Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VASCU EMBO OR OCCLU

Facility

$56,620.95

Service Code	HCPCS 37244
Hospital Charge Code	5701100
Hospital Revenue Code	361
Min. Negotiated Rate	$1,789.22
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,721.45
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,789.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,278.35
Rate for Payer: Wellpoint Medicaid Managed Care	$23,802.30

VASCULAR DILATOR 5FR

Facility

$27.61

Hospital Charge Code	270675442
Hospital Revenue Code	272
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$4.14
Rate for Payer: Qualcare PPO/HMO/WC	$4.14

VASCULAR DILATOR 5FR

Facility

$27.61

Hospital Charge Code	270675442
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$13.80
Rate for Payer: Aetna Commercial	$10.49
Rate for Payer: Aetna Medicare Advantage	$8.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.04
Rate for Payer: Cigna Commercial	$13.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.18
Rate for Payer: Oxford Commercial	$5.52
Rate for Payer: Qualcare PPO/HMO/WC	$4.14
Rate for Payer: UnitedHealthcare Commercial	$5.52
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.78

VASCULAR DILATOR 6FR 0.038IN

Facility

$27.61

Hospital Charge Code	270673020
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$13.80
Rate for Payer: Aetna Commercial	$10.49
Rate for Payer: Aetna Medicare Advantage	$8.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.04
Rate for Payer: Cigna Commercial	$13.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.18
Rate for Payer: Oxford Commercial	$5.52
Rate for Payer: Qualcare PPO/HMO/WC	$4.14
Rate for Payer: UnitedHealthcare Commercial	$5.52
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.78

VASCULAR DILATOR 6FR 0.038IN

Facility

$27.61

Hospital Charge Code	270673020
Hospital Revenue Code	272
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$4.14
Rate for Payer: Qualcare PPO/HMO/WC	$4.14

VASCULAR EMBOLIZATION

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	7411528
Hospital Revenue Code	361
Min. Negotiated Rate	$8,508.96
Max. Negotiated Rate	$8,508.96
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96

VASCULAR EMBOLIZATION

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	321037241
Hospital Revenue Code	361
Min. Negotiated Rate	$1,792.55
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,748.86
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,792.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,278.35
Rate for Payer: Wellpoint Medicaid Managed Care	$23,802.30

VASCULAR EMBOLIZATION

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	5701110
Hospital Revenue Code	361
Min. Negotiated Rate	$8,508.96
Max. Negotiated Rate	$8,508.96
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96

VASCULAR EMBOLIZATION

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	321037241
Hospital Revenue Code	361
Min. Negotiated Rate	$8,508.96
Max. Negotiated Rate	$8,508.96
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96

VASCULAR EMBOLIZATION

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	7411528
Hospital Revenue Code	361
Min. Negotiated Rate	$1,792.55
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,748.86
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,792.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,278.35
Rate for Payer: Wellpoint Medicaid Managed Care	$23,802.30

VASCULAR EMBOLIZATION

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	5701110
Hospital Revenue Code	361
Min. Negotiated Rate	$1,792.55
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,748.86
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,792.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,278.35
Rate for Payer: Wellpoint Medicaid Managed Care	$23,802.30

VASCULAR EMBOLIZATION/OCCLUSN

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	2692118
Hospital Revenue Code	361
Min. Negotiated Rate	$1,792.55
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,748.86
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,792.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,278.35
Rate for Payer: Wellpoint Medicaid Managed Care	$23,802.30

VASCULAR EMBOLIZATION/OCCLUSN

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	2692118
Hospital Revenue Code	361
Min. Negotiated Rate	$8,508.96
Max. Negotiated Rate	$8,508.96
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96

VASCULAR EMBOLIZATION/OCCLUSN

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	7411529
Hospital Revenue Code	361
Min. Negotiated Rate	$1,792.55
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,748.86
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,792.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,278.35
Rate for Payer: Wellpoint Medicaid Managed Care	$23,802.30

VASCULAR EMBOLIZATION/OCCLUSN

Facility

$56,726.40

Service Code	HCPCS 37241
Hospital Charge Code	7411529
Hospital Revenue Code	361
Min. Negotiated Rate	$8,508.96
Max. Negotiated Rate	$8,508.96
Rate for Payer: Qualcare PPO/HMO/WC	$8,508.96

