Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PAD MATRIX TRILYR 5x7CM/SQCMJW

Facility

$45.43

Hospital Charge Code	270675194W
Hospital Revenue Code	636
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$22.71
Rate for Payer: Aetna Commercial	$17.26
Rate for Payer: Aetna Medicare Advantage	$13.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.58
Rate for Payer: Cigna Commercial	$22.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.81
Rate for Payer: UnitedHealthcare Community & State	$1.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

PAD MATRIX TRILYR 5x7CM/SQCMJW

Facility

$45.43

Hospital Charge Code	270675194W
Hospital Revenue Code	636
Min. Negotiated Rate	$6.81
Max. Negotiated Rate	$10.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.81

PAD MICROCINATE BODY STANDARD

Facility

$16.40

Hospital Charge Code	270675834
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.20
Rate for Payer: Aetna Commercial	$6.23
Rate for Payer: Aetna Medicare Advantage	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.18
Rate for Payer: Cigna Commercial	$8.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.26
Rate for Payer: Oxford Commercial	$3.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$3.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

PAD MICROCINATE BODY STANDARD

Facility

$16.40

Hospital Charge Code	270675834
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

PAD MICRO-TEMP

Facility

$23.75

Hospital Charge Code	270301311
Hospital Revenue Code	270
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.88
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.06
Rate for Payer: Cigna Commercial	$11.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.56
Rate for Payer: UnitedHealthcare Commercial	$4.75
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

PAD MICRO-TEMP

Facility

$23.75

Hospital Charge Code	270301311
Hospital Revenue Code	270
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

PAD MTRX TRILYR 3x3.5CM/SQCMJW

Facility

$75.00

Hospital Charge Code	270675286W
Hospital Revenue Code	636
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PAD MTRX TRILYR 3x3.5CM/SQCMJW

Facility

$75.00

Hospital Charge Code	270675286W
Hospital Revenue Code	636
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

PAD NAIL POLISH REMOVER

Facility

$0.01

Hospital Charge Code	270649193
Hospital Revenue Code	270
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$0.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

PAD NAIL POLISH REMOVER

Facility

$0.01

Hospital Charge Code	270649193
Hospital Revenue Code	270
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

PAD NURSING

Facility

$0.36

Hospital Charge Code	270649195
Hospital Revenue Code	270
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.18
Rate for Payer: Aetna Commercial	$0.14
Rate for Payer: Aetna Medicare Advantage	$0.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.09
Rate for Payer: Cigna Commercial	$0.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.09
Rate for Payer: Oxford Commercial	$0.07
Rate for Payer: Qualcare PPO/HMO/WC	$0.05
Rate for Payer: UnitedHealthcare Commercial	$0.07
Rate for Payer: UnitedHealthcare Community & State	$0.01
Rate for Payer: Wellpoint Medicaid Managed Care	$0.01

PAD NURSING

Facility

$0.36

Hospital Charge Code	270649195
Hospital Revenue Code	270
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.05

PAD OB SANITARY V-PAD

Facility

$11.25

Hospital Charge Code	270301305
Hospital Revenue Code	270
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

PAD OB SANITARY V-PAD

Facility

$11.25

Hospital Charge Code	270301305
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

PAD PERINEAL POST

Facility

$385.00

Hospital Charge Code	270681156
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

PAD PERINEAL POST

Facility

$385.00

Hospital Charge Code	270681156
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

PAD PREP POVIDONE IODINE

Facility

$43.95

Hospital Charge Code	270651648
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$21.98
Rate for Payer: Aetna Commercial	$16.70
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.21
Rate for Payer: Cigna Commercial	$21.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.43
Rate for Payer: Oxford Commercial	$8.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$8.79
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

PAD PREP POVIDONE IODINE

Facility

$43.95

Hospital Charge Code	270651648
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

PAD PT DELUXE UNIVERSAL

Facility

$97.25

Hospital Charge Code	270683981
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$48.62
Rate for Payer: Aetna Commercial	$36.95
Rate for Payer: Aetna Medicare Advantage	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.80
Rate for Payer: Cigna Commercial	$48.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.29
Rate for Payer: Oxford Commercial	$19.45
Rate for Payer: Qualcare PPO/HMO/WC	$14.59
Rate for Payer: UnitedHealthcare Commercial	$19.45
Rate for Payer: UnitedHealthcare Community & State	$3.07
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

PAD PT DELUXE UNIVERSAL

Facility

$97.25

Hospital Charge Code	270683981
Hospital Revenue Code	272
Min. Negotiated Rate	$14.59
Max. Negotiated Rate	$14.59
Rate for Payer: Qualcare PPO/HMO/WC	$14.59

PAD PT LATERAL POS'R

Facility

$129.17

Hospital Charge Code	270601203
Hospital Revenue Code	272
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$64.58
Rate for Payer: Aetna Commercial	$49.08
Rate for Payer: Aetna Medicare Advantage	$38.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.94
Rate for Payer: Cigna Commercial	$64.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.58
Rate for Payer: Oxford Commercial	$25.83
Rate for Payer: Qualcare PPO/HMO/WC	$19.38
Rate for Payer: UnitedHealthcare Commercial	$25.83
Rate for Payer: UnitedHealthcare Community & State	$4.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.67

PAD PT LATERAL POS'R

Facility

$129.17

Hospital Charge Code	270601203
Hospital Revenue Code	272
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.38

PAD STERILE GAUZE SPONGE

Facility

$12.10

Hospital Charge Code	270655052
Hospital Revenue Code	270
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$4.60
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$2.42
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

PAD STERILE GAUZE SPONGE

Facility

$12.10

Hospital Charge Code	270655052
Hospital Revenue Code	270
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

PAD TRENDELENBURG/ TABLE GEL

Facility

$255.04

Hospital Charge Code	270664519
Hospital Revenue Code	270
Min. Negotiated Rate	$38.26
Max. Negotiated Rate	$38.26
Rate for Payer: Qualcare PPO/HMO/WC	$38.26

Know your out-of-pocket cost for care.

All Charges