Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

WIREGUIDE APPROACH PRO

Facility

$428.75

Hospital Charge Code	270660260
Hospital Revenue Code	272
Min. Negotiated Rate	$12.18
Max. Negotiated Rate	$214.38
Rate for Payer: Aetna Commercial	$162.93
Rate for Payer: Aetna Medicare Advantage	$128.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.33
Rate for Payer: Cigna Commercial	$214.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.47
Rate for Payer: Oxford Commercial	$85.75
Rate for Payer: Qualcare PPO/HMO/WC	$64.31
Rate for Payer: UnitedHealthcare Commercial	$85.75
Rate for Payer: UnitedHealthcare Community & State	$13.55
Rate for Payer: Wellpoint Medicaid Managed Care	$12.18

WIREGUIDE APPROACH PRO

Facility

$428.75

Hospital Charge Code	270660260
Hospital Revenue Code	272
Min. Negotiated Rate	$64.31
Max. Negotiated Rate	$64.31
Rate for Payer: Qualcare PPO/HMO/WC	$64.31

WIRE GUIDE APPROACH PRO LT

Facility

$428.75

Hospital Charge Code	270660262
Hospital Revenue Code	272
Min. Negotiated Rate	$12.18
Max. Negotiated Rate	$214.38
Rate for Payer: Aetna Commercial	$162.93
Rate for Payer: Aetna Medicare Advantage	$128.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.33
Rate for Payer: Cigna Commercial	$214.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.47
Rate for Payer: Oxford Commercial	$85.75
Rate for Payer: Qualcare PPO/HMO/WC	$64.31
Rate for Payer: UnitedHealthcare Commercial	$85.75
Rate for Payer: UnitedHealthcare Community & State	$13.55
Rate for Payer: Wellpoint Medicaid Managed Care	$12.18

WIRE GUIDE APPROACH PRO LT

Facility

$428.75

Hospital Charge Code	270660262
Hospital Revenue Code	272
Min. Negotiated Rate	$64.31
Max. Negotiated Rate	$64.31
Rate for Payer: Qualcare PPO/HMO/WC	$64.31

WIRE GUIDE BALL TIPPED 3x1000m

Facility

$1,084.45

Hospital Charge Code	270672767
Hospital Revenue Code	272
Min. Negotiated Rate	$162.67
Max. Negotiated Rate	$162.67
Rate for Payer: Qualcare PPO/HMO/WC	$162.67

WIRE GUIDE BALL TIPPED 3x1000m

Facility

$1,084.45

Hospital Charge Code	270672767
Hospital Revenue Code	272
Min. Negotiated Rate	$30.80
Max. Negotiated Rate	$542.23
Rate for Payer: Aetna Commercial	$412.09
Rate for Payer: Aetna Medicare Advantage	$325.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.53
Rate for Payer: Cigna Commercial	$542.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.96
Rate for Payer: Oxford Commercial	$216.89
Rate for Payer: Qualcare PPO/HMO/WC	$162.67
Rate for Payer: UnitedHealthcare Commercial	$216.89
Rate for Payer: UnitedHealthcare Community & State	$34.27
Rate for Payer: Wellpoint Medicaid Managed Care	$30.80

WIRE GUIDE COPE MANDRIL 60MM

Facility

$199.70

Service Code	HCPCS C1769
Hospital Charge Code	270658312S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$99.85
Rate for Payer: Aetna Commercial	$75.89
Rate for Payer: Aetna Medicare Advantage	$59.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.92
Rate for Payer: Cigna Commercial	$99.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.33
Rate for Payer: Qualcare PPO/HMO/WC	$29.95
Rate for Payer: UnitedHealthcare Community & State	$6.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.67

WIRE GUIDE COPE MANDRIL 60MM

Facility

$199.70

Service Code	HCPCS C1769
Hospital Charge Code	270658312N
Hospital Revenue Code	278
Min. Negotiated Rate	$29.95
Max. Negotiated Rate	$48.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.33
Rate for Payer: Qualcare PPO/HMO/WC	$29.95

WIRE GUIDE COPE MANDRIL 60MM

Facility

$199.70

Service Code	HCPCS C1769
Hospital Charge Code	270658312S
Hospital Revenue Code	278
Min. Negotiated Rate	$29.95
Max. Negotiated Rate	$48.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.33
Rate for Payer: Qualcare PPO/HMO/WC	$29.95

WIRE GUIDE COPE MANDRIL 60MM

Facility

$199.70

Service Code	HCPCS C1769
Hospital Charge Code	270658312
Hospital Revenue Code	278
Min. Negotiated Rate	$29.95
Max. Negotiated Rate	$48.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.33
Rate for Payer: Qualcare PPO/HMO/WC	$29.95

WIRE GUIDE COPE MANDRIL 60MM

Facility

$160.00

Hospital Charge Code	270678947
Hospital Revenue Code	272
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$60.80
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.60
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$32.00
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$4.54

WIRE GUIDE COPE MANDRIL 60MM

Facility

$160.00

Hospital Charge Code	270678947
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

WIRE GUIDE COPE MANDRIL 60MM

Facility

$199.70

Service Code	HCPCS C1769
Hospital Charge Code	270658312
Hospital Revenue Code	278
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$99.85
Rate for Payer: Aetna Commercial	$75.89
Rate for Payer: Aetna Medicare Advantage	$59.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.92
Rate for Payer: Cigna Commercial	$99.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.33
Rate for Payer: Qualcare PPO/HMO/WC	$29.95
Rate for Payer: UnitedHealthcare Community & State	$6.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.67

