Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE COAXIAL ACHIVE 14G 11CM

Facility

$264.86

Hospital Charge Code	270645826R
Hospital Revenue Code	272
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

NEEDLE COAXIAL INT 17GX16 8CM

Facility

$65.00

Hospital Charge Code	270668511
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

NEEDLE COAXIAL INT 17GX16 8CM

Facility

$65.00

Hospital Charge Code	270668511
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$24.70
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.90
Rate for Payer: Oxford Commercial	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$13.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

NEEDLE COAXIAL INTR 15GX11.8CM

Facility

$77.50

Hospital Charge Code	270670785
Hospital Revenue Code	272
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$38.75
Rate for Payer: Aetna Commercial	$29.45
Rate for Payer: Aetna Medicare Advantage	$23.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.76
Rate for Payer: Cigna Commercial	$38.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Oxford Commercial	$15.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.62
Rate for Payer: UnitedHealthcare Commercial	$15.50
Rate for Payer: UnitedHealthcare Community & State	$2.45
Rate for Payer: Wellpoint Medicaid Managed Care	$2.20

NEEDLE COAXIAL INTR 15GX11.8CM

Facility

$77.50

Hospital Charge Code	270670785
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288R
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288R
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

NEEDLE COAXIAL INTRO 17GX11 8C

Facility

$90.00

Hospital Charge Code	270658288
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270R
Hospital Revenue Code	272
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$36.88
Rate for Payer: Aetna Commercial	$28.02
Rate for Payer: Aetna Medicare Advantage	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.81
Rate for Payer: Cigna Commercial	$36.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.18
Rate for Payer: Oxford Commercial	$14.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.06
Rate for Payer: UnitedHealthcare Commercial	$14.75
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.09

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$11.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.06

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270
Hospital Revenue Code	272
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$36.88
Rate for Payer: Aetna Commercial	$28.02
Rate for Payer: Aetna Medicare Advantage	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.81
Rate for Payer: Cigna Commercial	$36.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.18
Rate for Payer: Oxford Commercial	$14.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.06
Rate for Payer: UnitedHealthcare Commercial	$14.75
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.09

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270R
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$11.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.06

NEEDLE COAXIAL INTRO 18GX10CM

Facility

$75.50

Hospital Charge Code	270669591
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$37.75
Rate for Payer: Aetna Commercial	$28.69
Rate for Payer: Aetna Medicare Advantage	$22.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.25
Rate for Payer: Cigna Commercial	$37.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.63
Rate for Payer: Oxford Commercial	$15.10
Rate for Payer: Qualcare PPO/HMO/WC	$11.32
Rate for Payer: UnitedHealthcare Commercial	$15.10
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.14

NEEDLE COAXIAL INTRO 18GX10CM

Facility

$75.50

Hospital Charge Code	270669591
Hospital Revenue Code	272
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$11.32
Rate for Payer: Qualcare PPO/HMO/WC	$11.32

NEEDLE CONCEPT SUTURE PASSER

Facility

$1,311.00

Hospital Charge Code	270676307
Hospital Revenue Code	272
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$196.65
Rate for Payer: Qualcare PPO/HMO/WC	$196.65

NEEDLE CONCEPT SUTURE PASSER

Facility

$1,311.00

Hospital Charge Code	270676307
Hospital Revenue Code	272
Min. Negotiated Rate	$37.23
Max. Negotiated Rate	$655.50
Rate for Payer: Aetna Commercial	$498.18
Rate for Payer: Aetna Medicare Advantage	$393.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.31
Rate for Payer: Cigna Commercial	$655.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.86
Rate for Payer: Oxford Commercial	$262.20
Rate for Payer: Qualcare PPO/HMO/WC	$196.65
Rate for Payer: UnitedHealthcare Commercial	$262.20
Rate for Payer: UnitedHealthcare Community & State	$41.43
Rate for Payer: Wellpoint Medicaid Managed Care	$37.23

NEEDLE CONTRAST

Facility

$153.00

Hospital Charge Code	270638458
Hospital Revenue Code	272
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$58.14
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.78
Rate for Payer: Oxford Commercial	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$30.60
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.35

NEEDLE CONTRAST

Facility

$153.00

Hospital Charge Code	270638458
Hospital Revenue Code	272
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

NEEDLE COUNTER STER DISP

Facility

$11.24

Hospital Charge Code	270649421
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.27
Rate for Payer: Aetna Medicare Advantage	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

NEEDLE COUNTER STER DISP

Facility

$11.24

Hospital Charge Code	270649421
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

NEEDLE COXL INTRODUCR 19X11 4

Facility

$77.50

Hospital Charge Code	270659395
Hospital Revenue Code	272
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$38.75
Rate for Payer: Aetna Commercial	$29.45
Rate for Payer: Aetna Medicare Advantage	$23.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.76
Rate for Payer: Cigna Commercial	$38.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Oxford Commercial	$15.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.62
Rate for Payer: UnitedHealthcare Commercial	$15.50
Rate for Payer: UnitedHealthcare Community & State	$2.45
Rate for Payer: Wellpoint Medicaid Managed Care	$2.20

NEEDLE COXL INTRODUCR 19X11 4

Facility

$77.50

Hospital Charge Code	270659395
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

NEEDLE CURVE AVAFLEX

Facility

$2,250.00

Hospital Charge Code	270692054
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

NEEDLE CURVE AVAFLEX

Facility

$2,250.00

Hospital Charge Code	270692054
Hospital Revenue Code	272
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

Know your out-of-pocket cost for care.

All Charges