Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PLEURAL EFFUSION WITH MCC

Facility

$68,703.18

Service Code	MSDRG 186
Min. Negotiated Rate	$20,919.24
Max. Negotiated Rate	$68,703.18
Rate for Payer: Aetna Commercial	$50,789.72
Rate for Payer: Aetna Medicare Advantage	$68,703.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,942.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,942.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,020.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,942.75
Rate for Payer: Cigna Commercial	$34,743.64
Rate for Payer: Cigna Medicare Advantage	$22,020.25
Rate for Payer: Clover Medicare Advantage	$20,919.24
Rate for Payer: EmblemHealth Commercial	$66,060.75
Rate for Payer: Humana Medicare Advantage	$22,680.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,020.25
Rate for Payer: Oxford Commercial	$27,460.77
Rate for Payer: UnitedHealthcare Commercial	$36,757.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,020.25
Rate for Payer: Wellcare Medicare Advantage	$22,020.25

PLEURAL EFFUSION WITHOUT CC/MCC

Facility

$42,123.53

Service Code	MSDRG 188
Min. Negotiated Rate	$12,637.06
Max. Negotiated Rate	$42,123.53
Rate for Payer: Aetna Commercial	$31,859.35
Rate for Payer: Aetna Medicare Advantage	$42,123.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,501.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,778.75
Rate for Payer: Cigna Commercial	$15,988.54
Rate for Payer: Cigna Medicare Advantage	$13,501.13
Rate for Payer: Clover Medicare Advantage	$12,826.07
Rate for Payer: EmblemHealth Commercial	$40,503.39
Rate for Payer: Humana Medicare Advantage	$13,906.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,501.13
Rate for Payer: Oxford Commercial	$12,637.06
Rate for Payer: UnitedHealthcare Commercial	$16,915.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,501.13
Rate for Payer: Wellcare Medicare Advantage	$13,501.13

PLEUR EVAC W/ FLOOR STAND

Facility

$99.73

Hospital Charge Code	270652701
Hospital Revenue Code	270
Min. Negotiated Rate	$14.96
Max. Negotiated Rate	$14.96
Rate for Payer: Qualcare PPO/HMO/WC	$14.96

PLEUR EVAC W/ FLOOR STAND

Facility

$99.73

Hospital Charge Code	270652701
Hospital Revenue Code	270
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$49.87
Rate for Payer: Aetna Commercial	$37.90
Rate for Payer: Aetna Medicare Advantage	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.43
Rate for Payer: Cigna Commercial	$49.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.93
Rate for Payer: Oxford Commercial	$19.95
Rate for Payer: Qualcare PPO/HMO/WC	$14.96
Rate for Payer: UnitedHealthcare Commercial	$19.95
Rate for Payer: UnitedHealthcare Community & State	$3.15
Rate for Payer: Wellpoint Medicaid Managed Care	$2.83

PLEUR-EVAC W/FLOOR STAND

Facility

$850.00

Hospital Charge Code	270331014
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

PLEUR-EVAC W/FLOOR STAND

Facility

$850.00

Hospital Charge Code	270331014
Hospital Revenue Code	272
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$170.00
Rate for Payer: UnitedHealthcare Community & State	$26.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.14

PLEURX DRAINAGE KIT

Facility

$372.44

Service Code	HCPCS C1729
Hospital Charge Code	270629873
Hospital Revenue Code	278
Min. Negotiated Rate	$55.87
Max. Negotiated Rate	$90.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.13
Rate for Payer: Qualcare PPO/HMO/WC	$55.87

PLEURX DRAINAGE KIT

Facility

$372.44

Service Code	HCPCS C1729
Hospital Charge Code	270629873
Hospital Revenue Code	278
Min. Negotiated Rate	$10.58
Max. Negotiated Rate	$186.22
Rate for Payer: Aetna Commercial	$141.53
Rate for Payer: Aetna Medicare Advantage	$111.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.97
Rate for Payer: Cigna Commercial	$186.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.13
Rate for Payer: Qualcare PPO/HMO/WC	$55.87
Rate for Payer: UnitedHealthcare Community & State	$11.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.58

PLEURX PERITONEAL KIT

Facility

$6,073.60

Hospital Charge Code	270657046
Hospital Revenue Code	272
Min. Negotiated Rate	$172.49
Max. Negotiated Rate	$3,036.80
Rate for Payer: Aetna Commercial	$2,307.97
Rate for Payer: Aetna Medicare Advantage	$1,822.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,548.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,548.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,548.77
Rate for Payer: Cigna Commercial	$3,036.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,579.14
Rate for Payer: Oxford Commercial	$1,214.72
Rate for Payer: Qualcare PPO/HMO/WC	$911.04
Rate for Payer: UnitedHealthcare Commercial	$1,214.72
Rate for Payer: UnitedHealthcare Community & State	$191.93
Rate for Payer: Wellpoint Medicaid Managed Care	$172.49

PLEURX PERITONEAL KIT

Facility

$6,073.60

Hospital Charge Code	270657046
Hospital Revenue Code	272
Min. Negotiated Rate	$911.04
Max. Negotiated Rate	$911.04
Rate for Payer: Qualcare PPO/HMO/WC	$911.04

PLEURX PLEURAL CATH. & PATI

Facility

$4,125.00

Hospital Charge Code	270666217
Hospital Revenue Code	278
Min. Negotiated Rate	$117.15
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,567.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75
Rate for Payer: UnitedHealthcare Community & State	$130.35
Rate for Payer: Wellpoint Medicaid Managed Care	$117.15

