Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SHUNT CAROTID ARTERY 6

Facility

$179.25

Service Code	HCPCS C1729
Hospital Charge Code	270600281
Hospital Revenue Code	278
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$43.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

SHUNT CAROTID BYPASS JAVID

Facility

$284.00

Hospital Charge Code	270331545
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$68.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.73
Rate for Payer: Qualcare PPO/HMO/WC	$42.60

SHUNT CAROTID BYPASS JAVID

Facility

$284.00

Hospital Charge Code	270331545
Hospital Revenue Code	278
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$142.00
Rate for Payer: Aetna Commercial	$107.92
Rate for Payer: Aetna Medicare Advantage	$85.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.42
Rate for Payer: Cigna Commercial	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.73
Rate for Payer: Qualcare PPO/HMO/WC	$42.60
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$8.07

SHUNT CAROTID LS1408

Facility

$1,250.00

Service Code	HCPCS C1729
Hospital Charge Code	270640873
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

SHUNT CAROTID LS1408

Facility

$1,250.00

Service Code	HCPCS C1729
Hospital Charge Code	270640873
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SHUNT CERTAS VALVE PLUS

Facility

$31,470.00

Service Code	HCPCS L8699
Hospital Charge Code	270701951
Hospital Revenue Code	278
Min. Negotiated Rate	$893.75
Max. Negotiated Rate	$15,735.00
Rate for Payer: Aetna Commercial	$11,958.60
Rate for Payer: Aetna Medicare Advantage	$9,441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,024.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,024.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,024.85
Rate for Payer: Cigna Commercial	$15,735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,615.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,720.50
Rate for Payer: UnitedHealthcare Community & State	$994.45
Rate for Payer: Wellpoint Medicaid Managed Care	$893.75

SHUNT CERTAS VALVE PLUS

Facility

$31,470.00

Service Code	HCPCS L8699
Hospital Charge Code	270701951
Hospital Revenue Code	278
Min. Negotiated Rate	$4,720.50
Max. Negotiated Rate	$7,615.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,615.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,720.50

SHUNT LUMBAR PERITONEAL CSF

Facility

$3,550.00

Hospital Charge Code	270662447
Hospital Revenue Code	278
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$859.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.10
Rate for Payer: Qualcare PPO/HMO/WC	$532.50

SHUNT LUMBAR PERITONEAL CSF

Facility

$3,550.00

Hospital Charge Code	270662447
Hospital Revenue Code	278
Min. Negotiated Rate	$100.82
Max. Negotiated Rate	$1,775.00
Rate for Payer: Aetna Commercial	$1,349.00
Rate for Payer: Aetna Medicare Advantage	$1,065.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$905.25
Rate for Payer: Cigna Commercial	$1,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.10
Rate for Payer: Qualcare PPO/HMO/WC	$532.50
Rate for Payer: UnitedHealthcare Community & State	$112.18
Rate for Payer: Wellpoint Medicaid Managed Care	$100.82

SHUNT VALVE HIGH PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696361
Hospital Revenue Code	278
Min. Negotiated Rate	$157.72
Max. Negotiated Rate	$2,776.80
Rate for Payer: Aetna Commercial	$2,110.37
Rate for Payer: Aetna Medicare Advantage	$1,666.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,416.17
Rate for Payer: Cigna Commercial	$2,776.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04
Rate for Payer: UnitedHealthcare Community & State	$175.49
Rate for Payer: Wellpoint Medicaid Managed Care	$157.72

SHUNT VALVE HIGH PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696361
Hospital Revenue Code	278
Min. Negotiated Rate	$833.04
Max. Negotiated Rate	$1,343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04

SHUNT VALVE LOW PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696365
Hospital Revenue Code	278
Min. Negotiated Rate	$157.72
Max. Negotiated Rate	$2,776.80
Rate for Payer: Aetna Commercial	$2,110.37
Rate for Payer: Aetna Medicare Advantage	$1,666.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,416.17
Rate for Payer: Cigna Commercial	$2,776.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04
Rate for Payer: UnitedHealthcare Community & State	$175.49
Rate for Payer: Wellpoint Medicaid Managed Care	$157.72

SHUNT VALVE LOW PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696365
Hospital Revenue Code	278
Min. Negotiated Rate	$833.04
Max. Negotiated Rate	$1,343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04

SHUNT VALVE MED PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696362
Hospital Revenue Code	278
Min. Negotiated Rate	$833.04
Max. Negotiated Rate	$1,343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04

SHUNT VALVE MED PRESS IMP

Facility

$5,553.60

Service Code	HCPCS L8699
Hospital Charge Code	270696362
Hospital Revenue Code	278
Min. Negotiated Rate	$157.72
Max. Negotiated Rate	$2,776.80
Rate for Payer: Aetna Commercial	$2,110.37
Rate for Payer: Aetna Medicare Advantage	$1,666.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,416.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,416.17
Rate for Payer: Cigna Commercial	$2,776.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.97
Rate for Payer: Qualcare PPO/HMO/WC	$833.04
Rate for Payer: UnitedHealthcare Community & State	$175.49
Rate for Payer: Wellpoint Medicaid Managed Care	$157.72

