Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BAG AEROSOL DRAINAGE WYE ADAPT

Facility

$223.85

Hospital Charge Code	270651477
Hospital Revenue Code	270
Min. Negotiated Rate	$33.58
Max. Negotiated Rate	$33.58
Rate for Payer: Qualcare PPO/HMO/WC	$33.58

BAG AEROSOL DRAINAGE WYE ADAPT

Facility

$223.85

Hospital Charge Code	270651477
Hospital Revenue Code	270
Min. Negotiated Rate	$6.36
Max. Negotiated Rate	$111.92
Rate for Payer: Aetna Commercial	$85.06
Rate for Payer: Aetna Medicare Advantage	$67.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.08
Rate for Payer: Cigna Commercial	$111.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.20
Rate for Payer: Oxford Commercial	$44.77
Rate for Payer: Qualcare PPO/HMO/WC	$33.58
Rate for Payer: UnitedHealthcare Commercial	$44.77
Rate for Payer: UnitedHealthcare Community & State	$7.07
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

BAG-A-JET

Facility

$3.70

Hospital Charge Code	270060055
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$1.85
Rate for Payer: Aetna Commercial	$1.41
Rate for Payer: Aetna Medicare Advantage	$1.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.94
Rate for Payer: Cigna Commercial	$1.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.96
Rate for Payer: Oxford Commercial	$0.74
Rate for Payer: Qualcare PPO/HMO/WC	$0.56
Rate for Payer: UnitedHealthcare Commercial	$0.74
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

BAG-A-JET

Facility

$3.70

Hospital Charge Code	270060055
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$0.56
Rate for Payer: Qualcare PPO/HMO/WC	$0.56

BAG AMBU RESUSCITATOR DISP

Facility

$37.88

Hospital Charge Code	270650265
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$18.94
Rate for Payer: Aetna Commercial	$14.39
Rate for Payer: Aetna Medicare Advantage	$11.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.85
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Commercial	$7.58
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

BAG AMBU RESUSCITATOR DISP

Facility

$37.88

Hospital Charge Code	270650265
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$5.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

BAG ASPIRA DRAINAGE 4992301

Facility

$161.90

Hospital Charge Code	270649130
Hospital Revenue Code	272
Min. Negotiated Rate	$24.29
Max. Negotiated Rate	$24.29
Rate for Payer: Qualcare PPO/HMO/WC	$24.29

BAG ASPIRA DRAINAGE 4992301

Facility

$161.90

Hospital Charge Code	270649130
Hospital Revenue Code	272
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$80.95
Rate for Payer: Aetna Commercial	$61.52
Rate for Payer: Aetna Medicare Advantage	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.28
Rate for Payer: Cigna Commercial	$80.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.09
Rate for Payer: Oxford Commercial	$32.38
Rate for Payer: Qualcare PPO/HMO/WC	$24.29
Rate for Payer: UnitedHealthcare Commercial	$32.38
Rate for Payer: UnitedHealthcare Community & State	$5.12
Rate for Payer: Wellpoint Medicaid Managed Care	$4.60

BAG BAND CIRCLR 127cm 2226010H

Facility

$12.08

Hospital Charge Code	270628461
Hospital Revenue Code	272
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$6.04
Rate for Payer: Aetna Commercial	$4.59
Rate for Payer: Aetna Medicare Advantage	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.08
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.14
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

BAG BAND CIRCLR 127cm 2226010H

Facility

$12.08

Hospital Charge Code	270628461
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

BAG BECKER DRAINAGE EDMS

Facility

$216.00

Hospital Charge Code	270670473
Hospital Revenue Code	272
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

BAG BECKER DRAINAGE EDMS

Facility

$216.00

Hospital Charge Code	270670473
Hospital Revenue Code	272
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$82.08
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.16
Rate for Payer: Oxford Commercial	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$43.20
Rate for Payer: UnitedHealthcare Community & State	$6.83
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

BAG BILE

Facility

$28.24

Hospital Charge Code	270300090
Hospital Revenue Code	270
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.12
Rate for Payer: Aetna Commercial	$10.73
Rate for Payer: Aetna Medicare Advantage	$8.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.20
Rate for Payer: Cigna Commercial	$14.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.34
Rate for Payer: Oxford Commercial	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$4.24
Rate for Payer: UnitedHealthcare Commercial	$5.65
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

