Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

CATHETER MUSTANG 5FR 6.0X80MM

Facility

$1,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270671669
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER MUSTANG 5FR 6.0X80MM

Facility

$1,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270671669
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

CATHETER NAVICROSS SUPPORT 30

Facility

$975.00

Service Code	HCPCS C1725
Hospital Charge Code	270665135
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATHETER NAVICROSS SUPPORT 30

Facility

$975.00

Service Code	HCPCS C1725
Hospital Charge Code	270665135
Hospital Revenue Code	278
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

CATHETER NC TREK 2 75MMX15MM

Facility

$850.00

Service Code	HCPCS C1725
Hospital Charge Code	270666553
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER NC TREK 2 75MMX15MM

Facility

$850.00

Service Code	HCPCS C1725
Hospital Charge Code	270666553
Hospital Revenue Code	278
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$26.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.14

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793
Hospital Revenue Code	272
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$55.12
Rate for Payer: Aetna Commercial	$41.90
Rate for Payer: Aetna Medicare Advantage	$33.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.11
Rate for Payer: Cigna Commercial	$55.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.66
Rate for Payer: Oxford Commercial	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.54
Rate for Payer: UnitedHealthcare Commercial	$22.05
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.13

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793
Hospital Revenue Code	272
Min. Negotiated Rate	$16.54
Max. Negotiated Rate	$16.54
Rate for Payer: Qualcare PPO/HMO/WC	$16.54

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793R
Hospital Revenue Code	272
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$55.12
Rate for Payer: Aetna Commercial	$41.90
Rate for Payer: Aetna Medicare Advantage	$33.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.11
Rate for Payer: Cigna Commercial	$55.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.66
Rate for Payer: Oxford Commercial	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.54
Rate for Payer: UnitedHealthcare Commercial	$22.05
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.13

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793R
Hospital Revenue Code	272
Min. Negotiated Rate	$16.54
Max. Negotiated Rate	$16.54
Rate for Payer: Qualcare PPO/HMO/WC	$16.54

CATHETER NEONTATAL SILICONE

Facility

$269.87

Hospital Charge Code	270669981
Hospital Revenue Code	272
Min. Negotiated Rate	$40.48
Max. Negotiated Rate	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$40.48

CATHETER NEONTATAL SILICONE

Facility

$269.87

Hospital Charge Code	270669981
Hospital Revenue Code	272
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$134.94
Rate for Payer: Aetna Commercial	$102.55
Rate for Payer: Aetna Medicare Advantage	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.82
Rate for Payer: Cigna Commercial	$134.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.17
Rate for Payer: Oxford Commercial	$53.97
Rate for Payer: Qualcare PPO/HMO/WC	$40.48
Rate for Payer: UnitedHealthcare Commercial	$53.97
Rate for Payer: UnitedHealthcare Community & State	$8.53
Rate for Payer: Wellpoint Medicaid Managed Care	$7.66

CATHETER NEURO AXS CAT 5

Facility

$10,901.25

Service Code	HCPCS C1887
Hospital Charge Code	270690868
Hospital Revenue Code	278
Min. Negotiated Rate	$309.60
Max. Negotiated Rate	$5,450.62
Rate for Payer: Aetna Commercial	$4,142.48
Rate for Payer: Aetna Medicare Advantage	$3,270.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,779.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,779.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,779.82
Rate for Payer: Cigna Commercial	$5,450.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,638.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.19
Rate for Payer: UnitedHealthcare Community & State	$344.48
Rate for Payer: Wellpoint Medicaid Managed Care	$309.60

CATHETER NEURO AXS CAT 5

Facility

$10,901.25

Service Code	HCPCS C1887
Hospital Charge Code	270690868
Hospital Revenue Code	278
Min. Negotiated Rate	$1,635.19
Max. Negotiated Rate	$2,638.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,180.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,638.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.19

CATHETER NEURO AXS CAT 7

Facility

$11,875.00

Service Code	HCPCS C1887
Hospital Charge Code	270690869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,781.25
Max. Negotiated Rate	$2,873.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,873.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,781.25

