Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER SUCTION 18FR 2 EYE

Facility

$14.00

Hospital Charge Code	270331537
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$2.80
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

CATHETER SWAN GANZ 5FR TRUE SI

Facility

$670.30

Service Code	HCPCS C1751
Hospital Charge Code	270658685
Hospital Revenue Code	278
Min. Negotiated Rate	$100.55
Max. Negotiated Rate	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.21
Rate for Payer: Qualcare PPO/HMO/WC	$100.55

CATHETER SWAN GANZ 5FR TRUE SI

Facility

$670.30

Service Code	HCPCS C1751
Hospital Charge Code	270658685
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$335.15
Rate for Payer: Aetna Commercial	$254.71
Rate for Payer: Aetna Medicare Advantage	$201.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.93
Rate for Payer: Cigna Commercial	$335.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.21
Rate for Payer: Qualcare PPO/HMO/WC	$100.55
Rate for Payer: UnitedHealthcare Community & State	$21.18
Rate for Payer: Wellpoint Medicaid Managed Care	$19.04

CATHETER SWAN-GANZ S-TIP

Facility

$405.00

Hospital Charge Code	270331254
Hospital Revenue Code	272
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

CATHETER SWAN-GANZ S-TIP

Facility

$405.00

Hospital Charge Code	270331254
Hospital Revenue Code	272
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Commercial	$81.00
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

CATHETER SWAN GANZ VIP 7.5FR

Facility

$559.50

Hospital Charge Code	270649797
Hospital Revenue Code	278
Min. Negotiated Rate	$15.89
Max. Negotiated Rate	$279.75
Rate for Payer: Aetna Commercial	$212.61
Rate for Payer: Aetna Medicare Advantage	$167.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.67
Rate for Payer: Cigna Commercial	$279.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.40
Rate for Payer: Qualcare PPO/HMO/WC	$83.92
Rate for Payer: UnitedHealthcare Community & State	$17.68
Rate for Payer: Wellpoint Medicaid Managed Care	$15.89

CATHETER SWAN GANZ VIP 7.5FR

Facility

$559.50

Hospital Charge Code	270649797
Hospital Revenue Code	278
Min. Negotiated Rate	$83.92
Max. Negotiated Rate	$135.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.40
Rate for Payer: Qualcare PPO/HMO/WC	$83.92

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976S
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976S
Hospital Revenue Code	272
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$6.64
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976
Hospital Revenue Code	272
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$6.64
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

CATHETER TESIO RT W/6F INTRO/T

Facility

$1,675.00

Service Code	HCPCS C1750
Hospital Charge Code	270658144
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$405.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

CATHETER TESIO RT W/6F INTRO/T

Facility

$1,675.00

Service Code	HCPCS C1750
Hospital Charge Code	270658144
Hospital Revenue Code	278
Min. Negotiated Rate	$47.57
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$636.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Community & State	$52.93
Rate for Payer: Wellpoint Medicaid Managed Care	$47.57

CATHETER THORACIC 28 FR 8028

Facility

$20.47

Hospital Charge Code	270649069
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$10.23
Rate for Payer: Aetna Commercial	$7.78
Rate for Payer: Aetna Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.22
Rate for Payer: Cigna Commercial	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.32
Rate for Payer: Oxford Commercial	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.07
Rate for Payer: UnitedHealthcare Commercial	$4.09
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

CATHETER THORACIC 28 FR 8028

Facility

$20.47

Hospital Charge Code	270649069
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$3.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.07

CATHETER THORACIC 28FR. STANDR

Facility

$54.00

Hospital Charge Code	270331007
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

CATHETER THORACIC 28FR. STANDR

Facility

$54.00

Hospital Charge Code	270331007
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 32FR STR

Facility

$54.00

Hospital Charge Code	270331009
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 32FR STR

Facility

$54.00

Hospital Charge Code	270331009
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

CATHETER THORACIC 36FR 8036

Facility

$19.45

Hospital Charge Code	270649073
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.72
Rate for Payer: Aetna Commercial	$7.39
Rate for Payer: Aetna Medicare Advantage	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.96
Rate for Payer: Cigna Commercial	$9.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.06
Rate for Payer: Oxford Commercial	$3.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.92
Rate for Payer: UnitedHealthcare Commercial	$3.89
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

CATHETER THORACIC 36FR 8036

Facility

$19.45

Hospital Charge Code	270649073
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.92

CATHETER THORACIC 36FR STR

Facility

$52.00

Hospital Charge Code	270331010
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATHETER THORACIC 36FR STR

Facility

$52.00

Hospital Charge Code	270331010
Hospital Revenue Code	272
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

CATHETER THORACIC 40FR.

Facility

$54.00

Hospital Charge Code	270331620
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 40FR.

Facility

$54.00

Hospital Charge Code	270331620
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

Know your out-of-pocket cost for care.

All Charges