Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ACCOLADE DIST SPACERMEDOD14MM

Facility

$460.85

Service Code	HCPCS C1713
Hospital Charge Code	270691244
Hospital Revenue Code	278
Min. Negotiated Rate	$13.09
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$175.12
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Community & State	$14.56
Rate for Payer: Wellpoint Medicaid Managed Care	$13.09

ACCOLADE DIST SPACERMEDOD14MM

Facility

$460.85

Service Code	HCPCS C1713
Hospital Charge Code	270691244
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

Accolade MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.60
Max. Negotiated Rate	$25,750.00
Rate for Payer: Aetna Commercial	$19,570.00
Rate for Payer: Aetna Medicare Advantage	$15,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,132.50
Rate for Payer: Cigna Commercial	$25,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00
Rate for Payer: UnitedHealthcare Community & State	$1,627.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1,462.60

Accolade MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184
Hospital Revenue Code	278
Min. Negotiated Rate	$7,725.00
Max. Negotiated Rate	$12,463.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00

ACCOLADE MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.60
Max. Negotiated Rate	$25,750.00
Rate for Payer: Aetna Commercial	$19,570.00
Rate for Payer: Aetna Medicare Advantage	$15,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,132.50
Rate for Payer: Cigna Commercial	$25,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00
Rate for Payer: UnitedHealthcare Community & State	$1,627.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1,462.60

ACCOLADE MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184S
Hospital Revenue Code	278
Min. Negotiated Rate	$7,725.00
Max. Negotiated Rate	$12,463.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00

ACCUCHEK.GLUCOSE

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479001
Hospital Revenue Code	301
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$10.69
Rate for Payer: Aetna Medicare Advantage	$12.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.26
Rate for Payer: Cigna Commercial	$78.00
Rate for Payer: Cigna Medicare Advantage	$3.93
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Medicare Advantage	$3.93
Rate for Payer: Wellpoint Medicaid Managed Care	$4.43

ACCUCHEK.GLUCOSE

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479001
Hospital Revenue Code	301
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

ACCUFILL

Facility

$17,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678972
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$4,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

ACCUFILL

Facility

$17,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678972
Hospital Revenue Code	278
Min. Negotiated Rate	$482.80
Max. Negotiated Rate	$8,500.00
Rate for Payer: Aetna Commercial	$6,460.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00
Rate for Payer: UnitedHealthcare Community & State	$537.20
Rate for Payer: Wellpoint Medicaid Managed Care	$482.80

ACCUFILL PF BSM 3CC

Facility

$16,500.00

Service Code	HCPCS C1765
Hospital Charge Code	270704260
Hospital Revenue Code	278
Min. Negotiated Rate	$2,475.00
Max. Negotiated Rate	$3,993.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,993.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,475.00

ACCUFILL PF BSM 3CC

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704078
Hospital Revenue Code	278
Min. Negotiated Rate	$319.50
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$355.50
Rate for Payer: Wellpoint Medicaid Managed Care	$319.50

ACCUFILL PF BSM 3CC

Facility

$16,500.00

Service Code	HCPCS C1765
Hospital Charge Code	270704260
Hospital Revenue Code	278
Min. Negotiated Rate	$468.60
Max. Negotiated Rate	$8,250.00
Rate for Payer: Aetna Commercial	$6,270.00
Rate for Payer: Aetna Medicare Advantage	$4,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,207.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,207.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,207.50
Rate for Payer: Cigna Commercial	$8,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,993.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,475.00
Rate for Payer: UnitedHealthcare Community & State	$521.40
Rate for Payer: Wellpoint Medicaid Managed Care	$468.60

ACCUFILL PF BSM 3CC

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704078
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

ACCU-FLO CATHETER PASSER 55CM

Facility

$1,258.00

Hospital Charge Code	270332023
Hospital Revenue Code	272
Min. Negotiated Rate	$35.73
Max. Negotiated Rate	$629.00
Rate for Payer: Aetna Commercial	$478.04
Rate for Payer: Aetna Medicare Advantage	$377.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.79
Rate for Payer: Cigna Commercial	$629.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.08
Rate for Payer: Oxford Commercial	$251.60
Rate for Payer: Qualcare PPO/HMO/WC	$188.70
Rate for Payer: UnitedHealthcare Commercial	$251.60
Rate for Payer: UnitedHealthcare Community & State	$39.75
Rate for Payer: Wellpoint Medicaid Managed Care	$35.73

ACCU-FLO CATHETER PASSER 55CM

Facility

$1,258.00

Hospital Charge Code	270332023
Hospital Revenue Code	272
Min. Negotiated Rate	$188.70
Max. Negotiated Rate	$188.70
Rate for Payer: Qualcare PPO/HMO/WC	$188.70

