Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SENSORCAINE 0.25%/30ML

Facility

$27.47

Service Code	NDC 409155930
Hospital Charge Code	60633863
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$13.73
Rate for Payer: Aetna Commercial	$10.44
Rate for Payer: Aetna Medicare Advantage	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.00
Rate for Payer: Cigna Commercial	$13.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.14
Rate for Payer: Oxford Commercial	$5.49
Rate for Payer: Qualcare PPO/HMO/WC	$4.12
Rate for Payer: UnitedHealthcare Commercial	$5.49
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.78

SENSORCAINE 0.25%/30ML

Facility

$27.47

Service Code	NDC 409155930
Hospital Charge Code	60633863
Hospital Revenue Code	250
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$4.12
Rate for Payer: Qualcare PPO/HMO/WC	$4.12

SENSORCAINE 0.25% 50ML

Facility

$80.87

Service Code	NDC 63323046557
Hospital Charge Code	6063943296
Hospital Revenue Code	250
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$40.44
Rate for Payer: Aetna Commercial	$30.73
Rate for Payer: Aetna Medicare Advantage	$24.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.62
Rate for Payer: Cigna Commercial	$40.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.03
Rate for Payer: Oxford Commercial	$16.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.13
Rate for Payer: UnitedHealthcare Commercial	$16.17
Rate for Payer: UnitedHealthcare Community & State	$2.56
Rate for Payer: Wellpoint Medicaid Managed Care	$2.30

SENSORCAINE 0.25% 50ML

Facility

$80.87

Service Code	NDC 63323046557
Hospital Charge Code	6063943296
Hospital Revenue Code	250
Min. Negotiated Rate	$12.13
Max. Negotiated Rate	$12.13
Rate for Payer: Qualcare PPO/HMO/WC	$12.13

SENSORCAINE 0.25% W/EPI/3

Facility

$28.54

Service Code	NDC 409904217
Hospital Charge Code	60633865
Hospital Revenue Code	250
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$14.27
Rate for Payer: Aetna Commercial	$10.85
Rate for Payer: Aetna Medicare Advantage	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.28
Rate for Payer: Cigna Commercial	$14.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.42
Rate for Payer: Oxford Commercial	$5.71
Rate for Payer: Qualcare PPO/HMO/WC	$4.28
Rate for Payer: UnitedHealthcare Commercial	$5.71
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

SENSORCAINE 0.25% W/EPI/3

Facility

$28.54

Service Code	NDC 409904217
Hospital Charge Code	60633865
Hospital Revenue Code	250
Min. Negotiated Rate	$4.28
Max. Negotiated Rate	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$4.28

SENSORCAINE 0.5%/30ML

Facility

$27.00

Service Code	NDC 409153025
Hospital Charge Code	60633866
Hospital Revenue Code	250
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

SENSORCAINE 0.5%/30ML

Facility

$27.00

Service Code	NDC 409153025
Hospital Charge Code	60633866
Hospital Revenue Code	250
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$10.26
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$5.40
Rate for Payer: UnitedHealthcare Community & State	$0.85
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SENSOR FLO-TRAC 1-60 152CM

Facility

$2,036.85

Hospital Charge Code	270663136
Hospital Revenue Code	278
Min. Negotiated Rate	$305.53
Max. Negotiated Rate	$492.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$407.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$492.92
Rate for Payer: Qualcare PPO/HMO/WC	$305.53

SENSOR FLO-TRAC 1-60 152CM

Facility

$2,036.85

Hospital Charge Code	270663136
Hospital Revenue Code	278
Min. Negotiated Rate	$57.85
Max. Negotiated Rate	$1,018.42
Rate for Payer: Aetna Commercial	$774.00
Rate for Payer: Aetna Medicare Advantage	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$519.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$519.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$407.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$519.40
Rate for Payer: Cigna Commercial	$1,018.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$492.92
Rate for Payer: Qualcare PPO/HMO/WC	$305.53
Rate for Payer: UnitedHealthcare Community & State	$64.36
Rate for Payer: Wellpoint Medicaid Managed Care	$57.85

SENSOR LNCS ADULT SPO2

Facility

$74.10

Hospital Charge Code	270677745
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$37.05
Rate for Payer: Aetna Commercial	$28.16
Rate for Payer: Aetna Medicare Advantage	$22.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.90
Rate for Payer: Cigna Commercial	$37.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.27
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Commercial	$14.82
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.10

