Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER, BROVIAC

Facility

$449.00

Hospital Charge Code	270335415
Hospital Revenue Code	278
Min. Negotiated Rate	$67.35
Max. Negotiated Rate	$108.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.66
Rate for Payer: Qualcare PPO/HMO/WC	$67.35

CATHETER, BROVIAC

Facility

$449.00

Hospital Charge Code	270335415
Hospital Revenue Code	278
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$224.50
Rate for Payer: Aetna Commercial	$170.62
Rate for Payer: Aetna Medicare Advantage	$134.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.50
Rate for Payer: Cigna Commercial	$224.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.66
Rate for Payer: Qualcare PPO/HMO/WC	$67.35
Rate for Payer: UnitedHealthcare Community & State	$14.19
Rate for Payer: Wellpoint Medicaid Managed Care	$12.75

CATHETER BROVIAL 6.6 SINGLE

Facility

$875.00

Hospital Charge Code	270665543
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

CATHETER BROVIAL 6.6 SINGLE

Facility

$875.00

Hospital Charge Code	270665543
Hospital Revenue Code	278
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

CATHETER CARDIOVASCULAR VISTA

Facility

$217.50

Hospital Charge Code	270639851
Hospital Revenue Code	272
Min. Negotiated Rate	$6.18
Max. Negotiated Rate	$108.75
Rate for Payer: Aetna Commercial	$82.65
Rate for Payer: Aetna Medicare Advantage	$65.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.46
Rate for Payer: Cigna Commercial	$108.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.55
Rate for Payer: Oxford Commercial	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.62
Rate for Payer: UnitedHealthcare Commercial	$43.50
Rate for Payer: UnitedHealthcare Community & State	$6.87
Rate for Payer: Wellpoint Medicaid Managed Care	$6.18

CATHETER CARDIOVASCULAR VISTA

Facility

$217.50

Hospital Charge Code	270639851
Hospital Revenue Code	272
Min. Negotiated Rate	$32.62
Max. Negotiated Rate	$32.62
Rate for Payer: Qualcare PPO/HMO/WC	$32.62

Catheter Cart 24D x 30W x 79

Facility

$4,080.00

Hospital Charge Code	270665972
Hospital Revenue Code	270
Min. Negotiated Rate	$612.00
Max. Negotiated Rate	$612.00
Rate for Payer: Qualcare PPO/HMO/WC	$612.00

Catheter Cart 24D x 30W x 79

Facility

$4,080.00

Hospital Charge Code	270665972
Hospital Revenue Code	270
Min. Negotiated Rate	$115.87
Max. Negotiated Rate	$2,040.00
Rate for Payer: Aetna Commercial	$1,550.40
Rate for Payer: Aetna Medicare Advantage	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,040.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,040.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,040.40
Rate for Payer: Cigna Commercial	$2,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,060.80
Rate for Payer: Oxford Commercial	$816.00
Rate for Payer: Qualcare PPO/HMO/WC	$612.00
Rate for Payer: UnitedHealthcare Commercial	$816.00
Rate for Payer: UnitedHealthcare Community & State	$128.93
Rate for Payer: Wellpoint Medicaid Managed Care	$115.87

CATHETER CENTEZE 5 FR 10 CM

Facility

$80.00

Hospital Charge Code	270685418
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$16.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

CATHETER CENTEZE 5 FR 10 CM

Facility

$80.00

Hospital Charge Code	270685418
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

CATHETER CENTEZE 5 FR 15 CM

Facility

$85.00

Hospital Charge Code	270685420
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.69
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

CATHETER CENTEZE 5 FR 15 CM

Facility

$85.00

Hospital Charge Code	270685420
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

CATHETER CENTEZE 5FR 7 CM

Facility

$80.00

Hospital Charge Code	270685419
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

CATHETER CENTEZE 5FR 7 CM

Facility

$80.00

Hospital Charge Code	270685419
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$16.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

CATHETER CENT HEMO 15Fr X 50cm

Facility

$1,975.00

Service Code	HCPCS C1752
Hospital Charge Code	270680765
Hospital Revenue Code	278
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

