Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CABLE MULTILEAD TRAIL

Facility

$1,100.00

Hospital Charge Code	270668331
Hospital Revenue Code	272
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

CABLE MULTILEAD TRAIL

Facility

$1,100.00

Hospital Charge Code	270668331
Hospital Revenue Code	272
Min. Negotiated Rate	$31.24
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.00
Rate for Payer: Oxford Commercial	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Commercial	$220.00
Rate for Payer: UnitedHealthcare Community & State	$34.76
Rate for Payer: Wellpoint Medicaid Managed Care	$31.24

CABLE OR

Facility

$750.00

Hospital Charge Code	270673088
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CABLE OR

Facility

$750.00

Hospital Charge Code	270673088
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

CABLE OR 2x8

Facility

$750.00

Hospital Charge Code	270673090
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CABLE OR 2x8

Facility

$750.00

Hospital Charge Code	270673090
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

CABLE PACING EXT DISP 4051L

Facility

$65.40

Hospital Charge Code	270648892C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$32.70
Rate for Payer: Aetna Commercial	$24.85
Rate for Payer: Aetna Medicare Advantage	$19.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.68
Rate for Payer: Cigna Commercial	$32.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.00
Rate for Payer: Oxford Commercial	$13.08
Rate for Payer: Qualcare PPO/HMO/WC	$9.81
Rate for Payer: UnitedHealthcare Commercial	$13.08
Rate for Payer: UnitedHealthcare Community & State	$2.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.86

CABLE PACING EXT DISP 4051L

Facility

$65.40

Hospital Charge Code	270648892C
Hospital Revenue Code	272
Min. Negotiated Rate	$9.81
Max. Negotiated Rate	$9.81
Rate for Payer: Qualcare PPO/HMO/WC	$9.81

CABLE PUCK TRAIL

Facility

$1,250.00

Hospital Charge Code	270683891
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CABLE PUCK TRAIL

Facility

$1,250.00

Hospital Charge Code	270683891
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

CABLE RDY CABLE ASSY 1.8MMX635

Facility

$2,112.50

Hospital Charge Code	270683823
Hospital Revenue Code	278
Min. Negotiated Rate	$316.88
Max. Negotiated Rate	$511.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$316.88

CABLE RDY CABLE ASSY 1.8MMX635

Facility

$2,112.50

Hospital Charge Code	270683823
Hospital Revenue Code	278
Min. Negotiated Rate	$59.99
Max. Negotiated Rate	$1,056.25
Rate for Payer: Aetna Commercial	$802.75
Rate for Payer: Aetna Medicare Advantage	$633.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.69
Rate for Payer: Cigna Commercial	$1,056.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.23
Rate for Payer: Qualcare PPO/HMO/WC	$316.88
Rate for Payer: UnitedHealthcare Community & State	$66.75
Rate for Payer: Wellpoint Medicaid Managed Care	$59.99

CABLE READY GTR 1.8MM X 635MM

Facility

$1,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688598
Hospital Revenue Code	278
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$369.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

CABLE READY GTR 1.8MM X 635MM

Facility

$1,525.00

Service Code	HCPCS C1713
Hospital Charge Code	270688598
Hospital Revenue Code	278
Min. Negotiated Rate	$43.31
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$579.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Community & State	$48.19
Rate for Payer: Wellpoint Medicaid Managed Care	$43.31

CABLES INTEGRAL LONG GTR 23X12

Facility

$13,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270690781
Hospital Revenue Code	278
Min. Negotiated Rate	$2,028.00
Max. Negotiated Rate	$3,271.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,704.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,271.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,028.00

CABLES INTEGRAL LONG GTR 23X12

Facility

$13,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270690781
Hospital Revenue Code	278
Min. Negotiated Rate	$383.97
Max. Negotiated Rate	$6,760.00
Rate for Payer: Aetna Commercial	$5,137.60
Rate for Payer: Aetna Medicare Advantage	$4,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,447.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,447.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,704.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,447.60
Rate for Payer: Cigna Commercial	$6,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,271.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,028.00
Rate for Payer: UnitedHealthcare Community & State	$427.23
Rate for Payer: Wellpoint Medicaid Managed Care	$383.97

CABLE SLEEVE SET 1.6MM BEADED

Facility

$2,205.00

Hospital Charge Code	270669190
Hospital Revenue Code	272
Min. Negotiated Rate	$62.62
Max. Negotiated Rate	$1,102.50
Rate for Payer: Aetna Commercial	$837.90
Rate for Payer: Aetna Medicare Advantage	$661.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.27
Rate for Payer: Cigna Commercial	$1,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$573.30
Rate for Payer: Oxford Commercial	$441.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.75
Rate for Payer: UnitedHealthcare Commercial	$441.00
Rate for Payer: UnitedHealthcare Community & State	$69.68
Rate for Payer: Wellpoint Medicaid Managed Care	$62.62

CABLE SLEEVE SET 1.6MM BEADED

Facility

$2,205.00

Hospital Charge Code	270669190
Hospital Revenue Code	272
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$330.75
Rate for Payer: Qualcare PPO/HMO/WC	$330.75

CABLE SMART GS CORE

Facility

$12,250.00

Hospital Charge Code	270691740
Hospital Revenue Code	272
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$1,837.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

CABLE SMART GS CORE

Facility

$12,250.00

Hospital Charge Code	270691740
Hospital Revenue Code	272
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) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,185.00
Rate for Payer: Oxford Commercial	$2,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Commercial	$2,450.00
Rate for Payer: UnitedHealthcare Community & State	$387.10
Rate for Payer: Wellpoint Medicaid Managed Care	$347.90

CABLE STERILE CONNECTOR PUMP

Facility

$2,000.00

Hospital Charge Code	270681571
Hospital Revenue Code	278
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

CABLE STERILE CONNECTOR PUMP

Facility

$2,000.00

Hospital Charge Code	270681571
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

CABLE SURGICAL 12FT DISPOSABLE

Facility

$375.00

Hospital Charge Code	270635176
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

CABLE SURGICAL 12FT DISPOSABLE

Facility

$1,518.75

Hospital Charge Code	270635176N
Hospital Revenue Code	272
Min. Negotiated Rate	$227.81
Max. Negotiated Rate	$227.81
Rate for Payer: Qualcare PPO/HMO/WC	$227.81

CABLE SURGICAL 12FT DISPOSABLE

Facility

$1,518.75

Hospital Charge Code	270635176S
Hospital Revenue Code	272
Min. Negotiated Rate	$43.13
Max. Negotiated Rate	$759.38
Rate for Payer: Aetna Commercial	$577.12
Rate for Payer: Aetna Medicare Advantage	$455.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.28
Rate for Payer: Cigna Commercial	$759.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.88
Rate for Payer: Oxford Commercial	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$227.81
Rate for Payer: UnitedHealthcare Commercial	$303.75
Rate for Payer: UnitedHealthcare Community & State	$47.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.13

Know your out-of-pocket cost for care.

All Charges