Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WALKER MED LOW TOP

Facility

$143.15

Hospital Charge Code	270654883
Hospital Revenue Code	270
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$71.58
Rate for Payer: Aetna Commercial	$54.40
Rate for Payer: Aetna Medicare Advantage	$42.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.50
Rate for Payer: Cigna Commercial	$71.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.22
Rate for Payer: Oxford Commercial	$28.63
Rate for Payer: Qualcare PPO/HMO/WC	$21.47
Rate for Payer: UnitedHealthcare Commercial	$28.63
Rate for Payer: UnitedHealthcare Community & State	$4.52
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

WALKER ROLLER

Facility

$212.30

Service Code	HCPCS E0143
Hospital Charge Code	270691278
Hospital Revenue Code	292
Min. Negotiated Rate	$31.84
Max. Negotiated Rate	$31.84
Rate for Payer: Qualcare PPO/HMO/WC	$31.84

WALKER ROLLER

Facility

$212.30

Service Code	HCPCS E0143
Hospital Charge Code	270691278
Hospital Revenue Code	292
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$106.15
Rate for Payer: Aetna Commercial	$80.67
Rate for Payer: Aetna Medicare Advantage	$63.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.14
Rate for Payer: Cigna Commercial	$106.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.84
Rate for Payer: UnitedHealthcare Community & State	$6.71
Rate for Payer: Wellpoint Medicaid Managed Care	$6.03

WALKING BOOT (VACOPAD)

Facility

$5,374.00

Hospital Charge Code	270335440
Hospital Revenue Code	270
Min. Negotiated Rate	$806.10
Max. Negotiated Rate	$806.10
Rate for Payer: Qualcare PPO/HMO/WC	$806.10

WALKING BOOT (VACOPAD)

Facility

$5,374.00

Hospital Charge Code	270335440
Hospital Revenue Code	270
Min. Negotiated Rate	$152.62
Max. Negotiated Rate	$2,687.00
Rate for Payer: Aetna Commercial	$2,042.12
Rate for Payer: Aetna Medicare Advantage	$1,612.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.37
Rate for Payer: Cigna Commercial	$2,687.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,397.24
Rate for Payer: Oxford Commercial	$1,074.80
Rate for Payer: Qualcare PPO/HMO/WC	$806.10
Rate for Payer: UnitedHealthcare Commercial	$1,074.80
Rate for Payer: UnitedHealthcare Community & State	$169.82
Rate for Payer: Wellpoint Medicaid Managed Care	$152.62

WALKING CAST

Facility

$1,041.00

Service Code	HCPCS 29425
Hospital Charge Code	5770060
Hospital Revenue Code	450
Min. Negotiated Rate	$156.15
Max. Negotiated Rate	$156.15
Rate for Payer: Qualcare PPO/HMO/WC	$156.15

WALKING CAST

Facility

$1,041.00

Service Code	HCPCS 29425
Hospital Charge Code	5770060
Hospital Revenue Code	450
Min. Negotiated Rate	$29.56
Max. Negotiated Rate	$1,205.35
Rate for Payer: Aetna Commercial	$903.80
Rate for Payer: Aetna Medicare Advantage	$1,076.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,205.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,205.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$332.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,205.35
Rate for Payer: Cigna Commercial	$666.07
Rate for Payer: Cigna Medicare Advantage	$332.28
Rate for Payer: Clover Medicare Advantage	$315.67
Rate for Payer: EmblemHealth Commercial	$996.84
Rate for Payer: Humana Medicare Advantage	$342.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$332.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.66
Rate for Payer: Qualcare PPO/HMO/WC	$156.15
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$332.28
Rate for Payer: Wellcare Medicare Advantage	$332.28
Rate for Payer: Wellpoint Medicaid Managed Care	$29.56

WALL FLEX BILIARY STENT

Facility

$12,250.00

Hospital Charge Code	270325688
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

WALL FLEX BILIARY STENT

Facility

$12,250.00

Hospital Charge Code	270325688
Hospital Revenue Code	278
Min. Negotiated Rate	$347.90
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$387.10
Rate for Payer: Wellpoint Medicaid Managed Care	$347.90

WALLFLEX FC 18/23-25x10 1670

Facility

$11,995.00

Service Code	HCPCS C1874
Hospital Charge Code	270643739
Hospital Revenue Code	278
Min. Negotiated Rate	$340.66
Max. Negotiated Rate	$5,997.50
Rate for Payer: Aetna Commercial	$4,558.10
Rate for Payer: Aetna Medicare Advantage	$3,598.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,058.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,058.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,399.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,058.72
Rate for Payer: Cigna Commercial	$5,997.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,902.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,799.25
Rate for Payer: UnitedHealthcare Community & State	$379.04
Rate for Payer: Wellpoint Medicaid Managed Care	$340.66

