Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH EPIDURAL 19G CLOSED TIP

Facility

$1,322.00

Hospital Charge Code	270676362
Hospital Revenue Code	272
Min. Negotiated Rate	$37.54
Max. Negotiated Rate	$661.00
Rate for Payer: Aetna Commercial	$502.36
Rate for Payer: Aetna Medicare Advantage	$396.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.11
Rate for Payer: Cigna Commercial	$661.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.72
Rate for Payer: Oxford Commercial	$264.40
Rate for Payer: Qualcare PPO/HMO/WC	$198.30
Rate for Payer: UnitedHealthcare Commercial	$264.40
Rate for Payer: UnitedHealthcare Community & State	$41.78
Rate for Payer: Wellpoint Medicaid Managed Care	$37.54

CATHEPSIN D,BREAST TUMOR

Facility

$390.00

Service Code	HCPCS 88360
Hospital Charge Code	3007244
Hospital Revenue Code	310
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$97.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CATHEPSIN D,BREAST TUMOR

Facility

$390.00

Service Code	HCPCS 88360
Hospital Charge Code	3007244
Hospital Revenue Code	310
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATH EQUISTREAM XK 16FR 36CM

Facility

$1,755.00

Service Code	HCPCS C1750
Hospital Charge Code	270653414
Hospital Revenue Code	278
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$424.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.71
Rate for Payer: Qualcare PPO/HMO/WC	$263.25

CATH EQUISTREAM XK 16FR 36CM

Facility

$1,825.00

Service Code	HCPCS C1750
Hospital Charge Code	270653414N
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$441.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

CATH EQUISTREAM XK 16FR 36CM

Facility

$1,755.00

Service Code	HCPCS C1750
Hospital Charge Code	270653414
Hospital Revenue Code	278
Min. Negotiated Rate	$49.84
Max. Negotiated Rate	$877.50
Rate for Payer: Aetna Commercial	$666.90
Rate for Payer: Aetna Medicare Advantage	$526.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$447.52
Rate for Payer: Cigna Commercial	$877.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.71
Rate for Payer: Qualcare PPO/HMO/WC	$263.25
Rate for Payer: UnitedHealthcare Community & State	$55.46
Rate for Payer: Wellpoint Medicaid Managed Care	$49.84

CATH EQUISTREAM XK 16FR 36CM

Facility

$1,755.00

Service Code	HCPCS C1750
Hospital Charge Code	270653414S
Hospital Revenue Code	278
Min. Negotiated Rate	$49.84
Max. Negotiated Rate	$877.50
Rate for Payer: Aetna Commercial	$666.90
Rate for Payer: Aetna Medicare Advantage	$526.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$447.52
Rate for Payer: Cigna Commercial	$877.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.71
Rate for Payer: Qualcare PPO/HMO/WC	$263.25
Rate for Payer: UnitedHealthcare Community & State	$55.46
Rate for Payer: Wellpoint Medicaid Managed Care	$49.84

CATH EQUISTREAM XK 16FR 36CM

Facility

$1,755.00

Service Code	HCPCS C1750
Hospital Charge Code	270653414S
Hospital Revenue Code	278
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$424.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.71
Rate for Payer: Qualcare PPO/HMO/WC	$263.25

CATH EQUISTREAM XK 16FR 36CM

Facility

$1,825.00

Service Code	HCPCS C1750
Hospital Charge Code	270653414N
Hospital Revenue Code	278
Min. Negotiated Rate	$51.83
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$693.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Community & State	$57.67
Rate for Payer: Wellpoint Medicaid Managed Care	$51.83

CATHERER PERFUSION RED43

Facility

$11,950.00

Service Code	HCPCS C1887
Hospital Charge Code	270699564S
Hospital Revenue Code	278
Min. Negotiated Rate	$339.38
Max. Negotiated Rate	$5,975.00
Rate for Payer: Aetna Commercial	$4,541.00
Rate for Payer: Aetna Medicare Advantage	$3,585.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,047.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,047.25
Rate for Payer: Cigna Commercial	$5,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50
Rate for Payer: UnitedHealthcare Community & State	$377.62
Rate for Payer: Wellpoint Medicaid Managed Care	$339.38

