Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NERVE GUIDE MM X 3 CM

Facility

$6,482.50

Hospital Charge Code	270683501
Hospital Revenue Code	272
Min. Negotiated Rate	$972.38
Max. Negotiated Rate	$972.38
Rate for Payer: Qualcare PPO/HMO/WC	$972.38

NERVE KIT STIMULATOR 20G 6

Facility

$58.50

Hospital Charge Code	270676805
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$29.25
Rate for Payer: Aetna Commercial	$22.23
Rate for Payer: Aetna Medicare Advantage	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.92
Rate for Payer: Cigna Commercial	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.21
Rate for Payer: Oxford Commercial	$11.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.78
Rate for Payer: UnitedHealthcare Commercial	$11.70
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

NERVE KIT STIMULATOR 20G 6

Facility

$58.50

Hospital Charge Code	270676805
Hospital Revenue Code	272
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.78

NERVE PROTECTOR 7x20MM

Facility

$8,125.00

Hospital Charge Code	270673262
Hospital Revenue Code	278
Min. Negotiated Rate	$230.75
Max. Negotiated Rate	$4,062.50
Rate for Payer: Aetna Commercial	$3,087.50
Rate for Payer: Aetna Medicare Advantage	$2,437.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,071.88
Rate for Payer: Cigna Commercial	$4,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,966.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.75
Rate for Payer: UnitedHealthcare Community & State	$256.75
Rate for Payer: Wellpoint Medicaid Managed Care	$230.75

NERVE PROTECTOR 7x20MM

Facility

$8,125.00

Hospital Charge Code	270673262
Hospital Revenue Code	278
Min. Negotiated Rate	$1,218.75
Max. Negotiated Rate	$1,966.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,966.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.75

NERVE PROTECTOR 7X40MM

Facility

$14,175.00

Service Code	HCPCS C1763
Hospital Charge Code	270696287
Hospital Revenue Code	278
Min. Negotiated Rate	$402.57
Max. Negotiated Rate	$7,087.50
Rate for Payer: Aetna Commercial	$5,386.50
Rate for Payer: Aetna Medicare Advantage	$4,252.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,614.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,614.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,835.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,614.62
Rate for Payer: Cigna Commercial	$7,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,430.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,126.25
Rate for Payer: UnitedHealthcare Community & State	$447.93
Rate for Payer: Wellpoint Medicaid Managed Care	$402.57

NERVE PROTECTOR 7X40MM

Facility

$14,175.00

Service Code	HCPCS C1763
Hospital Charge Code	270696287
Hospital Revenue Code	278
Min. Negotiated Rate	$2,126.25
Max. Negotiated Rate	$3,430.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,430.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,126.25

NERVE PROTECTOR/WRAP

Facility

$9,875.00

Hospital Charge Code	270664248
Hospital Revenue Code	270
Min. Negotiated Rate	$280.45
Max. Negotiated Rate	$4,937.50
Rate for Payer: Aetna Commercial	$3,752.50
Rate for Payer: Aetna Medicare Advantage	$2,962.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,518.12
Rate for Payer: Cigna Commercial	$4,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,567.50
Rate for Payer: Oxford Commercial	$1,975.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$312.05
Rate for Payer: Wellpoint Medicaid Managed Care	$280.45

NERVE PROTECTOR/WRAP

Facility

$9,875.00

Hospital Charge Code	270664248
Hospital Revenue Code	270
Min. Negotiated Rate	$1,481.25
Max. Negotiated Rate	$1,481.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25

NERVE SET STIMUPLEX 21GAx4

Facility

$67.17

Hospital Charge Code	270656035
Hospital Revenue Code	272
Min. Negotiated Rate	$10.08
Max. Negotiated Rate	$10.08
Rate for Payer: Qualcare PPO/HMO/WC	$10.08

NERVE SET STIMUPLEX 21GAx4

Facility

$67.17

Hospital Charge Code	270656035
Hospital Revenue Code	272
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$33.59
Rate for Payer: Aetna Commercial	$25.52
Rate for Payer: Aetna Medicare Advantage	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.13
Rate for Payer: Cigna Commercial	$33.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.46
Rate for Payer: Oxford Commercial	$13.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.08
Rate for Payer: UnitedHealthcare Commercial	$13.43
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

NERVO PROTECTOR

Facility

$9,400.00

Hospital Charge Code	270661463
Hospital Revenue Code	278
Min. Negotiated Rate	$1,410.00
Max. Negotiated Rate	$2,274.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,274.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00

NERVO PROTECTOR

Facility

$9,400.00

Hospital Charge Code	270661463
Hospital Revenue Code	278
Min. Negotiated Rate	$266.96
Max. Negotiated Rate	$4,700.00
Rate for Payer: Aetna Commercial	$3,572.00
Rate for Payer: Aetna Medicare Advantage	$2,820.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,880.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,397.00
Rate for Payer: Cigna Commercial	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,274.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00
Rate for Payer: UnitedHealthcare Community & State	$297.04
Rate for Payer: Wellpoint Medicaid Managed Care	$266.96

