Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH 2 WAY 30FR 5CC 0165SI30

Facility

$39.25

Hospital Charge Code	270649051
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$21.25
Rate for Payer: Aetna Commercial	$16.15
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.84
Rate for Payer: Cigna Commercial	$21.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.38
Rate for Payer: UnitedHealthcare Commercial	$8.50
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$21.25
Rate for Payer: Aetna Commercial	$16.15
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.84
Rate for Payer: Cigna Commercial	$21.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.38
Rate for Payer: UnitedHealthcare Commercial	$8.50
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 5F,7CM,FIXER LUER W/NEEDL

Facility

$45.00

Service Code	HCPCS C1729
Hospital Charge Code	4800950
Hospital Revenue Code	278
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

CATH 5F,7CM,FIXER LUER W/NEEDL

Facility

$45.00

Service Code	HCPCS C1729
Hospital Charge Code	4800950
Hospital Revenue Code	278
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

CATH 5FR 65CM W/9MM FRAG BASK.

Facility

$3,646.15

Hospital Charge Code	270668156
Hospital Revenue Code	278
Min. Negotiated Rate	$546.92
Max. Negotiated Rate	$882.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$729.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$882.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.92

CATH 5FR 65CM W/9MM FRAG BASK.

Facility

$3,646.15

Hospital Charge Code	270668156
Hospital Revenue Code	278
Min. Negotiated Rate	$103.55
Max. Negotiated Rate	$1,823.08
Rate for Payer: Aetna Commercial	$1,385.54
Rate for Payer: Aetna Medicare Advantage	$1,093.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$929.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$929.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$729.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$929.77
Rate for Payer: Cigna Commercial	$1,823.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$882.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.92
Rate for Payer: UnitedHealthcare Community & State	$115.22
Rate for Payer: Wellpoint Medicaid Managed Care	$103.55

CATH 5FR AL1 100CM 534545T

Facility

$44.50

Hospital Charge Code	270644622C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR AL1 100CM 534545T

Facility

$44.50

Hospital Charge Code	270644622C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH 5FR IM 100CM 534560T

Facility

$44.50

Hospital Charge Code	270644617C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH 5FR IM 100CM 534560T

Facility

$44.50

Hospital Charge Code	270644617C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR JL4 100CM

Facility

$78.65

Hospital Charge Code	270644605
Hospital Revenue Code	272
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$39.33
Rate for Payer: Aetna Commercial	$29.89
Rate for Payer: Aetna Medicare Advantage	$23.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.06
Rate for Payer: Cigna Commercial	$39.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.45
Rate for Payer: Oxford Commercial	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$11.80
Rate for Payer: UnitedHealthcare Commercial	$15.73
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

CATH 5FR JL4 100CM

Facility

$78.65

Hospital Charge Code	270644605
Hospital Revenue Code	272
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$11.80

CATH 5FR JL4.5 100CM 534517T

Facility

$44.50

Hospital Charge Code	270644607C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH 5FR JL4.5 100CM 534517T

Facility

$44.50

Hospital Charge Code	270644607C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR JL5 100CM 534522T

Facility

$44.50

Hospital Charge Code	270644608C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH 5FR JL5 100CM 534522T

Facility

$44.50

Hospital Charge Code	270644608C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR JR3.5 100cm 534519T

Facility

$44.50

Hospital Charge Code	270644601C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR JR3.5 100cm 534519T

Facility

$44.50

Hospital Charge Code	270644601C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH 5FR JR5 100CM 534523T

Facility

$41.75

Hospital Charge Code	270644614C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$6.26
Rate for Payer: Qualcare PPO/HMO/WC	$6.26

CATH 5FR JR5 100CM 534523T

Facility

$41.75

Hospital Charge Code	270644614C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$20.88
Rate for Payer: Aetna Commercial	$15.87
Rate for Payer: Aetna Medicare Advantage	$12.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.65
Rate for Payer: Cigna Commercial	$20.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.86
Rate for Payer: Oxford Commercial	$8.35
Rate for Payer: Qualcare PPO/HMO/WC	$6.26
Rate for Payer: UnitedHealthcare Commercial	$8.35
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

CATH 5FR LCB 100cm

Facility

$42.50

Hospital Charge Code	270644619S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 5FR LCB 100cm

Facility

$42.50

Hospital Charge Code	270644619S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$21.25
Rate for Payer: Aetna Commercial	$16.15
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.84
Rate for Payer: Cigna Commercial	$21.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.38
Rate for Payer: UnitedHealthcare Commercial	$8.50
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

Know your out-of-pocket cost for care.

All Charges