Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VALVE FP-STRATA 2 SMALL

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270694974
Hospital Revenue Code	278
Min. Negotiated Rate	$850.27
Max. Negotiated Rate	$14,969.50
Rate for Payer: Aetna Commercial	$11,376.82
Rate for Payer: Aetna Medicare Advantage	$8,981.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,634.44
Rate for Payer: Cigna Commercial	$14,969.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85
Rate for Payer: UnitedHealthcare Community & State	$946.07
Rate for Payer: Wellpoint Medicaid Managed Care	$850.27

VALVE FP-STRATA 2 SMALL

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270694974
Hospital Revenue Code	278
Min. Negotiated Rate	$4,490.85
Max. Negotiated Rate	$7,245.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85

VALVE FP-STRATA NSC REGULAR

Facility

$27,435.10

Service Code	HCPCS L8699
Hospital Charge Code	270695659
Hospital Revenue Code	278
Min. Negotiated Rate	$779.16
Max. Negotiated Rate	$13,717.55
Rate for Payer: Aetna Commercial	$10,425.34
Rate for Payer: Aetna Medicare Advantage	$8,230.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,995.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,995.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,487.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,995.95
Rate for Payer: Cigna Commercial	$13,717.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,639.29
Rate for Payer: Qualcare PPO/HMO/WC	$4,115.27
Rate for Payer: UnitedHealthcare Community & State	$866.95
Rate for Payer: Wellpoint Medicaid Managed Care	$779.16

VALVE FP-STRATA NSC REGULAR

Facility

$27,435.10

Service Code	HCPCS L8699
Hospital Charge Code	270695659
Hospital Revenue Code	278
Min. Negotiated Rate	$4,115.27
Max. Negotiated Rate	$6,639.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,487.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,639.29
Rate for Payer: Qualcare PPO/HMO/WC	$4,115.27

VALVE FP-STRATA NSC SMALL

Facility

$27,271.40

Service Code	HCPCS L8699
Hospital Charge Code	270695660
Hospital Revenue Code	278
Min. Negotiated Rate	$4,090.71
Max. Negotiated Rate	$6,599.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,454.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,599.68
Rate for Payer: Qualcare PPO/HMO/WC	$4,090.71

VALVE FP-STRATA NSC SMALL

Facility

$27,271.40

Service Code	HCPCS L8699
Hospital Charge Code	270695660
Hospital Revenue Code	278
Min. Negotiated Rate	$774.51
Max. Negotiated Rate	$13,635.70
Rate for Payer: Aetna Commercial	$10,363.13
Rate for Payer: Aetna Medicare Advantage	$8,181.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,954.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,954.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,454.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,954.21
Rate for Payer: Cigna Commercial	$13,635.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,599.68
Rate for Payer: Qualcare PPO/HMO/WC	$4,090.71
Rate for Payer: UnitedHealthcare Community & State	$861.78
Rate for Payer: Wellpoint Medicaid Managed Care	$774.51

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577N
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$3.79
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$3.79
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470N
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

VALVE SM CONTOURED LO PRES IMP

Facility

$5,577.60

Service Code	HCPCS L8699
Hospital Charge Code	270696476
Hospital Revenue Code	278
Min. Negotiated Rate	$158.40
Max. Negotiated Rate	$2,788.80
Rate for Payer: Aetna Commercial	$2,119.49
Rate for Payer: Aetna Medicare Advantage	$1,673.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,422.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,422.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,422.29
Rate for Payer: Cigna Commercial	$2,788.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,349.78
Rate for Payer: Qualcare PPO/HMO/WC	$836.64
Rate for Payer: UnitedHealthcare Community & State	$176.25
Rate for Payer: Wellpoint Medicaid Managed Care	$158.40

VALVE SM CONTOURED LO PRES IMP

Facility

$5,577.60

Service Code	HCPCS L8699
Hospital Charge Code	270696476
Hospital Revenue Code	278
Min. Negotiated Rate	$836.64
Max. Negotiated Rate	$1,349.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,349.78
Rate for Payer: Qualcare PPO/HMO/WC	$836.64

VALVE SM CONTOUR HI PRESS IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696478
Hospital Revenue Code	278
Min. Negotiated Rate	$156.36
Max. Negotiated Rate	$2,752.80
Rate for Payer: Aetna Commercial	$2,092.13
Rate for Payer: Aetna Medicare Advantage	$1,651.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,403.93
Rate for Payer: Cigna Commercial	$2,752.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: Qualcare PPO/HMO/WC	$825.84
Rate for Payer: UnitedHealthcare Community & State	$173.98
Rate for Payer: Wellpoint Medicaid Managed Care	$156.36

VALVE SM CONTOUR HI PRESS IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696478
Hospital Revenue Code	278
Min. Negotiated Rate	$825.84
Max. Negotiated Rate	$1,332.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: Qualcare PPO/HMO/WC	$825.84

VALVE SM CONTOUR MED PRES IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696477
Hospital Revenue Code	278
Min. Negotiated Rate	$825.84
Max. Negotiated Rate	$1,332.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: Qualcare PPO/HMO/WC	$825.84

VALVE SM CONTOUR MED PRES IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696477
Hospital Revenue Code	278
Min. Negotiated Rate	$156.36
Max. Negotiated Rate	$2,752.80
Rate for Payer: Aetna Commercial	$2,092.13
Rate for Payer: Aetna Medicare Advantage	$1,651.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,403.93
Rate for Payer: Cigna Commercial	$2,752.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: Qualcare PPO/HMO/WC	$825.84
Rate for Payer: UnitedHealthcare Community & State	$173.98
Rate for Payer: Wellpoint Medicaid Managed Care	$156.36

VALVE SUCTION SINGLE USE

Facility

$51.24

Hospital Charge Code	270650784
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$25.62
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.07
Rate for Payer: Cigna Commercial	$25.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.32
Rate for Payer: Oxford Commercial	$10.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.69
Rate for Payer: UnitedHealthcare Commercial	$10.25
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

VALVE SUCTION SINGLE USE

Facility

$51.24

Hospital Charge Code	270650784
Hospital Revenue Code	272
Min. Negotiated Rate	$7.69
Max. Negotiated Rate	$7.69
Rate for Payer: Qualcare PPO/HMO/WC	$7.69

VALVULOTOME 7

Facility

$470.00

Hospital Charge Code	270665871
Hospital Revenue Code	272
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.20
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$94.00
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$13.35

VALVULOTOME 7

Facility

$470.00

Hospital Charge Code	270665871
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

VALVULOTOME EXPANDABLE LEMAITR

Facility

$1,231.00

Hospital Charge Code	270335315
Hospital Revenue Code	272
Min. Negotiated Rate	$184.65
Max. Negotiated Rate	$184.65
Rate for Payer: Qualcare PPO/HMO/WC	$184.65

Know your out-of-pocket cost for care.

All Charges