Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH STRATTICE 10x16CM

Facility

$27,385.00

Service Code	HCPCS Q4130
Hospital Charge Code	270677283
Hospital Revenue Code	278
Min. Negotiated Rate	$4,107.75
Max. Negotiated Rate	$6,627.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,477.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,627.17
Rate for Payer: Qualcare PPO/HMO/WC	$4,107.75

MESH STRATTICE 10x16CM

Facility

$27,385.00

Service Code	HCPCS Q4130
Hospital Charge Code	270677283
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$6,627.17
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	$5,477.00
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	$6,627.17
Rate for Payer: Qualcare PPO/HMO/WC	$4,107.75
Rate for Payer: UnitedHealthcare Community & State	$865.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$777.73

MESH STRATTICE 16x20CM

Facility

$54,750.00

Service Code	HCPCS Q4130
Hospital Charge Code	270677096
Hospital Revenue Code	278
Min. Negotiated Rate	$8,212.50
Max. Negotiated Rate	$13,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,249.50
Rate for Payer: Qualcare PPO/HMO/WC	$8,212.50

MESH STRATTICE 16x20CM

Facility

$99,655.00

Hospital Charge Code	270677284
Hospital Revenue Code	636
Min. Negotiated Rate	$2,830.20
Max. Negotiated Rate	$49,827.50
Rate for Payer: Aetna Commercial	$37,868.90
Rate for Payer: Aetna Medicare Advantage	$29,896.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,412.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,412.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,412.03
Rate for Payer: Cigna Commercial	$49,827.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,116.51
Rate for Payer: Qualcare PPO/HMO/WC	$14,948.25
Rate for Payer: UnitedHealthcare Community & State	$3,149.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2,830.20

MESH STRATTICE 16x20CM

Facility

$99,655.00

Hospital Charge Code	270677284
Hospital Revenue Code	636
Min. Negotiated Rate	$14,948.25
Max. Negotiated Rate	$24,116.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,116.51
Rate for Payer: Qualcare PPO/HMO/WC	$14,948.25

MESH STRATTICE 16x20CM

Facility

$54,750.00

Service Code	HCPCS Q4130
Hospital Charge Code	270677096
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$13,249.50
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	$10,950.00
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	$13,249.50
Rate for Payer: Qualcare PPO/HMO/WC	$8,212.50
Rate for Payer: UnitedHealthcare Community & State	$1,730.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$1,554.90

MESH STRATTICE 6x10CM

Facility

$10,815.00

Service Code	HCPCS C1781
Hospital Charge Code	270683760
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.25
Max. Negotiated Rate	$2,617.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25

MESH STRATTICE 6x10CM

Facility

$10,815.00

Service Code	HCPCS C1781
Hospital Charge Code	270683760
Hospital Revenue Code	278
Min. Negotiated Rate	$307.15
Max. Negotiated Rate	$5,407.50
Rate for Payer: Aetna Commercial	$4,109.70
Rate for Payer: Aetna Medicare Advantage	$3,244.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,757.82
Rate for Payer: Cigna Commercial	$5,407.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25
Rate for Payer: UnitedHealthcare Community & State	$341.75
Rate for Payer: Wellpoint Medicaid Managed Care	$307.15

MESH STRATTICE 6X8CM

Facility

$8,100.00

Service Code	HCPCS Q4130
Hospital Charge Code	270676314
Hospital Revenue Code	278
Min. Negotiated Rate	$1,215.00
Max. Negotiated Rate	$1,960.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,960.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00

MESH STRATTICE 6X8CM

Facility

$8,100.00

Service Code	HCPCS Q4130
Hospital Charge Code	270676314
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$1,960.20
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	$1,620.00
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	$1,960.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00
Rate for Payer: UnitedHealthcare Community & State	$255.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$230.04

MESH STRATTICE 6X8CM/SQCMJW

Facility

$166.56

Hospital Charge Code	270676314W
Hospital Revenue Code	636
Min. Negotiated Rate	$4.73
Max. Negotiated Rate	$83.28
Rate for Payer: Aetna Commercial	$63.29
Rate for Payer: Aetna Medicare Advantage	$49.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.47
Rate for Payer: Cigna Commercial	$83.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.31
Rate for Payer: Qualcare PPO/HMO/WC	$24.98
Rate for Payer: UnitedHealthcare Community & State	$5.26
Rate for Payer: Wellpoint Medicaid Managed Care	$4.73

MESH STRATTICE 6X8CM/SQCMJW

Facility

$166.56

Hospital Charge Code	270676314W
Hospital Revenue Code	636
Min. Negotiated Rate	$24.98
Max. Negotiated Rate	$40.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.31
Rate for Payer: Qualcare PPO/HMO/WC	$24.98

MESH SYNCOR 20 X 30 MM

Facility

$22,025.00

Service Code	HCPCS C1781
Hospital Charge Code	270688743
Hospital Revenue Code	278
Min. Negotiated Rate	$625.51
Max. Negotiated Rate	$11,012.50
Rate for Payer: Aetna Commercial	$8,369.50
Rate for Payer: Aetna Medicare Advantage	$6,607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,616.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,616.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,616.38
Rate for Payer: Cigna Commercial	$11,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,330.05
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.75
Rate for Payer: UnitedHealthcare Community & State	$695.99
Rate for Payer: Wellpoint Medicaid Managed Care	$625.51

MESH SYNCOR 20 X 30 MM

Facility

$22,025.00

Service Code	HCPCS C1781
Hospital Charge Code	270688743
Hospital Revenue Code	278
Min. Negotiated Rate	$3,303.75
Max. Negotiated Rate	$5,330.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,330.05
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.75

