Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER CHOLANGIOGRAM 6FR 4C

Facility

$459.00

Hospital Charge Code	270331279
Hospital Revenue Code	636
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$174.42
Rate for Payer: Aetna Medicare Advantage	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.05
Rate for Payer: Cigna Commercial	$229.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.85
Rate for Payer: UnitedHealthcare Community & State	$14.50
Rate for Payer: Wellpoint Medicaid Managed Care	$13.04

CATHETER CHOLANGIOGRAM 6FR 4C

Facility

$459.00

Hospital Charge Code	270331279
Hospital Revenue Code	636
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$111.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

CATHETER COBRA2 5F 65CM

Facility

$94.50

Hospital Charge Code	270678511C
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$47.25
Rate for Payer: Aetna Commercial	$35.91
Rate for Payer: Aetna Medicare Advantage	$28.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.10
Rate for Payer: Cigna Commercial	$47.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.57
Rate for Payer: Oxford Commercial	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$14.18
Rate for Payer: UnitedHealthcare Commercial	$18.90
Rate for Payer: UnitedHealthcare Community & State	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

CATHETER COBRA2 5F 65CM

Facility

$94.50

Hospital Charge Code	270678511C
Hospital Revenue Code	272
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$14.18
Rate for Payer: Qualcare PPO/HMO/WC	$14.18

CATHETER COBRA VISCERAL

Facility

$142.00

Hospital Charge Code	270331244
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

CATHETER COBRA VISCERAL

Facility

$142.00

Hospital Charge Code	270331244
Hospital Revenue Code	278
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$71.00
Rate for Payer: Aetna Commercial	$53.96
Rate for Payer: Aetna Medicare Advantage	$42.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.21
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Community & State	$4.49
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

CATHETER COILED 2 CUFF PD

Facility

$650.00

Hospital Charge Code	270680169
Hospital Revenue Code	272
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.00
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$130.00
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

CATHETER COILED 2 CUFF PD

Facility

$650.00

Hospital Charge Code	270680169
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CATHETER CONNECTOR STRAIGHT

Facility

$147.00

Hospital Charge Code	270332232
Hospital Revenue Code	272
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$55.86
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.22
Rate for Payer: Oxford Commercial	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$29.40
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$4.17

CATHETER CONNECTOR STRAIGHT

Facility

$147.00

Hospital Charge Code	270332232
Hospital Revenue Code	272
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

CATHETER CONNECTOR ST S.STEEL

Facility

$508.80

Hospital Charge Code	270679735
Hospital Revenue Code	278
Min. Negotiated Rate	$14.45
Max. Negotiated Rate	$254.40
Rate for Payer: Aetna Commercial	$193.34
Rate for Payer: Aetna Medicare Advantage	$152.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.74
Rate for Payer: Cigna Commercial	$254.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.13
Rate for Payer: Qualcare PPO/HMO/WC	$76.32
Rate for Payer: UnitedHealthcare Community & State	$16.08
Rate for Payer: Wellpoint Medicaid Managed Care	$14.45

CATHETER CONNECTOR ST S.STEEL

Facility

$508.80

Hospital Charge Code	270679735
Hospital Revenue Code	278
Min. Negotiated Rate	$76.32
Max. Negotiated Rate	$123.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.13
Rate for Payer: Qualcare PPO/HMO/WC	$76.32

CATHETER CONTINUOUS IRRIGATION

Facility

$80.00

Hospital Charge Code	270331113
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 CONTINUOUS IRRIGATION

Facility

$80.00

Hospital Charge Code	270331113
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

CATHETER CONTRA FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270663945
Hospital Revenue Code	272
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.37

CATHETER CONTRA FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270663945
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$27.91
Rate for Payer: Aetna Commercial	$21.21
Rate for Payer: Aetna Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.23
Rate for Payer: Cigna Commercial	$27.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.51
Rate for Payer: Oxford Commercial	$11.16
Rate for Payer: Qualcare PPO/HMO/WC	$8.37
Rate for Payer: UnitedHealthcare Commercial	$11.16
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

CATHETER COUDE 16FR 30CC

Facility

$251.00

Hospital Charge Code	270332042
Hospital Revenue Code	272
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

CATHETER COUDE 16FR 30CC

Facility

$251.00

Hospital Charge Code	270332042
Hospital Revenue Code	272
Min. Negotiated Rate	$7.13
Max. Negotiated Rate	$125.50
Rate for Payer: Aetna Commercial	$95.38
Rate for Payer: Aetna Medicare Advantage	$75.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.00
Rate for Payer: Cigna Commercial	$125.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.26
Rate for Payer: Oxford Commercial	$50.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.65
Rate for Payer: UnitedHealthcare Commercial	$50.20
Rate for Payer: UnitedHealthcare Community & State	$7.93
Rate for Payer: Wellpoint Medicaid Managed Care	$7.13

CATHETER COUNCIL MODEL 12FR

Facility

$118.00

Hospital Charge Code	270331064
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

CATHETER COUNCIL MODEL 12FR

Facility

$118.00

Hospital Charge Code	270331064
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$59.00
Rate for Payer: Aetna Commercial	$44.84
Rate for Payer: Aetna Medicare Advantage	$35.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.09
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.68
Rate for Payer: Oxford Commercial	$23.60
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$23.60
Rate for Payer: UnitedHealthcare Community & State	$3.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.35

CATHETER COYOTE ES 3X40X145CM

Facility

$1,493.50

Service Code	HCPCS C1725
Hospital Charge Code	270669598
Hospital Revenue Code	278
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$361.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

CATHETER COYOTE ES 3X40X145CM

Facility

$1,493.50

Service Code	HCPCS C1725
Hospital Charge Code	270669598
Hospital Revenue Code	278
Min. Negotiated Rate	$42.42
Max. Negotiated Rate	$746.75
Rate for Payer: Aetna Commercial	$567.53
Rate for Payer: Aetna Medicare Advantage	$448.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.84
Rate for Payer: Cigna Commercial	$746.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: Qualcare PPO/HMO/WC	$224.03
Rate for Payer: UnitedHealthcare Community & State	$47.19
Rate for Payer: Wellpoint Medicaid Managed Care	$42.42

CATHETER CRAGG-MCNAMARA

Facility

$500.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463N
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

CATHETER CRAGG-MCNAMARA

Facility

$800.00

Service Code	HCPCS C1887
Hospital Charge Code	270657466N
Hospital Revenue Code	278
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

CATHETER CRAGG-MCNAMARA

Facility

$759.50

Service Code	HCPCS C1887
Hospital Charge Code	270657466
Hospital Revenue Code	278
Min. Negotiated Rate	$21.57
Max. Negotiated Rate	$379.75
Rate for Payer: Aetna Commercial	$288.61
Rate for Payer: Aetna Medicare Advantage	$227.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.67
Rate for Payer: Cigna Commercial	$379.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.80
Rate for Payer: Qualcare PPO/HMO/WC	$113.92
Rate for Payer: UnitedHealthcare Community & State	$24.00
Rate for Payer: Wellpoint Medicaid Managed Care	$21.57

Know your out-of-pocket cost for care.

All Charges