Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA 8 MM PIVOT LENGTH

Facility

$74.21

Hospital Charge Code	270688334
Hospital Revenue Code	272
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$11.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.13

CANNULA 8 MM PIVOT LENGTH

Facility

$74.21

Hospital Charge Code	270688334
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.10
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.92
Rate for Payer: Cigna Commercial	$37.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.29
Rate for Payer: Oxford Commercial	$14.84
Rate for Payer: Qualcare PPO/HMO/WC	$11.13
Rate for Payer: UnitedHealthcare Commercial	$14.84
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

CANNULA ACCUPORT 15GA X 60MM

Facility

$2,575.00

Hospital Charge Code	270688007
Hospital Revenue Code	272
Min. Negotiated Rate	$73.13
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$978.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$669.50
Rate for Payer: Oxford Commercial	$515.00
Rate for Payer: Qualcare PPO/HMO/WC	$386.25
Rate for Payer: UnitedHealthcare Commercial	$515.00
Rate for Payer: UnitedHealthcare Community & State	$81.37
Rate for Payer: Wellpoint Medicaid Managed Care	$73.13

CANNULA ACCUPORT 15GA X 60MM

Facility

$2,575.00

Hospital Charge Code	270688007
Hospital Revenue Code	272
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$386.25
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

CANNULA ACCUPORT 15 X 60 MM

Facility

$2,575.00

Hospital Charge Code	270688038
Hospital Revenue Code	272
Min. Negotiated Rate	$73.13
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$978.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$669.50
Rate for Payer: Oxford Commercial	$515.00
Rate for Payer: Qualcare PPO/HMO/WC	$386.25
Rate for Payer: UnitedHealthcare Commercial	$515.00
Rate for Payer: UnitedHealthcare Community & State	$81.37
Rate for Payer: Wellpoint Medicaid Managed Care	$73.13

CANNULA ACCUPORT 15 X 60 MM

Facility

$2,575.00

Hospital Charge Code	270688038
Hospital Revenue Code	272
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$386.25
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

CANNULA ACCUPORT SIDE

Facility

$2,475.00

Hospital Charge Code	270678977
Hospital Revenue Code	272
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

CANNULA ACCUPORT SIDE

Facility

$2,475.00

Hospital Charge Code	270678977
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

CANNULA ADULT SALTER DIVIDED

Facility

$11.26

Hospital Charge Code	270618587
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$5.63
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.93
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

CANNULA ADULT SALTER DIVIDED

Facility

$11.26

Hospital Charge Code	270618587
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CANNULA AIR INJECTION 27G

Facility

$115.00

Hospital Charge Code	270655980
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

CANNULA AIR INJECTION 27G

Facility

$115.00

Hospital Charge Code	270655980
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

CANNULA AIR INJECTOR 30G

Facility

$99.00

Hospital Charge Code	270332095
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

CANNULA AIR INJECTOR 30G

Facility

$99.00

Hospital Charge Code	270332095
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

CANNULA ANTERIOR CHAMBER 25G

Facility

$40.00

Hospital Charge Code	270331006
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CANNULA ANTERIOR CHAMBER 25G

Facility

$40.00

Hospital Charge Code	270331006
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$15.20
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$8.00
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.14

CANNULA BIO DELIVERY

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270701780
Hospital Revenue Code	278
Min. Negotiated Rate	$88.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Community & State	$98.75
Rate for Payer: Wellpoint Medicaid Managed Care	$88.75

CANNULA BIO DELIVERY

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270701780
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

CANNULA BIO-MEDICUS 15FR EA

Facility

$1,594.00

Hospital Charge Code	2703110I
Hospital Revenue Code	272
Min. Negotiated Rate	$45.27
Max. Negotiated Rate	$797.00
Rate for Payer: Aetna Commercial	$605.72
Rate for Payer: Aetna Medicare Advantage	$478.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.47
Rate for Payer: Cigna Commercial	$797.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.44
Rate for Payer: Oxford Commercial	$318.80
Rate for Payer: Qualcare PPO/HMO/WC	$239.10
Rate for Payer: UnitedHealthcare Commercial	$318.80
Rate for Payer: UnitedHealthcare Community & State	$50.37
Rate for Payer: Wellpoint Medicaid Managed Care	$45.27

CANNULA BIO-MEDICUS 15FR EA

Facility

$1,594.00

Hospital Charge Code	2703110I
Hospital Revenue Code	272
Min. Negotiated Rate	$239.10
Max. Negotiated Rate	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$239.10

CANNULA BIO-MEDICUS 17FR EA

Facility

$1,594.00

Hospital Charge Code	2703110J
Hospital Revenue Code	272
Min. Negotiated Rate	$45.27
Max. Negotiated Rate	$797.00
Rate for Payer: Aetna Commercial	$605.72
Rate for Payer: Aetna Medicare Advantage	$478.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.47
Rate for Payer: Cigna Commercial	$797.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.44
Rate for Payer: Oxford Commercial	$318.80
Rate for Payer: Qualcare PPO/HMO/WC	$239.10
Rate for Payer: UnitedHealthcare Commercial	$318.80
Rate for Payer: UnitedHealthcare Community & State	$50.37
Rate for Payer: Wellpoint Medicaid Managed Care	$45.27

CANNULA BIO-MEDICUS 17FR EA

Facility

$1,594.00

Hospital Charge Code	2703110J
Hospital Revenue Code	272
Min. Negotiated Rate	$239.10
Max. Negotiated Rate	$239.10
Rate for Payer: Qualcare PPO/HMO/WC	$239.10

CANNULABIO-MEDICUS 17FR EA

Facility

$1,894.00

Hospital Charge Code	2703110D
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULABIO-MEDICUS 17FR EA

Facility

$1,894.00

Hospital Charge Code	2703110D
Hospital Revenue Code	272
Min. Negotiated Rate	$53.79
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$719.72
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$492.44
Rate for Payer: Oxford Commercial	$378.80
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$378.80
Rate for Payer: UnitedHealthcare Community & State	$59.85
Rate for Payer: Wellpoint Medicaid Managed Care	$53.79

CANNULABIO-MEDICUS 19FR EA

Facility

$1,894.00

Hospital Charge Code	2703110E
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

Know your out-of-pocket cost for care.

All Charges