Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BAG LUB VIPERSLIDE 100ml VPRSL

Facility

$4,750.00

Hospital Charge Code	270642016
Hospital Revenue Code	272
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$950.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Commercial	$950.00
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

BAG LUB VIPERSLIDE 100ml VPRSL

Facility

$4,750.00

Hospital Charge Code	270642016
Hospital Revenue Code	272
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BAG LUB VIPERSLIDE 100ML VPRSL

Facility

$400.00

Hospital Charge Code	270642016N
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

BAG LUB VIPERSLIDE 100ML VPRSL

Facility

$400.00

Hospital Charge Code	270642016N
Hospital Revenue Code	272
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

BAG LUB VIPERSLIDE 100ML VPRSL

Facility

$400.00

Hospital Charge Code	270642016S
Hospital Revenue Code	272
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

BAG LUB VIPERSLIDE 100ML VPRSL

Facility

$400.00

Hospital Charge Code	270642016S
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

BAG PRESSURE INFUSER 500ML

Facility

$112.50

Hospital Charge Code	270664220
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$22.50
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.19

BAG PRESSURE INFUSER 500ML

Facility

$112.50

Hospital Charge Code	270664220
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

BAG PRESSURE INFUSOR 3000ML DI

Facility

$66.63

Hospital Charge Code	270684583
Hospital Revenue Code	272
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$9.99
Rate for Payer: Qualcare PPO/HMO/WC	$9.99

BAG PRESSURE INFUSOR 3000ML DI

Facility

$66.63

Hospital Charge Code	270684583
Hospital Revenue Code	272
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$33.31
Rate for Payer: Aetna Commercial	$25.32
Rate for Payer: Aetna Medicare Advantage	$19.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.99
Rate for Payer: Cigna Commercial	$33.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.32
Rate for Payer: Oxford Commercial	$13.33
Rate for Payer: Qualcare PPO/HMO/WC	$9.99
Rate for Payer: UnitedHealthcare Commercial	$13.33
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

BAG RESUSCITATOR ADULT 5877

Facility

$43.91

Hospital Charge Code	270200045
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

BAG RESUSCITATOR ADULT 5877

Facility

$43.91

Hospital Charge Code	270200045
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$21.95
Rate for Payer: Aetna Commercial	$16.69
Rate for Payer: Aetna Medicare Advantage	$13.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.20
Rate for Payer: Cigna Commercial	$21.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.42
Rate for Payer: Oxford Commercial	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$8.78
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

BAG RESUSCITATOR MASK ADULT

Facility

$44.99

Hospital Charge Code	270643477
Hospital Revenue Code	270
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

BAG RESUSCITATOR MASK ADULT

Facility

$44.99

Hospital Charge Code	270643477
Hospital Revenue Code	270
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$9.00
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

BAG RESUSCITATOR PEDIATRIC

Facility

$50.89

Hospital Charge Code	270600613
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$7.63
Rate for Payer: Qualcare PPO/HMO/WC	$7.63

BAG RESUSCITATOR PEDIATRIC

Facility

$50.89

Hospital Charge Code	270600613
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$25.45
Rate for Payer: Aetna Commercial	$19.34
Rate for Payer: Aetna Medicare Advantage	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.98
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.23
Rate for Payer: Oxford Commercial	$10.18
Rate for Payer: Qualcare PPO/HMO/WC	$7.63
Rate for Payer: UnitedHealthcare Commercial	$10.18
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

BAG RETRIEVER ENDOPUCH

Facility

$453.28

Hospital Charge Code	270658501
Hospital Revenue Code	272
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$226.64
Rate for Payer: Aetna Commercial	$172.25
Rate for Payer: Aetna Medicare Advantage	$135.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.59
Rate for Payer: Cigna Commercial	$226.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.85
Rate for Payer: Oxford Commercial	$90.66
Rate for Payer: Qualcare PPO/HMO/WC	$67.99
Rate for Payer: UnitedHealthcare Commercial	$90.66
Rate for Payer: UnitedHealthcare Community & State	$14.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12.87

BAG RETRIEVER ENDOPUCH

Facility

$453.28

Hospital Charge Code	270658501
Hospital Revenue Code	272
Min. Negotiated Rate	$67.99
Max. Negotiated Rate	$67.99
Rate for Payer: Qualcare PPO/HMO/WC	$67.99

BAG SPECIMEN RETRIEVAL

Facility

$100.00

Hospital Charge Code	270608384
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

BAG SPECIMEN RETRIEVAL

Facility

$100.00

Hospital Charge Code	270608384
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

BAG SPECI TRNSPRT 6X9 2.0MIL

Facility

$379.80

Hospital Charge Code	270663192
Hospital Revenue Code	270
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$189.90
Rate for Payer: Aetna Commercial	$144.32
Rate for Payer: Aetna Medicare Advantage	$113.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.85
Rate for Payer: Cigna Commercial	$189.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.75
Rate for Payer: Oxford Commercial	$75.96
Rate for Payer: Qualcare PPO/HMO/WC	$56.97
Rate for Payer: UnitedHealthcare Commercial	$75.96
Rate for Payer: UnitedHealthcare Community & State	$12.00
Rate for Payer: Wellpoint Medicaid Managed Care	$10.79

BAG SPECI TRNSPRT 6X9 2.0MIL

Facility

$379.80

Hospital Charge Code	270663192
Hospital Revenue Code	270
Min. Negotiated Rate	$56.97
Max. Negotiated Rate	$56.97
Rate for Payer: Qualcare PPO/HMO/WC	$56.97

BAG SURGICAL REMOTE ALCON

Facility

$62.15

Hospital Charge Code	270600237
Hospital Revenue Code	270
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$31.07
Rate for Payer: Aetna Commercial	$23.62
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.85
Rate for Payer: Cigna Commercial	$31.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.16
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.32
Rate for Payer: UnitedHealthcare Commercial	$12.43
Rate for Payer: UnitedHealthcare Community & State	$1.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.77

BAG SURGICAL REMOTE ALCON

Facility

$62.15

Hospital Charge Code	270600237
Hospital Revenue Code	270
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$9.32

BAG URINARY LEG

Facility

$5.02

Hospital Charge Code	270300145S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.51
Rate for Payer: Aetna Commercial	$1.91
Rate for Payer: Aetna Medicare Advantage	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.28
Rate for Payer: Cigna Commercial	$2.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.31
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

Know your out-of-pocket cost for care.

All Charges