Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

CANNULA JABCZENSKI DUCTOGRAM

Facility

$130.90

Hospital Charge Code	270678969R
Hospital Revenue Code	272
Min. Negotiated Rate	$19.64
Max. Negotiated Rate	$19.64
Rate for Payer: Qualcare PPO/HMO/WC	$19.64

CANNULA JABCZENSKI DUCTOGRAM

Facility

$130.90

Hospital Charge Code	270678969R
Hospital Revenue Code	272
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$65.45
Rate for Payer: Aetna Commercial	$49.74
Rate for Payer: Aetna Medicare Advantage	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.38
Rate for Payer: Cigna Commercial	$65.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.03
Rate for Payer: Oxford Commercial	$26.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.64
Rate for Payer: UnitedHealthcare Commercial	$26.18
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: Wellpoint Medicaid Managed Care	$3.72

CANNULA JABCZENSKI DUCTOGRAM

Facility

$130.90

Hospital Charge Code	270678969
Hospital Revenue Code	272
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$65.45
Rate for Payer: Aetna Commercial	$49.74
Rate for Payer: Aetna Medicare Advantage	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.38
Rate for Payer: Cigna Commercial	$65.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.03
Rate for Payer: Oxford Commercial	$26.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.64
Rate for Payer: UnitedHealthcare Commercial	$26.18
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: Wellpoint Medicaid Managed Care	$3.72

CANNULA JABCZENSKI DUCTOGRAM

Facility

$130.90

Hospital Charge Code	270678969
Hospital Revenue Code	272
Min. Negotiated Rate	$19.64
Max. Negotiated Rate	$19.64
Rate for Payer: Qualcare PPO/HMO/WC	$19.64

CANNULA KNEE SCP ACCUPORT

Facility

$21,825.00

Hospital Charge Code	270688752
Hospital Revenue Code	272
Min. Negotiated Rate	$3,273.75
Max. Negotiated Rate	$3,273.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,273.75

CANNULA KNEE SCP ACCUPORT

Facility

$21,825.00

Hospital Charge Code	270688752
Hospital Revenue Code	272
Min. Negotiated Rate	$619.83
Max. Negotiated Rate	$10,912.50
Rate for Payer: Aetna Commercial	$8,293.50
Rate for Payer: Aetna Medicare Advantage	$6,547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,565.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,565.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,565.38
Rate for Payer: Cigna Commercial	$10,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,674.50
Rate for Payer: Oxford Commercial	$4,365.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,273.75
Rate for Payer: UnitedHealthcare Commercial	$4,365.00
Rate for Payer: UnitedHealthcare Community & State	$689.67
Rate for Payer: Wellpoint Medicaid Managed Care	$619.83

CANNULA LIPIVAGE HARVESTER

Facility

$950.00

Service Code	HCPCS A4649
Hospital Charge Code	270699918
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

CANNULA LIPIVAGE HARVESTER

Facility

$950.00

Service Code	HCPCS A4649
Hospital Charge Code	270699918
Hospital Revenue Code	272
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$30.02
Rate for Payer: Wellpoint Medicaid Managed Care	$26.98

CANNULA LK 3.0-11.5 BEVEL TIP

Facility

$1,099.15

Hospital Charge Code	270670668
Hospital Revenue Code	272
Min. Negotiated Rate	$31.22
Max. Negotiated Rate	$549.58
Rate for Payer: Aetna Commercial	$417.68
Rate for Payer: Aetna Medicare Advantage	$329.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.28
Rate for Payer: Cigna Commercial	$549.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.78
Rate for Payer: Oxford Commercial	$219.83
Rate for Payer: Qualcare PPO/HMO/WC	$164.87
Rate for Payer: UnitedHealthcare Commercial	$219.83
Rate for Payer: UnitedHealthcare Community & State	$34.73
Rate for Payer: Wellpoint Medicaid Managed Care	$31.22

CANNULA LK 3.0-11.5 BEVEL TIP

Facility

$1,099.15

Hospital Charge Code	270670668
Hospital Revenue Code	272
Min. Negotiated Rate	$164.87
Max. Negotiated Rate	$164.87
Rate for Payer: Qualcare PPO/HMO/WC	$164.87

CANNULA LOCKING 3 DMD TIP LNG

Facility

$1,099.15

Hospital Charge Code	270670672
Hospital Revenue Code	272
Min. Negotiated Rate	$31.22
Max. Negotiated Rate	$549.58
Rate for Payer: Aetna Commercial	$417.68
Rate for Payer: Aetna Medicare Advantage	$329.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.28
Rate for Payer: Cigna Commercial	$549.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.78
Rate for Payer: Oxford Commercial	$219.83
Rate for Payer: Qualcare PPO/HMO/WC	$164.87
Rate for Payer: UnitedHealthcare Commercial	$219.83
Rate for Payer: UnitedHealthcare Community & State	$34.73
Rate for Payer: Wellpoint Medicaid Managed Care	$31.22

CANNULA LOCKING 3 DMD TIP LNG

Facility

$1,099.15

Hospital Charge Code	270670672
Hospital Revenue Code	272
Min. Negotiated Rate	$164.87
Max. Negotiated Rate	$164.87
Rate for Payer: Qualcare PPO/HMO/WC	$164.87

CANNULA MCV CONTOUR 7 3087

Facility

$227.45

Hospital Charge Code	270604750
Hospital Revenue Code	272
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$34.12
Rate for Payer: Qualcare PPO/HMO/WC	$34.12

CANNULA MCV CONTOUR 7 3087

Facility

$227.45

Hospital Charge Code	270604750
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 NASAL ADULT 001310

Facility

$4.85

Hospital Charge Code	270600619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

CANNULA NASAL ADULT 001310

Facility

$9.65

Hospital Charge Code	270200055
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CANNULA NASAL ADULT 001310

Facility

$4.85

Hospital Charge Code	270600619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.84
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.26
Rate for Payer: Oxford Commercial	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

CANNULA NASAL ADULT 001310

Facility

$9.65

Hospital Charge Code	270200055
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.51
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

CANNULA NASAL ADULT O2 ETCO2

Facility

$50.00

Hospital Charge Code	270626115
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CANNULA NASAL ADULT O2 ETCO2

Facility

$50.00

Hospital Charge Code	270626115
Hospital Revenue Code	272
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$10.00
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

CANNULA NASAL HIGH FLOW ADULT

Facility

$28.80

Hospital Charge Code	270664877
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna Commercial	$10.94
Rate for Payer: Aetna Medicare Advantage	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.34
Rate for Payer: Cigna Commercial	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$5.76
Rate for Payer: Qualcare PPO/HMO/WC	$4.32
Rate for Payer: UnitedHealthcare Commercial	$5.76
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

CANNULA NASAL HIGH FLOW ADULT

Facility

$28.80

Hospital Charge Code	270664877
Hospital Revenue Code	270
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$4.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.32

CANNULA NASAL LO FLOW NEONATE

Facility

$34.00

Hospital Charge Code	270664878
Hospital Revenue Code	270
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

CANNULA NASAL LO FLOW NEONATE

Facility

$34.00

Hospital Charge Code	270664878
Hospital Revenue Code	270
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$12.92
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.84
Rate for Payer: Oxford Commercial	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$6.80
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

Know your out-of-pocket cost for care.

All Charges