WIRE GUIDE COPE MANDRIL 60MM

Facility

$199.70

Service Code	HCPCS C1769
Hospital Charge Code	270658312N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$99.85
Rate for Payer: Aetna Commercial	$75.89
Rate for Payer: Aetna Medicare Advantage	$59.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.92
Rate for Payer: Cigna Commercial	$99.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.33
Rate for Payer: Qualcare PPO/HMO/WC	$29.95
Rate for Payer: UnitedHealthcare Community & State	$6.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.67

WIREGUIDE CRE 18-20CM

Facility

$1,067.35

Service Code	HCPCS C1769
Hospital Charge Code	270680082
Hospital Revenue Code	278
Min. Negotiated Rate	$30.31
Max. Negotiated Rate	$533.67
Rate for Payer: Aetna Commercial	$405.59
Rate for Payer: Aetna Medicare Advantage	$320.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.17
Rate for Payer: Cigna Commercial	$533.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10
Rate for Payer: UnitedHealthcare Community & State	$33.73
Rate for Payer: Wellpoint Medicaid Managed Care	$30.31

WIREGUIDE CRE 18-20CM

Facility

$1,067.35

Service Code	HCPCS C1769
Hospital Charge Code	270680082
Hospital Revenue Code	278
Min. Negotiated Rate	$160.10
Max. Negotiated Rate	$258.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10

WIRE GUIDE LUNDERQUIST 180cm

Facility

$2,375.00

Hospital Charge Code	270643990
Hospital Revenue Code	272
Min. Negotiated Rate	$67.45
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$475.00
Rate for Payer: UnitedHealthcare Community & State	$75.05
Rate for Payer: Wellpoint Medicaid Managed Care	$67.45

WIRE GUIDE LUNDERQUIST 180cm

Facility

$2,375.00

Hospital Charge Code	270643990
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

WIRE GUIDE LUNDERQUIST 260CM

Facility

$468.75

Service Code	HCPCS C1769
Hospital Charge Code	270623285N
Hospital Revenue Code	278
Min. Negotiated Rate	$70.31
Max. Negotiated Rate	$113.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.44
Rate for Payer: Qualcare PPO/HMO/WC	$70.31

WIRE GUIDE LUNDERQUIST 260CM

Facility

$592.00

Service Code	HCPCS C1769
Hospital Charge Code	270623285C
Hospital Revenue Code	278
Min. Negotiated Rate	$88.80
Max. Negotiated Rate	$143.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.26
Rate for Payer: Qualcare PPO/HMO/WC	$88.80

WIRE GUIDE LUNDERQUIST 260CM

Facility

$592.00

Service Code	HCPCS C1769
Hospital Charge Code	270623285C
Hospital Revenue Code	278
Min. Negotiated Rate	$16.81
Max. Negotiated Rate	$296.00
Rate for Payer: Aetna Commercial	$224.96
Rate for Payer: Aetna Medicare Advantage	$177.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.96
Rate for Payer: Cigna Commercial	$296.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.26
Rate for Payer: Qualcare PPO/HMO/WC	$88.80
Rate for Payer: UnitedHealthcare Community & State	$18.71
Rate for Payer: Wellpoint Medicaid Managed Care	$16.81

WIRE GUIDE LUNDERQUIST 260CM

Facility

$468.75

Service Code	HCPCS C1769
Hospital Charge Code	270623285N
Hospital Revenue Code	278
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$234.38
Rate for Payer: Aetna Commercial	$178.12
Rate for Payer: Aetna Medicare Advantage	$140.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.53
Rate for Payer: Cigna Commercial	$234.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.44
Rate for Payer: Qualcare PPO/HMO/WC	$70.31
Rate for Payer: UnitedHealthcare Community & State	$14.81
Rate for Payer: Wellpoint Medicaid Managed Care	$13.31

WIRE GUIDE LUNDERQUIST 300CM

Facility

$556.00

Hospital Charge Code	270677134
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$278.00
Rate for Payer: Aetna Commercial	$211.28
Rate for Payer: Aetna Medicare Advantage	$166.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.78
Rate for Payer: Cigna Commercial	$278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Qualcare PPO/HMO/WC	$83.40
Rate for Payer: UnitedHealthcare Community & State	$17.57
Rate for Payer: Wellpoint Medicaid Managed Care	$15.79

WIRE GUIDE LUNDERQUIST 300CM

Facility

$556.00

Hospital Charge Code	270677134
Hospital Revenue Code	278
Min. Negotiated Rate	$83.40
Max. Negotiated Rate	$134.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Qualcare PPO/HMO/WC	$83.40

WIRE GUIDE MARK SPG AD AW04432

Facility

$87.31

Service Code	HCPCS C1769
Hospital Charge Code	270629902
Hospital Revenue Code	278
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$43.66
Rate for Payer: Aetna Commercial	$33.18
Rate for Payer: Aetna Medicare Advantage	$26.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.26
Rate for Payer: Cigna Commercial	$43.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.10
Rate for Payer: UnitedHealthcare Community & State	$2.76
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

Know your out-of-pocket cost for care.

All Charges