Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887S
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887N
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887A
Hospital Revenue Code	272
Min. Negotiated Rate	$93.72
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$858.00
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$660.00
Rate for Payer: UnitedHealthcare Community & State	$104.28
Rate for Payer: Wellpoint Medicaid Managed Care	$93.72

SNARE ATRIEVE 12-20MM 6FR CATH

Facility

$1,425.00

Hospital Charge Code	270678018
Hospital Revenue Code	272
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

SNARE ATRIEVE 12-20MM 6FR CATH

Facility

$1,425.00

Hospital Charge Code	270678018
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SNARE ATRIEVE 18-30MM 7FR CATH

Facility

$1,375.00

Hospital Charge Code	270678019
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$43.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.05

SNARE ATRIEVE 18-30MM 7FR CATH

Facility

$1,375.00

Hospital Charge Code	270678019
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SNARE ATRIEVE 27-45MM 7FR CATH

Facility

$1,425.00

Hospital Charge Code	270678020
Hospital Revenue Code	272
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

SNARE ATRIEVE 27-45MM 7FR CATH

Facility

$1,425.00

Hospital Charge Code	270678020
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017
Hospital Revenue Code	272
Min. Negotiated Rate	$81.65
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.50
Rate for Payer: Oxford Commercial	$575.00
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$575.00
Rate for Payer: UnitedHealthcare Community & State	$90.85
Rate for Payer: Wellpoint Medicaid Managed Care	$81.65

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017A
Hospital Revenue Code	272
Min. Negotiated Rate	$81.65
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.50
Rate for Payer: Oxford Commercial	$575.00
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$575.00
Rate for Payer: UnitedHealthcare Community & State	$90.85
Rate for Payer: Wellpoint Medicaid Managed Care	$81.65

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017A
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

SNARE CAPTIVATOR 25MM RD 2.8CM

Facility

$75.80

Hospital Charge Code	270679272
Hospital Revenue Code	272
Min. Negotiated Rate	$11.37
Max. Negotiated Rate	$11.37
Rate for Payer: Qualcare PPO/HMO/WC	$11.37

SNARE CAPTIVATOR 25MM RD 2.8CM

Facility

$75.80

Hospital Charge Code	270679272
Hospital Revenue Code	272
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$37.90
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.33
Rate for Payer: Cigna Commercial	$37.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.71
Rate for Payer: Oxford Commercial	$15.16
Rate for Payer: Qualcare PPO/HMO/WC	$11.37
Rate for Payer: UnitedHealthcare Commercial	$15.16
Rate for Payer: UnitedHealthcare Community & State	$2.40
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

SNARE CFLEX MIC OVL OLY 624240

Facility

$43.43

Hospital Charge Code	270643592
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.71
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$13.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.07
Rate for Payer: Cigna Commercial	$21.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.29
Rate for Payer: Oxford Commercial	$8.69
Rate for Payer: Qualcare PPO/HMO/WC	$6.51
Rate for Payer: UnitedHealthcare Commercial	$8.69
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

SNARE CFLEX MIC OVL OLY 624240

Facility

$43.43

Hospital Charge Code	270643592
Hospital Revenue Code	272
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$6.51
Rate for Payer: Qualcare PPO/HMO/WC	$6.51

SNARE CFLX STD OVAL OLY 624040

Facility

$43.32

Hospital Charge Code	270643591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.66
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$13.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.05
Rate for Payer: Cigna Commercial	$21.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.26
Rate for Payer: Oxford Commercial	$8.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$8.66
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

SNARE CFLX STD OVAL OLY 624040

Facility

$43.32

Hospital Charge Code	270643591
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

SNARE COLD CAPTIVATOR

Facility

$85.00

Hospital Charge Code	270687105
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.69
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

SNARE COLD CAPTIVATOR

Facility

$85.00

Hospital Charge Code	270687105
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

SNARE DISPOSABLE ELECT SURG

Facility

$44.00

Hospital Charge Code	270334802
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

SNARE DISPOSABLE ELECT SURG

Facility

$44.00

Hospital Charge Code	270334802
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

SNARE ELECTROSURG 2.0mm

Facility

$1,981.80

Hospital Charge Code	270678681
Hospital Revenue Code	272
Min. Negotiated Rate	$56.28
Max. Negotiated Rate	$990.90
Rate for Payer: Aetna Commercial	$753.08
Rate for Payer: Aetna Medicare Advantage	$594.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$505.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$505.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$505.36
Rate for Payer: Cigna Commercial	$990.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.27
Rate for Payer: Oxford Commercial	$396.36
Rate for Payer: Qualcare PPO/HMO/WC	$297.27
Rate for Payer: UnitedHealthcare Commercial	$396.36
Rate for Payer: UnitedHealthcare Community & State	$62.62
Rate for Payer: Wellpoint Medicaid Managed Care	$56.28

SNARE ELECTROSURG 2.0mm

Facility

$1,981.80

Hospital Charge Code	270678681
Hospital Revenue Code	272
Min. Negotiated Rate	$297.27
Max. Negotiated Rate	$297.27
Rate for Payer: Qualcare PPO/HMO/WC	$297.27

Know your out-of-pocket cost for care.

All Charges