Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SLING MONARC PLUS

Facility

$4,975.00

Hospital Charge Code	270637659
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

SLING MONARC PLUS

Facility

$4,975.00

Hospital Charge Code	270637659
Hospital Revenue Code	272
Min. Negotiated Rate	$141.29
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.50
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$995.00
Rate for Payer: UnitedHealthcare Community & State	$157.21
Rate for Payer: Wellpoint Medicaid Managed Care	$141.29

SLING OP FRO STRESS INCONTINNC

Facility

$57,179.55

Service Code	HCPCS 57288
Hospital Charge Code	1600000398
Hospital Revenue Code	360
Min. Negotiated Rate	$8,576.93
Max. Negotiated Rate	$8,576.93
Rate for Payer: Qualcare PPO/HMO/WC	$8,576.93

SLING OP FRO STRESS INCONTINNC

Facility

$57,179.55

Service Code	HCPCS 57288
Hospital Charge Code	1600000398
Hospital Revenue Code	360
Min. Negotiated Rate	$1,623.90
Max. Negotiated Rate	$21,558.38
Rate for Payer: Aetna Commercial	$16,165.07
Rate for Payer: Aetna Medicare Advantage	$19,255.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,558.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,943.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,558.38
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: Cigna Medicare Advantage	$5,943.04
Rate for Payer: Clover Medicare Advantage	$5,645.89
Rate for Payer: EmblemHealth Commercial	$17,829.12
Rate for Payer: Humana Medicare Advantage	$6,121.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,943.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,866.68
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,576.93
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,806.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,943.04
Rate for Payer: Wellcare Medicare Advantage	$5,943.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1,623.90

SLING PASSIVE CLIP LG

Facility

$155.20

Hospital Charge Code	270676410
Hospital Revenue Code	270
Min. Negotiated Rate	$23.28
Max. Negotiated Rate	$23.28
Rate for Payer: Qualcare PPO/HMO/WC	$23.28

SLING PASSIVE CLIP LG

Facility

$155.20

Hospital Charge Code	270676410
Hospital Revenue Code	270
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.60
Rate for Payer: Aetna Commercial	$58.98
Rate for Payer: Aetna Medicare Advantage	$46.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.58
Rate for Payer: Cigna Commercial	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.35
Rate for Payer: Oxford Commercial	$31.04
Rate for Payer: Qualcare PPO/HMO/WC	$23.28
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SLING PASSIVE CLIP XL

Facility

$155.20

Hospital Charge Code	270676411
Hospital Revenue Code	270
Min. Negotiated Rate	$23.28
Max. Negotiated Rate	$23.28
Rate for Payer: Qualcare PPO/HMO/WC	$23.28

SLING PASSIVE CLIP XL

Facility

$155.20

Hospital Charge Code	270676411
Hospital Revenue Code	270
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$77.60
Rate for Payer: Aetna Commercial	$58.98
Rate for Payer: Aetna Medicare Advantage	$46.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.58
Rate for Payer: Cigna Commercial	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.35
Rate for Payer: Oxford Commercial	$31.04
Rate for Payer: Qualcare PPO/HMO/WC	$23.28
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

SLING PILLOW II/ABDUCTION MED

Facility

$690.85

Hospital Charge Code	270674584
Hospital Revenue Code	272
Min. Negotiated Rate	$103.63
Max. Negotiated Rate	$103.63
Rate for Payer: Qualcare PPO/HMO/WC	$103.63

SLING PILLOW II/ABDUCTION MED

Facility

$690.85

Hospital Charge Code	270674584
Hospital Revenue Code	272
Min. Negotiated Rate	$19.62
Max. Negotiated Rate	$345.43
Rate for Payer: Aetna Commercial	$262.52
Rate for Payer: Aetna Medicare Advantage	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.17
Rate for Payer: Cigna Commercial	$345.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.62
Rate for Payer: Oxford Commercial	$138.17
Rate for Payer: Qualcare PPO/HMO/WC	$103.63
Rate for Payer: UnitedHealthcare Commercial	$138.17
Rate for Payer: UnitedHealthcare Community & State	$21.83
Rate for Payer: Wellpoint Medicaid Managed Care	$19.62

