Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOLEY 2-WAY 22FR 5CC

Facility

$39.25

Hospital Charge Code	270302565
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CATH FOLEY 2-WAY 24FR 30CC

Facility

$12.54

Hospital Charge Code	270302595
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.27
Rate for Payer: Aetna Commercial	$4.77
Rate for Payer: Aetna Medicare Advantage	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.20
Rate for Payer: Cigna Commercial	$6.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.26
Rate for Payer: Oxford Commercial	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.51
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

CATH FOLEY 2-WAY 24FR 30CC

Facility

$12.54

Hospital Charge Code	270302595
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

CATH FOLEY 2-WAY 24FR 5CC

Facility

$39.25

Hospital Charge Code	270302570
Hospital Revenue Code	272
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.21
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$7.85
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

CATH FOLEY 2-WAY 24FR 5CC

Facility

$39.25

Hospital Charge Code	270302570
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CATH FOLEY 2-WAY 26FR 30CC

Facility

$12.54

Hospital Charge Code	270302600
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

CATH FOLEY 2-WAY 26FR 30CC

Facility

$12.54

Hospital Charge Code	270302600
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.27
Rate for Payer: Aetna Commercial	$4.77
Rate for Payer: Aetna Medicare Advantage	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.20
Rate for Payer: Cigna Commercial	$6.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.26
Rate for Payer: Oxford Commercial	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.51
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

CATH FOLEY 2-WAY 28FR 30CC

Facility

$12.30

Hospital Charge Code	270302610
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$6.15
Rate for Payer: Aetna Commercial	$4.67
Rate for Payer: Aetna Medicare Advantage	$3.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.14
Rate for Payer: Cigna Commercial	$6.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.20
Rate for Payer: Oxford Commercial	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.84
Rate for Payer: UnitedHealthcare Commercial	$2.46
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

CATH FOLEY 2-WAY 28FR 30CC

Facility

$12.30

Hospital Charge Code	270302610
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Qualcare PPO/HMO/WC	$1.84

CATH FOLEY 3-WAY 16FR 30CC

Facility

$43.67

Hospital Charge Code	270302640
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$21.84
Rate for Payer: Aetna Commercial	$16.59
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.14
Rate for Payer: Cigna Commercial	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Oxford Commercial	$8.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

CATH FOLEY 3-WAY 16FR 30CC

Facility

$43.67

Hospital Charge Code	270302640
Hospital Revenue Code	272
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

CATH FOLEY 3-WAY 18FR 30CC

Facility

$44.52

Hospital Charge Code	270302645
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.26
Rate for Payer: Aetna Commercial	$16.92
Rate for Payer: Aetna Medicare Advantage	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.68
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH FOLEY 3-WAY 18FR 30CC

Facility

$44.52

Hospital Charge Code	270302645
Hospital Revenue Code	272
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$6.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.68

CATH FOLEY 3-WAY 18FR 5CC

Facility

$43.36

Hospital Charge Code	270302625
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

CATH FOLEY 3-WAY 18FR 5CC

Facility

$43.36

Hospital Charge Code	270302625
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.68
Rate for Payer: Aetna Commercial	$16.48
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.06
Rate for Payer: Cigna Commercial	$21.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.27
Rate for Payer: Oxford Commercial	$8.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$8.67
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CATH FOLEY 3-WAY 20FR 30CC

Facility

$44.94

Hospital Charge Code	270302650
Hospital Revenue Code	272
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$22.47
Rate for Payer: Aetna Commercial	$17.08
Rate for Payer: Aetna Medicare Advantage	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.46
Rate for Payer: Cigna Commercial	$22.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.68
Rate for Payer: Oxford Commercial	$8.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.74
Rate for Payer: UnitedHealthcare Commercial	$8.99
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

CATH FOLEY 3-WAY 20FR 30CC

Facility

$44.94

Hospital Charge Code	270302650
Hospital Revenue Code	272
Min. Negotiated Rate	$6.74
Max. Negotiated Rate	$6.74
Rate for Payer: Qualcare PPO/HMO/WC	$6.74

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.52

Hospital Charge Code	270302651
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.26
Rate for Payer: Aetna Commercial	$16.92
Rate for Payer: Aetna Medicare Advantage	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.68
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.52

Hospital Charge Code	270302651
Hospital Revenue Code	272
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$6.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.68

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.20

Hospital Charge Code	270302630
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$6.63
Rate for Payer: Qualcare PPO/HMO/WC	$6.63

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.20

Hospital Charge Code	270302630
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$22.10
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.27
Rate for Payer: Cigna Commercial	$22.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.49
Rate for Payer: Oxford Commercial	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.63
Rate for Payer: UnitedHealthcare Commercial	$8.84
Rate for Payer: UnitedHealthcare Community & State	$1.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH FOLEY 3-WAY 22FR 5CC

Facility

$43.36

Hospital Charge Code	270302591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.68
Rate for Payer: Aetna Commercial	$16.48
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.06
Rate for Payer: Cigna Commercial	$21.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.27
Rate for Payer: Oxford Commercial	$8.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$8.67
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

CATH FOLEY 3-WAY 22FR 5CC

Facility

$43.36

Hospital Charge Code	270302591
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

CATH FOLEY 3-WAY 24FR 30CC

Facility

$43.67

Hospital Charge Code	270302655
Hospital Revenue Code	272
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

CATH FOLEY 3-WAY 24FR 30CC

Facility

$43.67

Hospital Charge Code	270302655
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$21.84
Rate for Payer: Aetna Commercial	$16.59
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.14
Rate for Payer: Cigna Commercial	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Oxford Commercial	$8.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

Know your out-of-pocket cost for care.

All Charges