Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PATIENT TRACTER

Facility

$1,025.00

Hospital Charge Code	270685916
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PATRIENT TRACKER

Facility

$1,025.00

Hospital Charge Code	270685935
Hospital Revenue Code	272
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

PATRIENT TRACKER

Facility

$1,025.00

Hospital Charge Code	270685935
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PATTIES CODMAN SURG 1 X 3IN

Facility

$73.10

Hospital Charge Code	270669006
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$36.55
Rate for Payer: Aetna Commercial	$27.78
Rate for Payer: Aetna Medicare Advantage	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.64
Rate for Payer: Cigna Commercial	$36.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.01
Rate for Payer: Oxford Commercial	$14.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.96
Rate for Payer: UnitedHealthcare Commercial	$14.62
Rate for Payer: UnitedHealthcare Community & State	$2.31
Rate for Payer: Wellpoint Medicaid Managed Care	$2.08

PATTIES CODMAN SURG 1 X 3IN

Facility

$73.10

Hospital Charge Code	270669006
Hospital Revenue Code	272
Min. Negotiated Rate	$10.96
Max. Negotiated Rate	$10.96
Rate for Payer: Qualcare PPO/HMO/WC	$10.96

PATTIES NEURAY STRIPS 1/4x6

Facility

$69.75

Hospital Charge Code	270600195
Hospital Revenue Code	272
Min. Negotiated Rate	$10.46
Max. Negotiated Rate	$10.46
Rate for Payer: Qualcare PPO/HMO/WC	$10.46

PATTIES NEURAY STRIPS 1/4x6

Facility

$69.75

Hospital Charge Code	270600195
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$34.88
Rate for Payer: Aetna Commercial	$26.50
Rate for Payer: Aetna Medicare Advantage	$20.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.79
Rate for Payer: Cigna Commercial	$34.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.14
Rate for Payer: Oxford Commercial	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.46
Rate for Payer: UnitedHealthcare Commercial	$13.95
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

PATTIES NEURAY STRIPS 1 X 3

Facility

$37.50

Hospital Charge Code	270671146
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

PATTIES NEURAY STRIPS 1 X 3

Facility

$37.50

Hospital Charge Code	270671146
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.56
Rate for Payer: Cigna Commercial	$18.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$7.50
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

PATTIES NEURO 1/2X1/2

Facility

$35.39

Hospital Charge Code	270600401
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$17.70
Rate for Payer: Aetna Commercial	$13.45
Rate for Payer: Aetna Medicare Advantage	$10.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.02
Rate for Payer: Cigna Commercial	$17.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.20
Rate for Payer: Oxford Commercial	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$5.31
Rate for Payer: UnitedHealthcare Commercial	$7.08
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

PATTIES NEURO 1/2X1/2

Facility

$35.39

Hospital Charge Code	270600401
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$5.31
Rate for Payer: Qualcare PPO/HMO/WC	$5.31

PATTIES NEURO 1/2X3 80-04007

Facility

$44.89

Hospital Charge Code	270600208
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$22.45
Rate for Payer: Aetna Commercial	$17.06
Rate for Payer: Aetna Medicare Advantage	$13.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.45
Rate for Payer: Cigna Commercial	$22.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.67
Rate for Payer: Oxford Commercial	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$8.98
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

PATTIES NEURO 1/2X3 80-04007

Facility

$44.89

Hospital Charge Code	270600208
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

PATTIES NEURO 1/2X6

Facility

$41.80

Hospital Charge Code	270600330
Hospital Revenue Code	272
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$6.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.27

PATTIES NEURO 1/2X6

Facility

$41.80

Hospital Charge Code	270600330
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$20.90
Rate for Payer: Aetna Commercial	$15.88
Rate for Payer: Aetna Medicare Advantage	$12.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.66
Rate for Payer: Cigna Commercial	$20.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.87
Rate for Payer: Oxford Commercial	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$6.27
Rate for Payer: UnitedHealthcare Commercial	$8.36
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

PATTIES NEURO 1/4X1/4

Facility

$44.00

Hospital Charge Code	270600400
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

PATTIES NEURO 1/4X1/4

Facility

$44.00

Hospital Charge Code	270600400
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

PATTIES NEURO 1/6

Facility

$23.75

Hospital Charge Code	270600201
Hospital Revenue Code	272
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

PATTIES NEURO 1/6

Facility

$23.75

Hospital Charge Code	270600201
Hospital Revenue Code	272
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

PATTIES NEURO 3/4X6

Facility

$41.80

Hospital Charge Code	270600378
Hospital Revenue Code	272
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$6.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.27

PATTIES NEURO 3/4X6

Facility

$41.80

Hospital Charge Code	270600378
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$20.90
Rate for Payer: Aetna Commercial	$15.88
Rate for Payer: Aetna Medicare Advantage	$12.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.66
Rate for Payer: Cigna Commercial	$20.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.87
Rate for Payer: Oxford Commercial	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$6.27
Rate for Payer: UnitedHealthcare Commercial	$8.36
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

PATTIES SURGICAL 1/2 X 1/2

Facility

$6.80

Hospital Charge Code	270660041
Hospital Revenue Code	270
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

PATTIES SURGICAL 1/2 X 1/2

Facility

$6.80

Hospital Charge Code	270660041
Hospital Revenue Code	270
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.40
Rate for Payer: Aetna Commercial	$2.58
Rate for Payer: Aetna Medicare Advantage	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$1.36
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

PATTIES SURGICAL 5x5 in

Facility

$72.50

Hospital Charge Code	270664335
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$36.25
Rate for Payer: Aetna Commercial	$27.55
Rate for Payer: Aetna Medicare Advantage	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.49
Rate for Payer: Cigna Commercial	$36.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$14.50
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

PATTIES SURGICAL 5x5 in

Facility

$72.50

Hospital Charge Code	270664335
Hospital Revenue Code	272
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

Know your out-of-pocket cost for care.

All Charges