Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH CHOLANGIOGRAPH 4FR

Facility

$300.00

Hospital Charge Code	270600380
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CATH CHOLANGIOGRAPH 6FR

Facility

$300.00

Hospital Charge Code	270600381
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CATH CHOLANGIOGRAPH 6FR

Facility

$300.00

Hospital Charge Code	270600381
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

CATH CK URET 5 70 020040CS

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624358
Hospital Revenue Code	278
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67

CATH CK URET 5 70 020040CS

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624358
Hospital Revenue Code	278
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$25.57
Rate for Payer: Aetna Commercial	$19.44
Rate for Payer: Aetna Medicare Advantage	$15.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.04
Rate for Payer: Cigna Commercial	$25.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

CATH CK URET 6 70 020040C6

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624727
Hospital Revenue Code	278
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$25.57
Rate for Payer: Aetna Commercial	$19.44
Rate for Payer: Aetna Medicare Advantage	$15.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.04
Rate for Payer: Cigna Commercial	$25.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

CATH CK URET 6 70 020040C6

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624727
Hospital Revenue Code	278
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67

CATH CK URET BALN 5/65 010005

Facility

$703.50

Service Code	HCPCS C1726
Hospital Charge Code	270601087
Hospital Revenue Code	278
Min. Negotiated Rate	$105.53
Max. Negotiated Rate	$170.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53

CATH CK URET BALN 5/65 010005

Facility

$703.50

Service Code	HCPCS C1726
Hospital Charge Code	270601087
Hospital Revenue Code	278
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$351.75
Rate for Payer: Aetna Commercial	$267.33
Rate for Payer: Aetna Medicare Advantage	$211.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.39
Rate for Payer: Cigna Commercial	$351.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53
Rate for Payer: UnitedHealthcare Community & State	$22.23
Rate for Payer: Wellpoint Medicaid Managed Care	$19.98

CATH CK URET BALN 7/65 010004

Facility

$703.50

Service Code	HCPCS C1758
Hospital Charge Code	270605616
Hospital Revenue Code	278
Min. Negotiated Rate	$105.53
Max. Negotiated Rate	$170.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53

CATH CK URET BALN 7/65 010004

Facility

$703.50

Service Code	HCPCS C1758
Hospital Charge Code	270605616
Hospital Revenue Code	278
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$351.75
Rate for Payer: Aetna Commercial	$267.33
Rate for Payer: Aetna Medicare Advantage	$211.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.39
Rate for Payer: Cigna Commercial	$351.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53
Rate for Payer: UnitedHealthcare Community & State	$22.23
Rate for Payer: Wellpoint Medicaid Managed Care	$19.98

CATH CK URET CONE TP 5F 024605

Facility

$60.45

Service Code	HCPCS C1758
Hospital Charge Code	270601096
Hospital Revenue Code	278
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$14.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$9.07

CATH CK URET CONE TP 5F 024605

Facility

$60.45

Service Code	HCPCS C1758
Hospital Charge Code	270601096
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$30.23
Rate for Payer: Aetna Commercial	$22.97
Rate for Payer: Aetna Medicare Advantage	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.41
Rate for Payer: Cigna Commercial	$30.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$9.07
Rate for Payer: UnitedHealthcare Community & State	$1.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

CATH CLASS CROWN 2.0MM 145CM

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270681113
Hospital Revenue Code	278
Min. Negotiated Rate	$482.09
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$6,450.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25
Rate for Payer: UnitedHealthcare Community & State	$536.41
Rate for Payer: Wellpoint Medicaid Managed Care	$482.09

CATH CLASS CROWN 2.0MM 145CM

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270681113
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH CLSD SUCT TRACH DBL 14FR

Facility

$54.07

Hospital Charge Code	270650303
Hospital Revenue Code	272
Min. Negotiated Rate	$8.11
Max. Negotiated Rate	$8.11
Rate for Payer: Qualcare PPO/HMO/WC	$8.11

CATH CLSD SUCT TRACH DBL 14FR

Facility

$54.07

Hospital Charge Code	270650303
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$27.04
Rate for Payer: Aetna Commercial	$20.55
Rate for Payer: Aetna Medicare Advantage	$16.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.79
Rate for Payer: Cigna Commercial	$27.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.06
Rate for Payer: Oxford Commercial	$10.81
Rate for Payer: Qualcare PPO/HMO/WC	$8.11
Rate for Payer: UnitedHealthcare Commercial	$10.81
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

CATH COATED GLIDEX 10FR 25CM

Facility

$233.45

Hospital Charge Code	270675447
Hospital Revenue Code	278
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$116.72
Rate for Payer: Aetna Commercial	$88.71
Rate for Payer: Aetna Medicare Advantage	$70.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.53
Rate for Payer: Cigna Commercial	$116.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.02
Rate for Payer: UnitedHealthcare Community & State	$7.38
Rate for Payer: Wellpoint Medicaid Managed Care	$6.63

CATH COATED GLIDEX 10FR 25CM

Facility

$233.45

Hospital Charge Code	270675447
Hospital Revenue Code	278
Min. Negotiated Rate	$35.02
Max. Negotiated Rate	$56.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.02

CATH COBRA1 5F 65CM 0.38IN

Facility

$90.00

Hospital Charge Code	270678510
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

CATH COBRA1 5F 65CM 0.38IN

Facility

$90.00

Hospital Charge Code	270678510
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

CATH COCIL TIP 22F 5 220196L22

Facility

$61.76

Hospital Charge Code	270633136
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$9.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

CATH COCIL TIP 22F 5 220196L22

Facility

$61.76

Hospital Charge Code	270633136
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$30.88
Rate for Payer: Aetna Commercial	$23.47
Rate for Payer: Aetna Medicare Advantage	$18.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.75
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.06
Rate for Payer: Oxford Commercial	$12.35
Rate for Payer: Qualcare PPO/HMO/WC	$9.26
Rate for Payer: UnitedHealthcare Commercial	$12.35
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.75

CATH CONT IRR 30CC 18FR

Facility

$125.00

Hospital Charge Code	270331013
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

CATH CONT IRR 30CC 18FR

Facility

$125.00

Hospital Charge Code	270331013
Hospital Revenue Code	272
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

Know your out-of-pocket cost for care.

All Charges