Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PAD GROUNDING ELECTRO-SURGICAL

Facility

$11.69

Hospital Charge Code	270649521
Hospital Revenue Code	270
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.75

PAD GROUNDING ELECTRO-SURGICAL

Facility

$11.69

Hospital Charge Code	270649521
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$5.84
Rate for Payer: Aetna Commercial	$4.44
Rate for Payer: Aetna Medicare Advantage	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.98
Rate for Payer: Cigna Commercial	$5.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.04
Rate for Payer: Oxford Commercial	$2.34
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$2.34
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

PAD GROUNDING ELECTRO-SURGICAL

Facility

$11.65

Hospital Charge Code	270649521N
Hospital Revenue Code	270
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.75

PAD GROUNDING ELECTRO-SURGICAL

Facility

$11.65

Hospital Charge Code	270649521N
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$5.83
Rate for Payer: Aetna Commercial	$4.43
Rate for Payer: Aetna Medicare Advantage	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.97
Rate for Payer: Cigna Commercial	$5.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.03
Rate for Payer: Oxford Commercial	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$2.33
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

PAD GROUNDING ELECTRO-SURGICAL

Facility

$11.69

Hospital Charge Code	270649521S
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$5.84
Rate for Payer: Aetna Commercial	$4.44
Rate for Payer: Aetna Medicare Advantage	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.98
Rate for Payer: Cigna Commercial	$5.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.04
Rate for Payer: Oxford Commercial	$2.34
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$2.34
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

PAD HEATING

Facility

$168.00

Hospital Charge Code	270649191
Hospital Revenue Code	272
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$63.84
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.68
Rate for Payer: Oxford Commercial	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$33.60
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

PAD HEATING

Facility

$168.00

Hospital Charge Code	270649191
Hospital Revenue Code	272
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

PAD HIP HDS DISP

Facility

$125.00

Hospital Charge Code	270677472
Hospital Revenue Code	272
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

PAD HIP HDS DISP

Facility

$125.00

Hospital Charge Code	270677472
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

PAD HYPOTHERMIA

Facility

$61.30

Hospital Charge Code	270301312
Hospital Revenue Code	270
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$30.65
Rate for Payer: Aetna Commercial	$23.29
Rate for Payer: Aetna Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.63
Rate for Payer: Cigna Commercial	$30.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.94
Rate for Payer: Oxford Commercial	$12.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.20
Rate for Payer: UnitedHealthcare Commercial	$12.26
Rate for Payer: UnitedHealthcare Community & State	$1.94
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

PAD HYPOTHERMIA

Facility

$61.30

Hospital Charge Code	270301312
Hospital Revenue Code	270
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$9.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

PAD LAP 18X18 W/RINGS

Facility

$16.85

Hospital Charge Code	270061300
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

PAD LAP 18X18 W/RINGS

Facility

$16.85

Hospital Charge Code	270061300
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.38
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

PADLOCK CLIP DEFECT CLOSURE SY

Facility

$2,625.00

Hospital Charge Code	270683650
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

PADLOCK CLIP DEFECT CLOSURE SY

Facility

$2,625.00

Hospital Charge Code	270683650
Hospital Revenue Code	272
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$525.00
Rate for Payer: UnitedHealthcare Community & State	$82.95
Rate for Payer: Wellpoint Medicaid Managed Care	$74.55

PADLOCK CLIP PROSELECT

Facility

$2,625.00

Hospital Charge Code	270683651
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

PADLOCK CLIP PROSELECT

Facility

$2,625.00

Hospital Charge Code	270683651
Hospital Revenue Code	272
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$525.00
Rate for Payer: UnitedHealthcare Community & State	$82.95
Rate for Payer: Wellpoint Medicaid Managed Care	$74.55

PAD MAGNETIC DISP

Facility

$19.14

Hospital Charge Code	270061149
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.87

PAD MAGNETIC DISP

Facility

$19.14

Hospital Charge Code	270061149
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$9.57
Rate for Payer: Aetna Commercial	$7.27
Rate for Payer: Aetna Medicare Advantage	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.88
Rate for Payer: Cigna Commercial	$9.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.98
Rate for Payer: Oxford Commercial	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$3.83
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

PAD MATRIX TRI/LAYER 3x3.5CM

Facility

$787.50

Service Code	HCPCS Q4102
Hospital Charge Code	270675286
Hospital Revenue Code	278
Min. Negotiated Rate	$118.12
Max. Negotiated Rate	$190.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.57
Rate for Payer: Qualcare PPO/HMO/WC	$118.12

PAD MATRIX TRI/LAYER 3x3.5CM

Facility

$787.50

Service Code	HCPCS Q4102
Hospital Charge Code	270675286
Hospital Revenue Code	278
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$536.29
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.57
Rate for Payer: Qualcare PPO/HMO/WC	$118.12
Rate for Payer: UnitedHealthcare Community & State	$24.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$22.36

PAD MATRIX TRI/LAYER 3x7CM

Facility

$1,417.50

Hospital Charge Code	270681360
Hospital Revenue Code	272
Min. Negotiated Rate	$212.62
Max. Negotiated Rate	$212.62
Rate for Payer: Qualcare PPO/HMO/WC	$212.62

PAD MATRIX TRI/LAYER 3x7CM

Facility

$1,417.50

Hospital Charge Code	270681360
Hospital Revenue Code	272
Min. Negotiated Rate	$40.26
Max. Negotiated Rate	$708.75
Rate for Payer: Aetna Commercial	$538.65
Rate for Payer: Aetna Medicare Advantage	$425.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$361.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$361.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$361.46
Rate for Payer: Cigna Commercial	$708.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$368.55
Rate for Payer: Oxford Commercial	$283.50
Rate for Payer: Qualcare PPO/HMO/WC	$212.62
Rate for Payer: UnitedHealthcare Commercial	$283.50
Rate for Payer: UnitedHealthcare Community & State	$44.79
Rate for Payer: Wellpoint Medicaid Managed Care	$40.26

PAD MATRIX TRILYR 5x7CM

Facility

$1,606.20

Service Code	HCPCS Q4124
Hospital Charge Code	270675194
Hospital Revenue Code	278
Min. Negotiated Rate	$45.62
Max. Negotiated Rate	$536.29
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.29
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.70
Rate for Payer: Qualcare PPO/HMO/WC	$240.93
Rate for Payer: UnitedHealthcare Community & State	$50.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$45.62

PAD MATRIX TRILYR 5x7CM

Facility

$1,606.20

Service Code	HCPCS Q4124
Hospital Charge Code	270675194
Hospital Revenue Code	278
Min. Negotiated Rate	$240.93
Max. Negotiated Rate	$388.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.70
Rate for Payer: Qualcare PPO/HMO/WC	$240.93

Know your out-of-pocket cost for care.

All Charges