Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PACK CUSTOM CATHLAB W/CHLORAPR

Facility

$352.90

Hospital Charge Code	270677786N
Hospital Revenue Code	272
Min. Negotiated Rate	$10.02
Max. Negotiated Rate	$176.45
Rate for Payer: Aetna Commercial	$134.10
Rate for Payer: Aetna Medicare Advantage	$105.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.99
Rate for Payer: Cigna Commercial	$176.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.75
Rate for Payer: Oxford Commercial	$70.58
Rate for Payer: Qualcare PPO/HMO/WC	$52.94
Rate for Payer: UnitedHealthcare Commercial	$70.58
Rate for Payer: UnitedHealthcare Community & State	$11.15
Rate for Payer: Wellpoint Medicaid Managed Care	$10.02

PACK CUSTOM CATHLAB W/CHLORAPR

Facility

$391.25

Hospital Charge Code	270677786
Hospital Revenue Code	272
Min. Negotiated Rate	$11.11
Max. Negotiated Rate	$195.62
Rate for Payer: Aetna Commercial	$148.68
Rate for Payer: Aetna Medicare Advantage	$117.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.77
Rate for Payer: Cigna Commercial	$195.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.72
Rate for Payer: Oxford Commercial	$78.25
Rate for Payer: Qualcare PPO/HMO/WC	$58.69
Rate for Payer: UnitedHealthcare Commercial	$78.25
Rate for Payer: UnitedHealthcare Community & State	$12.36
Rate for Payer: Wellpoint Medicaid Managed Care	$11.11

PACK CUSTOM CATHLAB W/CHLORAPR

Facility

$391.25

Hospital Charge Code	270677786S
Hospital Revenue Code	272
Min. Negotiated Rate	$11.11
Max. Negotiated Rate	$195.62
Rate for Payer: Aetna Commercial	$148.68
Rate for Payer: Aetna Medicare Advantage	$117.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.77
Rate for Payer: Cigna Commercial	$195.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.72
Rate for Payer: Oxford Commercial	$78.25
Rate for Payer: Qualcare PPO/HMO/WC	$58.69
Rate for Payer: UnitedHealthcare Commercial	$78.25
Rate for Payer: UnitedHealthcare Community & State	$12.36
Rate for Payer: Wellpoint Medicaid Managed Care	$11.11

PACK CUSTOM CATHLAB W/CHLORAPR

Facility

$391.25

Hospital Charge Code	270677786
Hospital Revenue Code	272
Min. Negotiated Rate	$58.69
Max. Negotiated Rate	$58.69
Rate for Payer: Qualcare PPO/HMO/WC	$58.69

PACK CUSTOM CENTURION SYSTEM

Facility

$1,532.15

Hospital Charge Code	270683573
Hospital Revenue Code	272
Min. Negotiated Rate	$229.82
Max. Negotiated Rate	$229.82
Rate for Payer: Qualcare PPO/HMO/WC	$229.82

PACK CUSTOM CENTURION SYSTEM

Facility

$1,532.15

Hospital Charge Code	270683573
Hospital Revenue Code	272
Min. Negotiated Rate	$43.51
Max. Negotiated Rate	$766.08
Rate for Payer: Aetna Commercial	$582.22
Rate for Payer: Aetna Medicare Advantage	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.70
Rate for Payer: Cigna Commercial	$766.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.36
Rate for Payer: Oxford Commercial	$306.43
Rate for Payer: Qualcare PPO/HMO/WC	$229.82
Rate for Payer: UnitedHealthcare Commercial	$306.43
Rate for Payer: UnitedHealthcare Community & State	$48.42
Rate for Payer: Wellpoint Medicaid Managed Care	$43.51

PACK CUSTOM CENTURION VISION

Facility

$743.75

Hospital Charge Code	270684100
Hospital Revenue Code	272
Min. Negotiated Rate	$111.56
Max. Negotiated Rate	$111.56
Rate for Payer: Qualcare PPO/HMO/WC	$111.56

