Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BARBITURATES ID & QN 1

Facility

$78.70

Service Code	HCPCS 80345
Hospital Charge Code	39900047
Hospital Revenue Code	301
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$29.91
Rate for Payer: Aetna Medicare Advantage	$23.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.07
Rate for Payer: Cigna Commercial	$39.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.46
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.80
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.24

BARBITURATES ID & QN 1

Facility

$78.70

Service Code	HCPCS 80345
Hospital Charge Code	39900047
Hospital Revenue Code	301
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$11.80

BARBITURATES (QUANT URINE)

Facility

$159.25

Service Code	HCPCS 80345
Hospital Charge Code	3000395
Hospital Revenue Code	301
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$60.52
Rate for Payer: Aetna Medicare Advantage	$47.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.61
Rate for Payer: Cigna Commercial	$79.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.41
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.89
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

BARBITURATES (QUANT URINE)

Facility

$159.25

Service Code	HCPCS 80345
Hospital Charge Code	3000395
Hospital Revenue Code	301
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$23.89
Rate for Payer: Qualcare PPO/HMO/WC	$23.89

BARBITURATES, URINE

Facility

$298.20

Service Code	HCPCS 80345
Hospital Charge Code	38472131
Hospital Revenue Code	301
Min. Negotiated Rate	$44.73
Max. Negotiated Rate	$44.73
Rate for Payer: Qualcare PPO/HMO/WC	$44.73

BARBITURATES, URINE

Facility

$298.20

Service Code	HCPCS 80345
Hospital Charge Code	38472131
Hospital Revenue Code	301
Min. Negotiated Rate	$8.47
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$113.32
Rate for Payer: Aetna Medicare Advantage	$89.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.04
Rate for Payer: Cigna Commercial	$149.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.53
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.73
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$8.47

BAR CONNECTING 4.0 X 220MM

Facility

$225.00

Hospital Charge Code	270661252
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

BAR CONNECTING 4.0 X 220MM

Facility

$225.00

Hospital Charge Code	270661252
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

BAR CRBN 11MM X 250MM

Facility

$1,457.50

Service Code	HCPCS C1713
Hospital Charge Code	270704154
Hospital Revenue Code	278
Min. Negotiated Rate	$41.39
Max. Negotiated Rate	$728.75
Rate for Payer: Aetna Commercial	$553.85
Rate for Payer: Aetna Medicare Advantage	$437.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.66
Rate for Payer: Cigna Commercial	$728.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.71
Rate for Payer: Qualcare PPO/HMO/WC	$218.62
Rate for Payer: UnitedHealthcare Community & State	$46.06
Rate for Payer: Wellpoint Medicaid Managed Care	$41.39

BAR CRBN 11MM X 250MM

Facility

$1,457.50

Service Code	HCPCS C1713
Hospital Charge Code	270704154
Hospital Revenue Code	278
Min. Negotiated Rate	$218.62
Max. Negotiated Rate	$352.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.71
Rate for Payer: Qualcare PPO/HMO/WC	$218.62

BARD 3D MAX MESH LARGE

Facility

$1,237.50

Service Code	HCPCS C1781
Hospital Charge Code	270685595
Hospital Revenue Code	278
Min. Negotiated Rate	$35.15
Max. Negotiated Rate	$618.75
Rate for Payer: Aetna Commercial	$470.25
Rate for Payer: Aetna Medicare Advantage	$371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.56
Rate for Payer: Cigna Commercial	$618.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.48
Rate for Payer: Qualcare PPO/HMO/WC	$185.62
Rate for Payer: UnitedHealthcare Community & State	$39.10
Rate for Payer: Wellpoint Medicaid Managed Care	$35.15

BARD 3D MAX MESH LARGE

Facility

$1,237.50

Service Code	HCPCS C1781
Hospital Charge Code	270685595
Hospital Revenue Code	278
Min. Negotiated Rate	$185.62
Max. Negotiated Rate	$299.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.48
Rate for Payer: Qualcare PPO/HMO/WC	$185.62

BARD MARLEX MESH PLUG

Facility

$489.00

Hospital Charge Code	270335369
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

BARD MARLEX MESH PLUG

Facility

$489.00

Hospital Charge Code	270335369
Hospital Revenue Code	278
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$15.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.89

BARD MESH 2X4

Facility

$309.50

Service Code	HCPCS C1781
Hospital Charge Code	270691387
Hospital Revenue Code	278
Min. Negotiated Rate	$46.42
Max. Negotiated Rate	$74.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.90
Rate for Payer: Qualcare PPO/HMO/WC	$46.42

