Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

AVITENE PADS

Facility

$776.00

Hospital Charge Code	270335092
Hospital Revenue Code	272
Min. Negotiated Rate	$116.40
Max. Negotiated Rate	$116.40
Rate for Payer: Qualcare PPO/HMO/WC	$116.40

AVITENE PADS

Facility

$776.00

Hospital Charge Code	270335092
Hospital Revenue Code	272
Min. Negotiated Rate	$22.04
Max. Negotiated Rate	$388.00
Rate for Payer: Aetna Commercial	$294.88
Rate for Payer: Aetna Medicare Advantage	$232.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.88
Rate for Payer: Cigna Commercial	$388.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.76
Rate for Payer: Oxford Commercial	$155.20
Rate for Payer: Qualcare PPO/HMO/WC	$116.40
Rate for Payer: UnitedHealthcare Commercial	$155.20
Rate for Payer: UnitedHealthcare Community & State	$24.52
Rate for Payer: Wellpoint Medicaid Managed Care	$22.04

AVN DELIVERY NEEDLE

Facility

$1,475.00

Hospital Charge Code	270671805
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

AVN DELIVERY NEEDLE

Facility

$1,475.00

Hospital Charge Code	270671805
Hospital Revenue Code	272
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.50
Rate for Payer: Oxford Commercial	$295.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$295.00
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

AVULS NAIL PL PART/COMP/SIMP

Facility

$372.00

Service Code	HCPCS 11732
Hospital Charge Code	84208070
Hospital Revenue Code	361
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

AVULS NAIL PL PART/COMP/SIMP

Facility

$372.00

Service Code	HCPCS 11732
Hospital Charge Code	84208070
Hospital Revenue Code	361
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$141.36
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.72
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$11.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.56

AWL 5.5

Facility

$1,860.00

Hospital Charge Code	270687187
Hospital Revenue Code	272
Min. Negotiated Rate	$52.82
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$706.80
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$483.60
Rate for Payer: Oxford Commercial	$372.00
Rate for Payer: Qualcare PPO/HMO/WC	$279.00
Rate for Payer: UnitedHealthcare Commercial	$372.00
Rate for Payer: UnitedHealthcare Community & State	$58.78
Rate for Payer: Wellpoint Medicaid Managed Care	$52.82

AWL 5.5

Facility

$1,860.00

Hospital Charge Code	270687187
Hospital Revenue Code	272
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$279.00
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

AXILLARY BLOCK NEEDLE 22GX1

Facility

$26.00

Hospital Charge Code	270332389
Hospital Revenue Code	272
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$13.00
Rate for Payer: Aetna Commercial	$9.88
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$5.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$5.20
Rate for Payer: UnitedHealthcare Community & State	$0.82
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

AXILLARY BLOCK NEEDLE 22GX1

Facility

$26.00

Hospital Charge Code	270332389
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

AXILLO BIFEMORAL GRAFT

Facility

$2,710.00

Hospital Charge Code	270335064
Hospital Revenue Code	278
Min. Negotiated Rate	$406.50
Max. Negotiated Rate	$655.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$542.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$655.82
Rate for Payer: Qualcare PPO/HMO/WC	$406.50

AXILLO BIFEMORAL GRAFT

Facility

$2,710.00

Hospital Charge Code	270335064
Hospital Revenue Code	278
Min. Negotiated Rate	$76.96
Max. Negotiated Rate	$1,355.00
Rate for Payer: Aetna Commercial	$1,029.80
Rate for Payer: Aetna Medicare Advantage	$813.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$691.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$691.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$542.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$691.05
Rate for Payer: Cigna Commercial	$1,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$655.82
Rate for Payer: Qualcare PPO/HMO/WC	$406.50
Rate for Payer: UnitedHealthcare Community & State	$85.64
Rate for Payer: Wellpoint Medicaid Managed Care	$76.96

AXIONICS NEUROSTIMULATOR F15

Facility

$60,750.00

Hospital Charge Code	270702118
Hospital Revenue Code	278
Min. Negotiated Rate	$9,112.50
Max. Negotiated Rate	$14,701.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,701.50
Rate for Payer: Qualcare PPO/HMO/WC	$9,112.50

