Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STENT CENTER BEND STR SZ 7-9

Facility

$266.50

Hospital Charge Code	270673445
Hospital Revenue Code	278
Min. Negotiated Rate	$39.98
Max. Negotiated Rate	$64.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.49
Rate for Payer: Qualcare PPO/HMO/WC	$39.98

STENT CENTER BEND STR SZ 7-9

Facility

$266.50

Hospital Charge Code	270673445
Hospital Revenue Code	278
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$133.25
Rate for Payer: Aetna Commercial	$101.27
Rate for Payer: Aetna Medicare Advantage	$79.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.96
Rate for Payer: Cigna Commercial	$133.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.49
Rate for Payer: Qualcare PPO/HMO/WC	$39.98
Rate for Payer: UnitedHealthcare Community & State	$8.42
Rate for Payer: Wellpoint Medicaid Managed Care	$7.57

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	366836908
Hospital Revenue Code	361
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$393.00
Rate for Payer: Aetna Medicare Advantage	$310.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.72
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	$263.72
Rate for Payer: Cigna Commercial	$517.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.89
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$32.68
Rate for Payer: Wellpoint Medicaid Managed Care	$29.37

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	321036908
Hospital Revenue Code	361
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$155.13
Rate for Payer: Qualcare PPO/HMO/WC	$155.13

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	2709029
Hospital Revenue Code	361
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$393.00
Rate for Payer: Aetna Medicare Advantage	$310.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.72
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	$263.72
Rate for Payer: Cigna Commercial	$517.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.89
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$32.68
Rate for Payer: Wellpoint Medicaid Managed Care	$29.37

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	2709029
Hospital Revenue Code	361
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$155.13
Rate for Payer: Qualcare PPO/HMO/WC	$155.13

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	5100842
Hospital Revenue Code	361
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$393.00
Rate for Payer: Aetna Medicare Advantage	$310.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.72
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	$263.72
Rate for Payer: Cigna Commercial	$517.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.89
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$32.68
Rate for Payer: Wellpoint Medicaid Managed Care	$29.37

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	7412063
Hospital Revenue Code	361
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$393.00
Rate for Payer: Aetna Medicare Advantage	$310.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.72
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	$263.72
Rate for Payer: Cigna Commercial	$517.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.89
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$32.68
Rate for Payer: Wellpoint Medicaid Managed Care	$29.37

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	321036908
Hospital Revenue Code	361
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$393.00
Rate for Payer: Aetna Medicare Advantage	$310.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.72
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	$263.72
Rate for Payer: Cigna Commercial	$517.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.89
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$32.68
Rate for Payer: Wellpoint Medicaid Managed Care	$29.37

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	7412063
Hospital Revenue Code	361
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$155.13
Rate for Payer: Qualcare PPO/HMO/WC	$155.13

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	366836908
Hospital Revenue Code	361
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$155.13
Rate for Payer: Qualcare PPO/HMO/WC	$155.13

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	5100842
Hospital Revenue Code	361
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$155.13
Rate for Payer: Qualcare PPO/HMO/WC	$155.13

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	2692134
Hospital Revenue Code	361
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$393.00
Rate for Payer: Aetna Medicare Advantage	$310.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.72
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	$263.72
Rate for Payer: Cigna Commercial	$517.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.89
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$32.68
Rate for Payer: Wellpoint Medicaid Managed Care	$29.37

STENT CENTRAL DIALYS SEG ADDON

Facility

$1,034.20

Service Code	HCPCS 36908
Hospital Charge Code	2692134
Hospital Revenue Code	361
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$155.13
Rate for Payer: Qualcare PPO/HMO/WC	$155.13

STENT CK URET 6F 22-32 03660

Facility

$458.45

Service Code	HCPCS C2617
Hospital Charge Code	270621488
Hospital Revenue Code	278
Min. Negotiated Rate	$68.77
Max. Negotiated Rate	$110.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.94
Rate for Payer: Qualcare PPO/HMO/WC	$68.77

