Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

BAG URINARY LEG

Facility

$5.17

Service Code	HCPCS A4358
Hospital Charge Code	270300145
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

BAG URINARY LEG

Facility

$5.17

Service Code	HCPCS A4358
Hospital Charge Code	270300145
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$2.58
Rate for Payer: Aetna Commercial	$1.96
Rate for Payer: Aetna Medicare Advantage	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.32
Rate for Payer: Cigna Commercial	$2.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$1.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.78
Rate for Payer: UnitedHealthcare Commercial	$1.03
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

BAG URINARY LEG LG

Facility

$22.45

Hospital Charge Code	270610798
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

BAG URINARY LEG LG

Facility

$22.45

Hospital Charge Code	270610798
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.84
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$4.49
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

BAG URINARY REG

Facility

$18.55

Hospital Charge Code	270300148
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

BAG URINARY REG

Facility

$18.55

Hospital Charge Code	270300148
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$9.28
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.82
Rate for Payer: Oxford Commercial	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$3.71
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

BAG URINARY URIMETER

Facility

$38.45

Hospital Charge Code	270300147
Hospital Revenue Code	272
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$5.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.77

BAG URINARY URIMETER

Facility

$38.45

Hospital Charge Code	270300147
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$19.23
Rate for Payer: Aetna Commercial	$14.61
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.80
Rate for Payer: Cigna Commercial	$19.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.00
Rate for Payer: Oxford Commercial	$7.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.77
Rate for Payer: UnitedHealthcare Commercial	$7.69
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

BAG URINE COLLECT PEDS STER

Facility

$7.95

Hospital Charge Code	270300135
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

BAG URINE COLLECT PEDS STER

Facility

$7.95

Hospital Charge Code	270300135
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$3.98
Rate for Payer: Aetna Commercial	$3.02
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.03
Rate for Payer: Cigna Commercial	$3.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.07
Rate for Payer: Oxford Commercial	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$1.59
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

BAG URIN LATXFREE W/CHA 154102

Facility

$23.92

Hospital Charge Code	270612395
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$11.96
Rate for Payer: Aetna Commercial	$9.09
Rate for Payer: Aetna Medicare Advantage	$7.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.10
Rate for Payer: Cigna Commercial	$11.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.22
Rate for Payer: Oxford Commercial	$4.78
Rate for Payer: Qualcare PPO/HMO/WC	$3.59
Rate for Payer: UnitedHealthcare Commercial	$4.78
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

BAG URIN LATXFREE W/CHA 154102

Facility

$23.92

Hospital Charge Code	270612395
Hospital Revenue Code	272
Min. Negotiated Rate	$3.59
Max. Negotiated Rate	$3.59
Rate for Payer: Qualcare PPO/HMO/WC	$3.59

BAG URO FLUID COLLECTOR N/STE-

Facility

$68.51

Hospital Charge Code	270646305
Hospital Revenue Code	270
Min. Negotiated Rate	$10.28
Max. Negotiated Rate	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.28

BAG URO FLUID COLLECTOR N/STE-

Facility

$68.51

Hospital Charge Code	270646305
Hospital Revenue Code	270
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$34.26
Rate for Payer: Aetna Commercial	$26.03
Rate for Payer: Aetna Medicare Advantage	$20.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.47
Rate for Payer: Cigna Commercial	$34.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.81
Rate for Payer: Oxford Commercial	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.28
Rate for Payer: UnitedHealthcare Commercial	$13.70
Rate for Payer: UnitedHealthcare Community & State	$2.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

BAG URO FLUID COLLECTOR STER

Facility

$82.94

Hospital Charge Code	270685327
Hospital Revenue Code	272
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

BAG URO FLUID COLLECTOR STER

Facility

$82.94

Hospital Charge Code	270685327
Hospital Revenue Code	272
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$41.47
Rate for Payer: Aetna Commercial	$31.52
Rate for Payer: Aetna Medicare Advantage	$24.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.15
Rate for Payer: Cigna Commercial	$41.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.56
Rate for Payer: Oxford Commercial	$16.59
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$16.59
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.36

BAHA DEVICE IMPLANTATION

Facility

$52,785.00

Hospital Charge Code	270339539
Hospital Revenue Code	278
Min. Negotiated Rate	$7,917.75
Max. Negotiated Rate	$12,773.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,557.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,773.97
Rate for Payer: Qualcare PPO/HMO/WC	$7,917.75

BAHA DEVICE IMPLANTATION

Facility

$52,785.00

Hospital Charge Code	270339539
Hospital Revenue Code	278
Min. Negotiated Rate	$1,499.09
Max. Negotiated Rate	$26,392.50
Rate for Payer: Aetna Commercial	$20,058.30
Rate for Payer: Aetna Medicare Advantage	$15,835.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,460.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,460.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,557.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,460.17
Rate for Payer: Cigna Commercial	$26,392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,773.97
Rate for Payer: Qualcare PPO/HMO/WC	$7,917.75
Rate for Payer: UnitedHealthcare Community & State	$1,668.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1,499.09

BAL AMPHI DP 4x120AME040120152

Facility

$1,525.00

Service Code	HCPCS C1725
Hospital Charge Code	270636993
Hospital Revenue Code	278
Min. Negotiated Rate	$43.31
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$579.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Community & State	$48.19
Rate for Payer: Wellpoint Medicaid Managed Care	$43.31

BAL AMPHI DP 4x120AME040120152

Facility

$1,525.00

Service Code	HCPCS C1725
Hospital Charge Code	270636993
Hospital Revenue Code	278
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$369.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

BALANCED SALT SOLIOCARE 500ML

Facility

$459.00

Hospital Charge Code	270331114
Hospital Revenue Code	272
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$68.85
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

BALANCED SALT SOLIOCARE 500ML

Facility

$459.00

Hospital Charge Code	270331114
Hospital Revenue Code	272
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$174.42
Rate for Payer: Aetna Medicare Advantage	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.05
Rate for Payer: Cigna Commercial	$229.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.34
Rate for Payer: Oxford Commercial	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$68.85
Rate for Payer: UnitedHealthcare Commercial	$91.80
Rate for Payer: UnitedHealthcare Community & State	$14.50
Rate for Payer: Wellpoint Medicaid Managed Care	$13.04

BALANCED SALT SOLUTION 3ML

Facility

$12.45

Hospital Charge Code	270650487
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$1.87
Rate for Payer: Qualcare PPO/HMO/WC	$1.87

BALANCED SALT SOLUTION 3ML

Facility

$12.45

Hospital Charge Code	270650487
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$6.22
Rate for Payer: Aetna Commercial	$4.73
Rate for Payer: Aetna Medicare Advantage	$3.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.17
Rate for Payer: Cigna Commercial	$6.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.24
Rate for Payer: Oxford Commercial	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.87
Rate for Payer: UnitedHealthcare Commercial	$2.49
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

Know your out-of-pocket cost for care.

All Charges