Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 5FR SOFT-VU 65CM X.03

Facility

$166.50

Hospital Charge Code	270672223N
Hospital Revenue Code	272
Min. Negotiated Rate	$4.73
Max. Negotiated Rate	$83.25
Rate for Payer: Aetna Commercial	$63.27
Rate for Payer: Aetna Medicare Advantage	$49.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.46
Rate for Payer: Cigna Commercial	$83.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.29
Rate for Payer: Oxford Commercial	$33.30
Rate for Payer: Qualcare PPO/HMO/WC	$24.98
Rate for Payer: UnitedHealthcare Commercial	$33.30
Rate for Payer: UnitedHealthcare Community & State	$5.26
Rate for Payer: Wellpoint Medicaid Managed Care	$4.73

CATHETER 5FR SOFT-VU 65CM X.03

Facility

$166.50

Hospital Charge Code	270672223N
Hospital Revenue Code	272
Min. Negotiated Rate	$24.98
Max. Negotiated Rate	$24.98
Rate for Payer: Qualcare PPO/HMO/WC	$24.98

CATHETER 5FR SOFT-VU 65CM X.03

Facility

$166.50

Hospital Charge Code	270672223
Hospital Revenue Code	272
Min. Negotiated Rate	$24.98
Max. Negotiated Rate	$24.98
Rate for Payer: Qualcare PPO/HMO/WC	$24.98

CATHETER 5FR SOFT-VU 65CM X.03

Facility

$166.50

Hospital Charge Code	270672223
Hospital Revenue Code	272
Min. Negotiated Rate	$4.73
Max. Negotiated Rate	$83.25
Rate for Payer: Aetna Commercial	$63.27
Rate for Payer: Aetna Medicare Advantage	$49.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.46
Rate for Payer: Cigna Commercial	$83.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.29
Rate for Payer: Oxford Commercial	$33.30
Rate for Payer: Qualcare PPO/HMO/WC	$24.98
Rate for Payer: UnitedHealthcare Commercial	$33.30
Rate for Payer: UnitedHealthcare Community & State	$5.26
Rate for Payer: Wellpoint Medicaid Managed Care	$4.73

CATHETER 5 FR URETHANE UMB

Facility

$659.20

Hospital Charge Code	270663692
Hospital Revenue Code	278
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$329.60
Rate for Payer: Aetna Commercial	$250.50
Rate for Payer: Aetna Medicare Advantage	$197.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.10
Rate for Payer: Cigna Commercial	$329.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.53
Rate for Payer: Qualcare PPO/HMO/WC	$98.88
Rate for Payer: UnitedHealthcare Community & State	$20.83
Rate for Payer: Wellpoint Medicaid Managed Care	$18.72

CATHETER 5 FR URETHANE UMB

Facility

$659.20

Hospital Charge Code	270663692
Hospital Revenue Code	278
Min. Negotiated Rate	$98.88
Max. Negotiated Rate	$159.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.53
Rate for Payer: Qualcare PPO/HMO/WC	$98.88

CATHETER 6F JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658027
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 6F JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658027S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATHETER 6F JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658027
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATHETER 6F JR 3.5

Facility

$9.50

Service Code	HCPCS C1887
Hospital Charge Code	270658027N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.43

CATHETER 6F JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658027S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 6F JR 3.5

Facility

$9.50

Service Code	HCPCS C1887
Hospital Charge Code	270658027N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$4.75
Rate for Payer: Aetna Commercial	$3.61
Rate for Payer: Aetna Medicare Advantage	$2.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.42
Rate for Payer: Cigna Commercial	$4.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

CATHETER 6F JR5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658030N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATHETER 6F JR5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658030S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATHETER 6F JR5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658030
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATHETER 6F JR5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658030
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 6F JR5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658030S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 6F JR5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658030N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 6F MP A1

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658145S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 6F MP A1

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658145S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATHETER 6FR AL1

Facility

$8.00

Service Code	HCPCS C1887
Hospital Charge Code	270658034N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

CATHETER 6FR AL1

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658034
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 6FR AL1

Facility

$8.00

Service Code	HCPCS C1887
Hospital Charge Code	270658034N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$3.04
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

CATHETER 6FR AL1

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658034
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATHETER 6FR AL1

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658034S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

Know your out-of-pocket cost for care.

All Charges