BARD MESH 2X4

Facility

$309.50

Service Code	HCPCS C1781
Hospital Charge Code	270691387
Hospital Revenue Code	278
Min. Negotiated Rate	$8.79
Max. Negotiated Rate	$154.75
Rate for Payer: Aetna Commercial	$117.61
Rate for Payer: Aetna Medicare Advantage	$92.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.92
Rate for Payer: Cigna Commercial	$154.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.90
Rate for Payer: Qualcare PPO/HMO/WC	$46.42
Rate for Payer: UnitedHealthcare Community & State	$9.78
Rate for Payer: Wellpoint Medicaid Managed Care	$8.79

BARD MESH 3X6

Facility

$285.50

Service Code	HCPCS C1781
Hospital Charge Code	270600193
Hospital Revenue Code	278
Min. Negotiated Rate	$42.83
Max. Negotiated Rate	$69.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.09
Rate for Payer: Qualcare PPO/HMO/WC	$42.83

BARD MESH 3X6

Facility

$285.50

Service Code	HCPCS C1781
Hospital Charge Code	270600193
Hospital Revenue Code	278
Min. Negotiated Rate	$8.11
Max. Negotiated Rate	$142.75
Rate for Payer: Aetna Commercial	$108.49
Rate for Payer: Aetna Medicare Advantage	$85.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.80
Rate for Payer: Cigna Commercial	$142.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.09
Rate for Payer: Qualcare PPO/HMO/WC	$42.83
Rate for Payer: UnitedHealthcare Community & State	$9.02
Rate for Payer: Wellpoint Medicaid Managed Care	$8.11

BARD MESH 6X6

Facility

$394.50

Service Code	HCPCS C1781
Hospital Charge Code	270691390
Hospital Revenue Code	278
Min. Negotiated Rate	$11.20
Max. Negotiated Rate	$197.25
Rate for Payer: Aetna Commercial	$149.91
Rate for Payer: Aetna Medicare Advantage	$118.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.60
Rate for Payer: Cigna Commercial	$197.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.47
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Community & State	$12.47
Rate for Payer: Wellpoint Medicaid Managed Care	$11.20

BARD MESH 6X6

Facility

$394.50

Service Code	HCPCS C1781
Hospital Charge Code	270691390
Hospital Revenue Code	278
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.47
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

BARD SLING ALIGN S SUPRAPUBIC

Facility

$1,597.20

Service Code	HCPCS C1771
Hospital Charge Code	270661718
Hospital Revenue Code	278
Min. Negotiated Rate	$239.58
Max. Negotiated Rate	$386.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.52
Rate for Payer: Qualcare PPO/HMO/WC	$239.58

BARD SLING ALIGN S SUPRAPUBIC

Facility

$1,597.20

Service Code	HCPCS C1771
Hospital Charge Code	270661718
Hospital Revenue Code	278
Min. Negotiated Rate	$45.36
Max. Negotiated Rate	$798.60
Rate for Payer: Aetna Commercial	$606.94
Rate for Payer: Aetna Medicare Advantage	$479.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.29
Rate for Payer: Cigna Commercial	$798.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.52
Rate for Payer: Qualcare PPO/HMO/WC	$239.58
Rate for Payer: UnitedHealthcare Community & State	$50.47
Rate for Payer: Wellpoint Medicaid Managed Care	$45.36

BARD WOVEN FILIFORM STRAIGHT

Facility

$248.00

Hospital Charge Code	270332491
Hospital Revenue Code	272
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$94.24
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.48
Rate for Payer: Oxford Commercial	$49.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$49.60
Rate for Payer: UnitedHealthcare Community & State	$7.84
Rate for Payer: Wellpoint Medicaid Managed Care	$7.04

BARD WOVEN FILIFORM STRAIGHT

Facility

$248.00

Hospital Charge Code	270332491
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

BARIATRIC BACK AND SEAT EXT (S

Facility

$21,852.90

Hospital Charge Code	270663230
Hospital Revenue Code	270
Min. Negotiated Rate	$620.62
Max. Negotiated Rate	$10,926.45
Rate for Payer: Aetna Commercial	$8,304.10
Rate for Payer: Aetna Medicare Advantage	$6,555.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,572.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,572.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,572.49
Rate for Payer: Cigna Commercial	$10,926.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,681.75
Rate for Payer: Oxford Commercial	$4,370.58
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.93
Rate for Payer: UnitedHealthcare Commercial	$4,370.58
Rate for Payer: UnitedHealthcare Community & State	$690.55
Rate for Payer: Wellpoint Medicaid Managed Care	$620.62

Know your out-of-pocket cost for care.

All Charges