BAG BILE

Facility

$28.24

Hospital Charge Code	270300090
Hospital Revenue Code	270
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.24

BAG BREATHING 3L L.F MODIFIED

Facility

$26.25

Hospital Charge Code	270645650
Hospital Revenue Code	270
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

BAG BREATHING 3L L.F MODIFIED

Facility

$26.25

Hospital Charge Code	270645650
Hospital Revenue Code	270
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.12
Rate for Payer: Aetna Commercial	$9.97
Rate for Payer: Aetna Medicare Advantage	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.69
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$5.25
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

BAG DECANTER

Facility

$546.25

Hospital Charge Code	270654842
Hospital Revenue Code	272
Min. Negotiated Rate	$81.94
Max. Negotiated Rate	$81.94
Rate for Payer: Qualcare PPO/HMO/WC	$81.94

BAG DECANTER

Facility

$546.25

Hospital Charge Code	270654842
Hospital Revenue Code	272
Min. Negotiated Rate	$15.51
Max. Negotiated Rate	$273.12
Rate for Payer: Aetna Commercial	$207.57
Rate for Payer: Aetna Medicare Advantage	$163.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.29
Rate for Payer: Cigna Commercial	$273.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.03
Rate for Payer: Oxford Commercial	$109.25
Rate for Payer: Qualcare PPO/HMO/WC	$81.94
Rate for Payer: UnitedHealthcare Commercial	$109.25
Rate for Payer: UnitedHealthcare Community & State	$17.26
Rate for Payer: Wellpoint Medicaid Managed Care	$15.51

BAG-DECANTER

Facility

$502.70

Hospital Charge Code	270653941
Hospital Revenue Code	272
Min. Negotiated Rate	$75.41
Max. Negotiated Rate	$75.41
Rate for Payer: Qualcare PPO/HMO/WC	$75.41

BAG-DECANTER

Facility

$502.70

Hospital Charge Code	270653941
Hospital Revenue Code	272
Min. Negotiated Rate	$14.28
Max. Negotiated Rate	$251.35
Rate for Payer: Aetna Commercial	$191.03
Rate for Payer: Aetna Medicare Advantage	$150.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.19
Rate for Payer: Cigna Commercial	$251.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.70
Rate for Payer: Oxford Commercial	$100.54
Rate for Payer: Qualcare PPO/HMO/WC	$75.41
Rate for Payer: UnitedHealthcare Commercial	$100.54
Rate for Payer: UnitedHealthcare Community & State	$15.89
Rate for Payer: Wellpoint Medicaid Managed Care	$14.28

BAG DRAINAGE ANTIFLUX 4000ml

Facility

$16.53

Service Code	HCPCS A4357
Hospital Charge Code	270649662
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.27
Rate for Payer: Aetna Commercial	$6.28
Rate for Payer: Aetna Medicare Advantage	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.22
Rate for Payer: Cigna Commercial	$8.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.30
Rate for Payer: Oxford Commercial	$3.31
Rate for Payer: Qualcare PPO/HMO/WC	$2.48
Rate for Payer: UnitedHealthcare Commercial	$3.31
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

BAG DRAINAGE ANTIFLUX 4000ml

Facility

$16.53

Service Code	HCPCS A4357
Hospital Charge Code	270649662
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$2.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.48

BAG DRAINAGE ANTIREFLUX 2000ml

Facility

$11.26

Service Code	HCPCS A4357
Hospital Charge Code	270649660
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$5.63
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	$5.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.93
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

BAG DRAINAGE ANTIREFLUX 2000ml

Facility

$11.26

Service Code	HCPCS A4357
Hospital Charge Code	270649660
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

BAG DRAINAGE DEPORT 600ml

Facility

$46.50

Hospital Charge Code	270651482N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$23.25
Rate for Payer: Aetna Commercial	$17.67
Rate for Payer: Aetna Medicare Advantage	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.86
Rate for Payer: Cigna Commercial	$23.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.09
Rate for Payer: Oxford Commercial	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.97
Rate for Payer: UnitedHealthcare Commercial	$9.30
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

Know your out-of-pocket cost for care.

All Charges