Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SHT 1.5m RAP RESOR 851.532.015

Facility

$2,926.45

Service Code	HCPCS C1776
Hospital Charge Code	270635018
Hospital Revenue Code	278
Min. Negotiated Rate	$438.97
Max. Negotiated Rate	$708.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.20
Rate for Payer: Qualcare PPO/HMO/WC	$438.97

SHT 1.5m RAP RESOR 851.532.015

Facility

$2,926.45

Service Code	HCPCS C1776
Hospital Charge Code	270635018
Hospital Revenue Code	278
Min. Negotiated Rate	$83.11
Max. Negotiated Rate	$1,463.22
Rate for Payer: Aetna Commercial	$1,112.05
Rate for Payer: Aetna Medicare Advantage	$877.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.24
Rate for Payer: Cigna Commercial	$1,463.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.20
Rate for Payer: Qualcare PPO/HMO/WC	$438.97
Rate for Payer: UnitedHealthcare Community & State	$92.48
Rate for Payer: Wellpoint Medicaid Managed Care	$83.11

SHTH GDING PINNCLE7F 65X35X2.5

Facility

$580.00

Service Code	HCPCS C1766
Hospital Charge Code	270642217S
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$290.00
Rate for Payer: Aetna Commercial	$220.40
Rate for Payer: Aetna Medicare Advantage	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.90
Rate for Payer: Cigna Commercial	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00
Rate for Payer: UnitedHealthcare Community & State	$18.33
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

SHTH GDING PINNCLE7F 65X35X2.5

Facility

$580.00

Service Code	HCPCS C1766
Hospital Charge Code	270642217
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$290.00
Rate for Payer: Aetna Commercial	$220.40
Rate for Payer: Aetna Medicare Advantage	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.90
Rate for Payer: Cigna Commercial	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00
Rate for Payer: UnitedHealthcare Community & State	$18.33
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

SHTH GDING PINNCLE7F 65X35X2.5

Facility

$580.00

Service Code	HCPCS C1766
Hospital Charge Code	270642217
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$140.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

SHTH GDING PINNCLE7F 65X35X2.5

Facility

$580.00

Service Code	HCPCS C1766
Hospital Charge Code	270642217S
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$140.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

SHTH GUIDING PIN 6FR 65X35X2.5

Facility

$580.00

Service Code	HCPCS C1766
Hospital Charge Code	270642215S
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$290.00
Rate for Payer: Aetna Commercial	$220.40
Rate for Payer: Aetna Medicare Advantage	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.90
Rate for Payer: Cigna Commercial	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00
Rate for Payer: UnitedHealthcare Community & State	$18.33
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

SHTH GUIDING PIN 6FR 65X35X2.5

Facility

$580.00

Service Code	HCPCS C1766
Hospital Charge Code	270642215S
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$140.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

SHTH GUIDING PIN 6FR 65X35X2.5

Facility

$722.50

Hospital Charge Code	270642215
Hospital Revenue Code	278
Min. Negotiated Rate	$20.52
Max. Negotiated Rate	$361.25
Rate for Payer: Aetna Commercial	$274.55
Rate for Payer: Aetna Medicare Advantage	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.24
Rate for Payer: Cigna Commercial	$361.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.84
Rate for Payer: Qualcare PPO/HMO/WC	$108.38
Rate for Payer: UnitedHealthcare Community & State	$22.83
Rate for Payer: Wellpoint Medicaid Managed Care	$20.52

SHTH GUIDING PIN 6FR 65X35X2.5

Facility

$722.50

Hospital Charge Code	270642215
Hospital Revenue Code	278
Min. Negotiated Rate	$108.38
Max. Negotiated Rate	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.84
Rate for Payer: Qualcare PPO/HMO/WC	$108.38

SHTH PINNCLE 2 INTROD 6FRx10

Facility

$159.50

Service Code	HCPCS C1766
Hospital Charge Code	270654371S
Hospital Revenue Code	278
Min. Negotiated Rate	$4.53
Max. Negotiated Rate	$79.75
Rate for Payer: Aetna Commercial	$60.61
Rate for Payer: Aetna Medicare Advantage	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.67
Rate for Payer: Cigna Commercial	$79.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.93
Rate for Payer: UnitedHealthcare Community & State	$5.04
Rate for Payer: Wellpoint Medicaid Managed Care	$4.53

SHTH PINNCLE 2 INTROD 6FRx10

Facility

$159.50

Service Code	HCPCS C1766
Hospital Charge Code	270654371
Hospital Revenue Code	278
Min. Negotiated Rate	$23.93
Max. Negotiated Rate	$38.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.93