VASCULAR GRAFT

Facility

$1,911.00

Hospital Charge Code	270335608
Hospital Revenue Code	278
Min. Negotiated Rate	$286.65
Max. Negotiated Rate	$462.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$382.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.46
Rate for Payer: Qualcare PPO/HMO/WC	$286.65

VASCULAR GRAFT

Facility

$5,030.00

Service Code	HCPCS C1768
Hospital Charge Code	270658074
Hospital Revenue Code	278
Min. Negotiated Rate	$142.85
Max. Negotiated Rate	$2,515.00
Rate for Payer: Aetna Commercial	$1,911.40
Rate for Payer: Aetna Medicare Advantage	$1,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,282.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,282.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,006.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,282.65
Rate for Payer: Cigna Commercial	$2,515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,217.26
Rate for Payer: Qualcare PPO/HMO/WC	$754.50
Rate for Payer: UnitedHealthcare Community & State	$158.95
Rate for Payer: Wellpoint Medicaid Managed Care	$142.85

VASCULAR GRAFT

Facility

$5,030.00

Service Code	HCPCS C1768
Hospital Charge Code	270658074
Hospital Revenue Code	278
Min. Negotiated Rate	$754.50
Max. Negotiated Rate	$1,217.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,006.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,217.26
Rate for Payer: Qualcare PPO/HMO/WC	$754.50

VASCULAR GRAFT

Facility

$1,911.00

Hospital Charge Code	270335608
Hospital Revenue Code	278
Min. Negotiated Rate	$54.27
Max. Negotiated Rate	$955.50
Rate for Payer: Aetna Commercial	$726.18
Rate for Payer: Aetna Medicare Advantage	$573.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$487.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$487.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$382.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$487.31
Rate for Payer: Cigna Commercial	$955.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.46
Rate for Payer: Qualcare PPO/HMO/WC	$286.65
Rate for Payer: UnitedHealthcare Community & State	$60.39
Rate for Payer: Wellpoint Medicaid Managed Care	$54.27

VASCULAR GRAFT

Facility

$6,130.00

Service Code	HCPCS C1768
Hospital Charge Code	270656772
Hospital Revenue Code	278
Min. Negotiated Rate	$919.50
Max. Negotiated Rate	$1,483.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,483.46
Rate for Payer: Qualcare PPO/HMO/WC	$919.50

VASCULAR GRAFT

Facility

$6,130.00

Service Code	HCPCS C1768
Hospital Charge Code	270656772
Hospital Revenue Code	278
Min. Negotiated Rate	$174.09
Max. Negotiated Rate	$3,065.00
Rate for Payer: Aetna Commercial	$2,329.40
Rate for Payer: Aetna Medicare Advantage	$1,839.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,563.15
Rate for Payer: Cigna Commercial	$3,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,483.46
Rate for Payer: Qualcare PPO/HMO/WC	$919.50
Rate for Payer: UnitedHealthcare Community & State	$193.71
Rate for Payer: Wellpoint Medicaid Managed Care	$174.09

VASCULAR KIT

Facility

$147.00

Hospital Charge Code	270338759
Hospital Revenue Code	272
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

VASCULAR KIT

Facility

$147.00

Hospital Charge Code	270338759
Hospital Revenue Code	272
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$55.86
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.22
Rate for Payer: Oxford Commercial	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$29.40
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$4.17

VASCULAR LINEAR STAPLER 30MM

Facility

$172.00

Hospital Charge Code	270338702
Hospital Revenue Code	272
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

VASCULAR LINEAR STAPLER 30MM

Facility

$172.00

Hospital Charge Code	270338702
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$86.00
Rate for Payer: Aetna Commercial	$65.36
Rate for Payer: Aetna Medicare Advantage	$51.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.72
Rate for Payer: Oxford Commercial	$34.40
Rate for Payer: Qualcare PPO/HMO/WC	$25.80
Rate for Payer: UnitedHealthcare Commercial	$34.40
Rate for Payer: UnitedHealthcare Community & State	$5.44
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

Know your out-of-pocket cost for care.

All Charges