NERVOUS SYSTEM MALIGNANCY

Facility

$20,987.10

Service Code	APR-DRG 0414
Min. Negotiated Rate	$20,575.59
Max. Negotiated Rate	$20,987.10
Rate for Payer: UnitedHealthcare Community & State	$20,575.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,987.10
Rate for Payer: Wellpoint Medicaid Managed Care	$20,575.59

NERVOUS SYSTEM MALIGNANCY

Facility

$14,368.19

Service Code	APR-DRG 0413
Min. Negotiated Rate	$14,086.46
Max. Negotiated Rate	$14,368.19
Rate for Payer: UnitedHealthcare Community & State	$14,086.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,368.19
Rate for Payer: Wellpoint Medicaid Managed Care	$14,086.46

NERVOUS SYSTEM MALIGNANCY

Facility

$10,433.13

Service Code	APR-DRG 0411
Min. Negotiated Rate	$10,228.56
Max. Negotiated Rate	$10,433.13
Rate for Payer: UnitedHealthcare Community & State	$10,228.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,433.13
Rate for Payer: Wellpoint Medicaid Managed Care	$10,228.56

NERVOUS SYSTEM MALIGNANCY

Facility

$10,861.46

Service Code	APR-DRG 0412
Min. Negotiated Rate	$10,648.49
Max. Negotiated Rate	$10,861.46
Rate for Payer: UnitedHealthcare Community & State	$10,648.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,861.46
Rate for Payer: Wellpoint Medicaid Managed Care	$10,648.49

NERVOUS SYSTEM NEOPLASMS WITH MCC

Facility

$67,704.84

Service Code	MSDRG 054
Min. Negotiated Rate	$20,615.26
Max. Negotiated Rate	$67,704.84
Rate for Payer: Aetna Medicare Advantage	$67,704.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,726.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,726.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,700.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,726.35
Rate for Payer: Cigna Commercial	$34,039.18
Rate for Payer: Cigna Medicare Advantage	$21,700.27
Rate for Payer: Clover Medicare Advantage	$20,615.26
Rate for Payer: EmblemHealth Commercial	$65,100.81
Rate for Payer: Humana Medicare Advantage	$22,351.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,700.27
Rate for Payer: Oxford Commercial	$26,903.98
Rate for Payer: UnitedHealthcare Commercial	$36,011.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,700.27
Rate for Payer: Wellcare Medicare Advantage	$21,700.27

NERVOUS SYSTEM NEOPLASMS WITHOUT MCC

Facility

$51,677.43

Service Code	MSDRG 055
Min. Negotiated Rate	$15,735.12
Max. Negotiated Rate	$51,677.43
Rate for Payer: Aetna Medicare Advantage	$51,677.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,644.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,644.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,563.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,644.35
Rate for Payer: Cigna Commercial	$22,729.94
Rate for Payer: Cigna Medicare Advantage	$16,563.28
Rate for Payer: Clover Medicare Advantage	$15,735.12
Rate for Payer: EmblemHealth Commercial	$49,689.84
Rate for Payer: Humana Medicare Advantage	$17,060.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,563.28
Rate for Payer: Oxford Commercial	$17,965.35
Rate for Payer: UnitedHealthcare Commercial	$24,047.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,563.28
Rate for Payer: Wellcare Medicare Advantage	$16,563.28

NET ROTH RETRIEVAL 2.5MM

Facility

$525.00

Hospital Charge Code	270658147
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

NET ROTH RETRIEVAL 2.5MM

Facility

$525.00

Hospital Charge Code	270658147
Hospital Revenue Code	272
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

NET ROTH RETRIEVAL 2.5mm 230cm

Facility

$470.00

Hospital Charge Code	270600968
Hospital Revenue Code	272
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.20
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$94.00
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$13.35

NET ROTH RETRIEVAL 2.5mm 230cm

Facility

$470.00

Hospital Charge Code	270600968
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

NEURO DRILL AGGRESSIVE 3X3.8MM

Facility

$866.15

Hospital Charge Code	270673698
Hospital Revenue Code	272
Min. Negotiated Rate	$129.92
Max. Negotiated Rate	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$129.92

NEURO DRILL AGGRESSIVE 3X3.8MM

Facility

$866.15

Hospital Charge Code	270673698
Hospital Revenue Code	272
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$433.07
Rate for Payer: Aetna Commercial	$329.14
Rate for Payer: Aetna Medicare Advantage	$259.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.87
Rate for Payer: Cigna Commercial	$433.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.20
Rate for Payer: Oxford Commercial	$173.23
Rate for Payer: Qualcare PPO/HMO/WC	$129.92
Rate for Payer: UnitedHealthcare Commercial	$173.23
Rate for Payer: UnitedHealthcare Community & State	$27.37
Rate for Payer: Wellpoint Medicaid Managed Care	$24.60

Know your out-of-pocket cost for care.

All Charges