Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA END TARGET 11GA 120MML

Facility

$2,575.00

Hospital Charge Code	270680419
Hospital Revenue Code	272
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$386.25
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

CANNULA END TARGET 11GA 120MML

Facility

$2,575.00

Hospital Charge Code	270680419
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 ERCP CONTOUR

Facility

$230.00

Hospital Charge Code	270604751
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

CANNULA ERCP CONTOUR

Facility

$230.00

Hospital Charge Code	270604751
Hospital Revenue Code	272
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$87.40
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$46.00
Rate for Payer: UnitedHealthcare Community & State	$7.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

CANNULA ERCP RX TAPERED TIP

Facility

$360.00

Hospital Charge Code	270627936
Hospital Revenue Code	272
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

CANNULA ERCP RX TAPERED TIP

Facility

$360.00

Hospital Charge Code	270627936
Hospital Revenue Code	272
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$136.80
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.60
Rate for Payer: Oxford Commercial	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00
Rate for Payer: UnitedHealthcare Commercial	$72.00
Rate for Payer: UnitedHealthcare Community & State	$11.38
Rate for Payer: Wellpoint Medicaid Managed Care	$10.22

CANNULA ERCP TANDEM XL

Facility

$328.50

Hospital Charge Code	270604753
Hospital Revenue Code	272
Min. Negotiated Rate	$9.33
Max. Negotiated Rate	$164.25
Rate for Payer: Aetna Commercial	$124.83
Rate for Payer: Aetna Medicare Advantage	$98.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.77
Rate for Payer: Cigna Commercial	$164.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.41
Rate for Payer: Oxford Commercial	$65.70
Rate for Payer: Qualcare PPO/HMO/WC	$49.27
Rate for Payer: UnitedHealthcare Commercial	$65.70
Rate for Payer: UnitedHealthcare Community & State	$10.38
Rate for Payer: Wellpoint Medicaid Managed Care	$9.33

CANNULA ERCP TANDEM XL

Facility

$328.50

Hospital Charge Code	270604753
Hospital Revenue Code	272
Min. Negotiated Rate	$49.27
Max. Negotiated Rate	$49.27
Rate for Payer: Qualcare PPO/HMO/WC	$49.27

CANNULA ERCP TAPRD CONTOUR 5FR

Facility

$227.45

Hospital Charge Code	270600946
Hospital Revenue Code	272
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$113.72
Rate for Payer: Aetna Commercial	$86.43
Rate for Payer: Aetna Medicare Advantage	$68.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.00
Rate for Payer: Cigna Commercial	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.14
Rate for Payer: Oxford Commercial	$45.49
Rate for Payer: Qualcare PPO/HMO/WC	$34.12
Rate for Payer: UnitedHealthcare Commercial	$45.49
Rate for Payer: UnitedHealthcare Community & State	$7.19
Rate for Payer: Wellpoint Medicaid Managed Care	$6.46

CANNULA ERCP TAPRD CONTOUR 5FR

Facility

$227.45

Hospital Charge Code	270600946
Hospital Revenue Code	272
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$34.12
Rate for Payer: Qualcare PPO/HMO/WC	$34.12

CANNULA ETCO2 W/7 GAS SAMPL

Facility

$12.80

Hospital Charge Code	270666779
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.40
Rate for Payer: Aetna Commercial	$4.86
Rate for Payer: Aetna Medicare Advantage	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.26
Rate for Payer: Cigna Commercial	$6.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.33
Rate for Payer: Oxford Commercial	$2.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.92
Rate for Payer: UnitedHealthcare Commercial	$2.56
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

CANNULA ETCO2 W/7 GAS SAMPL

Facility

$12.80

Hospital Charge Code	270666779S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.92

CANNULA ETCO2 W/7 GAS SAMPL

Facility

$12.80

Hospital Charge Code	270666779
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.92

CANNULA ETCO2 W/7 GAS SAMPL

Facility

$12.80

Hospital Charge Code	270666779S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.40
Rate for Payer: Aetna Commercial	$4.86
Rate for Payer: Aetna Medicare Advantage	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.26
Rate for Payer: Cigna Commercial	$6.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.33
Rate for Payer: Oxford Commercial	$2.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.92
Rate for Payer: UnitedHealthcare Commercial	$2.56
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

CANNULA FLOWPORT II

Facility

$1,954.05

Hospital Charge Code	270679419
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$977.02
Rate for Payer: Aetna Commercial	$742.54
Rate for Payer: Aetna Medicare Advantage	$586.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$498.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$498.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$498.28
Rate for Payer: Cigna Commercial	$977.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.05
Rate for Payer: Oxford Commercial	$390.81
Rate for Payer: Qualcare PPO/HMO/WC	$293.11
Rate for Payer: UnitedHealthcare Commercial	$390.81
Rate for Payer: UnitedHealthcare Community & State	$61.75
Rate for Payer: Wellpoint Medicaid Managed Care	$55.50

CANNULA FLOWPORT II

Facility

$1,954.05

Hospital Charge Code	270679419
Hospital Revenue Code	272
Min. Negotiated Rate	$293.11
Max. Negotiated Rate	$293.11
Rate for Payer: Qualcare PPO/HMO/WC	$293.11

CANNULA GEMINI SR8 ARTHREX

Facility

$160.00

Hospital Charge Code	270660887
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

CANNULA GEMINI SR8 ARTHREX

Facility

$160.00

Hospital Charge Code	270660887
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

CANNULA II WITH OBTURATOR

Facility

$1,975.00

Hospital Charge Code	270673922
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CANNULA II WITH OBTURATOR

Facility

$1,975.00

Hospital Charge Code	270673922
Hospital Revenue Code	272
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

CANNULA INFANT

Facility

$6.98

Hospital Charge Code	270635034
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$3.49
Rate for Payer: Aetna Commercial	$2.65
Rate for Payer: Aetna Medicare Advantage	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.81
Rate for Payer: Oxford Commercial	$1.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

CANNULA INFANT

Facility

$6.98

Hospital Charge Code	270635034
Hospital Revenue Code	270
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

CANNULA INNER 7.0 XLT 70XLTIN

Facility

$31.70

Hospital Charge Code	270642877
Hospital Revenue Code	272
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$4.75

CANNULA INNER 7.0 XLT 70XLTIN

Facility

$31.70

Hospital Charge Code	270642877
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$15.85
Rate for Payer: Aetna Commercial	$12.05
Rate for Payer: Aetna Medicare Advantage	$9.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.08
Rate for Payer: Cigna Commercial	$15.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.24
Rate for Payer: Oxford Commercial	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$4.75
Rate for Payer: UnitedHealthcare Commercial	$6.34
Rate for Payer: UnitedHealthcare Community & State	$1.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

CANNULA INNER TRACH #6

Facility

$39.25

Hospital Charge Code	270600035
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.21
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$7.85
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

Know your out-of-pocket cost for care.

All Charges