Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA RX ERCP TAPR TIP 210CM

Facility

$569.35

Hospital Charge Code	270698323
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 TAPR TIP 210CM

Facility

$569.35

Hospital Charge Code	270698323
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 STANDARD TIP

Facility

$342.50

Hospital Charge Code	270654333
Hospital Revenue Code	272
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$171.25
Rate for Payer: Aetna Commercial	$130.15
Rate for Payer: Aetna Medicare Advantage	$102.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.34
Rate for Payer: Cigna Commercial	$171.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.05
Rate for Payer: Oxford Commercial	$68.50
Rate for Payer: Qualcare PPO/HMO/WC	$51.38
Rate for Payer: UnitedHealthcare Commercial	$68.50
Rate for Payer: UnitedHealthcare Community & State	$10.82
Rate for Payer: Wellpoint Medicaid Managed Care	$9.73

CANNULA RX STANDARD TIP

Facility

$342.50

Hospital Charge Code	270654333
Hospital Revenue Code	272
Min. Negotiated Rate	$51.38
Max. Negotiated Rate	$51.38
Rate for Payer: Qualcare PPO/HMO/WC	$51.38

CANNULA SHILEY INNER

Facility

$17.35

Service Code	HCPCS A4623
Hospital Charge Code	270699949
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.68
Rate for Payer: Aetna Commercial	$6.59
Rate for Payer: Aetna Medicare Advantage	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.42
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$3.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$3.47
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

CANNULA SHILEY INNER

Facility

$17.35

Service Code	HCPCS A4623
Hospital Charge Code	270699949
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

CANNULA SILICONE TIP 27GA

Facility

$19.07

Hospital Charge Code	270657592
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.86

CANNULA SILICONE TIP 27GA

Facility

$19.07

Hospital Charge Code	270657592
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$9.54
Rate for Payer: Aetna Commercial	$7.25
Rate for Payer: Aetna Medicare Advantage	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.86
Rate for Payer: Cigna Commercial	$9.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.96
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.86
Rate for Payer: UnitedHealthcare Commercial	$3.81
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

CANNULA SIZE 10 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690819
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.62
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

CANNULA SIZE 10 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690819
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 7.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690815
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.62
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

CANNULA SIZE 7.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690815
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 7 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690814
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 7 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690814
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.62
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

CANNULA SIZE 8.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690817
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.62
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

CANNULA SIZE 8.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690817
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 8 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690816
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 8 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690816
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.62
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

CANNULA SIZE 9 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690818
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 9 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690818
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.62
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

CANNULA SLOTTED

Facility

$2,635.00

Hospital Charge Code	270649463
Hospital Revenue Code	272
Min. Negotiated Rate	$395.25
Max. Negotiated Rate	$395.25
Rate for Payer: Qualcare PPO/HMO/WC	$395.25

CANNULA SLOTTED

Facility

$2,635.00

Hospital Charge Code	270649463
Hospital Revenue Code	272
Min. Negotiated Rate	$74.83
Max. Negotiated Rate	$1,317.50
Rate for Payer: Aetna Commercial	$1,001.30
Rate for Payer: Aetna Medicare Advantage	$790.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$671.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$671.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$671.92
Rate for Payer: Cigna Commercial	$1,317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.10
Rate for Payer: Oxford Commercial	$527.00
Rate for Payer: Qualcare PPO/HMO/WC	$395.25
Rate for Payer: UnitedHealthcare Commercial	$527.00
Rate for Payer: UnitedHealthcare Community & State	$83.27
Rate for Payer: Wellpoint Medicaid Managed Care	$74.83

CANNULA STAPLER 12 MM

Facility

$6,250.00

Hospital Charge Code	270691090
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

CANNULA STAPLER 12 MM

Facility

$6,250.00

Hospital Charge Code	270691090
Hospital Revenue Code	272
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

CANNULA STR RF 5CM 2MM 21G

Facility

$77.50

Hospital Charge Code	270657280
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

Know your out-of-pocket cost for care.

All Charges