Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH PTEX PCOX ROUND 15CM 6ST

Facility

$3,315.45

Service Code	HCPCS C1781
Hospital Charge Code	270655628
Hospital Revenue Code	278
Min. Negotiated Rate	$94.16
Max. Negotiated Rate	$1,657.72
Rate for Payer: Aetna Commercial	$1,259.87
Rate for Payer: Aetna Medicare Advantage	$994.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$845.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$845.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$663.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$845.44
Rate for Payer: Cigna Commercial	$1,657.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$802.34
Rate for Payer: Qualcare PPO/HMO/WC	$497.32
Rate for Payer: UnitedHealthcare Community & State	$104.77
Rate for Payer: Wellpoint Medicaid Managed Care	$94.16

MESH PTEX PCOX ROUND 15CM 6ST

Facility

$3,315.45

Service Code	HCPCS C1781
Hospital Charge Code	270655628
Hospital Revenue Code	278
Min. Negotiated Rate	$497.32
Max. Negotiated Rate	$802.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$663.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$802.34
Rate for Payer: Qualcare PPO/HMO/WC	$497.32

MESH PTEX PCOX ROUND 15CM STR

Facility

$3,288.05

Service Code	HCPCS C1781
Hospital Charge Code	270655030
Hospital Revenue Code	278
Min. Negotiated Rate	$93.38
Max. Negotiated Rate	$1,644.03
Rate for Payer: Aetna Commercial	$1,249.46
Rate for Payer: Aetna Medicare Advantage	$986.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$838.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$838.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$657.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$838.45
Rate for Payer: Cigna Commercial	$1,644.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.71
Rate for Payer: Qualcare PPO/HMO/WC	$493.21
Rate for Payer: UnitedHealthcare Community & State	$103.90
Rate for Payer: Wellpoint Medicaid Managed Care	$93.38

MESH PTEX PCOX ROUND 15CM STR

Facility

$3,288.05

Service Code	HCPCS C1781
Hospital Charge Code	270655030
Hospital Revenue Code	278
Min. Negotiated Rate	$493.21
Max. Negotiated Rate	$795.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$657.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.71
Rate for Payer: Qualcare PPO/HMO/WC	$493.21

MESH PTEX PCOX ROUND 20CM STR

Facility

$4,169.95

Service Code	HCPCS C1781
Hospital Charge Code	270655624
Hospital Revenue Code	278
Min. Negotiated Rate	$625.49
Max. Negotiated Rate	$1,009.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,009.13
Rate for Payer: Qualcare PPO/HMO/WC	$625.49

MESH PTEX PCOX ROUND 20CM STR

Facility

$4,169.95

Service Code	HCPCS C1781
Hospital Charge Code	270655624
Hospital Revenue Code	278
Min. Negotiated Rate	$118.43
Max. Negotiated Rate	$2,084.97
Rate for Payer: Aetna Commercial	$1,584.58
Rate for Payer: Aetna Medicare Advantage	$1,250.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,063.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,063.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,063.34
Rate for Payer: Cigna Commercial	$2,084.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,009.13
Rate for Payer: Qualcare PPO/HMO/WC	$625.49
Rate for Payer: UnitedHealthcare Community & State	$131.77
Rate for Payer: Wellpoint Medicaid Managed Care	$118.43

MESH PTEX PCOX ROUND 9CM STR

Facility

$1,579.65

Service Code	HCPCS C1781
Hospital Charge Code	270655630
Hospital Revenue Code	278
Min. Negotiated Rate	$44.86
Max. Negotiated Rate	$789.83
Rate for Payer: Aetna Commercial	$600.27
Rate for Payer: Aetna Medicare Advantage	$473.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.81
Rate for Payer: Cigna Commercial	$789.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.28
Rate for Payer: Qualcare PPO/HMO/WC	$236.95
Rate for Payer: UnitedHealthcare Community & State	$49.92
Rate for Payer: Wellpoint Medicaid Managed Care	$44.86

