Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SHOCKWAVE C2 IVL CATH 2.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702773
Hospital Revenue Code	278
Min. Negotiated Rate	$667.40
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$8,930.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00
Rate for Payer: UnitedHealthcare Community & State	$742.60
Rate for Payer: Wellpoint Medicaid Managed Care	$667.40

SHOCKWAVE C2 IVL CATH 2.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702773
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 3.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702774
Hospital Revenue Code	278
Min. Negotiated Rate	$667.40
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$8,930.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00
Rate for Payer: UnitedHealthcare Community & State	$742.60
Rate for Payer: Wellpoint Medicaid Managed Care	$667.40

SHOCKWAVE C2 IVL CATH 3.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702774
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 3.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702775
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 3.5X12MM

Facility

$23,500.00

Hospital Charge Code	270702775
Hospital Revenue Code	278
Min. Negotiated Rate	$667.40
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$8,930.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00
Rate for Payer: UnitedHealthcare Community & State	$742.60
Rate for Payer: Wellpoint Medicaid Managed Care	$667.40

SHOCKWAVE C2 IVL CATH 4.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702776
Hospital Revenue Code	278
Min. Negotiated Rate	$3,525.00
Max. Negotiated Rate	$5,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00

SHOCKWAVE C2 IVL CATH 4.0X12MM

Facility

$23,500.00

Hospital Charge Code	270702776
Hospital Revenue Code	278
Min. Negotiated Rate	$667.40
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$8,930.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,687.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00
Rate for Payer: UnitedHealthcare Community & State	$742.60
Rate for Payer: Wellpoint Medicaid Managed Care	$667.40

SHOE CAST CUSH LG CL TOE

Facility

$38.00

Hospital Charge Code	270302725
Hospital Revenue Code	270
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.88
Rate for Payer: Oxford Commercial	$7.60
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$7.60
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

SHOE CAST CUSH LG CL TOE

Facility

$38.00

Hospital Charge Code	270302725
Hospital Revenue Code	270
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SHOE CAST CUSH MED CL TOE

Facility

$35.95

Hospital Charge Code	270302721
Hospital Revenue Code	270
Min. Negotiated Rate	$5.39
Max. Negotiated Rate	$5.39
Rate for Payer: Qualcare PPO/HMO/WC	$5.39

SHOE CAST CUSH MED CL TOE

Facility

$35.95

Hospital Charge Code	270302721
Hospital Revenue Code	270
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$17.98
Rate for Payer: Aetna Commercial	$13.66
Rate for Payer: Aetna Medicare Advantage	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.17
Rate for Payer: Cigna Commercial	$17.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.35
Rate for Payer: Oxford Commercial	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.39
Rate for Payer: UnitedHealthcare Commercial	$7.19
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.02

SHOE CAST CUSH SM CL TOE

Facility

$24.85

Hospital Charge Code	270302720
Hospital Revenue Code	270
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$9.44
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.46
Rate for Payer: Oxford Commercial	$4.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$4.97
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

SHOE CAST CUSH SM CL TOE

Facility

$24.85

Hospital Charge Code	270302720
Hospital Revenue Code	270
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

SHOE CAST VINYL XLG OP TOE

Facility

$24.25

Hospital Charge Code	270302750
Hospital Revenue Code	270
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$3.64
Rate for Payer: Qualcare PPO/HMO/WC	$3.64

SHOE CAST VINYL XLG OP TOE

Facility

$24.25

Hospital Charge Code	270302750
Hospital Revenue Code	270
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$12.12
Rate for Payer: Aetna Commercial	$9.21
Rate for Payer: Aetna Medicare Advantage	$7.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.18
Rate for Payer: Cigna Commercial	$12.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$4.85
Rate for Payer: Qualcare PPO/HMO/WC	$3.64
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.69

SHOE DARCO WEDGE HEEL RELIEF

Facility

$124.75

Hospital Charge Code	270642336
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$62.38
Rate for Payer: Aetna Commercial	$47.41
Rate for Payer: Aetna Medicare Advantage	$37.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.81
Rate for Payer: Cigna Commercial	$62.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.44
Rate for Payer: Oxford Commercial	$24.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.71
Rate for Payer: UnitedHealthcare Commercial	$24.95
Rate for Payer: UnitedHealthcare Community & State	$3.94
Rate for Payer: Wellpoint Medicaid Managed Care	$3.54

SHOE DARCO WEDGE HEEL RELIEF

Facility

$124.75

Hospital Charge Code	270642336
Hospital Revenue Code	272
Min. Negotiated Rate	$18.71
Max. Negotiated Rate	$18.71
Rate for Payer: Qualcare PPO/HMO/WC	$18.71

SHOE HEEL WEDGE HEALING SZ L

Facility

$200.00

Hospital Charge Code	270678832
Hospital Revenue Code	270
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

SHOE HEEL WEDGE HEALING SZ L

Facility

$200.00

Hospital Charge Code	270678832
Hospital Revenue Code	270
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHOE HEEL WEDGE HEALING SZ M

Facility

$163.30

Hospital Charge Code	270678833
Hospital Revenue Code	270
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$24.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.50

SHOE HEEL WEDGE HEALING SZ M

Facility

$163.30

Hospital Charge Code	270678833
Hospital Revenue Code	270
Min. Negotiated Rate	$4.64
Max. Negotiated Rate	$81.65
Rate for Payer: Aetna Commercial	$62.05
Rate for Payer: Aetna Medicare Advantage	$48.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.64
Rate for Payer: Cigna Commercial	$81.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.46
Rate for Payer: Oxford Commercial	$32.66
Rate for Payer: Qualcare PPO/HMO/WC	$24.50
Rate for Payer: UnitedHealthcare Commercial	$32.66
Rate for Payer: UnitedHealthcare Community & State	$5.16
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

SHOE ORTHOWEDGE HEALING SZ L

Facility

$126.60

Hospital Charge Code	270678831
Hospital Revenue Code	270
Min. Negotiated Rate	$18.99
Max. Negotiated Rate	$18.99
Rate for Payer: Qualcare PPO/HMO/WC	$18.99

SHOE ORTHOWEDGE HEALING SZ L

Facility

$126.60

Hospital Charge Code	270678831
Hospital Revenue Code	270
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$63.30
Rate for Payer: Aetna Commercial	$48.11
Rate for Payer: Aetna Medicare Advantage	$37.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.28
Rate for Payer: Cigna Commercial	$63.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.92
Rate for Payer: Oxford Commercial	$25.32
Rate for Payer: Qualcare PPO/HMO/WC	$18.99
Rate for Payer: UnitedHealthcare Commercial	$25.32
Rate for Payer: UnitedHealthcare Community & State	$4.00
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

SHOE ORTHOWEDGE LARGE

Facility

$184.95

Hospital Charge Code	270650012
Hospital Revenue Code	270
Min. Negotiated Rate	$27.74
Max. Negotiated Rate	$27.74
Rate for Payer: Qualcare PPO/HMO/WC	$27.74

Know your out-of-pocket cost for care.

All Charges