Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE EPI PULSATOR PLASTIC

Facility

$731.05

Hospital Charge Code	270665061
Hospital Revenue Code	270
Min. Negotiated Rate	$109.66
Max. Negotiated Rate	$109.66
Rate for Payer: Qualcare PPO/HMO/WC	$109.66

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880
Hospital Revenue Code	271
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880
Hospital Revenue Code	271
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$8.51
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$4.48
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$4.48
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

SYRINGE FASTURN 150ML W/QUICK

Facility

$21.40

Hospital Charge Code	270657880N
Hospital Revenue Code	271
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.56
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880S
Hospital Revenue Code	271
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$8.51
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$4.48
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$4.48
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880S
Hospital Revenue Code	271
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

SYRINGE FASTURN 150ML W/QUICK

Facility

$21.40

Hospital Charge Code	270657880N
Hospital Revenue Code	271
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

SYRINGE INTRO 5C RAUL AI14703

Facility

$32.40

Hospital Charge Code	270629903
Hospital Revenue Code	272
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$4.86
Rate for Payer: Qualcare PPO/HMO/WC	$4.86

SYRINGE INTRO 5C RAUL AI14703

Facility

$32.40

Hospital Charge Code	270629903
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$16.20
Rate for Payer: Aetna Commercial	$12.31
Rate for Payer: Aetna Medicare Advantage	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.26
Rate for Payer: Cigna Commercial	$16.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.42
Rate for Payer: Oxford Commercial	$6.48
Rate for Payer: Qualcare PPO/HMO/WC	$4.86
Rate for Payer: UnitedHealthcare Commercial	$6.48
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

SYRINGE IRRIGATION ONE HAND SI

Facility

$560.00

Hospital Charge Code	270335216
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

SYRINGE IRRIGATION ONE HAND SI

Facility

$560.00

Hospital Charge Code	270335216
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SYRINGE LUER LOCK TIP 60CC

Facility

$1.57

Hospital Charge Code	270652897
Hospital Revenue Code	272
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.79
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.40
Rate for Payer: Cigna Commercial	$0.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Oxford Commercial	$0.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.31
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

SYRINGE LUER LOCK TIP 60CC

Facility

$1.57

Hospital Charge Code	270652897
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

SYRINGE MEDRAD 200 ML 200FTQ

Facility

$22.40

Hospital Charge Code	270627955
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$8.51
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$4.48
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$4.48
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

SYRINGE MEDRAD 200 ML 200FTQ

Facility

$22.40

Hospital Charge Code	270627955
Hospital Revenue Code	272
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

SYRINGES CONTROL CCS 8ML RING

Facility

$22.00

Hospital Charge Code	270658274
Hospital Revenue Code	270
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

SYRINGES CONTROL CCS 8ML RING

Facility

$22.00

Hospital Charge Code	270658274
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$11.00
Rate for Payer: Aetna Commercial	$8.36
Rate for Payer: Aetna Medicare Advantage	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.61
Rate for Payer: Cigna Commercial	$11.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Commercial	$4.40
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

SYRINGE TOOMEY 38460

Facility

$6.28

Hospital Charge Code	270600292
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.14
Rate for Payer: Aetna Commercial	$2.39
Rate for Payer: Aetna Medicare Advantage	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.60
Rate for Payer: Cigna Commercial	$3.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.63
Rate for Payer: Oxford Commercial	$1.26
Rate for Payer: Qualcare PPO/HMO/WC	$0.94
Rate for Payer: UnitedHealthcare Commercial	$1.26
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

SYRINGE TOOMEY 38460

Facility

$6.28

Hospital Charge Code	270600292
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Qualcare PPO/HMO/WC	$0.94

SYRINGE TOOMEY STERILE 70cc

Facility

$6.28

Hospital Charge Code	270649082
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.14
Rate for Payer: Aetna Commercial	$2.39
Rate for Payer: Aetna Medicare Advantage	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.60
Rate for Payer: Cigna Commercial	$3.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.63
Rate for Payer: Oxford Commercial	$1.26
Rate for Payer: Qualcare PPO/HMO/WC	$0.94
Rate for Payer: UnitedHealthcare Commercial	$1.26
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

SYRINGE TOOMEY STERILE 70cc

Facility

$6.28

Hospital Charge Code	270649082
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Qualcare PPO/HMO/WC	$0.94

SYS ANKLE SYNDESMOSIS FIXATION

Facility

$5,730.00

Service Code	HCPCS C1776
Hospital Charge Code	270645177
Hospital Revenue Code	278
Min. Negotiated Rate	$162.73
Max. Negotiated Rate	$2,865.00
Rate for Payer: Aetna Commercial	$2,177.40
Rate for Payer: Aetna Medicare Advantage	$1,719.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,461.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,461.15
Rate for Payer: Cigna Commercial	$2,865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50
Rate for Payer: UnitedHealthcare Community & State	$181.07
Rate for Payer: Wellpoint Medicaid Managed Care	$162.73

SYS ANKLE SYNDESMOSIS FIXATION

Facility

$5,730.00

Service Code	HCPCS C1776
Hospital Charge Code	270645177
Hospital Revenue Code	278
Min. Negotiated Rate	$859.50
Max. Negotiated Rate	$1,386.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.66
Rate for Payer: Qualcare PPO/HMO/WC	$859.50

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$2,334.86

Service Code	HCPCS C1760
Hospital Charge Code	270634327N
Hospital Revenue Code	278
Min. Negotiated Rate	$350.23
Max. Negotiated Rate	$565.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$466.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.04
Rate for Payer: Qualcare PPO/HMO/WC	$350.23

SYS CLOS PERCLOSE PGLIDE 12673

Facility

$2,334.86

Service Code	HCPCS C1760
Hospital Charge Code	270634327N
Hospital Revenue Code	278
Min. Negotiated Rate	$66.31
Max. Negotiated Rate	$1,167.43
Rate for Payer: Aetna Commercial	$887.25
Rate for Payer: Aetna Medicare Advantage	$700.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$595.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$595.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$466.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$595.39
Rate for Payer: Cigna Commercial	$1,167.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.04
Rate for Payer: Qualcare PPO/HMO/WC	$350.23
Rate for Payer: UnitedHealthcare Community & State	$73.78
Rate for Payer: Wellpoint Medicaid Managed Care	$66.31

Know your out-of-pocket cost for care.

All Charges