Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 7.5FR 40 CC FIBER

Facility

$5,227.25

Hospital Charge Code	270682409
Hospital Revenue Code	272
Min. Negotiated Rate	$148.45
Max. Negotiated Rate	$2,613.62
Rate for Payer: Aetna Commercial	$1,986.36
Rate for Payer: Aetna Medicare Advantage	$1,568.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.95
Rate for Payer: Cigna Commercial	$2,613.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,359.09
Rate for Payer: Oxford Commercial	$1,045.45
Rate for Payer: Qualcare PPO/HMO/WC	$784.09
Rate for Payer: UnitedHealthcare Commercial	$1,045.45
Rate for Payer: UnitedHealthcare Community & State	$165.18
Rate for Payer: Wellpoint Medicaid Managed Care	$148.45

CATHETER 7.5FR 40 CC FIBER

Facility

$5,227.25

Hospital Charge Code	270682409
Hospital Revenue Code	272
Min. Negotiated Rate	$784.09
Max. Negotiated Rate	$784.09
Rate for Payer: Qualcare PPO/HMO/WC	$784.09

CATHETER 7FR XB 3-1 INTERVENTN

Facility

$220.00

Service Code	HCPCS C1751
Hospital Charge Code	270658029
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATHETER 7FR XB 3-1 INTERVENTN

Facility

$220.00

Service Code	HCPCS C1751
Hospital Charge Code	270658029
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATHETER 8 F 50CC IAB FIBER

Facility

$5,227.25

Hospital Charge Code	270682408
Hospital Revenue Code	272
Min. Negotiated Rate	$148.45
Max. Negotiated Rate	$2,613.62
Rate for Payer: Aetna Commercial	$1,986.36
Rate for Payer: Aetna Medicare Advantage	$1,568.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.95
Rate for Payer: Cigna Commercial	$2,613.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,359.09
Rate for Payer: Oxford Commercial	$1,045.45
Rate for Payer: Qualcare PPO/HMO/WC	$784.09
Rate for Payer: UnitedHealthcare Commercial	$1,045.45
Rate for Payer: UnitedHealthcare Community & State	$165.18
Rate for Payer: Wellpoint Medicaid Managed Care	$148.45

CATHETER 8 F 50CC IAB FIBER

Facility

$5,227.25

Hospital Charge Code	270682408
Hospital Revenue Code	272
Min. Negotiated Rate	$784.09
Max. Negotiated Rate	$784.09
Rate for Payer: Qualcare PPO/HMO/WC	$784.09

CATHETER,AC-CIRC.C KIT19CM-13

Facility

$470.00

Hospital Charge Code	270335404
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

CATHETER,AC-CIRC.C KIT19CM-13

Facility

$470.00

Hospital Charge Code	270335404
Hospital Revenue Code	272
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.20
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$94.00
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$13.35

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965
Hospital Revenue Code	278
Min. Negotiated Rate	$344.35
Max. Negotiated Rate	$6,062.50
Rate for Payer: Aetna Commercial	$4,607.50
Rate for Payer: Aetna Medicare Advantage	$3,637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,091.88
Rate for Payer: Cigna Commercial	$6,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75
Rate for Payer: UnitedHealthcare Community & State	$383.15
Rate for Payer: Wellpoint Medicaid Managed Care	$344.35

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$2,934.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965S
Hospital Revenue Code	278
Min. Negotiated Rate	$344.35
Max. Negotiated Rate	$6,062.50
Rate for Payer: Aetna Commercial	$4,607.50
Rate for Payer: Aetna Medicare Advantage	$3,637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,091.88
Rate for Payer: Cigna Commercial	$6,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75
Rate for Payer: UnitedHealthcare Community & State	$383.15
Rate for Payer: Wellpoint Medicaid Managed Care	$344.35

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965N
Hospital Revenue Code	278
Min. Negotiated Rate	$344.35
Max. Negotiated Rate	$6,062.50
Rate for Payer: Aetna Commercial	$4,607.50
Rate for Payer: Aetna Medicare Advantage	$3,637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,091.88
Rate for Payer: Cigna Commercial	$6,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75
Rate for Payer: UnitedHealthcare Community & State	$383.15
Rate for Payer: Wellpoint Medicaid Managed Care	$344.35

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$2,934.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$2,934.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE64 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682964
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

CATHETER ACE64 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682964
Hospital Revenue Code	278
Min. Negotiated Rate	$390.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Community & State	$434.50
Rate for Payer: Wellpoint Medicaid Managed Care	$390.50

CATHETER ACE68 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682963N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

CATHETER ACE68 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682963
Hospital Revenue Code	278
Min. Negotiated Rate	$390.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Community & State	$434.50
Rate for Payer: Wellpoint Medicaid Managed Care	$390.50

CATHETER ACE68 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682963
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

CATHETER ACE68 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682963N
Hospital Revenue Code	278
Min. Negotiated Rate	$390.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Community & State	$434.50
Rate for Payer: Wellpoint Medicaid Managed Care	$390.50

CATHETER ADULT PRESTERNAL CRVD

Facility

$2,375.00

Hospital Charge Code	270674113
Hospital Revenue Code	272
Min. Negotiated Rate	$67.45
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$475.00
Rate for Payer: UnitedHealthcare Community & State	$75.05
Rate for Payer: Wellpoint Medicaid Managed Care	$67.45

CATHETER ADULT PRESTERNAL CRVD

Facility

$2,375.00

Hospital Charge Code	270674113
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

CATHETER ALL PURPOSE 12 FR 16

Facility

$42.00

Hospital Charge Code	270332306
Hospital Revenue Code	278
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$10.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

CATHETER ALL PURPOSE 12 FR 16

Facility

$42.00

Hospital Charge Code	270332306
Hospital Revenue Code	278
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$15.96
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

CATHETER, ANGIO

Facility

$219.00

Hospital Charge Code	2008090
Hospital Revenue Code	272
Min. Negotiated Rate	$6.22
Max. Negotiated Rate	$109.50
Rate for Payer: Aetna Commercial	$83.22
Rate for Payer: Aetna Medicare Advantage	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.84
Rate for Payer: Cigna Commercial	$109.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.94
Rate for Payer: Oxford Commercial	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$32.85
Rate for Payer: UnitedHealthcare Commercial	$43.80
Rate for Payer: UnitedHealthcare Community & State	$6.92
Rate for Payer: Wellpoint Medicaid Managed Care	$6.22

Know your out-of-pocket cost for care.

All Charges