PACK CUSTOM CENTURION VISION

Facility

$743.75

Hospital Charge Code	270684100
Hospital Revenue Code	272
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$371.88
Rate for Payer: Aetna Commercial	$282.62
Rate for Payer: Aetna Medicare Advantage	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.66
Rate for Payer: Cigna Commercial	$371.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.38
Rate for Payer: Oxford Commercial	$148.75
Rate for Payer: Qualcare PPO/HMO/WC	$111.56
Rate for Payer: UnitedHealthcare Commercial	$148.75
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$21.12

PACK CUSTOM D&C AVIBMBM008-12

Facility

$143.05

Hospital Charge Code	270642267
Hospital Revenue Code	272
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$71.53
Rate for Payer: Aetna Commercial	$54.36
Rate for Payer: Aetna Medicare Advantage	$42.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.48
Rate for Payer: Cigna Commercial	$71.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.19
Rate for Payer: Oxford Commercial	$28.61
Rate for Payer: Qualcare PPO/HMO/WC	$21.46
Rate for Payer: UnitedHealthcare Commercial	$28.61
Rate for Payer: UnitedHealthcare Community & State	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$4.06

PACK CUSTOM D&C AVIBMBM008-12

Facility

$143.05

Hospital Charge Code	270642267
Hospital Revenue Code	272
Min. Negotiated Rate	$21.46
Max. Negotiated Rate	$21.46
Rate for Payer: Qualcare PPO/HMO/WC	$21.46

PACK CUSTOM EYE PPK1469-02

Facility

$959.00

Hospital Charge Code	270623324
Hospital Revenue Code	272
Min. Negotiated Rate	$27.24
Max. Negotiated Rate	$479.50
Rate for Payer: Aetna Commercial	$364.42
Rate for Payer: Aetna Medicare Advantage	$287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.54
Rate for Payer: Cigna Commercial	$479.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.34
Rate for Payer: Oxford Commercial	$191.80
Rate for Payer: Qualcare PPO/HMO/WC	$143.85
Rate for Payer: UnitedHealthcare Commercial	$191.80
Rate for Payer: UnitedHealthcare Community & State	$30.30
Rate for Payer: Wellpoint Medicaid Managed Care	$27.24

PACK CUSTOM EYE PPK1469-02

Facility

$959.00

Hospital Charge Code	270623324
Hospital Revenue Code	272
Min. Negotiated Rate	$143.85
Max. Negotiated Rate	$143.85
Rate for Payer: Qualcare PPO/HMO/WC	$143.85

PACK CUSTOM LAP CHOLE

Facility

$259.05

Hospital Charge Code	270642270
Hospital Revenue Code	272
Min. Negotiated Rate	$38.86
Max. Negotiated Rate	$38.86
Rate for Payer: Qualcare PPO/HMO/WC	$38.86

PACK CUSTOM LAP CHOLE

Facility

$259.05

Hospital Charge Code	270642270
Hospital Revenue Code	272
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$129.53
Rate for Payer: Aetna Commercial	$98.44
Rate for Payer: Aetna Medicare Advantage	$77.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.06
Rate for Payer: Cigna Commercial	$129.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.35
Rate for Payer: Oxford Commercial	$51.81
Rate for Payer: Qualcare PPO/HMO/WC	$38.86
Rate for Payer: UnitedHealthcare Commercial	$51.81
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$7.36

PACK CUSTOM MAJR AVIBMBM005-10

Facility

$242.30

Hospital Charge Code	270642264
Hospital Revenue Code	272
Min. Negotiated Rate	$6.88
Max. Negotiated Rate	$121.15
Rate for Payer: Aetna Commercial	$92.07
Rate for Payer: Aetna Medicare Advantage	$72.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.79
Rate for Payer: Cigna Commercial	$121.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.00
Rate for Payer: Oxford Commercial	$48.46
Rate for Payer: Qualcare PPO/HMO/WC	$36.34
Rate for Payer: UnitedHealthcare Commercial	$48.46
Rate for Payer: UnitedHealthcare Community & State	$7.66
Rate for Payer: Wellpoint Medicaid Managed Care	$6.88