CATHETER CENT HEMO 15Fr X 50cm

Facility

$1,975.00

Service Code	HCPCS C1752
Hospital Charge Code	270680765
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CATHETER CHIKAI BLACK 18 200 M

Facility

$2,745.00

Service Code	HCPCS C1769
Hospital Charge Code	270698018
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

CATHETER CHIKAI BLACK 18 200 M

Facility

$2,745.00

Service Code	HCPCS C1769
Hospital Charge Code	270698018
Hospital Revenue Code	278
Min. Negotiated Rate	$77.96
Max. Negotiated Rate	$1,372.50
Rate for Payer: Aetna Commercial	$1,043.10
Rate for Payer: Aetna Medicare Advantage	$823.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$549.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.98
Rate for Payer: Cigna Commercial	$1,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.29
Rate for Payer: Qualcare PPO/HMO/WC	$411.75
Rate for Payer: UnitedHealthcare Community & State	$86.74
Rate for Payer: Wellpoint Medicaid Managed Care	$77.96

CATHETER CHOCOLATE 2.5 X 120 C

Facility

$5,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270684606
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

CATHETER CHOCOLATE 2.5 X 120 C

Facility

$5,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270684606
Hospital Revenue Code	278
Min. Negotiated Rate	$163.30
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$2,185.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50
Rate for Payer: UnitedHealthcare Community & State	$181.70
Rate for Payer: Wellpoint Medicaid Managed Care	$163.30

CATHETER CHOCOLATE 2.5X40CM

Facility

$3,825.00

Service Code	HCPCS C1725
Hospital Charge Code	4046687518
Hospital Revenue Code	278
Min. Negotiated Rate	$108.63
Max. Negotiated Rate	$1,912.50
Rate for Payer: Aetna Commercial	$1,453.50
Rate for Payer: Aetna Medicare Advantage	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$975.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$975.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$975.38
Rate for Payer: Cigna Commercial	$1,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$925.65
Rate for Payer: Qualcare PPO/HMO/WC	$573.75
Rate for Payer: UnitedHealthcare Community & State	$120.87
Rate for Payer: Wellpoint Medicaid Managed Care	$108.63

CATHETER CHOCOLATE 2.5X40CM

Facility

$3,825.00

Service Code	HCPCS C1725
Hospital Charge Code	4046687518
Hospital Revenue Code	278
Min. Negotiated Rate	$573.75
Max. Negotiated Rate	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$925.65
Rate for Payer: Qualcare PPO/HMO/WC	$573.75

CATHETER CHOCOLATE 2.5X40CM

Facility

$3,825.00

Service Code	HCPCS C1725
Hospital Charge Code	270687518V
Hospital Revenue Code	278
Min. Negotiated Rate	$573.75
Max. Negotiated Rate	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$925.65
Rate for Payer: Qualcare PPO/HMO/WC	$573.75

CATHETER CHOCOLATE 2.5X40CM

Facility

$3,825.00

Service Code	HCPCS C1725
Hospital Charge Code	270687518V
Hospital Revenue Code	278
Min. Negotiated Rate	$108.63
Max. Negotiated Rate	$1,912.50
Rate for Payer: Aetna Commercial	$1,453.50
Rate for Payer: Aetna Medicare Advantage	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$975.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$975.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$975.38
Rate for Payer: Cigna Commercial	$1,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$925.65
Rate for Payer: Qualcare PPO/HMO/WC	$573.75
Rate for Payer: UnitedHealthcare Community & State	$120.87
Rate for Payer: Wellpoint Medicaid Managed Care	$108.63

CATHETER CHOCOLATE 3.0X120CM

Facility

$3,825.00

Service Code	HCPCS C1725
Hospital Charge Code	4046684603
Hospital Revenue Code	278
Min. Negotiated Rate	$573.75
Max. Negotiated Rate	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$925.65
Rate for Payer: Qualcare PPO/HMO/WC	$573.75

Know your out-of-pocket cost for care.

All Charges