SHTH PINNCLE 2 INTROD 6FRx10

Facility

$159.50

Service Code	HCPCS C1766
Hospital Charge Code	270654371
Hospital Revenue Code	278
Min. Negotiated Rate	$4.53
Max. Negotiated Rate	$79.75
Rate for Payer: Aetna Commercial	$60.61
Rate for Payer: Aetna Medicare Advantage	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.67
Rate for Payer: Cigna Commercial	$79.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.93
Rate for Payer: UnitedHealthcare Community & State	$5.04
Rate for Payer: Wellpoint Medicaid Managed Care	$4.53

SHTH PINNCLE 2 INTROD 6FRx10

Facility

$159.50

Service Code	HCPCS C1766
Hospital Charge Code	270654371S
Hospital Revenue Code	278
Min. Negotiated Rate	$23.93
Max. Negotiated Rate	$38.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.93

SHTH PINNCLE II INTROD 7FRX6

Facility

$148.50

Service Code	HCPCS C1766
Hospital Charge Code	270658252
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

SHTH PINNCLE II INTROD 7FRX6

Facility

$29.70

Service Code	HCPCS C1766
Hospital Charge Code	270658252N
Hospital Revenue Code	278
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$7.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.46

SHTH PINNCLE II INTROD 7FRX6

Facility

$148.50

Service Code	HCPCS C1766
Hospital Charge Code	270658252S
Hospital Revenue Code	278
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$56.43
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

SHTH PINNCLE II INTROD 7FRX6

Facility

$148.50

Service Code	HCPCS C1766
Hospital Charge Code	270658252S
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SHTH PINNCLE II INTROD 7FRX6

Facility

$29.70

Service Code	HCPCS C1766
Hospital Charge Code	270658252N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$14.85
Rate for Payer: Aetna Commercial	$11.29
Rate for Payer: Aetna Medicare Advantage	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.57
Rate for Payer: Cigna Commercial	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.46
Rate for Payer: UnitedHealthcare Community & State	$0.94
Rate for Payer: Wellpoint Medicaid Managed Care	$0.84

SHTH PINNCLE II INTROD 7FRX6

Facility

$148.50

Service Code	HCPCS C1766
Hospital Charge Code	270658252
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SHUNT ARGYLE CAROTID ARTERY

Facility

$288.40

Service Code	HCPCS C1729
Hospital Charge Code	270657594
Hospital Revenue Code	278
Min. Negotiated Rate	$43.26
Max. Negotiated Rate	$69.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.79
Rate for Payer: Qualcare PPO/HMO/WC	$43.26

SHUNT ARGYLE CAROTID ARTERY

Facility

$288.40

Service Code	HCPCS C1729
Hospital Charge Code	270657594
Hospital Revenue Code	278
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$144.20
Rate for Payer: Aetna Commercial	$109.59
Rate for Payer: Aetna Medicare Advantage	$86.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.54
Rate for Payer: Cigna Commercial	$144.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.79
Rate for Payer: Qualcare PPO/HMO/WC	$43.26
Rate for Payer: UnitedHealthcare Community & State	$9.11
Rate for Payer: Wellpoint Medicaid Managed Care	$8.19

SHUNT CAROTD BYPASS 14F 007755

Facility

$445.75

Service Code	HCPCS C1729
Hospital Charge Code	270629730
Hospital Revenue Code	278
Min. Negotiated Rate	$66.86
Max. Negotiated Rate	$107.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.87
Rate for Payer: Qualcare PPO/HMO/WC	$66.86

SHUNT CAROTD BYPASS 14F 007755

Facility

$445.75

Service Code	HCPCS C1729
Hospital Charge Code	270629730
Hospital Revenue Code	278
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$222.88
Rate for Payer: Aetna Commercial	$169.38
Rate for Payer: Aetna Medicare Advantage	$133.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.67
Rate for Payer: Cigna Commercial	$222.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.87
Rate for Payer: Qualcare PPO/HMO/WC	$66.86
Rate for Payer: UnitedHealthcare Community & State	$14.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.66

SHUNT CAROTID ARTERY 6

Facility

$179.25

Service Code	HCPCS C1729
Hospital Charge Code	270600281
Hospital Revenue Code	278
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$89.62
Rate for Payer: Aetna Commercial	$68.11
Rate for Payer: Aetna Medicare Advantage	$53.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.71
Rate for Payer: Cigna Commercial	$89.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Community & State	$5.66
Rate for Payer: Wellpoint Medicaid Managed Care	$5.09

Know your out-of-pocket cost for care.

All Charges