Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TAP SURGICAL 5.5MM GPS

Facility

$6,190.00

Hospital Charge Code	270696765
Hospital Revenue Code	272
Min. Negotiated Rate	$175.80
Max. Negotiated Rate	$3,095.00
Rate for Payer: Aetna Commercial	$2,352.20
Rate for Payer: Aetna Medicare Advantage	$1,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,578.45
Rate for Payer: Cigna Commercial	$3,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.40
Rate for Payer: Oxford Commercial	$1,238.00
Rate for Payer: Qualcare PPO/HMO/WC	$928.50
Rate for Payer: UnitedHealthcare Commercial	$1,238.00
Rate for Payer: UnitedHealthcare Community & State	$195.60
Rate for Payer: Wellpoint Medicaid Managed Care	$175.80

TARGET 360 NANO 1.5 MM X 3 CM

Facility

$10,516.00

Service Code	HCPCS C1889
Hospital Charge Code	270697788S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,577.40
Max. Negotiated Rate	$2,544.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,103.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,544.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,577.40

TARGET 360 NANO 1.5 MM X 3 CM

Facility

$10,516.00

Service Code	HCPCS C1889
Hospital Charge Code	270697788S
Hospital Revenue Code	278
Min. Negotiated Rate	$298.65
Max. Negotiated Rate	$5,258.00
Rate for Payer: Aetna Commercial	$3,996.08
Rate for Payer: Aetna Medicare Advantage	$3,154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,681.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,681.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,103.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,681.58
Rate for Payer: Cigna Commercial	$5,258.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,544.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,577.40
Rate for Payer: UnitedHealthcare Community & State	$332.31
Rate for Payer: Wellpoint Medicaid Managed Care	$298.65

TARGET 360 NANO 2.5 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689844
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 NANO 2.5 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689844
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842S
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843S
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 NANO 3.5 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689847
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 3.5 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689847
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 NANO 3 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689845
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 3 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689845
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 NANO 3 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689846
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 3 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689846
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 SOFT 10MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689848
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 SOFT 10MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689848
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 SOFT 12MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689849
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

TARGET 360 SOFT 12MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689849S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 SOFT 12MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689849
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 SOFT 12MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689849S
Hospital Revenue Code	278
Min. Negotiated Rate	$296.11
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$329.47
Rate for Payer: Wellpoint Medicaid Managed Care	$296.11

Know your out-of-pocket cost for care.

All Charges