Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA PASSPORT BUTTON 30 MM

Facility

$300.00

Hospital Charge Code	270688469
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

CANNULA PASSPORT BUTTON 40 MM

Facility

$300.00

Hospital Charge Code	270688470
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

CANNULA PASSPORT BUTTON 40 MM

Facility

$300.00

Hospital Charge Code	270688470
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CANNULA PASSPORT BUTTON 8X3CM

Facility

$160.00

Hospital Charge Code	270664263
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 8X3CM

Facility

$160.00

Hospital Charge Code	270664263
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 PROSOFT ADULT

Facility

$67.50

Hospital Charge Code	270689828
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

CANNULA PROSOFT ADULT

Facility

$67.50

Hospital Charge Code	270689828
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 PROSOFT INFANT

Facility

$67.50

Hospital Charge Code	270689831
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

CANNULA PROSOFT INFANT

Facility

$67.50

Hospital Charge Code	270689831
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 PROSOFT NEONATE

Facility

$67.50

Hospital Charge Code	270689832
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 PROSOFT NEONATE

Facility

$67.50

Hospital Charge Code	270689832
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

CANNULA PROSOFT PEDS/ADULT SML

Facility

$67.50

Hospital Charge Code	270689829
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

CANNULA PROSOFT PEDS/ADULT SML

Facility

$67.50

Hospital Charge Code	270689829
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 PROSOFT-XL

Facility

$67.50

Hospital Charge Code	270689830
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

CANNULA PROSOFT-XL

Facility

$67.50

Hospital Charge Code	270689830
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 P/THD 7MMX11CM

Facility

$25.75

Hospital Charge Code	270675728
Hospital Revenue Code	279
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

CANNULA P/THD 7MMX11CM

Facility

$25.75

Hospital Charge Code	270675728
Hospital Revenue Code	279
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$12.88
Rate for Payer: Aetna Commercial	$9.79
Rate for Payer: Aetna Medicare Advantage	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.57
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.70
Rate for Payer: Oxford Commercial	$5.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$5.15
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

CANNULA RF 22G 100x5mm CRVD

Facility

$357.50

Hospital Charge Code	270671754
Hospital Revenue Code	279
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$178.75
Rate for Payer: Aetna Commercial	$135.85
Rate for Payer: Aetna Medicare Advantage	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.16
Rate for Payer: Cigna Commercial	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.95
Rate for Payer: Oxford Commercial	$71.50
Rate for Payer: Qualcare PPO/HMO/WC	$53.62
Rate for Payer: UnitedHealthcare Commercial	$71.50
Rate for Payer: UnitedHealthcare Community & State	$11.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10.15

CANNULA RF 22G 100x5mm CRVD

Facility

$357.50

Hospital Charge Code	270671754
Hospital Revenue Code	279
Min. Negotiated Rate	$53.62
Max. Negotiated Rate	$53.62
Rate for Payer: Qualcare PPO/HMO/WC	$53.62

CANNULA RF NEEDLE 100MM 22G

Facility

$205.75

Hospital Charge Code	270654885
Hospital Revenue Code	272
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$102.88
Rate for Payer: Aetna Commercial	$78.19
Rate for Payer: Aetna Medicare Advantage	$61.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.47
Rate for Payer: Cigna Commercial	$102.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.49
Rate for Payer: Oxford Commercial	$41.15
Rate for Payer: Qualcare PPO/HMO/WC	$30.86
Rate for Payer: UnitedHealthcare Commercial	$41.15
Rate for Payer: UnitedHealthcare Community & State	$6.50
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

CANNULA RF NEEDLE 100MM 22G

Facility

$205.75

Hospital Charge Code	270654885
Hospital Revenue Code	272
Min. Negotiated Rate	$30.86
Max. Negotiated Rate	$30.86
Rate for Payer: Qualcare PPO/HMO/WC	$30.86

CANNULA RX ERCP BALL TIP 210CM

Facility

$569.35

Hospital Charge Code	270698334
Hospital Revenue Code	272
Min. Negotiated Rate	$85.40
Max. Negotiated Rate	$85.40
Rate for Payer: Qualcare PPO/HMO/WC	$85.40

CANNULA RX ERCP BALL TIP 210CM

Facility

$569.35

Hospital Charge Code	270698334
Hospital Revenue Code	272
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$284.68
Rate for Payer: Aetna Commercial	$216.35
Rate for Payer: Aetna Medicare Advantage	$170.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.18
Rate for Payer: Cigna Commercial	$284.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.03
Rate for Payer: Oxford Commercial	$113.87
Rate for Payer: Qualcare PPO/HMO/WC	$85.40
Rate for Payer: UnitedHealthcare Commercial	$113.87
Rate for Payer: UnitedHealthcare Community & State	$17.99
Rate for Payer: Wellpoint Medicaid Managed Care	$16.17

CANNULA RX ERCP STD TIP 210CM

Facility

$363.90

Hospital Charge Code	270673012
Hospital Revenue Code	272
Min. Negotiated Rate	$54.59
Max. Negotiated Rate	$54.59
Rate for Payer: Qualcare PPO/HMO/WC	$54.59

CANNULA RX ERCP STD TIP 210CM

Facility

$363.90

Hospital Charge Code	270673012
Hospital Revenue Code	272
Min. Negotiated Rate	$10.33
Max. Negotiated Rate	$181.95
Rate for Payer: Aetna Commercial	$138.28
Rate for Payer: Aetna Medicare Advantage	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.79
Rate for Payer: Cigna Commercial	$181.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.61
Rate for Payer: Oxford Commercial	$72.78
Rate for Payer: Qualcare PPO/HMO/WC	$54.59
Rate for Payer: UnitedHealthcare Commercial	$72.78
Rate for Payer: UnitedHealthcare Community & State	$11.50
Rate for Payer: Wellpoint Medicaid Managed Care	$10.33

Know your out-of-pocket cost for care.

All Charges