Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PACK VAGINAL SLINGS/

Facility

$256.15

Hospital Charge Code	270653805
Hospital Revenue Code	270
Min. Negotiated Rate	$38.42
Max. Negotiated Rate	$38.42
Rate for Payer: Qualcare PPO/HMO/WC	$38.42

PACK VASCULAR ACCESS

Facility

$181.05

Hospital Charge Code	270653779
Hospital Revenue Code	272
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$27.16
Rate for Payer: Qualcare PPO/HMO/WC	$27.16

PACK VASCULAR ACCESS

Facility

$181.05

Hospital Charge Code	270653779
Hospital Revenue Code	272
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$90.53
Rate for Payer: Aetna Commercial	$68.80
Rate for Payer: Aetna Medicare Advantage	$54.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.17
Rate for Payer: Cigna Commercial	$90.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.07
Rate for Payer: Oxford Commercial	$36.21
Rate for Payer: Qualcare PPO/HMO/WC	$27.16
Rate for Payer: UnitedHealthcare Commercial	$36.21
Rate for Payer: UnitedHealthcare Community & State	$5.72
Rate for Payer: Wellpoint Medicaid Managed Care	$5.14

PAD ABD COMBINE 5x9 STER

Facility

$1.39

Hospital Charge Code	270649187
Hospital Revenue Code	272
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.70
Rate for Payer: Aetna Commercial	$0.53
Rate for Payer: Aetna Medicare Advantage	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.36
Rate for Payer: Oxford Commercial	$0.28
Rate for Payer: Qualcare PPO/HMO/WC	$0.21
Rate for Payer: UnitedHealthcare Commercial	$0.28
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

PAD ABD COMBINE 5x9 STER

Facility

$1.39

Hospital Charge Code	270649187
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.21

PAD ADHESIVE HEAD TRACKER

Facility

$25.80

Hospital Charge Code	270663280
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$12.90
Rate for Payer: Aetna Commercial	$9.80
Rate for Payer: Aetna Medicare Advantage	$7.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.58
Rate for Payer: Cigna Commercial	$12.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.71
Rate for Payer: Oxford Commercial	$5.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.87
Rate for Payer: UnitedHealthcare Commercial	$5.16
Rate for Payer: UnitedHealthcare Community & State	$0.82
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

PAD ADHESIVE HEAD TRACKER

Facility

$25.80

Hospital Charge Code	270663280
Hospital Revenue Code	270
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$3.87
Rate for Payer: Qualcare PPO/HMO/WC	$3.87

PAD A ELECTRODE DEFIBRILLATOR

Facility

$1,579.00

Service Code	HCPCS C1713
Hospital Charge Code	270655641
Hospital Revenue Code	278
Min. Negotiated Rate	$44.84
Max. Negotiated Rate	$789.50
Rate for Payer: Aetna Commercial	$600.02
Rate for Payer: Aetna Medicare Advantage	$473.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.64
Rate for Payer: Cigna Commercial	$789.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.12
Rate for Payer: Qualcare PPO/HMO/WC	$236.85
Rate for Payer: UnitedHealthcare Community & State	$49.90
Rate for Payer: Wellpoint Medicaid Managed Care	$44.84

PAD A ELECTRODE DEFIBRILLATOR

Facility

$1,579.00

Service Code	HCPCS C1713
Hospital Charge Code	270655641
Hospital Revenue Code	278
Min. Negotiated Rate	$236.85
Max. Negotiated Rate	$382.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.12
Rate for Payer: Qualcare PPO/HMO/WC	$236.85

PAD AIR MATTRESS

Facility

$136.44

Hospital Charge Code	270301310
Hospital Revenue Code	270
Min. Negotiated Rate	$20.47
Max. Negotiated Rate	$20.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.47

PAD AIR MATTRESS

Facility

$136.44

Hospital Charge Code	270301310
Hospital Revenue Code	270
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$68.22
Rate for Payer: Aetna Commercial	$51.85
Rate for Payer: Aetna Medicare Advantage	$40.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.79
Rate for Payer: Cigna Commercial	$68.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.47
Rate for Payer: Oxford Commercial	$27.29
Rate for Payer: Qualcare PPO/HMO/WC	$20.47
Rate for Payer: UnitedHealthcare Commercial	$27.29
Rate for Payer: UnitedHealthcare Community & State	$4.31
Rate for Payer: Wellpoint Medicaid Managed Care	$3.87

PAD ARM PKIT SST PILLOW

Facility

$209.38

Hospital Charge Code	270681481
Hospital Revenue Code	272
Min. Negotiated Rate	$31.41
Max. Negotiated Rate	$31.41
Rate for Payer: Qualcare PPO/HMO/WC	$31.41

