Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH DIL GUIDE FUBUKI 6FR 80CM

Facility

$2,745.00

Service Code	HCPCS C1887
Hospital Charge Code	270699484S
Hospital Revenue Code	278
Min. Negotiated Rate	$411.75
Max. Negotiated Rate	$664.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$549.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.29
Rate for Payer: Qualcare PPO/HMO/WC	$411.75

CATH DRAINAGE 16FR 40CM 0.038

Facility

$457.60

Hospital Charge Code	270648117
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$228.80
Rate for Payer: Aetna Commercial	$173.89
Rate for Payer: Aetna Medicare Advantage	$137.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.69
Rate for Payer: Cigna Commercial	$228.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.98
Rate for Payer: Oxford Commercial	$91.52
Rate for Payer: Qualcare PPO/HMO/WC	$68.64
Rate for Payer: UnitedHealthcare Commercial	$91.52
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$13.00

CATH DRAINAGE 16FR 40CM 0.038

Facility

$457.60

Hospital Charge Code	270648117
Hospital Revenue Code	272
Min. Negotiated Rate	$68.64
Max. Negotiated Rate	$68.64
Rate for Payer: Qualcare PPO/HMO/WC	$68.64

CATH DRAINAGE APD GLIDEX 8FR

Facility

$466.90

Hospital Charge Code	270651754
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$233.45
Rate for Payer: Aetna Commercial	$177.42
Rate for Payer: Aetna Medicare Advantage	$140.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.06
Rate for Payer: Cigna Commercial	$233.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.39
Rate for Payer: Oxford Commercial	$93.38
Rate for Payer: Qualcare PPO/HMO/WC	$70.03
Rate for Payer: UnitedHealthcare Commercial	$93.38
Rate for Payer: UnitedHealthcare Community & State	$14.75
Rate for Payer: Wellpoint Medicaid Managed Care	$13.26

CATH DRAINAGE APD GLIDEX 8FR

Facility

$466.90

Hospital Charge Code	270651754
Hospital Revenue Code	272
Min. Negotiated Rate	$70.03
Max. Negotiated Rate	$70.03
Rate for Payer: Qualcare PPO/HMO/WC	$70.03

CATH DRAINAGE THAL-QUICK 16FR

Facility

$694.40

Hospital Charge Code	270624607
Hospital Revenue Code	272
Min. Negotiated Rate	$104.16
Max. Negotiated Rate	$104.16
Rate for Payer: Qualcare PPO/HMO/WC	$104.16

CATH DRAINAGE THAL-QUICK 16FR

Facility

$694.40

Hospital Charge Code	270624607
Hospital Revenue Code	272
Min. Negotiated Rate	$19.72
Max. Negotiated Rate	$347.20
Rate for Payer: Aetna Commercial	$263.87
Rate for Payer: Aetna Medicare Advantage	$208.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.07
Rate for Payer: Cigna Commercial	$347.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.54
Rate for Payer: Oxford Commercial	$138.88
Rate for Payer: Qualcare PPO/HMO/WC	$104.16
Rate for Payer: UnitedHealthcare Commercial	$138.88
Rate for Payer: UnitedHealthcare Community & State	$21.94
Rate for Payer: Wellpoint Medicaid Managed Care	$19.72

CATH DRAINGE BILIARY 12FR

Facility

$595.15

Hospital Charge Code	270637472
Hospital Revenue Code	272
Min. Negotiated Rate	$89.27
Max. Negotiated Rate	$89.27
Rate for Payer: Qualcare PPO/HMO/WC	$89.27

CATH DRAINGE BILIARY 12FR

Facility

$595.15

Hospital Charge Code	270637472
Hospital Revenue Code	272
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.57
Rate for Payer: Aetna Commercial	$226.16
Rate for Payer: Aetna Medicare Advantage	$178.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.76
Rate for Payer: Cigna Commercial	$297.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.74
Rate for Payer: Oxford Commercial	$119.03
Rate for Payer: Qualcare PPO/HMO/WC	$89.27
Rate for Payer: UnitedHealthcare Commercial	$119.03
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

CATH DRC 3 SH 67013100

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636345
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 DRC 3 SH 67013100

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636345
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 DRN DAW MEUL MAC8.5FX25CM

Facility

$464.65

Service Code	HCPCS C1727
Hospital Charge Code	270700818
Hospital Revenue Code	272
Min. Negotiated Rate	$69.70
Max. Negotiated Rate	$69.70
Rate for Payer: Qualcare PPO/HMO/WC	$69.70

