Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER PROGREAT COAXIAL

Facility

$2,968.00

Hospital Charge Code	270658289O
Hospital Revenue Code	272
Min. Negotiated Rate	$445.20
Max. Negotiated Rate	$445.20
Rate for Payer: Qualcare PPO/HMO/WC	$445.20

CATHETER PROGREAT COAXIAL

Facility

$3,485.00

Hospital Charge Code	270658289
Hospital Revenue Code	272
Min. Negotiated Rate	$98.97
Max. Negotiated Rate	$1,742.50
Rate for Payer: Aetna Commercial	$1,324.30
Rate for Payer: Aetna Medicare Advantage	$1,045.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$888.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$888.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$888.67
Rate for Payer: Cigna Commercial	$1,742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.10
Rate for Payer: Oxford Commercial	$697.00
Rate for Payer: Qualcare PPO/HMO/WC	$522.75
Rate for Payer: UnitedHealthcare Commercial	$697.00
Rate for Payer: UnitedHealthcare Community & State	$110.13
Rate for Payer: Wellpoint Medicaid Managed Care	$98.97

CATHETER PROGREAT COAXIAL

Facility

$2,800.00

Hospital Charge Code	270658289S
Hospital Revenue Code	272
Min. Negotiated Rate	$79.52
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$728.00
Rate for Payer: Oxford Commercial	$560.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$560.00
Rate for Payer: UnitedHealthcare Community & State	$88.48
Rate for Payer: Wellpoint Medicaid Managed Care	$79.52

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485
Hospital Revenue Code	272
Min. Negotiated Rate	$227.20
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,080.00
Rate for Payer: Oxford Commercial	$1,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Commercial	$1,600.00
Rate for Payer: UnitedHealthcare Community & State	$252.80
Rate for Payer: Wellpoint Medicaid Managed Care	$227.20

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485O
Hospital Revenue Code	272
Min. Negotiated Rate	$227.20
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,080.00
Rate for Payer: Oxford Commercial	$1,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Commercial	$1,600.00
Rate for Payer: UnitedHealthcare Community & State	$252.80
Rate for Payer: Wellpoint Medicaid Managed Care	$227.20

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485O
Hospital Revenue Code	272
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485
Hospital Revenue Code	272
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

CATHETER PRO-LINE 5F X 60CM

Facility

$1,975.00

Service Code	HCPCS C1751
Hospital Charge Code	270678222
Hospital Revenue Code	278
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

CATHETER PRO-LINE 5F X 60CM

Facility

$1,975.00

Service Code	HCPCS C1751
Hospital Charge Code	270678222
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CATHETER PROTECTIV 18GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662927
Hospital Revenue Code	270
Min. Negotiated Rate	$235.29
Max. Negotiated Rate	$235.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.29

CATHETER PROTECTIV 18GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662927
Hospital Revenue Code	270
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$784.30
Rate for Payer: Aetna Commercial	$596.07
Rate for Payer: Aetna Medicare Advantage	$470.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.99
Rate for Payer: Cigna Commercial	$784.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.84
Rate for Payer: Oxford Commercial	$313.72
Rate for Payer: Qualcare PPO/HMO/WC	$235.29
Rate for Payer: UnitedHealthcare Commercial	$313.72
Rate for Payer: UnitedHealthcare Community & State	$49.57
Rate for Payer: Wellpoint Medicaid Managed Care	$44.55

CATHETER PROTECTIV 20GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662928
Hospital Revenue Code	270
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$784.30
Rate for Payer: Aetna Commercial	$596.07
Rate for Payer: Aetna Medicare Advantage	$470.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.99
Rate for Payer: Cigna Commercial	$784.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.84
Rate for Payer: Oxford Commercial	$313.72
Rate for Payer: Qualcare PPO/HMO/WC	$235.29
Rate for Payer: UnitedHealthcare Commercial	$313.72
Rate for Payer: UnitedHealthcare Community & State	$49.57
Rate for Payer: Wellpoint Medicaid Managed Care	$44.55

CATHETER PROTECTIV 20GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662928
Hospital Revenue Code	270
Min. Negotiated Rate	$235.29
Max. Negotiated Rate	$235.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.29

CATHETER PTA AVIATOR 5 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689713
Hospital Revenue Code	272
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$256.50
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