SLINGSHOT 70DEG. UP

Facility

$1,726.50

Hospital Charge Code	270680889
Hospital Revenue Code	272
Min. Negotiated Rate	$49.03
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$656.07
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.89
Rate for Payer: Oxford Commercial	$345.30
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$345.30
Rate for Payer: UnitedHealthcare Community & State	$54.56
Rate for Payer: Wellpoint Medicaid Managed Care	$49.03

SLINGSHOT 70DEG. UP

Facility

$1,726.50

Hospital Charge Code	270680889
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLINGSHOT CHAMPION 45 LEFT

Facility

$1,726.50

Hospital Charge Code	270683344
Hospital Revenue Code	272
Min. Negotiated Rate	$49.03
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$656.07
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.89
Rate for Payer: Oxford Commercial	$345.30
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$345.30
Rate for Payer: UnitedHealthcare Community & State	$54.56
Rate for Payer: Wellpoint Medicaid Managed Care	$49.03

SLINGSHOT CHAMPION 45 LEFT

Facility

$1,726.50

Hospital Charge Code	270683344
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLINGSHOT CHAMPION 45 UP

Facility

$1,726.50

Hospital Charge Code	270683345
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLINGSHOT CHAMPION 45 UP

Facility

$1,726.50

Hospital Charge Code	270683345
Hospital Revenue Code	272
Min. Negotiated Rate	$49.03
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$656.07
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.89
Rate for Payer: Oxford Commercial	$345.30
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$345.30
Rate for Payer: UnitedHealthcare Community & State	$54.56
Rate for Payer: Wellpoint Medicaid Managed Care	$49.03

SLING SMALL CHILD

Facility

$10.28

Hospital Charge Code	270302925
Hospital Revenue Code	270
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 SMALL CHILD

Facility

$10.28

Hospital Charge Code	270302925
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SLING SWATHE SEMI-UNIV. LARGE

Facility

$154.00

Hospital Charge Code	270331192
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$58.52
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.04
Rate for Payer: Oxford Commercial	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$30.80
Rate for Payer: UnitedHealthcare Community & State	$4.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

SLING SWATHE SEMI-UNIV. LARGE

Facility

$154.00

Hospital Charge Code	270331192
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

SLING ULTRA LARGE SUB

Facility

$163.85

Hospital Charge Code	270659517
Hospital Revenue Code	270
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$81.92
Rate for Payer: Aetna Commercial	$62.26
Rate for Payer: Aetna Medicare Advantage	$49.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.78
Rate for Payer: Cigna Commercial	$81.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.60
Rate for Payer: Oxford Commercial	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$24.58
Rate for Payer: UnitedHealthcare Commercial	$32.77
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.65

SLING ULTRA LARGE SUB

Facility

$163.85

Hospital Charge Code	270659517
Hospital Revenue Code	270
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.58

SLING ULTRA SMALL SUB

Facility

$163.85

Hospital Charge Code	270659515
Hospital Revenue Code	270
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$81.92
Rate for Payer: Aetna Commercial	$62.26
Rate for Payer: Aetna Medicare Advantage	$49.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.78
Rate for Payer: Cigna Commercial	$81.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.60
Rate for Payer: Oxford Commercial	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$24.58
Rate for Payer: UnitedHealthcare Commercial	$32.77
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.65

SLING ULTRA SMALL SUB

Facility

$163.85

Hospital Charge Code	270659515
Hospital Revenue Code	270
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.58

SLING X-LARGE

Facility

$10.28

Hospital Charge Code	270302930
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

Know your out-of-pocket cost for care.

All Charges