Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RELOAD ECHELON 45 GREEN

Facility

$877.45

Hospital Charge Code	270662922
Hospital Revenue Code	272
Min. Negotiated Rate	$24.92
Max. Negotiated Rate	$438.73
Rate for Payer: Aetna Commercial	$333.43
Rate for Payer: Aetna Medicare Advantage	$263.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.75
Rate for Payer: Cigna Commercial	$438.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.14
Rate for Payer: Oxford Commercial	$175.49
Rate for Payer: Qualcare PPO/HMO/WC	$131.62
Rate for Payer: UnitedHealthcare Commercial	$175.49
Rate for Payer: UnitedHealthcare Community & State	$27.73
Rate for Payer: Wellpoint Medicaid Managed Care	$24.92

RELOAD ECHELON 45 WHITE

Facility

$1,535.82

Hospital Charge Code	270662789
Hospital Revenue Code	272
Min. Negotiated Rate	$43.62
Max. Negotiated Rate	$767.91
Rate for Payer: Aetna Commercial	$583.61
Rate for Payer: Aetna Medicare Advantage	$460.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.63
Rate for Payer: Cigna Commercial	$767.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.31
Rate for Payer: Oxford Commercial	$307.16
Rate for Payer: Qualcare PPO/HMO/WC	$230.37
Rate for Payer: UnitedHealthcare Commercial	$307.16
Rate for Payer: UnitedHealthcare Community & State	$48.53
Rate for Payer: Wellpoint Medicaid Managed Care	$43.62

RELOAD ECHELON 45 WHITE

Facility

$1,535.82

Hospital Charge Code	270662789
Hospital Revenue Code	272
Min. Negotiated Rate	$230.37
Max. Negotiated Rate	$230.37
Rate for Payer: Qualcare PPO/HMO/WC	$230.37

RELOAD ECHELON 60MM BLACK

Facility

$950.95

Hospital Charge Code	270670862
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$142.64
Rate for Payer: Qualcare PPO/HMO/WC	$142.64

RELOAD ECHELON 60MM BLACK

Facility

$950.95

Hospital Charge Code	270670862
Hospital Revenue Code	272
Min. Negotiated Rate	$27.01
Max. Negotiated Rate	$475.48
Rate for Payer: Aetna Commercial	$361.36
Rate for Payer: Aetna Medicare Advantage	$285.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.49
Rate for Payer: Cigna Commercial	$475.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.25
Rate for Payer: Oxford Commercial	$190.19
Rate for Payer: Qualcare PPO/HMO/WC	$142.64
Rate for Payer: UnitedHealthcare Commercial	$190.19
Rate for Payer: UnitedHealthcare Community & State	$30.05
Rate for Payer: Wellpoint Medicaid Managed Care	$27.01

RELOAD ECHELON 60MM BLUE

Facility

$950.95

Hospital Charge Code	270670860
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$142.64
Rate for Payer: Qualcare PPO/HMO/WC	$142.64

RELOAD ECHELON 60MM BLUE

Facility

$950.95

Hospital Charge Code	270670860
Hospital Revenue Code	272
Min. Negotiated Rate	$27.01
Max. Negotiated Rate	$475.48
Rate for Payer: Aetna Commercial	$361.36
Rate for Payer: Aetna Medicare Advantage	$285.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.49
Rate for Payer: Cigna Commercial	$475.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.25
Rate for Payer: Oxford Commercial	$190.19
Rate for Payer: Qualcare PPO/HMO/WC	$142.64
Rate for Payer: UnitedHealthcare Commercial	$190.19
Rate for Payer: UnitedHealthcare Community & State	$30.05
Rate for Payer: Wellpoint Medicaid Managed Care	$27.01

RELOAD ECHELON 60MM GOLD

Facility

$806.45

Hospital Charge Code	270670861
Hospital Revenue Code	272
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$120.97
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

RELOAD ECHELON 60MM GOLD

Facility

$806.45

Hospital Charge Code	270670861
Hospital Revenue Code	272
Min. Negotiated Rate	$22.90
Max. Negotiated Rate	$403.23
Rate for Payer: Aetna Commercial	$306.45
Rate for Payer: Aetna Medicare Advantage	$241.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.64
Rate for Payer: Cigna Commercial	$403.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.68
Rate for Payer: Oxford Commercial	$161.29
Rate for Payer: Qualcare PPO/HMO/WC	$120.97
Rate for Payer: UnitedHealthcare Commercial	$161.29
Rate for Payer: UnitedHealthcare Community & State	$25.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.90

RELOAD ECHELON 60MM GREEN

Facility

$950.95

Hospital Charge Code	270670863
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$142.64
Rate for Payer: Qualcare PPO/HMO/WC	$142.64

RELOAD ECHELON 60MM GREEN

Facility

$950.95

Hospital Charge Code	270670863
Hospital Revenue Code	272
Min. Negotiated Rate	$27.01
Max. Negotiated Rate	$475.48
Rate for Payer: Aetna Commercial	$361.36
Rate for Payer: Aetna Medicare Advantage	$285.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.49
Rate for Payer: Cigna Commercial	$475.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.25
Rate for Payer: Oxford Commercial	$190.19
Rate for Payer: Qualcare PPO/HMO/WC	$142.64
Rate for Payer: UnitedHealthcare Commercial	$190.19
Rate for Payer: UnitedHealthcare Community & State	$30.05
Rate for Payer: Wellpoint Medicaid Managed Care	$27.01

