Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RESECT SM INTEST,SGL RESECT&AN

Facility

$14,675.36

Service Code	HCPCS 44120
Hospital Charge Code	16000969
Hospital Revenue Code	360
Min. Negotiated Rate	$2,201.30
Max. Negotiated Rate	$2,201.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,201.30

RESECT SM INTEST,SGL RESECT&AN

Facility

$14,675.36

Service Code	HCPCS 44120
Hospital Charge Code	16000969
Hospital Revenue Code	360
Min. Negotiated Rate	$416.78
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$5,576.64
Rate for Payer: Aetna Medicare Advantage	$4,402.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,742.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,742.22
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	$3,742.22
Rate for Payer: Cigna Commercial	$7,337.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,815.59
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,201.30
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$463.74
Rate for Payer: Wellpoint Medicaid Managed Care	$416.78

RESECT THIGH/KNEE TUM 5 CM/>

Facility

$16,680.90

Service Code	HCPCS 27364
Hospital Charge Code	16000882
Hospital Revenue Code	360
Min. Negotiated Rate	$473.74
Max. Negotiated Rate	$12,518.07
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
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	$12,518.07
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,337.03
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$527.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$473.74

RESECT THIGH/KNEE TUM 5 CM/>

Facility

$16,680.90

Service Code	HCPCS 27364
Hospital Charge Code	16000882
Hospital Revenue Code	360
Min. Negotiated Rate	$2,502.14
Max. Negotiated Rate	$2,502.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14

RESERVIOR 100C

Facility

$18.05

Hospital Charge Code	270656215
Hospital Revenue Code	270
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$9.03
Rate for Payer: Aetna Commercial	$6.86
Rate for Payer: Aetna Medicare Advantage	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.60
Rate for Payer: Cigna Commercial	$9.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.69
Rate for Payer: Oxford Commercial	$3.61
Rate for Payer: Qualcare PPO/HMO/WC	$2.71
Rate for Payer: UnitedHealthcare Commercial	$3.61
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

RESERVIOR 100C

Facility

$18.05

Hospital Charge Code	270656215
Hospital Revenue Code	270
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$2.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.71

RESERVIOR KIT 3 SPRING 400cc

Facility

$36.73

Hospital Charge Code	270655680
Hospital Revenue Code	271
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$13.96
Rate for Payer: Aetna Medicare Advantage	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.37
Rate for Payer: Cigna Commercial	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.55
Rate for Payer: Oxford Commercial	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$7.35
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.04

RESERVIOR KIT 3 SPRING 400cc

Facility

$36.73

Hospital Charge Code	270655680
Hospital Revenue Code	271
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

RESERVOIR

Facility

$11,205.00

Hospital Charge Code	270687911
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$2,711.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

RESERVOIR

Facility

$11,205.00

Hospital Charge Code	270687911
Hospital Revenue Code	278
Min. Negotiated Rate	$318.22
Max. Negotiated Rate	$5,602.50
Rate for Payer: Aetna Commercial	$4,257.90
Rate for Payer: Aetna Medicare Advantage	$3,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,857.28
Rate for Payer: Cigna Commercial	$5,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75
Rate for Payer: UnitedHealthcare Community & State	$354.08
Rate for Payer: Wellpoint Medicaid Managed Care	$318.22

RESERVOIR 150U HAE#205

Facility

$21.40

Hospital Charge Code	270659792
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.56
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

RESERVOIR 150U HAE#205

Facility

$21.40

Hospital Charge Code	270659792
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

RESERVOIR CONCEALED

Facility

$12,498.05

Service Code	HCPCS C1813
Hospital Charge Code	270659252
Hospital Revenue Code	278
Min. Negotiated Rate	$354.94
Max. Negotiated Rate	$6,249.02
Rate for Payer: Aetna Commercial	$4,749.26
Rate for Payer: Aetna Medicare Advantage	$3,749.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,499.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.00
Rate for Payer: Cigna Commercial	$6,249.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,024.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,874.71
Rate for Payer: UnitedHealthcare Community & State	$394.94
Rate for Payer: Wellpoint Medicaid Managed Care	$354.94

