Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066N
Hospital Revenue Code	272
Min. Negotiated Rate	$183.89
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,683.50
Rate for Payer: Oxford Commercial	$1,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$1,295.00
Rate for Payer: UnitedHealthcare Community & State	$204.61
Rate for Payer: Wellpoint Medicaid Managed Care	$183.89

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066S
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066S
Hospital Revenue Code	272
Min. Negotiated Rate	$183.89
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,683.50
Rate for Payer: Oxford Commercial	$1,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$1,295.00
Rate for Payer: UnitedHealthcare Community & State	$204.61
Rate for Payer: Wellpoint Medicaid Managed Care	$183.89

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066N
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CATHETER FLOWGATE 8F 95 CM

Facility

$6,475.00

Hospital Charge Code	270685066
Hospital Revenue Code	272
Min. Negotiated Rate	$183.89
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,683.50
Rate for Payer: Oxford Commercial	$1,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$1,295.00
Rate for Payer: UnitedHealthcare Community & State	$204.61
Rate for Payer: Wellpoint Medicaid Managed Care	$183.89

CATHETER FLOWGATE 8F 95 CM

Facility

$6,475.00

Hospital Charge Code	270685066
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CATHETER FOGARTY EMBOLECTOM

Facility

$368.00

Hospital Charge Code	270331682
Hospital Revenue Code	278
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$89.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

CATHETER FOGARTY EMBOLECTOM

Facility

$368.00

Hospital Charge Code	270331682
Hospital Revenue Code	278
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$184.00
Rate for Payer: Aetna Commercial	$139.84
Rate for Payer: Aetna Medicare Advantage	$110.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.84
Rate for Payer: Cigna Commercial	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: Qualcare PPO/HMO/WC	$55.20
Rate for Payer: UnitedHealthcare Community & State	$11.63
Rate for Payer: Wellpoint Medicaid Managed Care	$10.45

CATHETER: FOGARTY OCCLUSION

Facility

$392.00

Hospital Charge Code	270331862
Hospital Revenue Code	278
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$148.96
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: Qualcare PPO/HMO/WC	$58.80
Rate for Payer: UnitedHealthcare Community & State	$12.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

CATHETER: FOGARTY OCCLUSION

Facility

$392.00

Hospital Charge Code	270331862
Hospital Revenue Code	278
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

CATHETER FOLEY 20FR. 5CC 2 EYE

Facility

$106.00

Hospital Charge Code	270331926
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$53.00
Rate for Payer: Aetna Commercial	$40.28
Rate for Payer: Aetna Medicare Advantage	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.03
Rate for Payer: Cigna Commercial	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.56
Rate for Payer: Oxford Commercial	$21.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.90
Rate for Payer: UnitedHealthcare Commercial	$21.20
Rate for Payer: UnitedHealthcare Community & State	$3.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.01

CATHETER FOLEY 20FR. 5CC 2 EYE

Facility

$106.00

Hospital Charge Code	270331926
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

CATHETER FOLEY 22FR 30CC 2-WAY

Facility

$99.00

Hospital Charge Code	270331119
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

CATHETER FOLEY 22FR 30CC 2-WAY

Facility

$99.00

Hospital Charge Code	270331119
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

CATHETER FOLEY 26FR 30CC 2 WAY

Facility

$118.00

Hospital Charge Code	270331101
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 FOLEY 26FR 30CC 2 WAY

Facility

$118.00

Hospital Charge Code	270331101
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

CATHETER FOLEY 26FR 3-WAY

Facility

$258.00

Hospital Charge Code	270332043
Hospital Revenue Code	272
Min. Negotiated Rate	$7.33
Max. Negotiated Rate	$129.00
Rate for Payer: Aetna Commercial	$98.04
Rate for Payer: Aetna Medicare Advantage	$77.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.79
Rate for Payer: Cigna Commercial	$129.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.08
Rate for Payer: Oxford Commercial	$51.60
Rate for Payer: Qualcare PPO/HMO/WC	$38.70
Rate for Payer: UnitedHealthcare Commercial	$51.60
Rate for Payer: UnitedHealthcare Community & State	$8.15
Rate for Payer: Wellpoint Medicaid Managed Care	$7.33

CATHETER FOLEY 26FR 3-WAY

Facility

$258.00

Hospital Charge Code	270332043
Hospital Revenue Code	272
Min. Negotiated Rate	$38.70
Max. Negotiated Rate	$38.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.70

CATHETER FOLEY 26FR 5CC 2 WAY

Facility

$92.00

Hospital Charge Code	270331099
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

CATHETER FOLEY 26FR 5CC 2 WAY

Facility

$92.00

Hospital Charge Code	270331099
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.91
Rate for Payer: Wellpoint Medicaid Managed Care	$2.61

CATHETER FOLEY 28FR 2 EYE

Facility

$92.00

Hospital Charge Code	270331477
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.91
Rate for Payer: Wellpoint Medicaid Managed Care	$2.61

CATHETER FOLEY 28FR 2 EYE

Facility

$92.00

Hospital Charge Code	270331477
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

CATHETER FOLEY 30CC

Facility

$398.95

Hospital Charge Code	270663718
Hospital Revenue Code	272
Min. Negotiated Rate	$11.33
Max. Negotiated Rate	$199.47
Rate for Payer: Aetna Commercial	$151.60
Rate for Payer: Aetna Medicare Advantage	$119.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.73
Rate for Payer: Cigna Commercial	$199.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.73
Rate for Payer: Oxford Commercial	$79.79
Rate for Payer: Qualcare PPO/HMO/WC	$59.84
Rate for Payer: UnitedHealthcare Commercial	$79.79
Rate for Payer: UnitedHealthcare Community & State	$12.61
Rate for Payer: Wellpoint Medicaid Managed Care	$11.33

CATHETER FOLEY 30CC

Facility

$398.95

Hospital Charge Code	270663718
Hospital Revenue Code	272
Min. Negotiated Rate	$59.84
Max. Negotiated Rate	$59.84
Rate for Payer: Qualcare PPO/HMO/WC	$59.84

CATHETER FOLEY 30FR 5CC 2 WAY

Facility

$94.00

Hospital Charge Code	270331626
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

Know your out-of-pocket cost for care.

All Charges