ACCU-PASS DIRECT CRESENT XL

Facility

$5,025.00

Hospital Charge Code	270682257
Hospital Revenue Code	272
Min. Negotiated Rate	$142.71
Max. Negotiated Rate	$2,512.50
Rate for Payer: Aetna Commercial	$1,909.50
Rate for Payer: Aetna Medicare Advantage	$1,507.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,281.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,281.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,281.38
Rate for Payer: Cigna Commercial	$2,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,306.50
Rate for Payer: Oxford Commercial	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$753.75
Rate for Payer: UnitedHealthcare Commercial	$1,005.00
Rate for Payer: UnitedHealthcare Community & State	$158.79
Rate for Payer: Wellpoint Medicaid Managed Care	$142.71

ACCU-PASS DIRECT CRESENT XL

Facility

$5,025.00

Hospital Charge Code	270682257
Hospital Revenue Code	272
Min. Negotiated Rate	$753.75
Max. Negotiated Rate	$753.75
Rate for Payer: Qualcare PPO/HMO/WC	$753.75

ACCU-PASS STR SHUTTLE 45 DEG U

Facility

$655.20

Hospital Charge Code	270682256
Hospital Revenue Code	272
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$327.60
Rate for Payer: Aetna Commercial	$248.98
Rate for Payer: Aetna Medicare Advantage	$196.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.08
Rate for Payer: Cigna Commercial	$327.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.35
Rate for Payer: Oxford Commercial	$131.04
Rate for Payer: Qualcare PPO/HMO/WC	$98.28
Rate for Payer: UnitedHealthcare Commercial	$131.04
Rate for Payer: UnitedHealthcare Community & State	$20.70
Rate for Payer: Wellpoint Medicaid Managed Care	$18.61

ACCU-PASS STR SHUTTLE 45 DEG U

Facility

$655.20

Hospital Charge Code	270682256
Hospital Revenue Code	272
Min. Negotiated Rate	$98.28
Max. Negotiated Rate	$98.28
Rate for Payer: Qualcare PPO/HMO/WC	$98.28

ACCU-PASS STR SHUTTLE STRAIGHT

Facility

$666.75

Hospital Charge Code	270673677
Hospital Revenue Code	272
Min. Negotiated Rate	$100.01
Max. Negotiated Rate	$100.01
Rate for Payer: Qualcare PPO/HMO/WC	$100.01

ACCU-PASS STR SHUTTLE STRAIGHT

Facility

$666.75

Hospital Charge Code	270673677
Hospital Revenue Code	272
Min. Negotiated Rate	$18.94
Max. Negotiated Rate	$333.38
Rate for Payer: Aetna Commercial	$253.37
Rate for Payer: Aetna Medicare Advantage	$200.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.02
Rate for Payer: Cigna Commercial	$333.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.35
Rate for Payer: Oxford Commercial	$133.35
Rate for Payer: Qualcare PPO/HMO/WC	$100.01
Rate for Payer: UnitedHealthcare Commercial	$133.35
Rate for Payer: UnitedHealthcare Community & State	$21.07
Rate for Payer: Wellpoint Medicaid Managed Care	$18.94

ACCURUS TOTAL PLUS PACK

Facility

$643.00

Hospital Charge Code	270335691
Hospital Revenue Code	272
Min. Negotiated Rate	$96.45
Max. Negotiated Rate	$96.45
Rate for Payer: Qualcare PPO/HMO/WC	$96.45

ACCURUS TOTAL PLUS PACK

Facility

$643.00

Hospital Charge Code	270335691
Hospital Revenue Code	272
Min. Negotiated Rate	$18.26
Max. Negotiated Rate	$321.50
Rate for Payer: Aetna Commercial	$244.34
Rate for Payer: Aetna Medicare Advantage	$192.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.97
Rate for Payer: Cigna Commercial	$321.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.18
Rate for Payer: Oxford Commercial	$128.60
Rate for Payer: Qualcare PPO/HMO/WC	$96.45
Rate for Payer: UnitedHealthcare Commercial	$128.60
Rate for Payer: UnitedHealthcare Community & State	$20.32
Rate for Payer: Wellpoint Medicaid Managed Care	$18.26

ACCUSTICK SYSTEM INTRODUCER II

Facility

$466.25

Service Code	HCPCS C1894
Hospital Charge Code	270664200
Hospital Revenue Code	278
Min. Negotiated Rate	$69.94
Max. Negotiated Rate	$112.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.94

Know your out-of-pocket cost for care.

All Charges