Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEPHROSTOMY CATH 8 F

Facility

$170.00

Service Code	HCPCS C1729
Hospital Charge Code	4800985
Hospital Revenue Code	278
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$64.60
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Community & State	$5.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.83

NEPHROSTOMY CATH 8 F

Facility

$170.00

Service Code	HCPCS C1729
Hospital Charge Code	4800985
Hospital Revenue Code	278
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$41.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

NEPHROSTOMY MALECOT CATHETER

Facility

$360.00

Hospital Charge Code	270331499
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

NEPHROSTOMY MALECOT CATHETER

Facility

$360.00

Hospital Charge Code	270331499
Hospital Revenue Code	278
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$136.80
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00
Rate for Payer: UnitedHealthcare Community & State	$11.38
Rate for Payer: Wellpoint Medicaid Managed Care	$10.22

NEPHROSTOMY PERCUTANEOUS PK

Facility

$791.00

Hospital Charge Code	270331498
Hospital Revenue Code	278
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$191.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: Qualcare PPO/HMO/WC	$118.65

NEPHROSTOMY PERCUTANEOUS PK

Facility

$791.00

Hospital Charge Code	270331498
Hospital Revenue Code	278
Min. Negotiated Rate	$22.46
Max. Negotiated Rate	$395.50
Rate for Payer: Aetna Commercial	$300.58
Rate for Payer: Aetna Medicare Advantage	$237.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.71
Rate for Payer: Cigna Commercial	$395.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: Qualcare PPO/HMO/WC	$118.65
Rate for Payer: UnitedHealthcare Community & State	$25.00
Rate for Payer: Wellpoint Medicaid Managed Care	$22.46

NEPHROSTOMY TRACT TUBE

Facility

$1,194.00

Hospital Charge Code	270335228
Hospital Revenue Code	278
Min. Negotiated Rate	$179.10
Max. Negotiated Rate	$288.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.95
Rate for Payer: Qualcare PPO/HMO/WC	$179.10

NEPHROSTOMY TRACT TUBE

Facility

$1,194.00

Hospital Charge Code	270335228
Hospital Revenue Code	278
Min. Negotiated Rate	$33.91
Max. Negotiated Rate	$597.00
Rate for Payer: Aetna Commercial	$453.72
Rate for Payer: Aetna Medicare Advantage	$358.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$304.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$304.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$304.47
Rate for Payer: Cigna Commercial	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.95
Rate for Payer: Qualcare PPO/HMO/WC	$179.10
Rate for Payer: UnitedHealthcare Community & State	$37.73
Rate for Payer: Wellpoint Medicaid Managed Care	$33.91

NEPHRO-VITE TAB

Facility

$4.00

Service Code	NDC 235087901
Hospital Charge Code	60629862
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEPHRO-VITE TAB

Facility

$4.00

Service Code	NDC 235087901
Hospital Charge Code	60629862
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NERV COND.MOTOR W/ FWAVE

Facility

$5,700.00

Hospital Charge Code	9109095
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

NERV COND.MOTOR W/ FWAVE

Facility

$5,700.00

Hospital Charge Code	9109095
Hospital Revenue Code	922
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,166.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,482.00
Rate for Payer: Oxford Commercial	$2,277.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$2,585.00
Rate for Payer: UnitedHealthcare Community & State	$180.12
Rate for Payer: Wellpoint Medicaid Managed Care	$161.88

NERVE COND MOTORW/O FWAVE

Facility

$5,700.00

Hospital Charge Code	9109015
Hospital Revenue Code	922
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,166.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,482.00
Rate for Payer: Oxford Commercial	$2,277.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$2,585.00
Rate for Payer: UnitedHealthcare Community & State	$180.12
Rate for Payer: Wellpoint Medicaid Managed Care	$161.88

NERVE COND MOTORW/O FWAVE

Facility

$5,700.00

Hospital Charge Code	9109015
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

NERVE CONDUCTION SENSORY

Facility

$5,700.00

Hospital Charge Code	9109090
Hospital Revenue Code	922
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,166.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,482.00
Rate for Payer: Oxford Commercial	$2,277.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$2,585.00
Rate for Payer: UnitedHealthcare Community & State	$180.12
Rate for Payer: Wellpoint Medicaid Managed Care	$161.88

NERVE CONDUCTION SENSORY

Facility

$5,700.00

Hospital Charge Code	9109090
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

