Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VENTRICULAR CATHETER 20CM

Facility

$165.00

Hospital Charge Code	270335583
Hospital Revenue Code	272
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

VENTRICULAR CATHETER 20CM

Facility

$165.00

Hospital Charge Code	270335583
Hospital Revenue Code	272
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$33.00
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

VENTRICULAR CATHETER 23CM

Facility

$214.00

Hospital Charge Code	270335577
Hospital Revenue Code	272
Min. Negotiated Rate	$6.08
Max. Negotiated Rate	$107.00
Rate for Payer: Aetna Commercial	$81.32
Rate for Payer: Aetna Medicare Advantage	$64.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.57
Rate for Payer: Cigna Commercial	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.64
Rate for Payer: Oxford Commercial	$42.80
Rate for Payer: Qualcare PPO/HMO/WC	$32.10
Rate for Payer: UnitedHealthcare Commercial	$42.80
Rate for Payer: UnitedHealthcare Community & State	$6.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6.08

VENTRICULAR CATHETER 23CM

Facility

$214.00

Hospital Charge Code	270335577
Hospital Revenue Code	272
Min. Negotiated Rate	$32.10
Max. Negotiated Rate	$32.10
Rate for Payer: Qualcare PPO/HMO/WC	$32.10

VENTRICULAR SHUNT PROCEDURES

Facility

$21,353.63

Service Code	APR-DRG 0222
Min. Negotiated Rate	$20,934.93
Max. Negotiated Rate	$21,353.63
Rate for Payer: UnitedHealthcare Community & State	$20,934.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,353.63
Rate for Payer: Wellpoint Medicaid Managed Care	$20,934.93

VENTRICULAR SHUNT PROCEDURES

Facility

$29,692.85

Service Code	APR-DRG 0223
Min. Negotiated Rate	$29,110.64
Max. Negotiated Rate	$29,692.85
Rate for Payer: UnitedHealthcare Community & State	$29,110.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,692.85
Rate for Payer: Wellpoint Medicaid Managed Care	$29,110.64

VENTRICULAR SHUNT PROCEDURES

Facility

$55,707.61

Service Code	APR-DRG 0224
Min. Negotiated Rate	$54,615.30
Max. Negotiated Rate	$55,707.61
Rate for Payer: UnitedHealthcare Community & State	$54,615.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,707.61
Rate for Payer: Wellpoint Medicaid Managed Care	$54,615.30

VENTRICULAR SHUNT PROCEDURES WITH CC

Facility

$86,790.48

Service Code	MSDRG 032
Min. Negotiated Rate	$26,426.59
Max. Negotiated Rate	$86,790.48
Rate for Payer: Aetna Medicare Advantage	$86,790.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59,565.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59,565.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,817.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59,565.75
Rate for Payer: Cigna Commercial	$47,506.38
Rate for Payer: Cigna Medicare Advantage	$27,817.46
Rate for Payer: Clover Medicare Advantage	$26,426.59
Rate for Payer: EmblemHealth Commercial	$83,452.38
Rate for Payer: Humana Medicare Advantage	$28,651.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,817.46
Rate for Payer: Oxford Commercial	$37,548.22
Rate for Payer: UnitedHealthcare Commercial	$50,259.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,817.46
Rate for Payer: Wellcare Medicare Advantage	$27,817.46

VENTRICULAR SHUNT PROCEDURES WITH MCC

Facility

$161,019.61

Service Code	MSDRG 031
Min. Negotiated Rate	$49,028.41
Max. Negotiated Rate	$161,019.61
Rate for Payer: Aetna Medicare Advantage	$161,019.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114,144.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114,144.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51,608.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114,144.60
Rate for Payer: Cigna Commercial	$99,883.79
Rate for Payer: Cigna Medicare Advantage	$51,608.85
Rate for Payer: Clover Medicare Advantage	$49,028.41
Rate for Payer: EmblemHealth Commercial	$154,826.55
Rate for Payer: Humana Medicare Advantage	$53,157.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$51,608.85
Rate for Payer: Oxford Commercial	$78,946.41
Rate for Payer: UnitedHealthcare Commercial	$105,672.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$51,608.85
Rate for Payer: Wellcare Medicare Advantage	$51,608.85

VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC

Facility

$72,001.55

Service Code	MSDRG 033
Min. Negotiated Rate	$21,923.55
Max. Negotiated Rate	$72,001.55
Rate for Payer: Aetna Medicare Advantage	$72,001.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,882.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,882.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,077.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,882.10
Rate for Payer: Cigna Commercial	$37,071.03
Rate for Payer: Cigna Medicare Advantage	$23,077.42
Rate for Payer: Clover Medicare Advantage	$21,923.55
Rate for Payer: EmblemHealth Commercial	$69,232.26
Rate for Payer: Humana Medicare Advantage	$23,769.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,077.42
Rate for Payer: Oxford Commercial	$29,300.30
Rate for Payer: UnitedHealthcare Commercial	$39,219.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,077.42
Rate for Payer: Wellcare Medicare Advantage	$23,077.42