PLEURX PLEURAL CATH. & PATI

Facility

$4,125.00

Hospital Charge Code	270666217
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

PLIERS BENDING 2.7/3.5MM PLATE

Facility

$6,550.80

Hospital Charge Code	270626577
Hospital Revenue Code	272
Min. Negotiated Rate	$186.04
Max. Negotiated Rate	$3,275.40
Rate for Payer: Aetna Commercial	$2,489.30
Rate for Payer: Aetna Medicare Advantage	$1,965.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,670.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,670.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,670.45
Rate for Payer: Cigna Commercial	$3,275.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,703.21
Rate for Payer: Oxford Commercial	$1,310.16
Rate for Payer: Qualcare PPO/HMO/WC	$982.62
Rate for Payer: UnitedHealthcare Commercial	$1,310.16
Rate for Payer: UnitedHealthcare Community & State	$207.01
Rate for Payer: Wellpoint Medicaid Managed Care	$186.04

PLIERS BENDING 2.7/3.5MM PLATE

Facility

$6,550.80

Hospital Charge Code	270626577
Hospital Revenue Code	272
Min. Negotiated Rate	$982.62
Max. Negotiated Rate	$982.62
Rate for Payer: Qualcare PPO/HMO/WC	$982.62

PLIERS BND 2.7/3.5MM RCN PLATE

Facility

$4,887.00

Hospital Charge Code	270676250
Hospital Revenue Code	272
Min. Negotiated Rate	$138.79
Max. Negotiated Rate	$2,443.50
Rate for Payer: Aetna Commercial	$1,857.06
Rate for Payer: Aetna Medicare Advantage	$1,466.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,246.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,246.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,246.18
Rate for Payer: Cigna Commercial	$2,443.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.62
Rate for Payer: Oxford Commercial	$977.40
Rate for Payer: Qualcare PPO/HMO/WC	$733.05
Rate for Payer: UnitedHealthcare Commercial	$977.40
Rate for Payer: UnitedHealthcare Community & State	$154.43
Rate for Payer: Wellpoint Medicaid Managed Care	$138.79

PLIERS BND 2.7/3.5MM RCN PLATE

Facility

$4,887.00

Hospital Charge Code	270676250
Hospital Revenue Code	272
Min. Negotiated Rate	$733.05
Max. Negotiated Rate	$733.05
Rate for Payer: Qualcare PPO/HMO/WC	$733.05

PLIERS WIRE BENDING 155mm

Facility

$2,178.45

Hospital Charge Code	270614778
Hospital Revenue Code	272
Min. Negotiated Rate	$61.87
Max. Negotiated Rate	$1,089.22
Rate for Payer: Aetna Commercial	$827.81
Rate for Payer: Aetna Medicare Advantage	$653.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.50
Rate for Payer: Cigna Commercial	$1,089.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$566.40
Rate for Payer: Oxford Commercial	$435.69
Rate for Payer: Qualcare PPO/HMO/WC	$326.77
Rate for Payer: UnitedHealthcare Commercial	$435.69
Rate for Payer: UnitedHealthcare Community & State	$68.84
Rate for Payer: Wellpoint Medicaid Managed Care	$61.87

PLIERS WIRE BENDING 155mm

Facility

$2,178.45

Hospital Charge Code	270614778
Hospital Revenue Code	272
Min. Negotiated Rate	$326.77
Max. Negotiated Rate	$326.77
Rate for Payer: Qualcare PPO/HMO/WC	$326.77

PLIER UNIVERAL BENDING

Facility

$1,995.55

Hospital Charge Code	270680934
Hospital Revenue Code	272
Min. Negotiated Rate	$56.67
Max. Negotiated Rate	$997.77
Rate for Payer: Aetna Commercial	$758.31
Rate for Payer: Aetna Medicare Advantage	$598.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.87
Rate for Payer: Cigna Commercial	$997.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$518.84
Rate for Payer: Oxford Commercial	$399.11
Rate for Payer: Qualcare PPO/HMO/WC	$299.33
Rate for Payer: UnitedHealthcare Commercial	$399.11
Rate for Payer: UnitedHealthcare Community & State	$63.06
Rate for Payer: Wellpoint Medicaid Managed Care	$56.67

PLIER UNIVERAL BENDING

Facility

$1,995.55

Hospital Charge Code	270680934
Hospital Revenue Code	272
Min. Negotiated Rate	$299.33
Max. Negotiated Rate	$299.33
Rate for Payer: Qualcare PPO/HMO/WC	$299.33

PLI KIT PRELUDE SNAP 7FR

Facility

$325.00

Hospital Charge Code	270701742
Hospital Revenue Code	440
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$10.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.23

PLI KIT PRELUDE SNAP 7FR

Facility

$325.00

Hospital Charge Code	270701742
Hospital Revenue Code	440
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

PLI KIT SSL7 SAFESHEATH 9FR 2

Facility

$365.00

Hospital Charge Code	270690420
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$54.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.75

PLI KIT SSL7 SAFESHEATH 9FR 2

Facility

$365.00

Hospital Charge Code	270690420
Hospital Revenue Code	272
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$138.70
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.90
Rate for Payer: Oxford Commercial	$73.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$73.00
Rate for Payer: UnitedHealthcare Community & State	$11.53
Rate for Payer: Wellpoint Medicaid Managed Care	$10.37

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47533
Hospital Charge Code	7411562
Hospital Revenue Code	361
Min. Negotiated Rate	$1,924.10
Max. Negotiated Rate	$1,924.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10

Know your out-of-pocket cost for care.

All Charges