WALLFLEX FC 18/23-25x10 1670

Facility

$11,995.00

Service Code	HCPCS C1874
Hospital Charge Code	270643739
Hospital Revenue Code	278
Min. Negotiated Rate	$1,799.25
Max. Negotiated Rate	$2,902.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,399.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,902.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,799.25

WALL MAXILLO FACIAL FRACTURE

Facility

$54.00

Hospital Charge Code	270332245
Hospital Revenue Code	278
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

WALL MAXILLO FACIAL FRACTURE

Facility

$54.00

Hospital Charge Code	270332245
Hospital Revenue Code	278
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

WALLSTENT 10FR 14x60mm 100cm

Facility

$5,250.00

Hospital Charge Code	270626883
Hospital Revenue Code	278
Min. Negotiated Rate	$149.10
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$165.90
Rate for Payer: Wellpoint Medicaid Managed Care	$149.10

WALLSTENT 10FR 14x60mm 100cm

Facility

$5,250.00

Hospital Charge Code	270626883
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

WALLSTENT 11FR 18x60mm 75cm

Facility

$6,800.65

Service Code	HCPCS C1876
Hospital Charge Code	270636322
Hospital Revenue Code	278
Min. Negotiated Rate	$1,020.10
Max. Negotiated Rate	$1,645.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,645.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.10

WALLSTENT 11FR 18x60mm 75cm

Facility

$6,800.65

Service Code	HCPCS C1876
Hospital Charge Code	270636322
Hospital Revenue Code	278
Min. Negotiated Rate	$193.14
Max. Negotiated Rate	$3,400.32
Rate for Payer: Aetna Commercial	$2,584.25
Rate for Payer: Aetna Medicare Advantage	$2,040.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,734.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,734.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,734.17
Rate for Payer: Cigna Commercial	$3,400.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,645.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.10
Rate for Payer: UnitedHealthcare Community & State	$214.90
Rate for Payer: Wellpoint Medicaid Managed Care	$193.14

WALLSTENT 12/60 9FR 100cm

Facility

$5,250.00

Hospital Charge Code	270626882
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

WALLSTENT 12/60 9FR 100cm

Facility

$5,250.00

Hospital Charge Code	270626882
Hospital Revenue Code	278
Min. Negotiated Rate	$149.10
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$165.90
Rate for Payer: Wellpoint Medicaid Managed Care	$149.10

WALLSTENT 12/90 9FR 100cm

Facility

$8,500.00

Hospital Charge Code	270627567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

WALLSTENT 12/90 9FR 100cm

Facility

$8,500.00

Hospital Charge Code	270627567
Hospital Revenue Code	278
Min. Negotiated Rate	$241.40
Max. Negotiated Rate	$4,250.00
Rate for Payer: Aetna Commercial	$3,230.00
Rate for Payer: Aetna Medicare Advantage	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.50
Rate for Payer: Cigna Commercial	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00
Rate for Payer: UnitedHealthcare Community & State	$268.60
Rate for Payer: Wellpoint Medicaid Managed Care	$241.40

WALLSTENT 16/40 10FR 100cm

Facility

$5,250.00

Hospital Charge Code	270627282
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

WALLSTENT 16/40 10FR 100cm

Facility

$5,250.00

Hospital Charge Code	270627282
Hospital Revenue Code	278
Min. Negotiated Rate	$149.10
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$165.90
Rate for Payer: Wellpoint Medicaid Managed Care	$149.10

WALL STENT 16X 90X 75 MM

Facility

$10,398.10

Service Code	HCPCS C1876
Hospital Charge Code	270684832
Hospital Revenue Code	278
Min. Negotiated Rate	$1,559.71
Max. Negotiated Rate	$2,516.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,079.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,516.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,559.71

WALL STENT 16X 90X 75 MM

Facility

$10,398.10

Service Code	HCPCS C1876
Hospital Charge Code	270684832N
Hospital Revenue Code	278
Min. Negotiated Rate	$295.31
Max. Negotiated Rate	$5,199.05
Rate for Payer: Aetna Commercial	$3,951.28
Rate for Payer: Aetna Medicare Advantage	$3,119.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,651.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,651.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,079.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,651.52
Rate for Payer: Cigna Commercial	$5,199.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,516.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,559.71
Rate for Payer: UnitedHealthcare Community & State	$328.58
Rate for Payer: Wellpoint Medicaid Managed Care	$295.31

Know your out-of-pocket cost for care.

All Charges