VENTRICULOSTOMY KIT MEDTRONIC

Facility

$646.00

Hospital Charge Code	270335582
Hospital Revenue Code	278
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$156.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.33
Rate for Payer: Qualcare PPO/HMO/WC	$96.90

VENTRICULOSTOMY KIT MEDTRONIC

Facility

$646.00

Hospital Charge Code	270335582
Hospital Revenue Code	278
Min. Negotiated Rate	$18.35
Max. Negotiated Rate	$323.00
Rate for Payer: Aetna Commercial	$245.48
Rate for Payer: Aetna Medicare Advantage	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.73
Rate for Payer: Cigna Commercial	$323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.33
Rate for Payer: Qualcare PPO/HMO/WC	$96.90
Rate for Payer: UnitedHealthcare Community & State	$20.41
Rate for Payer: Wellpoint Medicaid Managed Care	$18.35

VENTRICULOSTOMY NATUS CATH KIT

Facility

$659.65

Hospital Charge Code	270700238
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$329.82
Rate for Payer: Aetna Commercial	$250.67
Rate for Payer: Aetna Medicare Advantage	$197.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.21
Rate for Payer: Cigna Commercial	$329.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.51
Rate for Payer: Oxford Commercial	$131.93
Rate for Payer: Qualcare PPO/HMO/WC	$98.95
Rate for Payer: UnitedHealthcare Commercial	$131.93
Rate for Payer: UnitedHealthcare Community & State	$20.84
Rate for Payer: Wellpoint Medicaid Managed Care	$18.73

VENTRICULOSTOMY NATUS CATH KIT

Facility

$659.65

Hospital Charge Code	270700238
Hospital Revenue Code	272
Min. Negotiated Rate	$98.95
Max. Negotiated Rate	$98.95
Rate for Payer: Qualcare PPO/HMO/WC	$98.95

VENTRLEX HERNIA PATCH (SM.)

Facility

$673.00

Hospital Charge Code	270335675
Hospital Revenue Code	278
Min. Negotiated Rate	$19.11
Max. Negotiated Rate	$336.50
Rate for Payer: Aetna Commercial	$255.74
Rate for Payer: Aetna Medicare Advantage	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.62
Rate for Payer: Cigna Commercial	$336.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.87
Rate for Payer: Qualcare PPO/HMO/WC	$100.95
Rate for Payer: UnitedHealthcare Community & State	$21.27
Rate for Payer: Wellpoint Medicaid Managed Care	$19.11

VENTRLEX HERNIA PATCH (SM.)

Facility

$673.00

Hospital Charge Code	270335675
Hospital Revenue Code	278
Min. Negotiated Rate	$100.95
Max. Negotiated Rate	$162.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.87
Rate for Payer: Qualcare PPO/HMO/WC	$100.95

VENT TUBE:,045 I.D. 7MM.

Facility

$42.00

Hospital Charge Code	270331854
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

VENT TUBE:,045 I.D. 7MM.

Facility

$42.00

Hospital Charge Code	270331854
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$15.96
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$8.40
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

VEP VISUAL EVOKED POTENTIAL

Facility

$5,700.00

Service Code	HCPCS 95930
Hospital Charge Code	5400080
Hospital Revenue Code	922
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$2,585.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,482.00
Rate for Payer: Oxford Commercial	$2,277.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$2,585.00
Rate for Payer: UnitedHealthcare Community & State	$180.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$459.87
Rate for Payer: Wellpoint Medicaid Managed Care	$161.88

VEP VISUAL EVOKED POTENTIAL

Facility

$5,700.00

Service Code	HCPCS 95930
Hospital Charge Code	5400080
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

VERAPAMIL

Facility

$291.00

Service Code	HCPCS 80299
Hospital Charge Code	38472046
Hospital Revenue Code	301
Min. Negotiated Rate	$43.65
Max. Negotiated Rate	$43.65
Rate for Payer: Qualcare PPO/HMO/WC	$43.65

VERAPAMIL

Facility

$291.00

Service Code	HCPCS 80299
Hospital Charge Code	38472046
Hospital Revenue Code	301
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$60.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.62
Rate for Payer: Cigna Commercial	$145.50
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Medicare Advantage	$18.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

VERAPAMIL 120 MG ER TAB

Facility

$15.54

Service Code	NDC 51079089420
Hospital Charge Code	60629028
Hospital Revenue Code	250
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.33

VERAPAMIL 120 MG ER TAB

Facility

$15.54

Service Code	NDC 51079089420
Hospital Charge Code	60629028
Hospital Revenue Code	250
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$7.77
Rate for Payer: Aetna Commercial	$5.91
Rate for Payer: Aetna Medicare Advantage	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.96
Rate for Payer: Cigna Commercial	$7.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.04
Rate for Payer: Oxford Commercial	$3.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.33
Rate for Payer: UnitedHealthcare Commercial	$3.11
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

VERAPAMIL 120 MG TAB

Facility

$5.03

Service Code	NDC 904292461
Hospital Charge Code	60627613
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

Know your out-of-pocket cost for care.

All Charges