SHUNT VCP DELTA L1 130CM

Facility

$9,366.05

Service Code	HCPCS L8699
Hospital Charge Code	270694798
Hospital Revenue Code	278
Min. Negotiated Rate	$266.00
Max. Negotiated Rate	$4,683.02
Rate for Payer: Aetna Commercial	$3,559.10
Rate for Payer: Aetna Medicare Advantage	$2,809.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,388.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,388.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,873.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,388.34
Rate for Payer: Cigna Commercial	$4,683.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,266.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,404.91
Rate for Payer: UnitedHealthcare Community & State	$295.97
Rate for Payer: Wellpoint Medicaid Managed Care	$266.00

SHUNT VCP DELTA L1 130CM

Facility

$9,366.05

Service Code	HCPCS L8699
Hospital Charge Code	270694798
Hospital Revenue Code	278
Min. Negotiated Rate	$1,404.91
Max. Negotiated Rate	$2,266.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,873.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,266.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,404.91

SHUNT VP DELTA ASSY SM LEV 1.5

Facility

$10,665.60

Service Code	HCPCS C1729
Hospital Charge Code	270693250
Hospital Revenue Code	278
Min. Negotiated Rate	$302.90
Max. Negotiated Rate	$5,332.80
Rate for Payer: Aetna Commercial	$4,052.93
Rate for Payer: Aetna Medicare Advantage	$3,199.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,719.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,719.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,133.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,719.73
Rate for Payer: Cigna Commercial	$5,332.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,581.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,599.84
Rate for Payer: UnitedHealthcare Community & State	$337.03
Rate for Payer: Wellpoint Medicaid Managed Care	$302.90

SHUNT VP DELTA ASSY SM LEV 1.5

Facility

$10,665.60

Service Code	HCPCS C1729
Hospital Charge Code	270693250
Hospital Revenue Code	278
Min. Negotiated Rate	$1,599.84
Max. Negotiated Rate	$2,581.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,133.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,581.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,599.84

SHURFIT TPLIF2C 7MMX29MM

Facility

$22,100.00

Service Code	HCPCS C1889
Hospital Charge Code	270695749
Hospital Revenue Code	278
Min. Negotiated Rate	$3,315.00
Max. Negotiated Rate	$5,348.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,348.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,315.00

SHURFIT TPLIF2C 7MMX29MM

Facility

$22,100.00

Service Code	HCPCS C1889
Hospital Charge Code	270695749
Hospital Revenue Code	278
Min. Negotiated Rate	$627.64
Max. Negotiated Rate	$11,050.00
Rate for Payer: Aetna Commercial	$8,398.00
Rate for Payer: Aetna Medicare Advantage	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,635.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,635.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,635.50
Rate for Payer: Cigna Commercial	$11,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,348.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,315.00
Rate for Payer: UnitedHealthcare Community & State	$698.36
Rate for Payer: Wellpoint Medicaid Managed Care	$627.64

SIALIC ACID

Facility

$95.00

Service Code	HCPCS 84275
Hospital Charge Code	38477116
Hospital Revenue Code	301
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$36.56
Rate for Payer: Aetna Medicare Advantage	$43.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.75
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: Cigna Medicare Advantage	$13.44
Rate for Payer: Clover Medicare Advantage	$12.77
Rate for Payer: EmblemHealth Commercial	$40.32
Rate for Payer: Humana Medicare Advantage	$13.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.44
Rate for Payer: Wellcare Medicare Advantage	$13.44
Rate for Payer: Wellpoint Medicaid Managed Care	$2.70

SIALIC ACID

Facility

$95.00

Service Code	HCPCS 84275
Hospital Charge Code	38477116
Hospital Revenue Code	301
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

SICKLE CELL

Facility

$208.00

Service Code	HCPCS 85660
Hospital Charge Code	38473018
Hospital Revenue Code	305
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$31.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

SICKLE CELL

Facility

$208.00

Service Code	HCPCS 85660
Hospital Charge Code	38473018
Hospital Revenue Code	305
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$14.99
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.99
Rate for Payer: Cigna Commercial	$104.00
Rate for Payer: Cigna Medicare Advantage	$5.51
Rate for Payer: Clover Medicare Advantage	$5.23
Rate for Payer: EmblemHealth Commercial	$16.53
Rate for Payer: Humana Medicare Advantage	$5.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.08
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.51
Rate for Payer: Wellcare Medicare Advantage	$5.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5.91

Know your out-of-pocket cost for care.

All Charges