Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ACAPELLA PEDIATRIC BLUE

Facility

$205.49

Hospital Charge Code	270664899
Hospital Revenue Code	270
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$102.75
Rate for Payer: Aetna Commercial	$78.09
Rate for Payer: Aetna Medicare Advantage	$61.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.40
Rate for Payer: Cigna Commercial	$102.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.43
Rate for Payer: Oxford Commercial	$41.10
Rate for Payer: Qualcare PPO/HMO/WC	$30.82
Rate for Payer: UnitedHealthcare Commercial	$41.10
Rate for Payer: UnitedHealthcare Community & State	$6.49
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

ACARBOSE

Facility

$8.51

Service Code	NDC 50419086148
Hospital Charge Code	6024202
Hospital Revenue Code	251
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.25
Rate for Payer: Aetna Commercial	$3.23
Rate for Payer: Aetna Medicare Advantage	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.17
Rate for Payer: Cigna Commercial	$4.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$1.70
Rate for Payer: Qualcare PPO/HMO/WC	$1.28
Rate for Payer: UnitedHealthcare Commercial	$1.70
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

ACARBOSE

Facility

$8.51

Service Code	NDC 50419086148
Hospital Charge Code	6024202
Hospital Revenue Code	251
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$1.28
Rate for Payer: Qualcare PPO/HMO/WC	$1.28

ACCESS DSC 5 F X 125CM

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270685192
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

ACCESS DSC 5 F X 125CM

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270685192
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

ACCESS NAVIEN DSC 6F X 115CM

Facility

$5,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270685193
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

ACCESS NAVIEN DSC 6F X 115CM

Facility

$5,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270685193
Hospital Revenue Code	278
Min. Negotiated Rate	$163.30
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$2,185.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50
Rate for Payer: UnitedHealthcare Community & State	$181.70
Rate for Payer: Wellpoint Medicaid Managed Care	$163.30

ACCESS NEEDLE 8Gx11CM

Facility

$1,375.00

Hospital Charge Code	270672820
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

ACCESS NEEDLE 8Gx11CM

Facility

$1,375.00

Hospital Charge Code	270672820
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$43.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.05

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039N
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

ACCESSORY KIT

Facility

$275.00

Hospital Charge Code	270682039N
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

ACCESSORY TENACIO AMS700

Facility

$4,049.40

Hospital Charge Code	270702097
Hospital Revenue Code	272
Min. Negotiated Rate	$115.00
Max. Negotiated Rate	$2,024.70
Rate for Payer: Aetna Commercial	$1,538.77
Rate for Payer: Aetna Medicare Advantage	$1,214.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,032.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,032.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,032.60
Rate for Payer: Cigna Commercial	$2,024.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,052.84
Rate for Payer: Oxford Commercial	$809.88
Rate for Payer: Qualcare PPO/HMO/WC	$607.41
Rate for Payer: UnitedHealthcare Commercial	$809.88
Rate for Payer: UnitedHealthcare Community & State	$127.96
Rate for Payer: Wellpoint Medicaid Managed Care	$115.00

ACCESSORY TENACIO AMS700

Facility

$4,049.40

Hospital Charge Code	270702097
Hospital Revenue Code	272
Min. Negotiated Rate	$607.41
Max. Negotiated Rate	$607.41
Rate for Payer: Qualcare PPO/HMO/WC	$607.41

ACCESS PORT NEEDLE

Facility

$105.00

Hospital Charge Code	270338728
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

ACCESS PORT NEEDLE

Facility

$105.00

Hospital Charge Code	270338728
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

ACCESS QUICK RELEASE DRL 15/64

Facility

$690.00

Hospital Charge Code	270690418
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

ACCESS QUICK RELEASE DRL 15/64

Facility

$690.00

Hospital Charge Code	270690418
Hospital Revenue Code	272
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.40
Rate for Payer: Oxford Commercial	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$138.00
Rate for Payer: UnitedHealthcare Community & State	$21.80
Rate for Payer: Wellpoint Medicaid Managed Care	$19.60

ACCLARENT AERA WITH VENT CAP

Facility

$2,010.00

Hospital Charge Code	270683379
Hospital Revenue Code	272
Min. Negotiated Rate	$301.50
Max. Negotiated Rate	$301.50
Rate for Payer: Qualcare PPO/HMO/WC	$301.50

ACCLARENT AERA WITH VENT CAP

Facility

$2,010.00

Hospital Charge Code	270683379
Hospital Revenue Code	272
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$1,005.00
Rate for Payer: Aetna Commercial	$763.80
Rate for Payer: Aetna Medicare Advantage	$603.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.55
Rate for Payer: Cigna Commercial	$1,005.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.60
Rate for Payer: Oxford Commercial	$402.00
Rate for Payer: Qualcare PPO/HMO/WC	$301.50
Rate for Payer: UnitedHealthcare Commercial	$402.00
Rate for Payer: UnitedHealthcare Community & State	$63.52
Rate for Payer: Wellpoint Medicaid Managed Care	$57.08

ACCLARENT SE INFLATION DEVICE

Facility

$447.30

Hospital Charge Code	270683378
Hospital Revenue Code	272
Min. Negotiated Rate	$67.09
Max. Negotiated Rate	$67.09
Rate for Payer: Qualcare PPO/HMO/WC	$67.09

ACCLARENT SE INFLATION DEVICE

Facility

$447.30

Hospital Charge Code	270683378
Hospital Revenue Code	272
Min. Negotiated Rate	$12.70
Max. Negotiated Rate	$223.65
Rate for Payer: Aetna Commercial	$169.97
Rate for Payer: Aetna Medicare Advantage	$134.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.06
Rate for Payer: Cigna Commercial	$223.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.30
Rate for Payer: Oxford Commercial	$89.46
Rate for Payer: Qualcare PPO/HMO/WC	$67.09
Rate for Payer: UnitedHealthcare Commercial	$89.46
Rate for Payer: UnitedHealthcare Community & State	$14.13
Rate for Payer: Wellpoint Medicaid Managed Care	$12.70

ACCO127CEMSTEMSZ5TPRV4037X145

Facility

$10,655.40

Service Code	HCPCS C1776
Hospital Charge Code	270691242
Hospital Revenue Code	278
Min. Negotiated Rate	$302.61
Max. Negotiated Rate	$5,327.70
Rate for Payer: Aetna Commercial	$4,049.05
Rate for Payer: Aetna Medicare Advantage	$3,196.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,717.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,717.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,131.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,717.13
Rate for Payer: Cigna Commercial	$5,327.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,578.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,598.31
Rate for Payer: UnitedHealthcare Community & State	$336.71
Rate for Payer: Wellpoint Medicaid Managed Care	$302.61

ACCO127CEMSTEMSZ5TPRV4037X145

Facility

$10,655.40

Service Code	HCPCS C1776
Hospital Charge Code	270691242
Hospital Revenue Code	278
Min. Negotiated Rate	$1,598.31
Max. Negotiated Rate	$2,578.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,131.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,578.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,598.31

Know your out-of-pocket cost for care.

All Charges