MESH TASETRY BIO IMP 70X50MM

Facility

$13,250.00

Service Code	HCPCS C1781
Hospital Charge Code	270698279
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$3,206.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

MESH TASETRY BIO IMP 70X50MM

Facility

$13,250.00

Service Code	HCPCS C1781
Hospital Charge Code	270698279
Hospital Revenue Code	278
Min. Negotiated Rate	$376.30
Max. Negotiated Rate	$6,625.00
Rate for Payer: Aetna Commercial	$5,035.00
Rate for Payer: Aetna Medicare Advantage	$3,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,378.75
Rate for Payer: Cigna Commercial	$6,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50
Rate for Payer: UnitedHealthcare Community & State	$418.70
Rate for Payer: Wellpoint Medicaid Managed Care	$376.30

MESH TISSUE REINFORCE 7x10CM

Facility

$2,985.00

Hospital Charge Code	270675948
Hospital Revenue Code	278
Min. Negotiated Rate	$84.77
Max. Negotiated Rate	$1,492.50
Rate for Payer: Aetna Commercial	$1,134.30
Rate for Payer: Aetna Medicare Advantage	$895.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$761.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$761.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$597.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$761.17
Rate for Payer: Cigna Commercial	$1,492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.37
Rate for Payer: Qualcare PPO/HMO/WC	$447.75
Rate for Payer: UnitedHealthcare Community & State	$94.33
Rate for Payer: Wellpoint Medicaid Managed Care	$84.77

MESH TISSUE REINFORCE 7x10CM

Facility

$2,985.00

Hospital Charge Code	270675948
Hospital Revenue Code	278
Min. Negotiated Rate	$447.75
Max. Negotiated Rate	$722.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.37
Rate for Payer: Qualcare PPO/HMO/WC	$447.75

MESH ULTRAPRO HERNIA LG UHSL6

Facility

$2,259.06

Service Code	HCPCS C1781
Hospital Charge Code	270647932
Hospital Revenue Code	278
Min. Negotiated Rate	$338.86
Max. Negotiated Rate	$546.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.69
Rate for Payer: Qualcare PPO/HMO/WC	$338.86

MESH ULTRAPRO HERNIA LG UHSL6

Facility

$2,259.06

Service Code	HCPCS C1781
Hospital Charge Code	270647932
Hospital Revenue Code	278
Min. Negotiated Rate	$64.16
Max. Negotiated Rate	$1,129.53
Rate for Payer: Aetna Commercial	$858.44
Rate for Payer: Aetna Medicare Advantage	$677.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.06
Rate for Payer: Cigna Commercial	$1,129.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.69
Rate for Payer: Qualcare PPO/HMO/WC	$338.86
Rate for Payer: UnitedHealthcare Community & State	$71.39
Rate for Payer: Wellpoint Medicaid Managed Care	$64.16

MESH ULTRAPRO HERNIA MED UHSM6

Facility

$2,811.90

Service Code	HCPCS C1781
Hospital Charge Code	270647931
Hospital Revenue Code	278
Min. Negotiated Rate	$79.86
Max. Negotiated Rate	$1,405.95
Rate for Payer: Aetna Commercial	$1,068.52
Rate for Payer: Aetna Medicare Advantage	$843.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$717.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$717.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$717.03
Rate for Payer: Cigna Commercial	$1,405.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.48
Rate for Payer: Qualcare PPO/HMO/WC	$421.79
Rate for Payer: UnitedHealthcare Community & State	$88.86
Rate for Payer: Wellpoint Medicaid Managed Care	$79.86

MESH ULTRAPRO HERNIA MED UHSM6

Facility

$2,811.90

Service Code	HCPCS C1781
Hospital Charge Code	270647931
Hospital Revenue Code	278
Min. Negotiated Rate	$421.79
Max. Negotiated Rate	$680.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.48
Rate for Payer: Qualcare PPO/HMO/WC	$421.79

MESH ULTRAPRO HERN SYS LRG

Facility

$4,162.15

Service Code	HCPCS C1781
Hospital Charge Code	270698948
Hospital Revenue Code	278
Min. Negotiated Rate	$118.21
Max. Negotiated Rate	$2,081.07
Rate for Payer: Aetna Commercial	$1,581.62
Rate for Payer: Aetna Medicare Advantage	$1,248.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,061.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,061.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$832.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,061.35
Rate for Payer: Cigna Commercial	$2,081.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,007.24
Rate for Payer: Qualcare PPO/HMO/WC	$624.32
Rate for Payer: UnitedHealthcare Community & State	$131.52
Rate for Payer: Wellpoint Medicaid Managed Care	$118.21

MESH ULTRAPRO HERN SYS LRG

Facility

$4,162.15

Service Code	HCPCS C1781
Hospital Charge Code	270698948
Hospital Revenue Code	278
Min. Negotiated Rate	$624.32
Max. Negotiated Rate	$1,007.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$832.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,007.24
Rate for Payer: Qualcare PPO/HMO/WC	$624.32

MESH ULTRAPRO HERN SYS MED

Facility

$4,082.90

Service Code	HCPCS C1781
Hospital Charge Code	270698949
Hospital Revenue Code	278
Min. Negotiated Rate	$115.95
Max. Negotiated Rate	$2,041.45
Rate for Payer: Aetna Commercial	$1,551.50
Rate for Payer: Aetna Medicare Advantage	$1,224.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,041.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,041.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$816.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,041.14
Rate for Payer: Cigna Commercial	$2,041.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$988.06
Rate for Payer: Qualcare PPO/HMO/WC	$612.43
Rate for Payer: UnitedHealthcare Community & State	$129.02
Rate for Payer: Wellpoint Medicaid Managed Care	$115.95

Know your out-of-pocket cost for care.

All Charges