CATH DRN DAW MEUL MAC8.5FX25CM

Facility

$464.65

Service Code	HCPCS C1727
Hospital Charge Code	270700818
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$232.32
Rate for Payer: Aetna Commercial	$176.57
Rate for Payer: Aetna Medicare Advantage	$139.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.49
Rate for Payer: Cigna Commercial	$232.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.81
Rate for Payer: Oxford Commercial	$92.93
Rate for Payer: Qualcare PPO/HMO/WC	$69.70
Rate for Payer: UnitedHealthcare Commercial	$92.93
Rate for Payer: UnitedHealthcare Community & State	$14.68
Rate for Payer: Wellpoint Medicaid Managed Care	$13.20

CATH DUAL LUMEN URETERAL 10F .

Facility

$602.70

Service Code	HCPCS C1758
Hospital Charge Code	270601073
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$301.35
Rate for Payer: Aetna Commercial	$229.03
Rate for Payer: Aetna Medicare Advantage	$180.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.69
Rate for Payer: Cigna Commercial	$301.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.85
Rate for Payer: Qualcare PPO/HMO/WC	$90.41
Rate for Payer: UnitedHealthcare Community & State	$19.05
Rate for Payer: Wellpoint Medicaid Managed Care	$17.12

CATH DUAL LUMEN URETERAL 10F .

Facility

$602.70

Service Code	HCPCS C1758
Hospital Charge Code	270601073
Hospital Revenue Code	278
Min. Negotiated Rate	$90.41
Max. Negotiated Rate	$145.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.85
Rate for Payer: Qualcare PPO/HMO/WC	$90.41

CATH DX AXS CATALYST 5/132CM

Facility

$10,119.30

Service Code	HCPCS C1887
Hospital Charge Code	270694250S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,517.89
Max. Negotiated Rate	$2,448.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,023.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,448.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,517.89

CATH DX AXS CATALYST 5/132CM

Facility

$10,119.30

Service Code	HCPCS C1887
Hospital Charge Code	270694250S
Hospital Revenue Code	278
Min. Negotiated Rate	$287.39
Max. Negotiated Rate	$5,059.65
Rate for Payer: Aetna Commercial	$3,845.33
Rate for Payer: Aetna Medicare Advantage	$3,035.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,580.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,580.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,023.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,580.42
Rate for Payer: Cigna Commercial	$5,059.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,448.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,517.89
Rate for Payer: UnitedHealthcare Community & State	$319.77
Rate for Payer: Wellpoint Medicaid Managed Care	$287.39

CATH DXT 5F JL35 100 CM

Facility

$41.25

Hospital Charge Code	270683017
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$6.19

CATH DXT 5F JL35 100 CM

Facility

$41.25

Hospital Charge Code	270683017N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$20.62
Rate for Payer: Aetna Commercial	$15.68
Rate for Payer: Aetna Medicare Advantage	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.52
Rate for Payer: Cigna Commercial	$20.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.19
Rate for Payer: UnitedHealthcare Commercial	$8.25
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

CATH DXT 5F JL35 100 CM

Facility

$41.25

Hospital Charge Code	270683017N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$6.19

CATH DXT 5F JL35 100 CM

Facility

$41.25

Hospital Charge Code	270683017
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$20.62
Rate for Payer: Aetna Commercial	$15.68
Rate for Payer: Aetna Medicare Advantage	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.52
Rate for Payer: Cigna Commercial	$20.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.19
Rate for Payer: UnitedHealthcare Commercial	$8.25
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

CATH DXT 5F JL40 100CM

Facility

$41.25

Hospital Charge Code	270683022N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$20.62
Rate for Payer: Aetna Commercial	$15.68
Rate for Payer: Aetna Medicare Advantage	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.52
Rate for Payer: Cigna Commercial	$20.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.19
Rate for Payer: UnitedHealthcare Commercial	$8.25
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

CATH DXT 5F JL40 100CM

Facility

$41.25

Hospital Charge Code	270683022
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$6.19

CATH DXT 5F JL40 100CM

Facility

$41.25

Hospital Charge Code	270683022N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$6.19

CATH DXT 5F JL40 100CM

Facility

$41.25

Hospital Charge Code	270683022
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$20.62
Rate for Payer: Aetna Commercial	$15.68
Rate for Payer: Aetna Medicare Advantage	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.52
Rate for Payer: Cigna Commercial	$20.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.19
Rate for Payer: UnitedHealthcare Commercial	$8.25
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

Know your out-of-pocket cost for care.

All Charges