SENSOR LNCS ADULT SPO2

Facility

$74.10

Hospital Charge Code	270677745
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$11.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SENSOR PULSE OX NEONATAL

Facility

$2,750.00

Hospital Charge Code	270665248
Hospital Revenue Code	270
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SENSOR PULSE OX NEONATAL

Facility

$2,750.00

Hospital Charge Code	270665248
Hospital Revenue Code	270
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
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) 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	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

SENSOR PULSE OX PREMATURE SOFT

Facility

$2,317.50

Hospital Charge Code	270665249
Hospital Revenue Code	270
Min. Negotiated Rate	$65.82
Max. Negotiated Rate	$1,158.75
Rate for Payer: Aetna Commercial	$880.65
Rate for Payer: Aetna Medicare Advantage	$695.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$590.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$590.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$590.96
Rate for Payer: Cigna Commercial	$1,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.55
Rate for Payer: Oxford Commercial	$463.50
Rate for Payer: Qualcare PPO/HMO/WC	$347.62
Rate for Payer: UnitedHealthcare Commercial	$463.50
Rate for Payer: UnitedHealthcare Community & State	$73.23
Rate for Payer: Wellpoint Medicaid Managed Care	$65.82

SENSOR PULSE OX PREMATURE SOFT

Facility

$2,317.50

Hospital Charge Code	270665249
Hospital Revenue Code	270
Min. Negotiated Rate	$347.62
Max. Negotiated Rate	$347.62
Rate for Payer: Qualcare PPO/HMO/WC	$347.62

SENSOR RESTORE

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270665901
Hospital Revenue Code	278
Min. Negotiated Rate	$14,812.50
Max. Negotiated Rate	$23,897.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50

SENSOR RESTORE

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270665901
Hospital Revenue Code	278
Min. Negotiated Rate	$2,804.50
Max. Negotiated Rate	$49,375.00
Rate for Payer: Aetna Commercial	$37,525.00
Rate for Payer: Aetna Medicare Advantage	$29,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,181.25
Rate for Payer: Cigna Commercial	$49,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50
Rate for Payer: UnitedHealthcare Community & State	$3,120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2,804.50

SENSOR SPO2 ADLT 060000004301

Facility

$74.10

Hospital Charge Code	270633546
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$37.05
Rate for Payer: Aetna Commercial	$28.16
Rate for Payer: Aetna Medicare Advantage	$22.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.90
Rate for Payer: Cigna Commercial	$37.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.27
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Commercial	$14.82
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.10

SENSOR SPO2 ADLT 060000004301

Facility

$74.10

Hospital Charge Code	270633546
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$11.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SENSOR WIRE .035 X 150 MM

Facility

$319.50

Hospital Charge Code	270701464
Hospital Revenue Code	278
Min. Negotiated Rate	$47.92
Max. Negotiated Rate	$77.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.32
Rate for Payer: Qualcare PPO/HMO/WC	$47.92

SENSOR WIRE .035 X 150 MM

Facility

$319.50

Hospital Charge Code	270701464
Hospital Revenue Code	278
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$159.75
Rate for Payer: Aetna Commercial	$121.41
Rate for Payer: Aetna Medicare Advantage	$95.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.47
Rate for Payer: Cigna Commercial	$159.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.32
Rate for Payer: Qualcare PPO/HMO/WC	$47.92
Rate for Payer: UnitedHealthcare Community & State	$10.10
Rate for Payer: Wellpoint Medicaid Managed Care	$9.07

SENSOR XP FOR ANESTHESIA LOC

Facility

$108.52

Hospital Charge Code	270659139
Hospital Revenue Code	270
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$54.26
Rate for Payer: Aetna Commercial	$41.24
Rate for Payer: Aetna Medicare Advantage	$32.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.67
Rate for Payer: Cigna Commercial	$54.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.22
Rate for Payer: Oxford Commercial	$21.70
Rate for Payer: Qualcare PPO/HMO/WC	$16.28
Rate for Payer: UnitedHealthcare Commercial	$21.70
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.08

SENSOR XP FOR ANESTHESIA LOC

Facility

$108.52

Hospital Charge Code	270659139
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$16.28

SENSORY MOTOR NEUROPATHY AB I

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$55.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.65
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$17.27
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Medicare Advantage	$17.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Know your out-of-pocket cost for care.

All Charges