CATHETER NEURO AXS CAT 7

Facility

$11,875.00

Service Code	HCPCS C1887
Hospital Charge Code	270690869
Hospital Revenue Code	278
Min. Negotiated Rate	$337.25
Max. Negotiated Rate	$5,937.50
Rate for Payer: Aetna Commercial	$4,512.50
Rate for Payer: Aetna Medicare Advantage	$3,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,028.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,028.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,028.12
Rate for Payer: Cigna Commercial	$5,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,873.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,781.25
Rate for Payer: UnitedHealthcare Community & State	$375.25
Rate for Payer: Wellpoint Medicaid Managed Care	$337.25

CATHETER OCELOT 5FR 135cm

Facility

$12,475.00

Hospital Charge Code	270671671
Hospital Revenue Code	272
Min. Negotiated Rate	$354.29
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$4,740.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,243.50
Rate for Payer: Oxford Commercial	$2,495.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25
Rate for Payer: UnitedHealthcare Commercial	$2,495.00
Rate for Payer: UnitedHealthcare Community & State	$394.21
Rate for Payer: Wellpoint Medicaid Managed Care	$354.29

CATHETER OCELOT 5FR 135cm

Facility

$12,475.00

Hospital Charge Code	270671671
Hospital Revenue Code	272
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$1,871.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATHETER OCELOT 6FR 110cm

Facility

$12,475.00

Hospital Charge Code	270671670
Hospital Revenue Code	272
Min. Negotiated Rate	$354.29
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$4,740.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,243.50
Rate for Payer: Oxford Commercial	$2,495.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25
Rate for Payer: UnitedHealthcare Commercial	$2,495.00
Rate for Payer: UnitedHealthcare Community & State	$394.21
Rate for Payer: Wellpoint Medicaid Managed Care	$354.29

CATHETER OCELOT 6FR 110cm

Facility

$12,475.00

Hospital Charge Code	270671670
Hospital Revenue Code	272
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$1,871.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATHETER OLIVE TIP 3FR. WOVEN

Facility

$797.00

Hospital Charge Code	270332029
Hospital Revenue Code	278
Min. Negotiated Rate	$119.55
Max. Negotiated Rate	$192.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.87
Rate for Payer: Qualcare PPO/HMO/WC	$119.55

CATHETER OLIVE TIP 3FR. WOVEN

Facility

$797.00

Hospital Charge Code	270332029
Hospital Revenue Code	278
Min. Negotiated Rate	$22.63
Max. Negotiated Rate	$398.50
Rate for Payer: Aetna Commercial	$302.86
Rate for Payer: Aetna Medicare Advantage	$239.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.24
Rate for Payer: Cigna Commercial	$398.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.87
Rate for Payer: Qualcare PPO/HMO/WC	$119.55
Rate for Payer: UnitedHealthcare Community & State	$25.19
Rate for Payer: Wellpoint Medicaid Managed Care	$22.63

CATHETER OTW SPLIT 5913230

Facility

$1,755.00

Service Code	HCPCS C1750
Hospital Charge Code	270661418
Hospital Revenue Code	278
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$424.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.71
Rate for Payer: Qualcare PPO/HMO/WC	$263.25

CATHETER OTW SPLIT 5913230

Facility

$1,755.00

Service Code	HCPCS C1750
Hospital Charge Code	270661418
Hospital Revenue Code	278
Min. Negotiated Rate	$49.84
Max. Negotiated Rate	$877.50
Rate for Payer: Aetna Commercial	$666.90
Rate for Payer: Aetna Medicare Advantage	$526.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$447.52
Rate for Payer: Cigna Commercial	$877.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.71
Rate for Payer: Qualcare PPO/HMO/WC	$263.25
Rate for Payer: UnitedHealthcare Community & State	$55.46
Rate for Payer: Wellpoint Medicaid Managed Care	$49.84

Know your out-of-pocket cost for care.

All Charges