STENT CK URET 6F 22-32 03660

Facility

$458.45

Service Code	HCPCS C2617
Hospital Charge Code	270621488
Hospital Revenue Code	278
Min. Negotiated Rate	$13.02
Max. Negotiated Rate	$229.22
Rate for Payer: Aetna Commercial	$174.21
Rate for Payer: Aetna Medicare Advantage	$137.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.90
Rate for Payer: Cigna Commercial	$229.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.94
Rate for Payer: Qualcare PPO/HMO/WC	$68.77
Rate for Payer: UnitedHealthcare Community & State	$14.49
Rate for Payer: Wellpoint Medicaid Managed Care	$13.02

STENT CONTOUR 6FR 22-30CM

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270625398
Hospital Revenue Code	278
Min. Negotiated Rate	$28.96
Max. Negotiated Rate	$509.85
Rate for Payer: Aetna Commercial	$387.49
Rate for Payer: Aetna Medicare Advantage	$305.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.02
Rate for Payer: Cigna Commercial	$509.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: Qualcare PPO/HMO/WC	$152.96
Rate for Payer: UnitedHealthcare Community & State	$32.22
Rate for Payer: Wellpoint Medicaid Managed Care	$28.96

STENT CONTOUR 6FR 22-30CM

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270625398
Hospital Revenue Code	278
Min. Negotiated Rate	$152.96
Max. Negotiated Rate	$246.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: Qualcare PPO/HMO/WC	$152.96

STENT CONTOUR VL 7FR 22CMx30CM

Facility

$1,468.35

Service Code	HCPCS C2617
Hospital Charge Code	270660535
Hospital Revenue Code	278
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$734.17
Rate for Payer: Aetna Commercial	$557.97
Rate for Payer: Aetna Medicare Advantage	$440.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.43
Rate for Payer: Cigna Commercial	$734.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25
Rate for Payer: UnitedHealthcare Community & State	$46.40
Rate for Payer: Wellpoint Medicaid Managed Care	$41.70

STENT CONTOUR VL 7FR 22CMx30CM

Facility

$1,468.35

Service Code	HCPCS C2617
Hospital Charge Code	270660535
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$355.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

STENT CONTOUR VL 7FRSTENT CONT

Facility

$935.50

Hospital Charge Code	270652858
Hospital Revenue Code	278
Min. Negotiated Rate	$140.32
Max. Negotiated Rate	$226.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.39
Rate for Payer: Qualcare PPO/HMO/WC	$140.32

STENT CONTOUR VL 7FRSTENT CONT

Facility

$935.50

Hospital Charge Code	270652858
Hospital Revenue Code	278
Min. Negotiated Rate	$26.57
Max. Negotiated Rate	$467.75
Rate for Payer: Aetna Commercial	$355.49
Rate for Payer: Aetna Medicare Advantage	$280.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.55
Rate for Payer: Cigna Commercial	$467.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.39
Rate for Payer: Qualcare PPO/HMO/WC	$140.32
Rate for Payer: UnitedHealthcare Community & State	$29.56
Rate for Payer: Wellpoint Medicaid Managed Care	$26.57

STENT COPE 10.2X 24CM NEPHROUR

Facility

$624.45

Service Code	HCPCS C2625
Hospital Charge Code	270679759
Hospital Revenue Code	278
Min. Negotiated Rate	$17.73
Max. Negotiated Rate	$312.23
Rate for Payer: Aetna Commercial	$237.29
Rate for Payer: Aetna Medicare Advantage	$187.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.23
Rate for Payer: Cigna Commercial	$312.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.12
Rate for Payer: Qualcare PPO/HMO/WC	$93.67
Rate for Payer: UnitedHealthcare Community & State	$19.73
Rate for Payer: Wellpoint Medicaid Managed Care	$17.73

STENT COPE 10.2X 24CM NEPHROUR

Facility

$624.45

Service Code	HCPCS C2625
Hospital Charge Code	270679759
Hospital Revenue Code	278
Min. Negotiated Rate	$93.67
Max. Negotiated Rate	$151.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.12
Rate for Payer: Qualcare PPO/HMO/WC	$93.67

STENT DBL PIGTAIL 6FR 22cm

Facility

$550.00

Service Code	HCPCS C2617
Hospital Charge Code	270634261
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

Know your out-of-pocket cost for care.

All Charges