AXIONICS NEUROSTIMULATOR F15

Facility

$60,750.00

Hospital Charge Code	270702118
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.30
Max. Negotiated Rate	$30,375.00
Rate for Payer: Aetna Commercial	$23,085.00
Rate for Payer: Aetna Medicare Advantage	$18,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,491.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,491.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,491.25
Rate for Payer: Cigna Commercial	$30,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,701.50
Rate for Payer: Qualcare PPO/HMO/WC	$9,112.50
Rate for Payer: UnitedHealthcare Community & State	$1,919.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1,725.30

AXIONICS PNE LEAD I 1901

Facility

$200.00

Service Code	HCPCS C1778
Hospital Charge Code	270702028
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

AXIONICS PNE LEAD I 1901

Facility

$200.00

Service Code	HCPCS C1778
Hospital Charge Code	270702028
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

AXIONICS PNE LEAD IMPLANT KIT.

Facility

$1,300.00

Service Code	HCPCS C1778
Hospital Charge Code	270702027
Hospital Revenue Code	278
Min. Negotiated Rate	$36.92
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$494.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Community & State	$41.08
Rate for Payer: Wellpoint Medicaid Managed Care	$36.92

AXIONICS PNE LEAD IMPLANT KIT.

Facility

$1,300.00

Service Code	HCPCS C1778
Hospital Charge Code	270702027
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$314.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

AXIONICS TINED LEAD KIT. I.

Facility

$17,500.00

Hospital Charge Code	270702119
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$4,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

AXIONICS TINED LEAD KIT. I.

Facility

$17,500.00

Hospital Charge Code	270702119
Hospital Revenue Code	278
Min. Negotiated Rate	$497.00
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$6,650.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00
Rate for Payer: UnitedHealthcare Community & State	$553.00
Rate for Payer: Wellpoint Medicaid Managed Care	$497.00

AXIOS STENT 20X10MM

Facility

$22,750.00

Service Code	HCPCS C1874
Hospital Charge Code	270686630
Hospital Revenue Code	278
Min. Negotiated Rate	$646.10
Max. Negotiated Rate	$11,375.00
Rate for Payer: Aetna Commercial	$8,645.00
Rate for Payer: Aetna Medicare Advantage	$6,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,801.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,801.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,801.25
Rate for Payer: Cigna Commercial	$11,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,505.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,412.50
Rate for Payer: UnitedHealthcare Community & State	$718.90
Rate for Payer: Wellpoint Medicaid Managed Care	$646.10

AXIOS STENT 20X10MM

Facility

$22,750.00

Service Code	HCPCS C1874
Hospital Charge Code	270686630
Hospital Revenue Code	278
Min. Negotiated Rate	$3,412.50
Max. Negotiated Rate	$5,505.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,505.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,412.50

AXLE PROSTHESIS HIP

Facility

$2,440.00

Service Code	HCPCS C1776
Hospital Charge Code	270638565
Hospital Revenue Code	278
Min. Negotiated Rate	$69.30
Max. Negotiated Rate	$1,220.00
Rate for Payer: Aetna Commercial	$927.20
Rate for Payer: Aetna Medicare Advantage	$732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$622.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$622.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$622.20
Rate for Payer: Cigna Commercial	$1,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$590.48
Rate for Payer: Qualcare PPO/HMO/WC	$366.00
Rate for Payer: UnitedHealthcare Community & State	$77.10
Rate for Payer: Wellpoint Medicaid Managed Care	$69.30

AXLE PROSTHESIS HIP

Facility

$2,440.00

Service Code	HCPCS C1776
Hospital Charge Code	270638565
Hospital Revenue Code	278
Min. Negotiated Rate	$366.00
Max. Negotiated Rate	$590.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$590.48
Rate for Payer: Qualcare PPO/HMO/WC	$366.00

AXLE RS OSS

Facility

$3,600.00

Service Code	HCPCS C1776
Hospital Charge Code	270667949
Hospital Revenue Code	278
Min. Negotiated Rate	$102.24
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Community & State	$113.76
Rate for Payer: Wellpoint Medicaid Managed Care	$102.24

Know your out-of-pocket cost for care.

All Charges