Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SLIMLINE LASER FIBER LEMENIS

Facility

$4,462.50

Hospital Charge Code	270659488
Hospital Revenue Code	270
Min. Negotiated Rate	$126.73
Max. Negotiated Rate	$2,231.25
Rate for Payer: Aetna Commercial	$1,695.75
Rate for Payer: Aetna Medicare Advantage	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.94
Rate for Payer: Cigna Commercial	$2,231.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,160.25
Rate for Payer: Oxford Commercial	$892.50
Rate for Payer: Qualcare PPO/HMO/WC	$669.38
Rate for Payer: UnitedHealthcare Commercial	$892.50
Rate for Payer: UnitedHealthcare Community & State	$141.01
Rate for Payer: Wellpoint Medicaid Managed Care	$126.73

SLIM TIP DRG LEAD TRIAL KIT

Facility

$35,500.00

Service Code	HCPCS C1897
Hospital Charge Code	270697674
Hospital Revenue Code	278
Min. Negotiated Rate	$5,325.00
Max. Negotiated Rate	$8,591.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,591.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,325.00

SLIM TIP DRG LEAD TRIAL KIT

Facility

$35,500.00

Service Code	HCPCS C1897
Hospital Charge Code	270697674
Hospital Revenue Code	278
Min. Negotiated Rate	$1,008.20
Max. Negotiated Rate	$17,750.00
Rate for Payer: Aetna Commercial	$13,490.00
Rate for Payer: Aetna Medicare Advantage	$10,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,052.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,052.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,052.50
Rate for Payer: Cigna Commercial	$17,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,591.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,325.00
Rate for Payer: UnitedHealthcare Community & State	$1,121.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,008.20

SLING ALTIS SNGL INCISION SYST

Facility

$6,975.00

Service Code	HCPCS C1771
Hospital Charge Code	270676744
Hospital Revenue Code	278
Min. Negotiated Rate	$198.09
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,650.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Community & State	$220.41
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

SLING ALTIS SNGL INCISION SYST

Facility

$6,975.00

Service Code	HCPCS C1771
Hospital Charge Code	270676744
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

SLING ARM LARGE

Facility

$7.55

Hospital Charge Code	270649357
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

SLING ARM LARGE

Facility

$7.55

Hospital Charge Code	270649357
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.77
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.93
Rate for Payer: Cigna Commercial	$3.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$1.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Commercial	$1.51
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SLING ARM MEDIUM

Facility

$7.55

Hospital Charge Code	270649358
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

SLING ARM MEDIUM

Facility

$7.55

Hospital Charge Code	270649358
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.77
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.93
Rate for Payer: Cigna Commercial	$3.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$1.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Commercial	$1.51
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SLING ARM SMALL

Facility

$7.55

Hospital Charge Code	270649359
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

SLING ARM SMALL

Facility

$7.55

Hospital Charge Code	270649359
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.77
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.93
Rate for Payer: Cigna Commercial	$3.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$1.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Commercial	$1.51
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SLING ARM X-LARGE

Facility

$7.55

Hospital Charge Code	270649360
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.77
Rate for Payer: Aetna Commercial	$2.87
Rate for Payer: Aetna Medicare Advantage	$2.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.93
Rate for Payer: Cigna Commercial	$3.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$1.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Commercial	$1.51
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SLING ARM X-LARGE

Facility

$7.55

Hospital Charge Code	270649360
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

SLING ELEVATE ANTERIOR

Facility

$12,620.00

Hospital Charge Code	270676778
Hospital Revenue Code	278
Min. Negotiated Rate	$1,893.00
Max. Negotiated Rate	$3,054.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,524.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,054.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,893.00

SLING ELEVATE ANTERIOR

Facility

$12,620.00

Hospital Charge Code	270676778
Hospital Revenue Code	278
Min. Negotiated Rate	$358.41
Max. Negotiated Rate	$6,310.00
Rate for Payer: Aetna Commercial	$4,795.60
Rate for Payer: Aetna Medicare Advantage	$3,786.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,218.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,218.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,524.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,218.10
Rate for Payer: Cigna Commercial	$6,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,054.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,893.00
Rate for Payer: UnitedHealthcare Community & State	$398.79
Rate for Payer: Wellpoint Medicaid Managed Care	$358.41

SLING LARGE

Facility

$10.28

Hospital Charge Code	270302915
Hospital Revenue Code	271
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.14
Rate for Payer: Aetna Commercial	$3.91
Rate for Payer: Aetna Medicare Advantage	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.62
Rate for Payer: Cigna Commercial	$5.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.67
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$2.06
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SLING LARGE

Facility

$10.28

Hospital Charge Code	270302915
Hospital Revenue Code	271
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SLING MALE XP SYS

Facility

$35,975.00

Service Code	HCPCS C1771
Hospital Charge Code	270690092
Hospital Revenue Code	278
Min. Negotiated Rate	$5,396.25
Max. Negotiated Rate	$8,705.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,705.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,396.25

SLING MALE XP SYS

Facility

$35,975.00

Service Code	HCPCS C1771
Hospital Charge Code	270690092
Hospital Revenue Code	278
Min. Negotiated Rate	$1,021.69
Max. Negotiated Rate	$17,987.50
Rate for Payer: Aetna Commercial	$13,670.50
Rate for Payer: Aetna Medicare Advantage	$10,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,173.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,173.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,173.62
Rate for Payer: Cigna Commercial	$17,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,705.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,396.25
Rate for Payer: UnitedHealthcare Community & State	$1,136.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1,021.69

SLING MEDIUM YOUTH

Facility

$123.30

Hospital Charge Code	270302920
Hospital Revenue Code	270
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$18.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.50

SLING MEDIUM YOUTH

Facility

$123.30

Hospital Charge Code	270302920
Hospital Revenue Code	270
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$61.65
Rate for Payer: Aetna Commercial	$46.85
Rate for Payer: Aetna Medicare Advantage	$36.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.44
Rate for Payer: Cigna Commercial	$61.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.06
Rate for Payer: Oxford Commercial	$24.66
Rate for Payer: Qualcare PPO/HMO/WC	$18.50
Rate for Payer: UnitedHealthcare Commercial	$24.66
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

SLING MID URETH SUPRAPU LYNX

Facility

$9,021.55

Service Code	HCPCS C1771
Hospital Charge Code	270690234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,353.23
Max. Negotiated Rate	$2,183.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,804.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,183.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,353.23

SLING MID URETH SUPRAPU LYNX

Facility

$9,021.55

Service Code	HCPCS C1771
Hospital Charge Code	270690234
Hospital Revenue Code	278
Min. Negotiated Rate	$256.21
Max. Negotiated Rate	$4,510.77
Rate for Payer: Aetna Commercial	$3,428.19
Rate for Payer: Aetna Medicare Advantage	$2,706.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,804.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,300.50
Rate for Payer: Cigna Commercial	$4,510.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,183.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,353.23
Rate for Payer: UnitedHealthcare Community & State	$285.08
Rate for Payer: Wellpoint Medicaid Managed Care	$256.21

SLING MINIARC

Facility

$3,450.00

Service Code	HCPCS C1771
Hospital Charge Code	270669201
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$834.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

SLING MINIARC

Facility

$3,450.00

Service Code	HCPCS C1771
Hospital Charge Code	270669201
Hospital Revenue Code	278
Min. Negotiated Rate	$97.98
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,311.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: Qualcare PPO/HMO/WC	$517.50
Rate for Payer: UnitedHealthcare Community & State	$109.02
Rate for Payer: Wellpoint Medicaid Managed Care	$97.98

Know your out-of-pocket cost for care.

All Charges