Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STENT EXPRESS 6x18 90cm

Facility

$5,942.30

Hospital Charge Code	270634343
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 6x18 90cm

Facility

$5,942.30

Hospital Charge Code	270634343
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 7x17 75cm

Facility

$5,942.30

Hospital Charge Code	270634111
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 7x17 75cm

Facility

$5,942.30

Hospital Charge Code	270634111
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 7x19 90cm

Facility

$5,942.30

Hospital Charge Code	270634369
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 7x19 90cm

Facility

$5,942.30

Hospital Charge Code	270634369
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 7x27 135cm

Facility

$5,942.30

Hospital Charge Code	270634365
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 7x27 135cm

Facility

$5,942.30

Hospital Charge Code	270634365
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 8x27 135cm

Facility

$5,942.30

Hospital Charge Code	270634366
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 8x27 135cm

Facility

$5,942.30

Hospital Charge Code	270634366
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 8x37 135cm

Facility

$5,942.30

Hospital Charge Code	270634114
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 8x37 135cm

Facility

$5,942.30

Hospital Charge Code	270634114
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 8x37 75cm

Facility

$5,942.30

Hospital Charge Code	270628305
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 8x37 75cm

Facility

$5,942.30

Hospital Charge Code	270628305
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 8x57 75cm

Facility

$5,942.30

Hospital Charge Code	270630484
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 8x57 75cm

Facility

$5,942.30

Hospital Charge Code	270630484
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 9x37 135cm

Facility

$5,942.30

Hospital Charge Code	270636468
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 9x37 135cm

Facility

$5,942.30

Hospital Charge Code	270636468
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS 9x37 75cm

Facility

$5,942.30

Hospital Charge Code	270633222
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 9x37 75cm

Facility

$5,942.30

Hospital Charge Code	270633222
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,942.30

Service Code	HCPCS C1876
Hospital Charge Code	270653629
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,942.30

Hospital Charge Code	270653631
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,942.30

Hospital Charge Code	270653630
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,942.30

Hospital Charge Code	270653631
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,942.30

Service Code	HCPCS C1876
Hospital Charge Code	270653629
Hospital Revenue Code	278
Min. Negotiated Rate	$168.76
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$187.78
Rate for Payer: Wellpoint Medicaid Managed Care	$168.76

Know your out-of-pocket cost for care.

All Charges