Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA NASAL OPTIFLOW LG

Facility

$111.36

Hospital Charge Code	270651736
Hospital Revenue Code	270
Min. Negotiated Rate	$16.70
Max. Negotiated Rate	$16.70
Rate for Payer: Qualcare PPO/HMO/WC	$16.70

CANNULA NASAL OPTIFLOW LG

Facility

$111.36

Hospital Charge Code	270651736
Hospital Revenue Code	270
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$55.68
Rate for Payer: Aetna Commercial	$42.32
Rate for Payer: Aetna Medicare Advantage	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.40
Rate for Payer: Cigna Commercial	$55.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.95
Rate for Payer: Oxford Commercial	$22.27
Rate for Payer: Qualcare PPO/HMO/WC	$16.70
Rate for Payer: UnitedHealthcare Commercial	$22.27
Rate for Payer: UnitedHealthcare Community & State	$3.52
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

CANNULA NASAL OPTIFLOW MED

Facility

$2,054.05

Hospital Charge Code	270651737
Hospital Revenue Code	270
Min. Negotiated Rate	$308.11
Max. Negotiated Rate	$308.11
Rate for Payer: Qualcare PPO/HMO/WC	$308.11

CANNULA NASAL OPTIFLOW MED

Facility

$2,054.05

Hospital Charge Code	270651737
Hospital Revenue Code	270
Min. Negotiated Rate	$58.34
Max. Negotiated Rate	$1,027.03
Rate for Payer: Aetna Commercial	$780.54
Rate for Payer: Aetna Medicare Advantage	$616.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.78
Rate for Payer: Cigna Commercial	$1,027.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.05
Rate for Payer: Oxford Commercial	$410.81
Rate for Payer: Qualcare PPO/HMO/WC	$308.11
Rate for Payer: UnitedHealthcare Commercial	$410.81
Rate for Payer: UnitedHealthcare Community & State	$64.91
Rate for Payer: Wellpoint Medicaid Managed Care	$58.34

CANNULA NASAL PEDIATRIC

Facility

$5.49

Hospital Charge Code	270655445
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Qualcare PPO/HMO/WC	$0.82

CANNULA NASAL PEDIATRIC

Facility

$5.49

Hospital Charge Code	270655445
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$2.75
Rate for Payer: Aetna Commercial	$2.09
Rate for Payer: Aetna Medicare Advantage	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.40
Rate for Payer: Cigna Commercial	$2.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.82
Rate for Payer: UnitedHealthcare Commercial	$1.10
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

CANNULA NASAL PEDIATRIC

Facility

$13.65

Hospital Charge Code	270613157
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

CANNULA NASAL PEDIATRIC

Facility

$13.65

Hospital Charge Code	270613157
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.55
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

CANNULA NEOSOFT PREMATURE

Facility

$67.50

Hospital Charge Code	270689833
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$33.75
Rate for Payer: Aetna Commercial	$25.65
Rate for Payer: Aetna Medicare Advantage	$20.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.21
Rate for Payer: Cigna Commercial	$33.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.12
Rate for Payer: UnitedHealthcare Commercial	$13.50
Rate for Payer: UnitedHealthcare Community & State	$2.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

CANNULA NEOSOFT PREMATURE

Facility

$67.50

Hospital Charge Code	270689833
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

CANNULA OPTI FEM ART 18FR

Facility

$1,230.00

Hospital Charge Code	2703110V
Hospital Revenue Code	272
Min. Negotiated Rate	$34.93
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.80
Rate for Payer: Oxford Commercial	$246.00
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Commercial	$246.00
Rate for Payer: UnitedHealthcare Community & State	$38.87
Rate for Payer: Wellpoint Medicaid Managed Care	$34.93

CANNULA OPTI FEM ART 18FR

Facility

$1,230.00

Hospital Charge Code	2703110V
Hospital Revenue Code	272
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$184.50
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

CANNULA OPTI FEM ART 20FR

Facility

$1,230.00

Hospital Charge Code	2703110U
Hospital Revenue Code	272
Min. Negotiated Rate	$34.93
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.80
Rate for Payer: Oxford Commercial	$246.00
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Commercial	$246.00
Rate for Payer: UnitedHealthcare Community & State	$38.87
Rate for Payer: Wellpoint Medicaid Managed Care	$34.93

CANNULA OPTI FEM ART 20FR

Facility

$1,230.00

Hospital Charge Code	2703110U
Hospital Revenue Code	272
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$184.50
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

CANNULA OPTIFLOW+ MED

Facility

$106.90

Hospital Charge Code	270676372
Hospital Revenue Code	272
Min. Negotiated Rate	$16.04
Max. Negotiated Rate	$16.04
Rate for Payer: Qualcare PPO/HMO/WC	$16.04

CANNULA OPTIFLOW+ MED

Facility

$106.90

Hospital Charge Code	270676372
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$53.45
Rate for Payer: Aetna Commercial	$40.62
Rate for Payer: Aetna Medicare Advantage	$32.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.26
Rate for Payer: Cigna Commercial	$53.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.79
Rate for Payer: Oxford Commercial	$21.38
Rate for Payer: Qualcare PPO/HMO/WC	$16.04
Rate for Payer: UnitedHealthcare Commercial	$21.38
Rate for Payer: UnitedHealthcare Community & State	$3.38
Rate for Payer: Wellpoint Medicaid Managed Care	$3.04

CANNULA OXYGEN NASAL HIGH FLOW

Facility

$142.43

Hospital Charge Code	270674877
Hospital Revenue Code	272
Min. Negotiated Rate	$21.36
Max. Negotiated Rate	$21.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.36

CANNULA OXYGEN NASAL HIGH FLOW

Facility

$142.43

Hospital Charge Code	270674877
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$54.12
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.03
Rate for Payer: Oxford Commercial	$28.49
Rate for Payer: Qualcare PPO/HMO/WC	$21.36
Rate for Payer: UnitedHealthcare Commercial	$28.49
Rate for Payer: UnitedHealthcare Community & State	$4.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

CANNULA OXYGEN NASAL LOW FLOW

Facility

$23.00

Hospital Charge Code	270674878
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$4.60
Rate for Payer: UnitedHealthcare Community & State	$0.73
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

CANNULA OXYGEN NASAL LOW FLOW

Facility

$23.00

Hospital Charge Code	270674878
Hospital Revenue Code	272
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

CANNULA PASSPORT 8MMx3CM BU

Facility

$230.00

Hospital Charge Code	270665942
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 PASSPORT 8MMx3CM BU

Facility

$230.00

Hospital Charge Code	270665942
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

CANNULA PASSPORT BUTTON

Facility

$160.00

Hospital Charge Code	270660885
Hospital Revenue Code	270
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 PASSPORT BUTTON

Facility

$160.00

Hospital Charge Code	270660885
Hospital Revenue Code	270
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

CANNULA PASSPORT BUTTON 30 MM

Facility

$300.00

Hospital Charge Code	270688469
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

Know your out-of-pocket cost for care.

All Charges