CATHETER PTA AVIATOR 5 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689713
Hospital Revenue Code	272
Min. Negotiated Rate	$48.56
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$649.80
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.60
Rate for Payer: Oxford Commercial	$342.00
Rate for Payer: Qualcare PPO/HMO/WC	$256.50
Rate for Payer: UnitedHealthcare Commercial	$342.00
Rate for Payer: UnitedHealthcare Community & State	$54.04
Rate for Payer: Wellpoint Medicaid Managed Care	$48.56

CATHETER PTA AVIATOR 7 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689714
Hospital Revenue Code	272
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$256.50
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

CATHETER PTA AVIATOR 7 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689714
Hospital Revenue Code	272
Min. Negotiated Rate	$48.56
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$649.80
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.60
Rate for Payer: Oxford Commercial	$342.00
Rate for Payer: Qualcare PPO/HMO/WC	$256.50
Rate for Payer: UnitedHealthcare Commercial	$342.00
Rate for Payer: UnitedHealthcare Community & State	$54.04
Rate for Payer: Wellpoint Medicaid Managed Care	$48.56

CATHETER QUICK C 2 3FRx150cm

Facility

$994.50

Service Code	HCPCS C1887
Hospital Charge Code	270679801N
Hospital Revenue Code	278
Min. Negotiated Rate	$149.18
Max. Negotiated Rate	$240.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.67
Rate for Payer: Qualcare PPO/HMO/WC	$149.18

CATHETER QUICK C 2 3FRx150cm

Facility

$1,020.95

Hospital Charge Code	270679801
Hospital Revenue Code	278
Min. Negotiated Rate	$28.99
Max. Negotiated Rate	$510.48
Rate for Payer: Aetna Commercial	$387.96
Rate for Payer: Aetna Medicare Advantage	$306.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.34
Rate for Payer: Cigna Commercial	$510.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.07
Rate for Payer: Qualcare PPO/HMO/WC	$153.14
Rate for Payer: UnitedHealthcare Community & State	$32.26
Rate for Payer: Wellpoint Medicaid Managed Care	$28.99

CATHETER QUICK C 2 3FRx150cm

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270679801S
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATHETER QUICK C 2 3FRx150cm

Facility

$994.50

Service Code	HCPCS C1887
Hospital Charge Code	270679801N
Hospital Revenue Code	278
Min. Negotiated Rate	$28.24
Max. Negotiated Rate	$497.25
Rate for Payer: Aetna Commercial	$377.91
Rate for Payer: Aetna Medicare Advantage	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.60
Rate for Payer: Cigna Commercial	$497.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.67
Rate for Payer: Qualcare PPO/HMO/WC	$149.18
Rate for Payer: UnitedHealthcare Community & State	$31.43
Rate for Payer: Wellpoint Medicaid Managed Care	$28.24

CATHETER QUICK C 2 3FRx150cm

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270679801S
Hospital Revenue Code	278
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$351.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Community & State	$29.23
Rate for Payer: Wellpoint Medicaid Managed Care	$26.27

CATHETER QUICK C 2 3FRx150cm

Facility

$1,020.95

Hospital Charge Code	270679801
Hospital Revenue Code	278
Min. Negotiated Rate	$153.14
Max. Negotiated Rate	$247.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.07
Rate for Payer: Qualcare PPO/HMO/WC	$153.14

CATHETER REACT 68

Facility

$11,600.00

Hospital Charge Code	270685185
Hospital Revenue Code	272
Min. Negotiated Rate	$329.44
Max. Negotiated Rate	$5,800.00
Rate for Payer: Aetna Commercial	$4,408.00
Rate for Payer: Aetna Medicare Advantage	$3,480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,958.00
Rate for Payer: Cigna Commercial	$5,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,016.00
Rate for Payer: Oxford Commercial	$2,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,740.00
Rate for Payer: UnitedHealthcare Commercial	$2,320.00
Rate for Payer: UnitedHealthcare Community & State	$366.56
Rate for Payer: Wellpoint Medicaid Managed Care	$329.44

CATHETER REACT 68

Facility

$11,600.00

Hospital Charge Code	270685185
Hospital Revenue Code	272
Min. Negotiated Rate	$1,740.00
Max. Negotiated Rate	$1,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,740.00

Know your out-of-pocket cost for care.

All Charges