MESH PTEX PCOX ROUND 9CM STR

Facility

$1,579.65

Service Code	HCPCS C1781
Hospital Charge Code	270655630
Hospital Revenue Code	278
Min. Negotiated Rate	$236.95
Max. Negotiated Rate	$382.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.28
Rate for Payer: Qualcare PPO/HMO/WC	$236.95

MESH PTEX PCOX SKIRT 20X15CM

Facility

$4,919.50

Service Code	HCPCS C1781
Hospital Charge Code	270656079
Hospital Revenue Code	278
Min. Negotiated Rate	$737.92
Max. Negotiated Rate	$1,190.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$983.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,190.52
Rate for Payer: Qualcare PPO/HMO/WC	$737.92

MESH PTEX PCOX SKIRT 20X15CM

Facility

$4,919.50

Service Code	HCPCS C1781
Hospital Charge Code	270656079
Hospital Revenue Code	278
Min. Negotiated Rate	$139.71
Max. Negotiated Rate	$2,459.75
Rate for Payer: Aetna Commercial	$1,869.41
Rate for Payer: Aetna Medicare Advantage	$1,475.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,254.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,254.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$983.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,254.47
Rate for Payer: Cigna Commercial	$2,459.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,190.52
Rate for Payer: Qualcare PPO/HMO/WC	$737.92
Rate for Payer: UnitedHealthcare Community & State	$155.46
Rate for Payer: Wellpoint Medicaid Managed Care	$139.71

MESH PTEX PCOX SKIRT 25X20CM

Facility

$5,282.00

Service Code	HCPCS C1781
Hospital Charge Code	270659454
Hospital Revenue Code	278
Min. Negotiated Rate	$792.30
Max. Negotiated Rate	$1,278.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,278.24
Rate for Payer: Qualcare PPO/HMO/WC	$792.30

MESH PTEX PCOX SKIRT 25X20CM

Facility

$5,282.00

Service Code	HCPCS C1781
Hospital Charge Code	270659454
Hospital Revenue Code	278
Min. Negotiated Rate	$150.01
Max. Negotiated Rate	$2,641.00
Rate for Payer: Aetna Commercial	$2,007.16
Rate for Payer: Aetna Medicare Advantage	$1,584.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,346.91
Rate for Payer: Cigna Commercial	$2,641.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,278.24
Rate for Payer: Qualcare PPO/HMO/WC	$792.30
Rate for Payer: UnitedHealthcare Community & State	$166.91
Rate for Payer: Wellpoint Medicaid Managed Care	$150.01

MESH RIGHT 3D MAX

Facility

$1,162.50

Service Code	HCPCS C1781
Hospital Charge Code	270687580
Hospital Revenue Code	278
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$581.25
Rate for Payer: Aetna Commercial	$441.75
Rate for Payer: Aetna Medicare Advantage	$348.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.44
Rate for Payer: Cigna Commercial	$581.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$174.38
Rate for Payer: UnitedHealthcare Community & State	$36.73
Rate for Payer: Wellpoint Medicaid Managed Care	$33.02

MESH RIGHT 3D MAX

Facility

$1,162.50

Service Code	HCPCS C1781
Hospital Charge Code	270687580
Hospital Revenue Code	278
Min. Negotiated Rate	$174.38
Max. Negotiated Rate	$281.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$174.38

MESH RIGID L/PRO 100x100MM

Facility

$13,430.00

Hospital Charge Code	270674576
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 RIGID L/PRO 100x100MM

Facility

$13,430.00

Hospital Charge Code	270674576
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 SHEET 6X6

Facility

$2,029.05

Service Code	HCPCS C1781
Hospital Charge Code	270657707
Hospital Revenue Code	278
Min. Negotiated Rate	$57.63
Max. Negotiated Rate	$1,014.52
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$608.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$517.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$517.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$517.41
Rate for Payer: Cigna Commercial	$1,014.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.03
Rate for Payer: Qualcare PPO/HMO/WC	$304.36
Rate for Payer: UnitedHealthcare Community & State	$64.12
Rate for Payer: Wellpoint Medicaid Managed Care	$57.63

