Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RECHANNELING OF THE ARTERY

Facility

$16,108.00

Service Code	HCPCS 35372
Hospital Charge Code	1600000681
Hospital Revenue Code	360
Min. Negotiated Rate	$457.47
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,188.08
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,416.20
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$509.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$457.47

RECHANNELING OF THE ARTERY

Facility

$16,108.00

Service Code	HCPCS 35372
Hospital Charge Code	1600000681
Hospital Revenue Code	360
Min. Negotiated Rate	$2,416.20
Max. Negotiated Rate	$2,416.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,416.20

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041
Hospital Revenue Code	272
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$967.50
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041N
Hospital Revenue Code	272
Min. Negotiated Rate	$183.18
Max. Negotiated Rate	$3,225.00
Rate for Payer: Aetna Commercial	$2,451.00
Rate for Payer: Aetna Medicare Advantage	$1,935.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.75
Rate for Payer: Cigna Commercial	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,677.00
Rate for Payer: Oxford Commercial	$1,290.00
Rate for Payer: Qualcare PPO/HMO/WC	$967.50
Rate for Payer: UnitedHealthcare Commercial	$1,290.00
Rate for Payer: UnitedHealthcare Community & State	$203.82
Rate for Payer: Wellpoint Medicaid Managed Care	$183.18

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041
Hospital Revenue Code	272
Min. Negotiated Rate	$183.18
Max. Negotiated Rate	$3,225.00
Rate for Payer: Aetna Commercial	$2,451.00
Rate for Payer: Aetna Medicare Advantage	$1,935.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.75
Rate for Payer: Cigna Commercial	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,677.00
Rate for Payer: Oxford Commercial	$1,290.00
Rate for Payer: Qualcare PPO/HMO/WC	$967.50
Rate for Payer: UnitedHealthcare Commercial	$1,290.00
Rate for Payer: UnitedHealthcare Community & State	$203.82
Rate for Payer: Wellpoint Medicaid Managed Care	$183.18

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041N
Hospital Revenue Code	272
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$967.50
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

RECIPROCATING BLADE DOUBLE SID

Facility

$221.40

Hospital Charge Code	270655972
Hospital Revenue Code	271
Min. Negotiated Rate	$33.21
Max. Negotiated Rate	$33.21
Rate for Payer: Qualcare PPO/HMO/WC	$33.21

RECIPROCATING BLADE DOUBLE SID

Facility

$221.40

Hospital Charge Code	270655972
Hospital Revenue Code	271
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$110.70
Rate for Payer: Aetna Commercial	$84.13
Rate for Payer: Aetna Medicare Advantage	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.46
Rate for Payer: Cigna Commercial	$110.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.56
Rate for Payer: Oxford Commercial	$44.28
Rate for Payer: Qualcare PPO/HMO/WC	$33.21
Rate for Payer: UnitedHealthcare Commercial	$44.28
Rate for Payer: UnitedHealthcare Community & State	$7.00
Rate for Payer: Wellpoint Medicaid Managed Care	$6.29

RECIP SAW BLADE 10X40MM

Facility

$645.00

Hospital Charge Code	270674772
Hospital Revenue Code	272
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$322.50
Rate for Payer: Aetna Commercial	$245.10
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.47
Rate for Payer: Cigna Commercial	$322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.70
Rate for Payer: Oxford Commercial	$129.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$129.00
Rate for Payer: UnitedHealthcare Community & State	$20.38
Rate for Payer: Wellpoint Medicaid Managed Care	$18.32

RECIP SAW BLADE 10X40MM

Facility

$645.00

Hospital Charge Code	270674772
Hospital Revenue Code	272
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

RECIP SAW BLADE 55MMx0.85MM

Facility

$367.50

Hospital Charge Code	270674768
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.44

RECIP SAW BLADE 55MMx0.85MM

Facility

$367.50

Hospital Charge Code	270674768
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 55MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674767
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.44

RECIP SAW BLADE 55MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674767
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 70MMx1.27MM

Facility

$367.50

Hospital Charge Code	270674766
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.44

RECIP SAW BLADE 70MMx1.27MM

Facility

$367.50

Hospital Charge Code	270674766
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 80MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674765
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.44

RECIP SAW BLADE 80MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674765
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE D/S 68x0.80MM

Facility

$367.50

Hospital Charge Code	270674771
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.44

RECIP SAW BLADE D/S 68x0.80MM

Facility

$367.50

Hospital Charge Code	270674771
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE D/S 68x1.00MM

Facility

$367.50

Hospital Charge Code	270674770
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.44

RECIP SAW BLADE D/S 68x1.00MM

Facility

$367.50

Hospital Charge Code	270674770
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE D/S 68x1.10MM

Facility

$367.50

Hospital Charge Code	270674769
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE D/S 68x1.10MM

Facility

$367.50

Hospital Charge Code	270674769
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.44

RECOMBX 2 MATA AUTOANTIBODY

Facility

$3,025.00

Service Code	HCPCS 83500
Hospital Charge Code	401083500
Hospital Revenue Code	301
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

Know your out-of-pocket cost for care.

All Charges