PACK CUSTOM MAJR AVIBMBM005-10

Facility

$242.30

Hospital Charge Code	270642264
Hospital Revenue Code	272
Min. Negotiated Rate	$36.34
Max. Negotiated Rate	$36.34
Rate for Payer: Qualcare PPO/HMO/WC	$36.34

PACK CUSTOM MINOR AVIBMBM00408

Facility

$139.75

Hospital Charge Code	270642263
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$69.88
Rate for Payer: Aetna Commercial	$53.10
Rate for Payer: Aetna Medicare Advantage	$41.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.64
Rate for Payer: Cigna Commercial	$69.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.34
Rate for Payer: Oxford Commercial	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$20.96
Rate for Payer: UnitedHealthcare Commercial	$27.95
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

PACK CUSTOM MINOR AVIBMBM00408

Facility

$139.75

Hospital Charge Code	270642263
Hospital Revenue Code	272
Min. Negotiated Rate	$20.96
Max. Negotiated Rate	$20.96
Rate for Payer: Qualcare PPO/HMO/WC	$20.96

PACK CUSTOM TOTAL JOINT

Facility

$898.15

Hospital Charge Code	270653777
Hospital Revenue Code	272
Min. Negotiated Rate	$25.51
Max. Negotiated Rate	$449.07
Rate for Payer: Aetna Commercial	$341.30
Rate for Payer: Aetna Medicare Advantage	$269.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.03
Rate for Payer: Cigna Commercial	$449.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.52
Rate for Payer: Oxford Commercial	$179.63
Rate for Payer: Qualcare PPO/HMO/WC	$134.72
Rate for Payer: UnitedHealthcare Commercial	$179.63
Rate for Payer: UnitedHealthcare Community & State	$28.38
Rate for Payer: Wellpoint Medicaid Managed Care	$25.51

PACK CUSTOM TOTAL JOINT

Facility

$898.15

Hospital Charge Code	270653777
Hospital Revenue Code	272
Min. Negotiated Rate	$134.72
Max. Negotiated Rate	$134.72
Rate for Payer: Qualcare PPO/HMO/WC	$134.72

PACK CUSTOM VASC AVIBMBM014-09

Facility

$292.10

Hospital Charge Code	270642271
Hospital Revenue Code	272
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$146.05
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$87.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.49
Rate for Payer: Cigna Commercial	$146.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.95
Rate for Payer: Oxford Commercial	$58.42
Rate for Payer: Qualcare PPO/HMO/WC	$43.81
Rate for Payer: UnitedHealthcare Commercial	$58.42
Rate for Payer: UnitedHealthcare Community & State	$9.23
Rate for Payer: Wellpoint Medicaid Managed Care	$8.30

PACK CUSTOM VASC AVIBMBM014-09

Facility

$292.10

Hospital Charge Code	270642271
Hospital Revenue Code	272
Min. Negotiated Rate	$43.81
Max. Negotiated Rate	$43.81
Rate for Payer: Qualcare PPO/HMO/WC	$43.81

PACK CUSTOM VASCULAR

Facility

$292.10

Hospital Charge Code	270642271C
Hospital Revenue Code	272
Min. Negotiated Rate	$43.81
Max. Negotiated Rate	$43.81
Rate for Payer: Qualcare PPO/HMO/WC	$43.81

PACK CUSTOM VASCULAR

Facility

$292.10

Hospital Charge Code	270642271C
Hospital Revenue Code	272
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$146.05
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$87.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.49
Rate for Payer: Cigna Commercial	$146.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.95
Rate for Payer: Oxford Commercial	$58.42
Rate for Payer: Qualcare PPO/HMO/WC	$43.81
Rate for Payer: UnitedHealthcare Commercial	$58.42
Rate for Payer: UnitedHealthcare Community & State	$9.23
Rate for Payer: Wellpoint Medicaid Managed Care	$8.30

PACK CYSTO 3 K/C

Facility

$100.00

Hospital Charge Code	270654020
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

Know your out-of-pocket cost for care.

All Charges