MESH SHEET 6X6

Facility

$2,029.05

Service Code	HCPCS C1781
Hospital Charge Code	270657707
Hospital Revenue Code	278
Min. Negotiated Rate	$304.36
Max. Negotiated Rate	$491.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.03
Rate for Payer: Qualcare PPO/HMO/WC	$304.36

MESH SHEET FLAT 16X12

Facility

$2,186.35

Service Code	HCPCS C1781
Hospital Charge Code	270690295
Hospital Revenue Code	278
Min. Negotiated Rate	$327.95
Max. Negotiated Rate	$529.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.10
Rate for Payer: Qualcare PPO/HMO/WC	$327.95

MESH SHEET FLAT 16X12

Facility

$2,186.35

Service Code	HCPCS C1781
Hospital Charge Code	270690295
Hospital Revenue Code	278
Min. Negotiated Rate	$62.09
Max. Negotiated Rate	$1,093.17
Rate for Payer: Aetna Commercial	$830.81
Rate for Payer: Aetna Medicare Advantage	$655.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$557.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$557.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$557.52
Rate for Payer: Cigna Commercial	$1,093.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.10
Rate for Payer: Qualcare PPO/HMO/WC	$327.95
Rate for Payer: UnitedHealthcare Community & State	$69.09
Rate for Payer: Wellpoint Medicaid Managed Care	$62.09

MESH SKIRT 20 CMX15 CM

Facility

$5,627.95

Hospital Charge Code	270683623
Hospital Revenue Code	272
Min. Negotiated Rate	$844.19
Max. Negotiated Rate	$844.19
Rate for Payer: Qualcare PPO/HMO/WC	$844.19

MESH SKIRT 20 CMX15 CM

Facility

$5,627.95

Hospital Charge Code	270683623
Hospital Revenue Code	272
Min. Negotiated Rate	$159.83
Max. Negotiated Rate	$2,813.97
Rate for Payer: Aetna Commercial	$2,138.62
Rate for Payer: Aetna Medicare Advantage	$1,688.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,435.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,435.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,435.13
Rate for Payer: Cigna Commercial	$2,813.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,463.27
Rate for Payer: Oxford Commercial	$1,125.59
Rate for Payer: Qualcare PPO/HMO/WC	$844.19
Rate for Payer: UnitedHealthcare Commercial	$1,125.59
Rate for Payer: UnitedHealthcare Community & State	$177.84
Rate for Payer: Wellpoint Medicaid Managed Care	$159.83

MESH SOFT 2X4

Facility

$959.25

Service Code	HCPCS C1781
Hospital Charge Code	270691535
Hospital Revenue Code	278
Min. Negotiated Rate	$27.24
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$364.51
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89
Rate for Payer: UnitedHealthcare Community & State	$30.31
Rate for Payer: Wellpoint Medicaid Managed Care	$27.24

MESH SOFT 2X4

Facility

$959.25

Service Code	HCPCS C1781
Hospital Charge Code	270691535
Hospital Revenue Code	278
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$232.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

MESH SOFT 3X6

Facility

$1,016.25

Service Code	HCPCS C1781
Hospital Charge Code	270691536
Hospital Revenue Code	278
Min. Negotiated Rate	$28.86
Max. Negotiated Rate	$508.12
Rate for Payer: Aetna Commercial	$386.18
Rate for Payer: Aetna Medicare Advantage	$304.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.14
Rate for Payer: Cigna Commercial	$508.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.93
Rate for Payer: Qualcare PPO/HMO/WC	$152.44
Rate for Payer: UnitedHealthcare Community & State	$32.11
Rate for Payer: Wellpoint Medicaid Managed Care	$28.86

Know your out-of-pocket cost for care.

All Charges