NERVE COND W/O WAVE STUDY

Facility

$5,700.00

Hospital Charge Code	9109005
Hospital Revenue Code	922
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,166.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,482.00
Rate for Payer: Oxford Commercial	$2,277.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$2,585.00
Rate for Payer: UnitedHealthcare Community & State	$180.12
Rate for Payer: Wellpoint Medicaid Managed Care	$161.88

NERVE COND W/O WAVE STUDY

Facility

$5,700.00

Hospital Charge Code	9109005
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

NERVE CONNECTOR 4X15MM

Facility

$9,990.00

Service Code	HCPCS C1763
Hospital Charge Code	270696285
Hospital Revenue Code	278
Min. Negotiated Rate	$1,498.50
Max. Negotiated Rate	$2,417.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,998.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,417.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,498.50

NERVE CONNECTOR 4X15MM

Facility

$9,990.00

Service Code	HCPCS C1763
Hospital Charge Code	270696285
Hospital Revenue Code	278
Min. Negotiated Rate	$283.72
Max. Negotiated Rate	$4,995.00
Rate for Payer: Aetna Commercial	$3,796.20
Rate for Payer: Aetna Medicare Advantage	$2,997.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,547.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,547.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,998.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,547.45
Rate for Payer: Cigna Commercial	$4,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,417.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,498.50
Rate for Payer: UnitedHealthcare Community & State	$315.68
Rate for Payer: Wellpoint Medicaid Managed Care	$283.72

NERVE CONNECTOR 5X15MM

Facility

$9,990.00

Service Code	HCPCS C1763
Hospital Charge Code	270696286
Hospital Revenue Code	278
Min. Negotiated Rate	$283.72
Max. Negotiated Rate	$4,995.00
Rate for Payer: Aetna Commercial	$3,796.20
Rate for Payer: Aetna Medicare Advantage	$2,997.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,547.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,547.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,998.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,547.45
Rate for Payer: Cigna Commercial	$4,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,417.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,498.50
Rate for Payer: UnitedHealthcare Community & State	$315.68
Rate for Payer: Wellpoint Medicaid Managed Care	$283.72

NERVE CONNECTOR 5X15MM

Facility

$9,990.00

Service Code	HCPCS C1763
Hospital Charge Code	270696286
Hospital Revenue Code	278
Min. Negotiated Rate	$1,498.50
Max. Negotiated Rate	$2,417.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,998.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,417.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,498.50

NERVE GUIDE 5 mm x 3cm

Facility

$6,482.50

Hospital Charge Code	270683437
Hospital Revenue Code	272
Min. Negotiated Rate	$972.38
Max. Negotiated Rate	$972.38
Rate for Payer: Qualcare PPO/HMO/WC	$972.38

NERVE GUIDE 5 mm x 3cm

Facility

$6,482.50

Hospital Charge Code	270683437
Hospital Revenue Code	272
Min. Negotiated Rate	$184.10
Max. Negotiated Rate	$3,241.25
Rate for Payer: Aetna Commercial	$2,463.35
Rate for Payer: Aetna Medicare Advantage	$1,944.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,653.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,653.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,653.04
Rate for Payer: Cigna Commercial	$3,241.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,685.45
Rate for Payer: Oxford Commercial	$1,296.50
Rate for Payer: Qualcare PPO/HMO/WC	$972.38
Rate for Payer: UnitedHealthcare Commercial	$1,296.50
Rate for Payer: UnitedHealthcare Community & State	$204.85
Rate for Payer: Wellpoint Medicaid Managed Care	$184.10

NERVE GUIDE MM X 3 CM

Facility

$6,482.50

Hospital Charge Code	270683501
Hospital Revenue Code	272
Min. Negotiated Rate	$184.10
Max. Negotiated Rate	$3,241.25
Rate for Payer: Aetna Commercial	$2,463.35
Rate for Payer: Aetna Medicare Advantage	$1,944.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,653.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,653.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,653.04
Rate for Payer: Cigna Commercial	$3,241.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,685.45
Rate for Payer: Oxford Commercial	$1,296.50
Rate for Payer: Qualcare PPO/HMO/WC	$972.38
Rate for Payer: UnitedHealthcare Commercial	$1,296.50
Rate for Payer: UnitedHealthcare Community & State	$204.85
Rate for Payer: Wellpoint Medicaid Managed Care	$184.10

Know your out-of-pocket cost for care.

All Charges