RESERVOIR CONCEALED

Facility

$12,498.05

Service Code	HCPCS C1813
Hospital Charge Code	270659252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,874.71
Max. Negotiated Rate	$3,024.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,499.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,024.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,874.71

RESERVOIR JACKSON PRATT

Facility

$1,881.60

Hospital Charge Code	270657780
Hospital Revenue Code	278
Min. Negotiated Rate	$282.24
Max. Negotiated Rate	$455.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.35
Rate for Payer: Qualcare PPO/HMO/WC	$282.24

RESERVOIR JACKSON PRATT

Facility

$1,881.60

Hospital Charge Code	270657780
Hospital Revenue Code	278
Min. Negotiated Rate	$53.44
Max. Negotiated Rate	$940.80
Rate for Payer: Aetna Commercial	$715.01
Rate for Payer: Aetna Medicare Advantage	$564.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.81
Rate for Payer: Cigna Commercial	$940.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.35
Rate for Payer: Qualcare PPO/HMO/WC	$282.24
Rate for Payer: UnitedHealthcare Community & State	$59.46
Rate for Payer: Wellpoint Medicaid Managed Care	$53.44

RESERVOIR JVAC 100cc

Facility

$184.27

Hospital Charge Code	270658635
Hospital Revenue Code	270
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$92.14
Rate for Payer: Aetna Commercial	$70.02
Rate for Payer: Aetna Medicare Advantage	$55.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.99
Rate for Payer: Cigna Commercial	$92.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.91
Rate for Payer: Oxford Commercial	$36.85
Rate for Payer: Qualcare PPO/HMO/WC	$27.64
Rate for Payer: UnitedHealthcare Commercial	$36.85
Rate for Payer: UnitedHealthcare Community & State	$5.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

RESERVOIR JVAC 100cc

Facility

$184.27

Hospital Charge Code	270658635
Hospital Revenue Code	270
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$27.64
Rate for Payer: Qualcare PPO/HMO/WC	$27.64

RESERVOIR J-VAC 100cc BULB

Facility

$175.87

Hospital Charge Code	270651489
Hospital Revenue Code	272
Min. Negotiated Rate	$26.38
Max. Negotiated Rate	$26.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.38

RESERVOIR J-VAC 100cc BULB

Facility

$175.87

Hospital Charge Code	270651489
Hospital Revenue Code	272
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$87.94
Rate for Payer: Aetna Commercial	$66.83
Rate for Payer: Aetna Medicare Advantage	$52.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.85
Rate for Payer: Cigna Commercial	$87.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.73
Rate for Payer: Oxford Commercial	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$26.38
Rate for Payer: UnitedHealthcare Commercial	$35.17
Rate for Payer: UnitedHealthcare Community & State	$5.56
Rate for Payer: Wellpoint Medicaid Managed Care	$4.99

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364S
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364R
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364R
Hospital Revenue Code	272
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$164.00
Rate for Payer: Aetna Commercial	$124.64
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.28
Rate for Payer: Oxford Commercial	$65.60
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$65.60
Rate for Payer: UnitedHealthcare Community & State	$10.36
Rate for Payer: Wellpoint Medicaid Managed Care	$9.32

RESOLVE 10FR PIGTAIL UNIV.

Facility

$328.00

Hospital Charge Code	270654364
Hospital Revenue Code	272
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$164.00
Rate for Payer: Aetna Commercial	$124.64
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.28
Rate for Payer: Oxford Commercial	$65.60
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$65.60
Rate for Payer: UnitedHealthcare Community & State	$10.36
Rate for Payer: Wellpoint Medicaid Managed Care	$9.32

Know your out-of-pocket cost for care.

All Charges