Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

REPLIFORM MESH

Facility

$1,003.00

Hospital Charge Code	270335612
Hospital Revenue Code	278
Min. Negotiated Rate	$28.49
Max. Negotiated Rate	$501.50
Rate for Payer: Aetna Commercial	$381.14
Rate for Payer: Aetna Medicare Advantage	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.76
Rate for Payer: Cigna Commercial	$501.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.73
Rate for Payer: Qualcare PPO/HMO/WC	$150.45
Rate for Payer: UnitedHealthcare Community & State	$31.69
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

REPLIFORM MESH GRAFT

Facility

$1,003.00

Hospital Charge Code	270335609
Hospital Revenue Code	278
Min. Negotiated Rate	$28.49
Max. Negotiated Rate	$501.50
Rate for Payer: Aetna Commercial	$381.14
Rate for Payer: Aetna Medicare Advantage	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.76
Rate for Payer: Cigna Commercial	$501.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.73
Rate for Payer: Qualcare PPO/HMO/WC	$150.45
Rate for Payer: UnitedHealthcare Community & State	$31.69
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

REPLIFORM MESH GRAFT

Facility

$1,003.00

Hospital Charge Code	270335609
Hospital Revenue Code	278
Min. Negotiated Rate	$150.45
Max. Negotiated Rate	$242.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.73
Rate for Payer: Qualcare PPO/HMO/WC	$150.45

REPL TUNNELED VAD W PORT

Facility

$28,691.63

Service Code	HCPCS 36582
Hospital Charge Code	1600000784
Hospital Revenue Code	360
Min. Negotiated Rate	$814.84
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,459.82
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,303.74
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$906.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$814.84

REPL TUNNELED VAD W PORT

Facility

$28,691.63

Service Code	HCPCS 36582
Hospital Charge Code	1600000784
Hospital Revenue Code	360
Min. Negotiated Rate	$4,303.74
Max. Negotiated Rate	$4,303.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,303.74

REPLY DR

Facility

$21,210.00

Service Code	HCPCS C1785
Hospital Charge Code	270656329
Hospital Revenue Code	275
Min. Negotiated Rate	$3,181.50
Max. Negotiated Rate	$5,132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,132.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,181.50

REPLY DR

Facility

$21,210.00

Service Code	HCPCS C1785
Hospital Charge Code	270656329
Hospital Revenue Code	275
Min. Negotiated Rate	$602.36
Max. Negotiated Rate	$10,605.00
Rate for Payer: Aetna Commercial	$8,059.80
Rate for Payer: Aetna Medicare Advantage	$6,363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,408.55
Rate for Payer: Cigna Commercial	$10,605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,132.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,181.50
Rate for Payer: UnitedHealthcare Community & State	$670.24
Rate for Payer: Wellpoint Medicaid Managed Care	$602.36

REP NU/MU,METATARSAL

Facility

$57,824.50

Service Code	HCPCS 28322
Hospital Charge Code	16000516
Hospital Revenue Code	360
Min. Negotiated Rate	$1,642.22
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,034.37
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,673.67
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$1,827.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,642.22

REP NU/MU,METATARSAL

Facility

$57,824.50

Service Code	HCPCS 28322
Hospital Charge Code	16000516
Hospital Revenue Code	360
Min. Negotiated Rate	$8,673.67
Max. Negotiated Rate	$8,673.67
Rate for Payer: Qualcare PPO/HMO/WC	$8,673.67

REPOSITIONABLE22M OPENING 235

Facility

$775.00

Hospital Charge Code	270700610
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

REPOSITIONABLE22M OPENING 235

Facility

$775.00

Hospital Charge Code	270700610
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

REPOSITIONABLE MAX SURECLIP 1

Facility

$500.00

Hospital Charge Code	270700612
Hospital Revenue Code	272
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

REPOSITIONABLE MAX SURECLIP 1

Facility

$500.00

Hospital Charge Code	270700612
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	366833222
Hospital Revenue Code	480
Min. Negotiated Rate	$1,379.31
Max. Negotiated Rate	$1,379.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	7411029
Hospital Revenue Code	480
Min. Negotiated Rate	$1,379.31
Max. Negotiated Rate	$1,379.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	7411029
Hospital Revenue Code	480
Min. Negotiated Rate	$242.00
Max. Negotiated Rate	$8,891.84
Rate for Payer: Aetna Commercial	$6,667.35
Rate for Payer: Aetna Medicare Advantage	$7,941.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,451.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,891.84
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: Cigna Medicare Advantage	$2,451.23
Rate for Payer: Clover Medicare Advantage	$2,328.67
Rate for Payer: EmblemHealth Commercial	$7,353.69
Rate for Payer: Humana Medicare Advantage	$2,524.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,451.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,390.80
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$290.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,451.23
Rate for Payer: Wellcare Medicare Advantage	$2,451.23
Rate for Payer: Wellpoint Medicaid Managed Care	$261.15