CATHERER PERFUSION RED43

Facility

$11,950.00

Service Code	HCPCS C1887
Hospital Charge Code	270699564S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,792.50
Max. Negotiated Rate	$2,891.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,891.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,792.50

CATHERTER BALLOON 4 X 20 X 80

Facility

$975.00

Service Code	HCPCS C1725
Hospital Charge Code	270658395
Hospital Revenue Code	278
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

CATHERTER BALLOON 4 X 20 X 80

Facility

$975.00

Service Code	HCPCS C1725
Hospital Charge Code	270658395
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH ESOPH DIL 10-12M 5835

Facility

$939.05

Service Code	HCPCS C1726
Hospital Charge Code	270608028
Hospital Revenue Code	278
Min. Negotiated Rate	$26.67
Max. Negotiated Rate	$469.52
Rate for Payer: Aetna Commercial	$356.84
Rate for Payer: Aetna Medicare Advantage	$281.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.46
Rate for Payer: Cigna Commercial	$469.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.86
Rate for Payer: UnitedHealthcare Community & State	$29.67
Rate for Payer: Wellpoint Medicaid Managed Care	$26.67

CATH ESOPH DIL 10-12M 5835

Facility

$939.05

Service Code	HCPCS C1726
Hospital Charge Code	270608028
Hospital Revenue Code	278
Min. Negotiated Rate	$140.86
Max. Negotiated Rate	$227.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.86

CATH ESOPH DIL BAL 12-15M 5836

Facility

$4,201.00

Service Code	HCPCS C1726
Hospital Charge Code	270608025
Hospital Revenue Code	278
Min. Negotiated Rate	$119.31
Max. Negotiated Rate	$2,100.50
Rate for Payer: Aetna Commercial	$1,596.38
Rate for Payer: Aetna Medicare Advantage	$1,260.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,071.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,071.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$840.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,071.26
Rate for Payer: Cigna Commercial	$2,100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,016.64
Rate for Payer: Qualcare PPO/HMO/WC	$630.15
Rate for Payer: UnitedHealthcare Community & State	$132.75
Rate for Payer: Wellpoint Medicaid Managed Care	$119.31

CATH ESOPH DIL BAL 12-15M 5836

Facility

$4,201.00

Service Code	HCPCS C1726
Hospital Charge Code	270608025
Hospital Revenue Code	278
Min. Negotiated Rate	$630.15
Max. Negotiated Rate	$1,016.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$840.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,016.64
Rate for Payer: Qualcare PPO/HMO/WC	$630.15

CATHET BALLN ADMIRAL XTREM

Facility

$200.00

Service Code	HCPCS C1725
Hospital Charge Code	270655027
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

CATHET BALLN ADMIRAL XTREM

Facility

$200.00

Service Code	HCPCS C1725
Hospital Charge Code	270655027
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CATHETER 120CM 5F SIM

Facility

$625.00

Service Code	HCPCS C1725
Hospital Charge Code	270695065S
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATHETER 120CM 5F SIM

Facility

$625.00

Service Code	HCPCS C1725
Hospital Charge Code	270695065S
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

CATHETER 125 CM SIMS

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270690857
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATHETER 125 CM SIMS

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270690857
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

CATHETER 12 FR HIGH 20 CM

Facility

$2,647.60

Hospital Charge Code	270700834
Hospital Revenue Code	278
Min. Negotiated Rate	$75.19
Max. Negotiated Rate	$1,323.80
Rate for Payer: Aetna Commercial	$1,006.09
Rate for Payer: Aetna Medicare Advantage	$794.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$529.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.14
Rate for Payer: Cigna Commercial	$1,323.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$640.72
Rate for Payer: Qualcare PPO/HMO/WC	$397.14
Rate for Payer: UnitedHealthcare Community & State	$83.66
Rate for Payer: Wellpoint Medicaid Managed Care	$75.19

CATHETER 12 FR HIGH 20 CM

Facility

$2,647.60

Hospital Charge Code	270700834
Hospital Revenue Code	278
Min. Negotiated Rate	$397.14
Max. Negotiated Rate	$640.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$529.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$640.72
Rate for Payer: Qualcare PPO/HMO/WC	$397.14

Know your out-of-pocket cost for care.

All Charges