Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER GUIDING C1

Facility

$437.75

Hospital Charge Code	270666825
Hospital Revenue Code	278
Min. Negotiated Rate	$65.66
Max. Negotiated Rate	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.94
Rate for Payer: Qualcare PPO/HMO/WC	$65.66

CATHETER GUIDING C2

Facility

$437.75

Hospital Charge Code	270666826
Hospital Revenue Code	278
Min. Negotiated Rate	$65.66
Max. Negotiated Rate	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.94
Rate for Payer: Qualcare PPO/HMO/WC	$65.66

CATHETER GUIDING C2

Facility

$437.75

Hospital Charge Code	270666826
Hospital Revenue Code	278
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$218.88
Rate for Payer: Aetna Commercial	$166.34
Rate for Payer: Aetna Medicare Advantage	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.63
Rate for Payer: Cigna Commercial	$218.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.94
Rate for Payer: Qualcare PPO/HMO/WC	$65.66
Rate for Payer: UnitedHealthcare Community & State	$13.83
Rate for Payer: Wellpoint Medicaid Managed Care	$12.43

CATHETER GUIDING LIMA

Facility

$437.75

Hospital Charge Code	270666827
Hospital Revenue Code	278
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$218.88
Rate for Payer: Aetna Commercial	$166.34
Rate for Payer: Aetna Medicare Advantage	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.63
Rate for Payer: Cigna Commercial	$218.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.94
Rate for Payer: Qualcare PPO/HMO/WC	$65.66
Rate for Payer: UnitedHealthcare Community & State	$13.83
Rate for Payer: Wellpoint Medicaid Managed Care	$12.43

CATHETER GUIDING LIMA

Facility

$437.75

Hospital Charge Code	270666827
Hospital Revenue Code	278
Min. Negotiated Rate	$65.66
Max. Negotiated Rate	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.94
Rate for Payer: Qualcare PPO/HMO/WC	$65.66

CATHETER HEADWAY DUO 167 STR

Facility

$6,000.00

Service Code	HCPCS C1887
Hospital Charge Code	270693916S
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

CATHETER HEADWAY DUO 167 STR

Facility

$6,000.00

Service Code	HCPCS C1887
Hospital Charge Code	270693916S
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

CATHETER HEMATURA 30CC 24FR

Facility

$101.23

Hospital Charge Code	270659391
Hospital Revenue Code	272
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$15.18
Rate for Payer: Qualcare PPO/HMO/WC	$15.18

CATHETER HEMATURA 30CC 24FR

Facility

$101.23

Hospital Charge Code	270659391
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$50.62
Rate for Payer: Aetna Commercial	$38.47
Rate for Payer: Aetna Medicare Advantage	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.81
Rate for Payer: Cigna Commercial	$50.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Oxford Commercial	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$15.18
Rate for Payer: UnitedHealthcare Commercial	$20.25
Rate for Payer: UnitedHealthcare Community & State	$3.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

CATHETER HEMODIALYSIS 2L 15FR

Facility

$1,810.65

Service Code	HCPCS C1750
Hospital Charge Code	270680129
Hospital Revenue Code	278
Min. Negotiated Rate	$271.60
Max. Negotiated Rate	$438.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.18
Rate for Payer: Qualcare PPO/HMO/WC	$271.60

CATHETER HEMODIALYSIS 2L 15FR

Facility

$1,810.65

Service Code	HCPCS C1750
Hospital Charge Code	270680129
Hospital Revenue Code	278
Min. Negotiated Rate	$51.42
Max. Negotiated Rate	$905.33
Rate for Payer: Aetna Commercial	$688.05
Rate for Payer: Aetna Medicare Advantage	$543.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.72
Rate for Payer: Cigna Commercial	$905.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.18
Rate for Payer: Qualcare PPO/HMO/WC	$271.60
Rate for Payer: UnitedHealthcare Community & State	$57.22
Rate for Payer: Wellpoint Medicaid Managed Care	$51.42

CATHETER,HEMODIALYSIS,LONG-TRM

Facility

$21.40

Service Code	HCPCS C1750
Hospital Charge Code	4800940
Hospital Revenue Code	278
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

CATHETER,HEMODIALYSIS,LONG-TRM

Facility

$21.40

Service Code	HCPCS C1750
Hospital Charge Code	4800940
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER HEMODIALYSIS NS 27 CM

Facility

$1,500.75

Service Code	HCPCS C1751
Hospital Charge Code	270681579
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS NS 27 CM

Facility

$1,500.75

Service Code	HCPCS C1751
Hospital Charge Code	270681579
Hospital Revenue Code	278
Min. Negotiated Rate	$42.62
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$570.28
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11
Rate for Payer: UnitedHealthcare Community & State	$47.42
Rate for Payer: Wellpoint Medicaid Managed Care	$42.62

CATHETER,HEMODIALYSIS,SHRT-TR

Facility

$21.40

Service Code	HCPCS C1752
Hospital Charge Code	4800895
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER,HEMODIALYSIS,SHRT-TR

Facility

$21.40

Service Code	HCPCS C1752
Hospital Charge Code	4800895
Hospital Revenue Code	278
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411C
Hospital Revenue Code	278
Min. Negotiated Rate	$42.62
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$570.28
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11
Rate for Payer: UnitedHealthcare Community & State	$47.42
Rate for Payer: Wellpoint Medicaid Managed Care	$42.62

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411
Hospital Revenue Code	278
Min. Negotiated Rate	$42.62
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$570.28
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11
Rate for Payer: UnitedHealthcare Community & State	$47.42
Rate for Payer: Wellpoint Medicaid Managed Care	$42.62

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411C
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411N
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411N
Hospital Revenue Code	278
Min. Negotiated Rate	$42.62
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$570.28
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11
Rate for Payer: UnitedHealthcare Community & State	$47.42
Rate for Payer: Wellpoint Medicaid Managed Care	$42.62

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMOSTAR DUAL 42 CM

Facility

$1,495.00

Service Code	HCPCS C1750
Hospital Charge Code	270684237
Hospital Revenue Code	278
Min. Negotiated Rate	$42.46
Max. Negotiated Rate	$747.50
Rate for Payer: Aetna Commercial	$568.10
Rate for Payer: Aetna Medicare Advantage	$448.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.23
Rate for Payer: Cigna Commercial	$747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25
Rate for Payer: UnitedHealthcare Community & State	$47.24
Rate for Payer: Wellpoint Medicaid Managed Care	$42.46

CATHETER HEMOSTAR DUAL 42 CM

Facility

$1,495.00

Service Code	HCPCS C1750
Hospital Charge Code	270684237
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$361.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

Know your out-of-pocket cost for care.

All Charges