RELOAD ECHELON 60MM WHITE

Facility

$280.38

Hospital Charge Code	270608751
Hospital Revenue Code	272
Min. Negotiated Rate	$42.06
Max. Negotiated Rate	$42.06
Rate for Payer: Qualcare PPO/HMO/WC	$42.06

RELOAD ECHELON 60MM WHITE

Facility

$280.38

Hospital Charge Code	270608751
Hospital Revenue Code	272
Min. Negotiated Rate	$7.96
Max. Negotiated Rate	$140.19
Rate for Payer: Aetna Commercial	$106.54
Rate for Payer: Aetna Medicare Advantage	$84.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.50
Rate for Payer: Cigna Commercial	$140.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.90
Rate for Payer: Oxford Commercial	$56.08
Rate for Payer: Qualcare PPO/HMO/WC	$42.06
Rate for Payer: UnitedHealthcare Commercial	$56.08
Rate for Payer: UnitedHealthcare Community & State	$8.86
Rate for Payer: Wellpoint Medicaid Managed Care	$7.96

RELOAD EGIA VASC MED 30MM

Facility

$2,600.00

Hospital Charge Code	270662691
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

RELOAD EGIA VASC MED 30MM

Facility

$2,600.00

Hospital Charge Code	270662691
Hospital Revenue Code	272
Min. Negotiated Rate	$73.84
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$988.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.00
Rate for Payer: Oxford Commercial	$520.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Commercial	$520.00
Rate for Payer: UnitedHealthcare Community & State	$82.16
Rate for Payer: Wellpoint Medicaid Managed Care	$73.84

RELOAD ENDO 45MM

Facility

$226.00

Hospital Charge Code	270338732
Hospital Revenue Code	272
Min. Negotiated Rate	$6.42
Max. Negotiated Rate	$113.00
Rate for Payer: Aetna Commercial	$85.88
Rate for Payer: Aetna Medicare Advantage	$67.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.63
Rate for Payer: Cigna Commercial	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.76
Rate for Payer: Oxford Commercial	$45.20
Rate for Payer: Qualcare PPO/HMO/WC	$33.90
Rate for Payer: UnitedHealthcare Commercial	$45.20
Rate for Payer: UnitedHealthcare Community & State	$7.14
Rate for Payer: Wellpoint Medicaid Managed Care	$6.42

RELOAD ENDO 45MM

Facility

$226.00

Hospital Charge Code	270338732
Hospital Revenue Code	272
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

RELOAD ENDOPATH CUTTER BLUE

Facility

$519.95

Hospital Charge Code	270608383
Hospital Revenue Code	272
Min. Negotiated Rate	$77.99
Max. Negotiated Rate	$77.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.99

RELOAD ENDOPATH CUTTER BLUE

Facility

$519.95

Hospital Charge Code	270608383
Hospital Revenue Code	272
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$259.98
Rate for Payer: Aetna Commercial	$197.58
Rate for Payer: Aetna Medicare Advantage	$155.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.59
Rate for Payer: Cigna Commercial	$259.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.19
Rate for Payer: Oxford Commercial	$103.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.99
Rate for Payer: UnitedHealthcare Commercial	$103.99
Rate for Payer: UnitedHealthcare Community & State	$16.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.77

RELOAD ENDO VASCULAR 35MM

Facility

$154.00

Hospital Charge Code	270338710
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

RELOAD ENDO VASCULAR 35MM

Facility

$154.00

Hospital Charge Code	270338710
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$58.52
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.04
Rate for Payer: Oxford Commercial	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$30.80
Rate for Payer: UnitedHealthcare Community & State	$4.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

RELOAD ETH CUTTER VASC TR45W

Facility

$652.21

Hospital Charge Code	270625421
Hospital Revenue Code	272
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$326.11
Rate for Payer: Aetna Commercial	$247.84
Rate for Payer: Aetna Medicare Advantage	$195.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.31
Rate for Payer: Cigna Commercial	$326.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.57
Rate for Payer: Oxford Commercial	$130.44
Rate for Payer: Qualcare PPO/HMO/WC	$97.83
Rate for Payer: UnitedHealthcare Commercial	$130.44
Rate for Payer: UnitedHealthcare Community & State	$20.61
Rate for Payer: Wellpoint Medicaid Managed Care	$18.52

RELOAD ETH CUTTER VASC TR45W

Facility

$652.21

Hospital Charge Code	270625421
Hospital Revenue Code	272
Min. Negotiated Rate	$97.83
Max. Negotiated Rate	$97.83
Rate for Payer: Qualcare PPO/HMO/WC	$97.83

RELOADING UNIT FOR TCM20

Facility

$180.00

Hospital Charge Code	270334678
Hospital Revenue Code	272
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

RELOADING UNIT FOR TCM20

Facility

$180.00

Hospital Charge Code	270334678
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

Know your out-of-pocket cost for care.

All Charges