Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH CRD CARD LCB 6F 533-672

Facility

$42.25

Hospital Charge Code	270613997
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.98
Rate for Payer: Oxford Commercial	$8.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.45
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.20

CATH CRD CARD LCB 6F 533-672

Facility

$42.25

Hospital Charge Code	270613997
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

CATH CRD CARD PIGTL 6F 534650S

Facility

$44.50

Hospital Charge Code	270605714
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 CRD CARD PIGTL 6F 534650S

Facility

$44.50

Hospital Charge Code	270605714
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH CRD CARD VJC 6F 533618T

Facility

$42.25

Hospital Charge Code	270606063
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.98
Rate for Payer: Oxford Commercial	$8.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.45
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.20

CATH CRD CARD VJC 6F 533618T

Facility

$42.25

Hospital Charge Code	270606063
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

CATH CROSSTELLA RX 5F 4X100MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698328S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$457.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 4X100MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698328S
Hospital Revenue Code	278
Min. Negotiated Rate	$53.71
Max. Negotiated Rate	$945.52
Rate for Payer: Aetna Commercial	$718.60
Rate for Payer: Aetna Medicare Advantage	$567.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.22
Rate for Payer: Cigna Commercial	$945.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66
Rate for Payer: UnitedHealthcare Community & State	$59.76
Rate for Payer: Wellpoint Medicaid Managed Care	$53.71

CATH CROSSTELLA RX 5F 4X150MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698330S
Hospital Revenue Code	278
Min. Negotiated Rate	$53.71
Max. Negotiated Rate	$945.52
Rate for Payer: Aetna Commercial	$718.60
Rate for Payer: Aetna Medicare Advantage	$567.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.22
Rate for Payer: Cigna Commercial	$945.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66
Rate for Payer: UnitedHealthcare Community & State	$59.76
Rate for Payer: Wellpoint Medicaid Managed Care	$53.71

CATH CROSSTELLA RX 5F 4X150MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698330S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$457.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 6X200MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698329S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$457.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 6X200MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698329S
Hospital Revenue Code	278
Min. Negotiated Rate	$53.71
Max. Negotiated Rate	$945.52
Rate for Payer: Aetna Commercial	$718.60
Rate for Payer: Aetna Medicare Advantage	$567.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.22
Rate for Payer: Cigna Commercial	$945.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66
Rate for Payer: UnitedHealthcare Community & State	$59.76
Rate for Payer: Wellpoint Medicaid Managed Care	$53.71

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154N
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154S
Hospital Revenue Code	278
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$351.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Community & State	$29.23
Rate for Payer: Wellpoint Medicaid Managed Care	$26.27

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154N
Hospital Revenue Code	278
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$351.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Community & State	$29.23
Rate for Payer: Wellpoint Medicaid Managed Care	$26.27

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154S
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR .035x135CM

Facility

$925.00

Hospital Charge Code	270677153
Hospital Revenue Code	272
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$351.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.50
Rate for Payer: Oxford Commercial	$185.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Commercial	$185.00
Rate for Payer: UnitedHealthcare Community & State	$29.23
Rate for Payer: Wellpoint Medicaid Managed Care	$26.27

CATH CXI SPPT 4FR .035x135CM

Facility

$925.00

Hospital Charge Code	270677153
Hospital Revenue Code	272
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$138.75
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR .035x150

Facility

$1,024.95

Hospital Charge Code	270677154
Hospital Revenue Code	278
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.48
Rate for Payer: Aetna Commercial	$389.48
Rate for Payer: Aetna Medicare Advantage	$307.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.36
Rate for Payer: Cigna Commercial	$512.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.04
Rate for Payer: Qualcare PPO/HMO/WC	$153.74
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

CATH CXI SPPT 4FR .035x150

Facility

$1,024.95

Hospital Charge Code	270677154
Hospital Revenue Code	278
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$248.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.04
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

CATH CXI SUPP 2.3 FR 135CM ANG

Facility

$925.00

Hospital Charge Code	270673502S
Hospital Revenue Code	272
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$351.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.50
Rate for Payer: Oxford Commercial	$185.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Commercial	$185.00
Rate for Payer: UnitedHealthcare Community & State	$29.23
Rate for Payer: Wellpoint Medicaid Managed Care	$26.27

CATH CXI SUPP 2.3 FR 135CM ANG

Facility

$1,024.95

Hospital Charge Code	270673502
Hospital Revenue Code	272
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$153.74
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

CATH CXI SUPP 2.3 FR 135CM ANG

Facility

$925.00

Hospital Charge Code	270673502S
Hospital Revenue Code	272
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$138.75
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SUPP 2.3 FR 135CM ANG

Facility

$1,024.95

Hospital Charge Code	270673502
Hospital Revenue Code	272
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.48
Rate for Payer: Aetna Commercial	$389.48
Rate for Payer: Aetna Medicare Advantage	$307.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.36
Rate for Payer: Cigna Commercial	$512.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: Oxford Commercial	$204.99
Rate for Payer: Qualcare PPO/HMO/WC	$153.74
Rate for Payer: UnitedHealthcare Commercial	$204.99
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

CATH CXI SUPP 2.3FR 135CM ANG2

Facility

$975.00

Hospital Charge Code	270673503
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

Know your out-of-pocket cost for care.

All Charges