLUG X-LG 2/BOX

Facility

$722.75

Service Code	HCPCS C1781
Hospital Charge Code	270654230
Hospital Revenue Code	278
Min. Negotiated Rate	$108.41
Max. Negotiated Rate	$174.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.91
Rate for Payer: Qualcare PPO/HMO/WC	$108.41

MESH PROLOOP PLUG X-LG 2/BOX

Facility

$722.75

Service Code	HCPCS C1781
Hospital Charge Code	270654230
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$361.38
Rate for Payer: Aetna Commercial	$274.64
Rate for Payer: Aetna Medicare Advantage	$216.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.30
Rate for Payer: Cigna Commercial	$361.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.91
Rate for Payer: Qualcare PPO/HMO/WC	$108.41
Rate for Payer: UnitedHealthcare Community & State	$22.84
Rate for Payer: Wellpoint Medicaid Managed Care	$20.53

MESH PROLOOP X-LG 30903

Facility

$666.90

Hospital Charge Code	270660258
Hospital Revenue Code	272
Min. Negotiated Rate	$100.03
Max. Negotiated Rate	$100.03
Rate for Payer: Qualcare PPO/HMO/WC	$100.03

MESH PROLOOP X-LG 30903

Facility

$666.90

Hospital Charge Code	270660258
Hospital Revenue Code	272
Min. Negotiated Rate	$18.94
Max. Negotiated Rate	$333.45
Rate for Payer: Aetna Commercial	$253.42
Rate for Payer: Aetna Medicare Advantage	$200.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.06
Rate for Payer: Cigna Commercial	$333.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.39
Rate for Payer: Oxford Commercial	$133.38
Rate for Payer: Qualcare PPO/HMO/WC	$100.03
Rate for Payer: UnitedHealthcare Commercial	$133.38
Rate for Payer: UnitedHealthcare Community & State	$21.07
Rate for Payer: Wellpoint Medicaid Managed Care	$18.94

MESH PROMOCOL 20*40

Facility

$96,387.00

Hospital Charge Code	270667627
Hospital Revenue Code	278
Min. Negotiated Rate	$14,458.05
Max. Negotiated Rate	$23,325.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,277.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,325.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,458.05

MESH PROMOCOL 20*40

Facility

$96,387.00

Hospital Charge Code	270667627
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.39
Max. Negotiated Rate	$48,193.50
Rate for Payer: Aetna Commercial	$36,627.06
Rate for Payer: Aetna Medicare Advantage	$28,916.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,578.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,578.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,277.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,578.69
Rate for Payer: Cigna Commercial	$48,193.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,325.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,458.05
Rate for Payer: UnitedHealthcare Community & State	$3,045.83
Rate for Payer: Wellpoint Medicaid Managed Care	$2,737.39

MESH PTEX PCOX 12CM 4.8 ROUND

Facility

$2,533.05

Service Code	HCPCS C1781
Hospital Charge Code	270655028
Hospital Revenue Code	278
Min. Negotiated Rate	$379.96
Max. Negotiated Rate	$613.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$506.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.00
Rate for Payer: Qualcare PPO/HMO/WC	$379.96

MESH PTEX PCOX 12CM 4.8 ROUND

Facility

$2,533.05

Service Code	HCPCS C1781
Hospital Charge Code	270655028
Hospital Revenue Code	278
Min. Negotiated Rate	$71.94
Max. Negotiated Rate	$1,266.53
Rate for Payer: Aetna Commercial	$962.56
Rate for Payer: Aetna Medicare Advantage	$759.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$645.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$645.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$506.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$645.93
Rate for Payer: Cigna Commercial	$1,266.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$613.00
Rate for Payer: Qualcare PPO/HMO/WC	$379.96
Rate for Payer: UnitedHealthcare Community & State	$80.04
Rate for Payer: Wellpoint Medicaid Managed Care	$71.94

MESH PTEX PCOX 15x10CM STR

Facility

$2,166.40

Service Code	HCPCS C1781
Hospital Charge Code	270655625
Hospital Revenue Code	278
Min. Negotiated Rate	$324.96
Max. Negotiated Rate	$524.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.27
Rate for Payer: Qualcare PPO/HMO/WC	$324.96

MESH PTEX PCOX 15x10CM STR

Facility

$2,166.40

Service Code	HCPCS C1781
Hospital Charge Code	270655625
Hospital Revenue Code	278
Min. Negotiated Rate	$61.53
Max. Negotiated Rate	$1,083.20
Rate for Payer: Aetna Commercial	$823.23
Rate for Payer: Aetna Medicare Advantage	$649.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$552.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$552.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$552.43
Rate for Payer: Cigna Commercial	$1,083.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.27
Rate for Payer: Qualcare PPO/HMO/WC	$324.96
Rate for Payer: UnitedHealthcare Community & State	$68.46
Rate for Payer: Wellpoint Medicaid Managed Care	$61.53

MESH PTEX PCOX 20X15CM 8X6 STE

Facility

$3,492.20

Service Code	HCPCS C1781
Hospital Charge Code	270655623
Hospital Revenue Code	278
Min. Negotiated Rate	$523.83
Max. Negotiated Rate	$845.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.11
Rate for Payer: Qualcare PPO/HMO/WC	$523.83

MESH PTEX PCOX 20X15CM 8X6 STE

Facility

$3,492.20

Service Code	HCPCS C1781
Hospital Charge Code	270655623
Hospital Revenue Code	278
Min. Negotiated Rate	$99.18
Max. Negotiated Rate	$1,746.10
Rate for Payer: Aetna Commercial	$1,327.04
Rate for Payer: Aetna Medicare Advantage	$1,047.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$890.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$890.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$890.51
Rate for Payer: Cigna Commercial	$1,746.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.11
Rate for Payer: Qualcare PPO/HMO/WC	$523.83
Rate for Payer: UnitedHealthcare Community & State	$110.35
Rate for Payer: Wellpoint Medicaid Managed Care	$99.18

MESH PTEX PCOX ROUND 12CM STR

Facility

$2,155.80

Service Code	HCPCS C1781
Hospital Charge Code	270656033
Hospital Revenue Code	278
Min. Negotiated Rate	$61.22
Max. Negotiated Rate	$1,077.90
Rate for Payer: Aetna Commercial	$819.20
Rate for Payer: Aetna Medicare Advantage	$646.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$549.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$549.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$549.73
Rate for Payer: Cigna Commercial	$1,077.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.70
Rate for Payer: Qualcare PPO/HMO/WC	$323.37
Rate for Payer: UnitedHealthcare Community & State	$68.12
Rate for Payer: Wellpoint Medicaid Managed Care	$61.22

MESH PTEX PCOX ROUND 12CM STR

Facility

$2,155.80

Service Code	HCPCS C1781
Hospital Charge Code	270656033
Hospital Revenue Code	278
Min. Negotiated Rate	$323.37
Max. Negotiated Rate	$521.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$431.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.70
Rate for Payer: Qualcare PPO/HMO/WC	$323.37

Know your out-of-pocket cost for care.

All Charges