Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TAPE CASTING 4 IN

Facility

$16.15

Hospital Charge Code	270300835
Hospital Revenue Code	270
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.42

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840
Hospital Revenue Code	270
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.76
Rate for Payer: Aetna Commercial	$7.42
Rate for Payer: Aetna Medicare Advantage	$5.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.98
Rate for Payer: Cigna Commercial	$9.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: Oxford Commercial	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.93
Rate for Payer: UnitedHealthcare Commercial	$3.90
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$2.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.93

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840
Hospital Revenue Code	270
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$2.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.93

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840W
Hospital Revenue Code	270
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.76
Rate for Payer: Aetna Commercial	$7.42
Rate for Payer: Aetna Medicare Advantage	$5.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.98
Rate for Payer: Cigna Commercial	$9.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: Oxford Commercial	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.93
Rate for Payer: UnitedHealthcare Commercial	$3.90
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

TAPE CLOTH 2X10YD

Facility

$14.00

Hospital Charge Code	270331935
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$2.80
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

TAPE CLOTH 2X10YD

Facility

$14.00

Hospital Charge Code	270331935
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

TAPE DURAPORE 1IN 10YD

Facility

$2.38

Hospital Charge Code	270649119
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Qualcare PPO/HMO/WC	$0.36

TAPE DURAPORE 1IN 10YD

Facility

$2.38

Hospital Charge Code	270649119
Hospital Revenue Code	270
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.19
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.61
Rate for Payer: Cigna Commercial	$1.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.62
Rate for Payer: Oxford Commercial	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.36
Rate for Payer: UnitedHealthcare Commercial	$0.48
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

TAPE DURAPORE 3 IN

Facility

$8.30

Hospital Charge Code	270628732
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.15
Rate for Payer: Aetna Commercial	$3.15
Rate for Payer: Aetna Medicare Advantage	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.12
Rate for Payer: Cigna Commercial	$4.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Oxford Commercial	$1.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$1.66
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

TAPE DURAPORE 3 IN

Facility

$8.30

Hospital Charge Code	270628732
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

TAPE ELASTIKON 3X5YD

Facility

$52.00

Hospital Charge Code	270331304
Hospital Revenue Code	272
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

TAPE ELASTIKON 3X5YD

Facility

$52.00

Hospital Charge Code	270331304
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

TAPE ELASTOPLAST 2 X 5.5YD

Facility

$35.00

Hospital Charge Code	270331373
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

TAPE ELASTOPLAST 2 X 5.5YD

Facility

$35.00

Hospital Charge Code	270331373
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

TAPE ELASTOPLAST 4

Facility

$32.58

Hospital Charge Code	270649724
Hospital Revenue Code	272
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$16.29
Rate for Payer: Aetna Commercial	$12.38
Rate for Payer: Aetna Medicare Advantage	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.31
Rate for Payer: Cigna Commercial	$16.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.47
Rate for Payer: Oxford Commercial	$6.52
Rate for Payer: Qualcare PPO/HMO/WC	$4.89
Rate for Payer: UnitedHealthcare Commercial	$6.52
Rate for Payer: UnitedHealthcare Community & State	$1.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

TAPE ELASTOPLAST 4

Facility

$32.58

Hospital Charge Code	270649724
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$4.89
Rate for Payer: Qualcare PPO/HMO/WC	$4.89

TAPE ELASTOPLAST 4

Facility

$22.04

Hospital Charge Code	270350150
Hospital Revenue Code	272
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$3.31
Rate for Payer: Qualcare PPO/HMO/WC	$3.31

TAPE ELASTOPLAST 4

Facility

$22.04

Hospital Charge Code	270350150
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$11.02
Rate for Payer: Aetna Commercial	$8.38
Rate for Payer: Aetna Medicare Advantage	$6.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.62
Rate for Payer: Cigna Commercial	$11.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.73
Rate for Payer: Oxford Commercial	$4.41
Rate for Payer: Qualcare PPO/HMO/WC	$3.31
Rate for Payer: UnitedHealthcare Commercial	$4.41
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

TAPE EMERGENCY TAPE EDITION A

Facility

$167.00

Hospital Charge Code	270611452
Hospital Revenue Code	280
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$2,789.00
Rate for Payer: Aetna Commercial	$63.46
Rate for Payer: Aetna Medicare Advantage	$50.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.59
Rate for Payer: Cigna Commercial	$83.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.42
Rate for Payer: Oxford Commercial	$2,458.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.05
Rate for Payer: UnitedHealthcare Commercial	$2,789.00
Rate for Payer: UnitedHealthcare Community & State	$5.28
Rate for Payer: Wellpoint Medicaid Managed Care	$4.74

TAPE EMERGENCY TAPE EDITION A

Facility

$167.00

Hospital Charge Code	270611452
Hospital Revenue Code	280
Min. Negotiated Rate	$25.05
Max. Negotiated Rate	$25.05
Rate for Payer: Qualcare PPO/HMO/WC	$25.05

TAPE GLOW & TELL 051492-S20

Facility

$209.75

Hospital Charge Code	270600423
Hospital Revenue Code	270
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$104.88
Rate for Payer: Aetna Commercial	$79.70
Rate for Payer: Aetna Medicare Advantage	$62.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.49
Rate for Payer: Cigna Commercial	$104.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.53
Rate for Payer: Oxford Commercial	$41.95
Rate for Payer: Qualcare PPO/HMO/WC	$31.46
Rate for Payer: UnitedHealthcare Commercial	$41.95
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

TAPE GLOW & TELL 051492-S20

Facility

$209.75

Hospital Charge Code	270600423
Hospital Revenue Code	270
Min. Negotiated Rate	$31.46
Max. Negotiated Rate	$31.46
Rate for Payer: Qualcare PPO/HMO/WC	$31.46

TAPE LABEL 1.5 MM 36IN

Facility

$350.00

Hospital Charge Code	270667329
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$70.00
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

TAPE LABEL 1.5 MM 36IN

Facility

$350.00

Hospital Charge Code	270667329
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

Know your out-of-pocket cost for care.

All Charges