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	403433222
Hospital Revenue Code	480
Min. Negotiated Rate	$1,379.31
Max. Negotiated Rate	$1,379.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	403433222
Hospital Revenue Code	480
Min. Negotiated Rate	$242.00
Max. Negotiated Rate	$8,891.84
Rate for Payer: Aetna Commercial	$6,667.35
Rate for Payer: Aetna Medicare Advantage	$7,941.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,451.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,891.84
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: Cigna Medicare Advantage	$2,451.23
Rate for Payer: Clover Medicare Advantage	$2,328.67
Rate for Payer: EmblemHealth Commercial	$7,353.69
Rate for Payer: Humana Medicare Advantage	$2,524.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,451.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,390.80
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$290.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,451.23
Rate for Payer: Wellcare Medicare Advantage	$2,451.23
Rate for Payer: Wellpoint Medicaid Managed Care	$261.15

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	366833222
Hospital Revenue Code	480
Min. Negotiated Rate	$242.00
Max. Negotiated Rate	$8,891.84
Rate for Payer: Aetna Commercial	$6,667.35
Rate for Payer: Aetna Medicare Advantage	$7,941.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,891.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,451.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,891.84
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: Cigna Medicare Advantage	$2,451.23
Rate for Payer: Clover Medicare Advantage	$2,328.67
Rate for Payer: EmblemHealth Commercial	$7,353.69
Rate for Payer: Humana Medicare Advantage	$2,524.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,451.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,390.80
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$290.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,451.23
Rate for Payer: Wellcare Medicare Advantage	$2,451.23
Rate for Payer: Wellpoint Medicaid Managed Care	$261.15

REPOSITION RT AT/VEN

Facility

$6,578.00

Service Code	HCPCS 33215
Hospital Charge Code	366833215
Hospital Revenue Code	480
Min. Negotiated Rate	$986.70
Max. Negotiated Rate	$986.70
Rate for Payer: Qualcare PPO/HMO/WC	$986.70

REPOSITION RT AT/VEN

Facility

$6,578.00

Service Code	HCPCS 33215
Hospital Charge Code	366833215
Hospital Revenue Code	480
Min. Negotiated Rate	$186.82
Max. Negotiated Rate	$13,607.37
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,607.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,607.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,710.28
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$986.70
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$207.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$186.82

REPOSITION VAD DIFF SESSION

Facility

$2,750.00

Service Code	HCPCS 33993
Hospital Charge Code	411033993
Hospital Revenue Code	361
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
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	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

REPOSITION VAD DIFF SESSION

Facility

$2,750.00

Service Code	HCPCS 33993
Hospital Charge Code	411033993
Hospital Revenue Code	361
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

REP RCR ING HRNIA A AGE,INCRCE

Facility

$40,785.21

Service Code	HCPCS 49521
Hospital Charge Code	160000195
Hospital Revenue Code	360
Min. Negotiated Rate	$1,158.30
Max. Negotiated Rate	$27,899.36
Rate for Payer: Aetna Commercial	$20,919.71
Rate for Payer: Aetna Medicare Advantage	$24,919.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,899.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,899.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,691.07
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	$27,899.36
Rate for Payer: Cigna Commercial	$15,416.72
Rate for Payer: Cigna Medicare Advantage	$7,691.07
Rate for Payer: Clover Medicare Advantage	$7,306.52
Rate for Payer: EmblemHealth Commercial	$23,073.21
Rate for Payer: Humana Medicare Advantage	$7,921.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,691.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,604.15
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,117.78
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,288.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,691.07
Rate for Payer: Wellcare Medicare Advantage	$7,691.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1,158.30

REP RCR ING HRNIA A AGE,INCRCE

Facility

$40,785.21

Service Code	HCPCS 49521
Hospital Charge Code	160000195
Hospital Revenue Code	360
Min. Negotiated Rate	$6,117.78
Max. Negotiated Rate	$6,117.78
Rate for Payer: Qualcare PPO/HMO/WC	$6,117.78

Know your out-of-pocket cost for care.

All Charges