PAD ARM PKIT SST PILLOW

Facility

$209.38

Hospital Charge Code	270681481
Hospital Revenue Code	272
Min. Negotiated Rate	$5.95
Max. Negotiated Rate	$104.69
Rate for Payer: Aetna Commercial	$79.56
Rate for Payer: Aetna Medicare Advantage	$62.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.39
Rate for Payer: Cigna Commercial	$104.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.44
Rate for Payer: Oxford Commercial	$41.88
Rate for Payer: Qualcare PPO/HMO/WC	$31.41
Rate for Payer: UnitedHealthcare Commercial	$41.88
Rate for Payer: UnitedHealthcare Community & State	$6.62
Rate for Payer: Wellpoint Medicaid Managed Care	$5.95

PAD CAST SOF-ROLL 2X 4YD

Facility

$119.00

Hospital Charge Code	270331387
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$59.50
Rate for Payer: Aetna Commercial	$45.22
Rate for Payer: Aetna Medicare Advantage	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.34
Rate for Payer: Cigna Commercial	$59.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.94
Rate for Payer: Oxford Commercial	$23.80
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$23.80
Rate for Payer: UnitedHealthcare Community & State	$3.76
Rate for Payer: Wellpoint Medicaid Managed Care	$3.38

PAD CAST SOF-ROLL 2X 4YD

Facility

$119.00

Hospital Charge Code	270331387
Hospital Revenue Code	272
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

PAD CAST SOF-ROLL 3X 4YD

Facility

$29.00

Hospital Charge Code	270331389
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.54
Rate for Payer: Oxford Commercial	$5.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$5.80
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

PAD CAST SOF-ROLL 3X 4YD

Facility

$29.00

Hospital Charge Code	270331389
Hospital Revenue Code	272
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

PAD CLOSUR SCV22P-AB

Facility

$128.75

Hospital Charge Code	270662926
Hospital Revenue Code	272
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$48.92
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.48
Rate for Payer: Oxford Commercial	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$25.75
Rate for Payer: UnitedHealthcare Community & State	$4.07
Rate for Payer: Wellpoint Medicaid Managed Care	$3.66

PAD CLOSUR SCV22P-AB

Facility

$128.75

Hospital Charge Code	270662926
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

PAD COMFORT FOAM EGGCRATE

Facility

$62.74

Hospital Charge Code	270301295
Hospital Revenue Code	270
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$31.37
Rate for Payer: Aetna Commercial	$23.84
Rate for Payer: Aetna Medicare Advantage	$18.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.00
Rate for Payer: Cigna Commercial	$31.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.31
Rate for Payer: Oxford Commercial	$12.55
Rate for Payer: Qualcare PPO/HMO/WC	$9.41
Rate for Payer: UnitedHealthcare Commercial	$12.55
Rate for Payer: UnitedHealthcare Community & State	$1.98
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

PAD COMFORT FOAM EGGCRATE

Facility

$62.74

Hospital Charge Code	270301295
Hospital Revenue Code	270
Min. Negotiated Rate	$9.41
Max. Negotiated Rate	$9.41
Rate for Payer: Qualcare PPO/HMO/WC	$9.41

PAD DEFIB ADULT

Facility

$106.07

Hospital Charge Code	270650191
Hospital Revenue Code	270
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$53.03
Rate for Payer: Aetna Commercial	$40.31
Rate for Payer: Aetna Medicare Advantage	$31.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.05
Rate for Payer: Cigna Commercial	$53.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.58
Rate for Payer: Oxford Commercial	$21.21
Rate for Payer: Qualcare PPO/HMO/WC	$15.91
Rate for Payer: UnitedHealthcare Commercial	$21.21
Rate for Payer: UnitedHealthcare Community & State	$3.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.01

PAD DEFIB ADULT

Facility

$106.07

Hospital Charge Code	270650191
Hospital Revenue Code	270
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$15.91
Rate for Payer: Qualcare PPO/HMO/WC	$15.91

PAD DEFIB PEDIATRIC

Facility

$582.70

Hospital Charge Code	270650190
Hospital Revenue Code	270
Min. Negotiated Rate	$87.41
Max. Negotiated Rate	$87.41
Rate for Payer: Qualcare PPO/HMO/WC	$87.41

PAD DEFIB PEDIATRIC

Facility

$582.70

Hospital Charge Code	270650190
Hospital Revenue Code	270
Min. Negotiated Rate	$16.55
Max. Negotiated Rate	$291.35
Rate for Payer: Aetna Commercial	$221.43
Rate for Payer: Aetna Medicare Advantage	$174.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.59
Rate for Payer: Cigna Commercial	$291.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.50
Rate for Payer: Oxford Commercial	$116.54
Rate for Payer: Qualcare PPO/HMO/WC	$87.41
Rate for Payer: UnitedHealthcare Commercial	$116.54
Rate for Payer: UnitedHealthcare Community & State	$18.41
Rate for Payer: Wellpoint Medicaid Managed Care	$16.55

Know your out-of-pocket cost for care.

All Charges