Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BRUSHES CLEANING

Facility

$29.00

Hospital Charge Code	270665252
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.54
Rate for Payer: Oxford Commercial	$5.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$5.80
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

BRUSHES CLEANING

Facility

$29.00

Hospital Charge Code	270665252
Hospital Revenue Code	270
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

BRUSHES CLEANING

Facility

$125.25

Hospital Charge Code	270665251
Hospital Revenue Code	270
Min. Negotiated Rate	$18.79
Max. Negotiated Rate	$18.79
Rate for Payer: Qualcare PPO/HMO/WC	$18.79

BRUSHES CLEANING

Facility

$125.25

Hospital Charge Code	270665251
Hospital Revenue Code	270
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$62.62
Rate for Payer: Aetna Commercial	$47.59
Rate for Payer: Aetna Medicare Advantage	$37.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.94
Rate for Payer: Cigna Commercial	$62.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.56
Rate for Payer: Oxford Commercial	$25.05
Rate for Payer: Qualcare PPO/HMO/WC	$18.79
Rate for Payer: UnitedHealthcare Commercial	$25.05
Rate for Payer: UnitedHealthcare Community & State	$3.96
Rate for Payer: Wellpoint Medicaid Managed Care	$3.56

BRUSH EUS RADIAL DBL HEAD COMB

Facility

$437.50

Hospital Charge Code	270684737
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$218.75
Rate for Payer: Aetna Commercial	$166.25
Rate for Payer: Aetna Medicare Advantage	$131.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.56
Rate for Payer: Cigna Commercial	$218.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$87.50
Rate for Payer: Qualcare PPO/HMO/WC	$65.62
Rate for Payer: UnitedHealthcare Commercial	$87.50
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: Wellpoint Medicaid Managed Care	$12.43

BRUSH EUS RADIAL DBL HEAD COMB

Facility

$437.50

Hospital Charge Code	270684737
Hospital Revenue Code	272
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$65.62

BRUSH EZ SCRUB ULTRADEX

Facility

$2.81

Hospital Charge Code	270601067C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.41
Rate for Payer: Aetna Commercial	$1.07
Rate for Payer: Aetna Medicare Advantage	$0.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.72
Rate for Payer: Cigna Commercial	$1.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$0.56
Rate for Payer: Qualcare PPO/HMO/WC	$0.42
Rate for Payer: UnitedHealthcare Commercial	$0.56
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

BRUSH EZ SCRUB ULTRADEX

Facility

$2.81

Hospital Charge Code	270601067C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$0.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.42

BRUSH JUMBO BX 7-9MM 00711606

Facility

$62.50

Hospital Charge Code	270643556
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$23.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$12.50
Rate for Payer: UnitedHealthcare Community & State	$1.98
Rate for Payer: Wellpoint Medicaid Managed Care	$1.77

BRUSH JUMBO BX 7-9MM 00711606

Facility

$62.50

Hospital Charge Code	270643556
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

BRUSH MCV CATH CYTOL 1601

Facility

$56.00

Hospital Charge Code	270611113
Hospital Revenue Code	272
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

BRUSH MCV CATH CYTOL 1601

Facility

$56.00

Hospital Charge Code	270611113
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$21.28
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$11.20
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$11.20
Rate for Payer: UnitedHealthcare Community & State	$1.77
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

BRUSH SCRUB ALOE W/PCMX

Facility

$1.99

Hospital Charge Code	270648959
Hospital Revenue Code	270
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

BRUSH SCRUB ALOE W/PCMX

Facility

$1.99

Hospital Charge Code	270648959
Hospital Revenue Code	270
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.76
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$0.40
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$0.40
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

BRUSH STD CHANNEL CLEANING

Facility

$8.50

Hospital Charge Code	270634058
Hospital Revenue Code	270
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.25
Rate for Payer: Aetna Commercial	$3.23
Rate for Payer: Aetna Medicare Advantage	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.17
Rate for Payer: Cigna Commercial	$4.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$1.70
Rate for Payer: Qualcare PPO/HMO/WC	$1.27
Rate for Payer: UnitedHealthcare Commercial	$1.70
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

BRUSH STD CHANNEL CLEANING

Facility

$8.50

Hospital Charge Code	270634058
Hospital Revenue Code	270
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Qualcare PPO/HMO/WC	$1.27

BSS

Facility

$193.30

Service Code	NDC 65079550
Hospital Charge Code	606350940
Hospital Revenue Code	250
Min. Negotiated Rate	$5.49
Max. Negotiated Rate	$96.65
Rate for Payer: Aetna Commercial	$73.45
Rate for Payer: Aetna Medicare Advantage	$57.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.29
Rate for Payer: Cigna Commercial	$96.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.26
Rate for Payer: Oxford Commercial	$38.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.00
Rate for Payer: UnitedHealthcare Commercial	$38.66
Rate for Payer: UnitedHealthcare Community & State	$6.11
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

BSS

Facility

$193.30

Service Code	NDC 65079550
Hospital Charge Code	606350940
Hospital Revenue Code	250
Min. Negotiated Rate	$29.00
Max. Negotiated Rate	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.00

BSS BRAUNSTEIN S 500ML

Facility

$180.00

Hospital Charge Code	270654888
Hospital Revenue Code	270
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

BSS BRAUNSTEIN S 500ML

Facility

$180.00

Hospital Charge Code	270654888
Hospital Revenue Code	270
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

BSS OPTH SOL

Facility

$55.34

Service Code	NDC 65079515
Hospital Charge Code	6063943066
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.67
Rate for Payer: Aetna Commercial	$21.03
Rate for Payer: Aetna Medicare Advantage	$16.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.11
Rate for Payer: Cigna Commercial	$27.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.39
Rate for Payer: Oxford Commercial	$11.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.30
Rate for Payer: UnitedHealthcare Commercial	$11.07
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

BSS OPTH SOL

Facility

$55.34

Service Code	NDC 65079515
Hospital Charge Code	6063943066
Hospital Revenue Code	250
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.30

BT30 CANN HLOBE DRIVER W/ZH

Facility

$4,550.00

Hospital Charge Code	270704599
Hospital Revenue Code	279
Min. Negotiated Rate	$129.22
Max. Negotiated Rate	$2,275.00
Rate for Payer: Aetna Commercial	$1,729.00
Rate for Payer: Aetna Medicare Advantage	$1,365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.25
Rate for Payer: Cigna Commercial	$2,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,183.00
Rate for Payer: Oxford Commercial	$910.00
Rate for Payer: Qualcare PPO/HMO/WC	$682.50
Rate for Payer: UnitedHealthcare Commercial	$910.00
Rate for Payer: UnitedHealthcare Community & State	$143.78
Rate for Payer: Wellpoint Medicaid Managed Care	$129.22

BT30 CANN HLOBE DRIVER W/ZH

Facility

$4,550.00

Hospital Charge Code	270704599
Hospital Revenue Code	279
Min. Negotiated Rate	$682.50
Max. Negotiated Rate	$682.50
Rate for Payer: Qualcare PPO/HMO/WC	$682.50

BTB TIGHT ROPE RT

Facility

$2,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270656498
Hospital Revenue Code	278
Min. Negotiated Rate	$60.35
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$807.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Community & State	$67.15
Rate for Payer: Wellpoint Medicaid Managed Care	$60.35

Know your out-of-pocket cost for care.

All Charges