Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH 6FR XBR 1.0

Facility

$255.00

Hospital Charge Code	270639612
Hospital Revenue Code	272
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$38.25
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH 6FR XBR 1.0

Facility

$255.00

Hospital Charge Code	270639612
Hospital Revenue Code	272
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$127.50
Rate for Payer: Aetna Commercial	$96.90
Rate for Payer: Aetna Medicare Advantage	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.03
Rate for Payer: Cigna Commercial	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.30
Rate for Payer: Oxford Commercial	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.25
Rate for Payer: UnitedHealthcare Commercial	$51.00
Rate for Payer: UnitedHealthcare Community & State	$8.06
Rate for Payer: Wellpoint Medicaid Managed Care	$7.24

CATH 6FR XB RCA .07

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636342
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH 6FR XB RCA .07

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636342
Hospital Revenue Code	278
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

CATH 6F SH AL 1.0 67003700

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636309S
Hospital Revenue Code	278
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

CATH 6F SH AL 1.0 67003700

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636309S
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH 7FR AL 1.0

Facility

$220.00

Hospital Charge Code	270663276
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH 7FR AL 1.0

Facility

$220.00

Hospital Charge Code	270663276
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATH 7FR JL 4.5 ST

Facility

$220.00

Hospital Charge Code	270663273
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATH 7FR JL 4.5 ST

Facility

$220.00

Hospital Charge Code	270663273
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH 7FR JL 5.0 ST

Facility

$220.00

Hospital Charge Code	270663274
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATH 7FR JL 5.0 ST

Facility

$220.00

Hospital Charge Code	270663274
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH 7FR JL 6.0

Facility

$220.00

Hospital Charge Code	270663275
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATH 7FR JL 6.0

Facility

$220.00

Hospital Charge Code	270663275
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH 7FR XB 4.5

Facility

$220.00

Hospital Charge Code	270663272
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATH 7FR XB 4.5

Facility

$220.00

Hospital Charge Code	270663272
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH 7FR XB LAD 4.5

Facility

$220.00

Hospital Charge Code	270663271
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.20
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATH 7FR XB LAD 4.5

Facility

$220.00

Hospital Charge Code	270663271
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403N
Hospital Revenue Code	278
Min. Negotiated Rate	$410.38
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$5,491.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50
Rate for Payer: UnitedHealthcare Community & State	$456.62
Rate for Payer: Wellpoint Medicaid Managed Care	$410.38

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$3,496.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$3,496.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403
Hospital Revenue Code	278
Min. Negotiated Rate	$410.38
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$5,491.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50
Rate for Payer: UnitedHealthcare Community & State	$456.62
Rate for Payer: Wellpoint Medicaid Managed Care	$410.38

CATH 8 INDIGO ASPIRATION 85CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270685329N
Hospital Revenue Code	278
Min. Negotiated Rate	$410.38
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$5,491.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50
Rate for Payer: UnitedHealthcare Community & State	$456.62
Rate for Payer: Wellpoint Medicaid Managed Care	$410.38

CATH 8 INDIGO ASPIRATION 85CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270685329N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$3,496.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 85CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270685329
Hospital Revenue Code	278
Min. Negotiated Rate	$410.38
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$5,491.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50
Rate for Payer: UnitedHealthcare Community & State	$456.62
Rate for Payer: Wellpoint Medicaid Managed Care	$410.38

Know your out-of-pocket cost for care.

All Charges