Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE IMBIBE MARROW 8G 6INL

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698866
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

NEEDLE INSERTION 17cm

Facility

$1,075.00

Hospital Charge Code	270679699
Hospital Revenue Code	272
Min. Negotiated Rate	$30.53
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$33.97
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

NEEDLE INSERTION 17cm

Facility

$1,075.00

Hospital Charge Code	270679699
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NEEDLE INSERTION 4

Facility

$1,075.00

Hospital Charge Code	270673087
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NEEDLE INSERTION 4

Facility

$1,075.00

Hospital Charge Code	270673087
Hospital Revenue Code	272
Min. Negotiated Rate	$30.53
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$33.97
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

NEEDLE INSUFATION 14G 150MM

Facility

$186.73

Hospital Charge Code	270671312
Hospital Revenue Code	272
Min. Negotiated Rate	$28.01
Max. Negotiated Rate	$28.01
Rate for Payer: Qualcare PPO/HMO/WC	$28.01

NEEDLE INSUFATION 14G 150MM

Facility

$186.73

Hospital Charge Code	270671312
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$93.36
Rate for Payer: Aetna Commercial	$70.96
Rate for Payer: Aetna Medicare Advantage	$56.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.62
Rate for Payer: Cigna Commercial	$93.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.55
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.01
Rate for Payer: UnitedHealthcare Commercial	$37.35
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

NEEDLE INSUFFLATIN 14G 120MM

Facility

$171.65

Hospital Charge Code	270671308
Hospital Revenue Code	272
Min. Negotiated Rate	$25.75
Max. Negotiated Rate	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$25.75

NEEDLE INSUFFLATIN 14G 120MM

Facility

$171.65

Hospital Charge Code	270671308
Hospital Revenue Code	272
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$85.83
Rate for Payer: Aetna Commercial	$65.23
Rate for Payer: Aetna Medicare Advantage	$51.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.77
Rate for Payer: Cigna Commercial	$85.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.63
Rate for Payer: Oxford Commercial	$34.33
Rate for Payer: Qualcare PPO/HMO/WC	$25.75
Rate for Payer: UnitedHealthcare Commercial	$34.33
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

NEEDLE INSUFLATION 120MM

Facility

$330.00

Hospital Charge Code	270651398
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

NEEDLE INSUFLATION 120MM

Facility

$330.00

Hospital Charge Code	270651398
Hospital Revenue Code	272
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$10.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.37

NEEDLE INSUFLATION 120MM

Facility

$59.66

Hospital Charge Code	27065600
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$29.83
Rate for Payer: Aetna Commercial	$22.67
Rate for Payer: Aetna Medicare Advantage	$17.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.21
Rate for Payer: Cigna Commercial	$29.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.51
Rate for Payer: Oxford Commercial	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.95
Rate for Payer: UnitedHealthcare Commercial	$11.93
Rate for Payer: UnitedHealthcare Community & State	$1.89
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

NEEDLE INSUFLATION 120MM

Facility

$59.66

Hospital Charge Code	27065600
Hospital Revenue Code	272
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$8.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.95

NEEDLE INSUFLATION/ACCESS 14G

Facility

$159.28

Hospital Charge Code	270624149
Hospital Revenue Code	272
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$79.64
Rate for Payer: Aetna Commercial	$60.53
Rate for Payer: Aetna Medicare Advantage	$47.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.62
Rate for Payer: Cigna Commercial	$79.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.41
Rate for Payer: Oxford Commercial	$31.86
Rate for Payer: Qualcare PPO/HMO/WC	$23.89
Rate for Payer: UnitedHealthcare Commercial	$31.86
Rate for Payer: UnitedHealthcare Community & State	$5.03
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

NEEDLE INSUFLATION/ACCESS 14G

Facility

$159.28

Hospital Charge Code	270624149
Hospital Revenue Code	272
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$23.89
Rate for Payer: Qualcare PPO/HMO/WC	$23.89

NEEDLE INSULATED STIMUPLEX

Facility

$87.00

Hospital Charge Code	270335301
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

NEEDLE INSULATED STIMUPLEX

Facility

$87.00

Hospital Charge Code	270335301
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$33.06
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.62
Rate for Payer: Oxford Commercial	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$17.40
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

NEEDLE INTESTNL ANCHOR SZ4

Facility

$24.15

Hospital Charge Code	270657336
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$12.07
Rate for Payer: Aetna Commercial	$9.18
Rate for Payer: Aetna Medicare Advantage	$7.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.16
Rate for Payer: Cigna Commercial	$12.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.28
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$3.62
Rate for Payer: UnitedHealthcare Commercial	$4.83
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.69

NEEDLE INTESTNL ANCHOR SZ4

Facility

$24.15

Hospital Charge Code	270657336
Hospital Revenue Code	272
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.62

NEEDLE INTRAVENOUS 18G X 1 1/4

Facility

$235.00

Hospital Charge Code	270331872
Hospital Revenue Code	272
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

NEEDLE INTRAVENOUS 18G X 1 1/4

Facility

$235.00

Hospital Charge Code	270331872
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Commercial	$47.00
Rate for Payer: UnitedHealthcare Community & State	$7.43
Rate for Payer: Wellpoint Medicaid Managed Care	$6.67

NEEDLE INTRODUCER 17GA 7209601

Facility

$299.00

Hospital Charge Code	270640710
Hospital Revenue Code	272
Min. Negotiated Rate	$8.49
Max. Negotiated Rate	$149.50
Rate for Payer: Aetna Commercial	$113.62
Rate for Payer: Aetna Medicare Advantage	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$149.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.74
Rate for Payer: Oxford Commercial	$59.80
Rate for Payer: Qualcare PPO/HMO/WC	$44.85
Rate for Payer: UnitedHealthcare Commercial	$59.80
Rate for Payer: UnitedHealthcare Community & State	$9.45
Rate for Payer: Wellpoint Medicaid Managed Care	$8.49

NEEDLE INTRODUCER 17GA 7209601

Facility

$299.00

Hospital Charge Code	270640710
Hospital Revenue Code	272
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$44.85
Rate for Payer: Qualcare PPO/HMO/WC	$44.85

NEEDLE JAMSHIDI 11G

Facility

$180.00

Hospital Charge Code	270677235
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

NEEDLE JAMSHIDI 11G

Facility

$180.00

Hospital Charge Code	270677235
Hospital Revenue Code	272
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

Know your out-of-pocket cost for care.

All Charges