Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER LOCKING DRAINAGE 12FR

Facility

$346.75

Hospital Charge Code	270655075N
Hospital Revenue Code	272
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$52.01
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATHETER LOCKING DRAINAGE 12FR

Facility

$328.00

Hospital Charge Code	270655075
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

CATHETER LOW-PROFILE 6MM X 6CM

Facility

$1,200.00

Hospital Charge Code	270667763
Hospital Revenue Code	272
Min. Negotiated Rate	$34.08
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.00
Rate for Payer: Oxford Commercial	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Commercial	$240.00
Rate for Payer: UnitedHealthcare Community & State	$37.92
Rate for Payer: Wellpoint Medicaid Managed Care	$34.08

CATHETER LOW-PROFILE 6MM X 6CM

Facility

$1,200.00

Hospital Charge Code	270667763
Hospital Revenue Code	272
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CATHETER LP PTA 4.0FR 4CM

Facility

$2,650.00

Hospital Charge Code	270668377
Hospital Revenue Code	278
Min. Negotiated Rate	$75.26
Max. Negotiated Rate	$1,325.00
Rate for Payer: Aetna Commercial	$1,007.00
Rate for Payer: Aetna Medicare Advantage	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.75
Rate for Payer: Cigna Commercial	$1,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.30
Rate for Payer: Qualcare PPO/HMO/WC	$397.50
Rate for Payer: UnitedHealthcare Community & State	$83.74
Rate for Payer: Wellpoint Medicaid Managed Care	$75.26

CATHETER LP PTA 4.0FR 4CM

Facility

$2,650.00

Hospital Charge Code	270668377
Hospital Revenue Code	278
Min. Negotiated Rate	$397.50
Max. Negotiated Rate	$641.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.30
Rate for Payer: Qualcare PPO/HMO/WC	$397.50

CATHETER MALECOT URET. 18FR

Facility

$65.00

Hospital Charge Code	270331471
Hospital Revenue Code	278
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$24.70
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

CATHETER MALECOT URET. 18FR

Facility

$65.00

Hospital Charge Code	270331471
Hospital Revenue Code	278
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$15.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

CATHETER MANI 5FR 100 x .035

Facility

$60.00

Service Code	HCPCS C1725
Hospital Charge Code	270665046
Hospital Revenue Code	278
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$14.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

CATHETER MANI 5FR 100 x .035

Facility

$60.00

Service Code	HCPCS C1725
Hospital Charge Code	270665046
Hospital Revenue Code	278
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

CATHETER MARATHON NO STYLET

Facility

$4,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685190S
Hospital Revenue Code	278
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

CATHETER MARATHON NO STYLET

Facility

$4,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685190S
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

CATHETER MARATHON NO STYLET

Facility

$4,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685190
Hospital Revenue Code	278
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

CATHETER MARATHON NO STYLET

Facility

$4,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685190
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

CATHETER MARKSMAN 150 CM

Facility

$6,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685147
Hospital Revenue Code	278
Min. Negotiated Rate	$184.60
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$2,470.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00
Rate for Payer: UnitedHealthcare Community & State	$205.40
Rate for Payer: Wellpoint Medicaid Managed Care	$184.60

CATHETER MARKSMAN 150 CM

Facility

$6,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685147
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CATHETER MARKSMAN 150 CM

Facility

$6,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685147S
Hospital Revenue Code	278
Min. Negotiated Rate	$184.60
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$2,470.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00
Rate for Payer: UnitedHealthcare Community & State	$205.40
Rate for Payer: Wellpoint Medicaid Managed Care	$184.60

CATHETER MARKSMAN 150 CM

Facility

$6,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270685147S
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CATHETER MARKSMAN 160 CM

Facility

$6,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270685146S
Hospital Revenue Code	278
Min. Negotiated Rate	$997.50
Max. Negotiated Rate	$1,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50

CATHETER MARKSMAN 160 CM

Facility

$6,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270685146
Hospital Revenue Code	278
Min. Negotiated Rate	$997.50
Max. Negotiated Rate	$1,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50

CATHETER MARKSMAN 160 CM

Facility

$6,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270685146S
Hospital Revenue Code	278
Min. Negotiated Rate	$188.86
Max. Negotiated Rate	$3,325.00
Rate for Payer: Aetna Commercial	$2,527.00
Rate for Payer: Aetna Medicare Advantage	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,695.75
Rate for Payer: Cigna Commercial	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50
Rate for Payer: UnitedHealthcare Community & State	$210.14
Rate for Payer: Wellpoint Medicaid Managed Care	$188.86

CATHETER MARKSMAN 160 CM

Facility

$6,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270685146
Hospital Revenue Code	278
Min. Negotiated Rate	$188.86
Max. Negotiated Rate	$3,325.00
Rate for Payer: Aetna Commercial	$2,527.00
Rate for Payer: Aetna Medicare Advantage	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,695.75
Rate for Payer: Cigna Commercial	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50
Rate for Payer: UnitedHealthcare Community & State	$210.14
Rate for Payer: Wellpoint Medicaid Managed Care	$188.86

CATHETER MICRO STC .018X150CM

Facility

$2,016.00

Service Code	HCPCS C1887
Hospital Charge Code	270669493
Hospital Revenue Code	278
Min. Negotiated Rate	$302.40
Max. Negotiated Rate	$487.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.87
Rate for Payer: Qualcare PPO/HMO/WC	$302.40

CATHETER MICRO STC .018X150CM

Facility

$2,016.00

Service Code	HCPCS C1887
Hospital Charge Code	270669493
Hospital Revenue Code	278
Min. Negotiated Rate	$57.25
Max. Negotiated Rate	$1,008.00
Rate for Payer: Aetna Commercial	$766.08
Rate for Payer: Aetna Medicare Advantage	$604.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.08
Rate for Payer: Cigna Commercial	$1,008.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.87
Rate for Payer: Qualcare PPO/HMO/WC	$302.40
Rate for Payer: UnitedHealthcare Community & State	$63.71
Rate for Payer: Wellpoint Medicaid Managed Care	$57.25

CATHETER MUSTANG 5FR 5.0X80MM

Facility

$1,250.00

Hospital Charge Code	270671668
Hospital Revenue Code	278
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

Know your out-of-pocket cost for care.

All Charges