Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOLEY 3-WAY 26FR 30CC

Facility

$43.67

Hospital Charge Code	270302660
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 26FR 30CC

Facility

$43.67

Hospital Charge Code	270302660
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 6FR HYDROGEL

Facility

$89.95

Hospital Charge Code	270676492
Hospital Revenue Code	272
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$44.98
Rate for Payer: Aetna Commercial	$34.18
Rate for Payer: Aetna Medicare Advantage	$26.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.94
Rate for Payer: Cigna Commercial	$44.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Oxford Commercial	$17.99
Rate for Payer: Qualcare PPO/HMO/WC	$13.49
Rate for Payer: UnitedHealthcare Commercial	$17.99
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.55

CATH FOLEY 6FR HYDROGEL

Facility

$89.95

Hospital Charge Code	270676492
Hospital Revenue Code	272
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$13.49
Rate for Payer: Qualcare PPO/HMO/WC	$13.49

CATH FOLEY COUDE 14FR 2W 5cc

Facility

$75.66

Hospital Charge Code	270649022
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

CATH FOLEY COUDE 14FR 2W 5cc

Facility

$75.66

Hospital Charge Code	270649022
Hospital Revenue Code	272
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$37.83
Rate for Payer: Aetna Commercial	$28.75
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.29
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.13
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

CATH FOLEY COUDE 16FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649854
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

CATH FOLEY COUDE 16FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649854
Hospital Revenue Code	272
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$37.83
Rate for Payer: Aetna Commercial	$28.75
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.29
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.13
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

CATH FOLEY COUDE 18FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649855
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

CATH FOLEY COUDE 18FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649855
Hospital Revenue Code	272
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$37.83
Rate for Payer: Aetna Commercial	$28.75
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.29
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.13
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

CATH FOLEY COUDE 20FR 5cc 2W

Facility

$76.38

Service Code	HCPCS C1887
Hospital Charge Code	270649856
Hospital Revenue Code	278
Min. Negotiated Rate	$11.46
Max. Negotiated Rate	$18.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$11.46

CATH FOLEY COUDE 20FR 5cc 2W

Facility

$76.38

Service Code	HCPCS C1887
Hospital Charge Code	270649856
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$38.19
Rate for Payer: Aetna Commercial	$29.02
Rate for Payer: Aetna Medicare Advantage	$22.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.48
Rate for Payer: Cigna Commercial	$38.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$11.46
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

CATH FOLEY COUDE 22FR 5cc 2W

Facility

$72.53

Hospital Charge Code	270650056
Hospital Revenue Code	272
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

CATH FOLEY COUDE 22FR 5cc 2W

Facility

$72.53

Hospital Charge Code	270650056
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$36.27
Rate for Payer: Aetna Commercial	$27.56
Rate for Payer: Aetna Medicare Advantage	$21.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.50
Rate for Payer: Cigna Commercial	$36.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.86
Rate for Payer: Oxford Commercial	$14.51
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$14.51
Rate for Payer: UnitedHealthcare Community & State	$2.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

CATH FOLEY EDELMAN 18FR

Facility

$97.71

Hospital Charge Code	270605609
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$48.85
Rate for Payer: Aetna Commercial	$37.13
Rate for Payer: Aetna Medicare Advantage	$29.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.92
Rate for Payer: Cigna Commercial	$48.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.40
Rate for Payer: Oxford Commercial	$19.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.66
Rate for Payer: UnitedHealthcare Commercial	$19.54
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$2.77

CATH FOLEY EDELMAN 18FR

Facility

$97.71

Hospital Charge Code	270605609
Hospital Revenue Code	272
Min. Negotiated Rate	$14.66
Max. Negotiated Rate	$14.66
Rate for Payer: Qualcare PPO/HMO/WC	$14.66

CATH FOLEY IC SILVER 12FR 5cc

Facility

$25.77

Hospital Charge Code	270649841
Hospital Revenue Code	272
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$3.87
Rate for Payer: Qualcare PPO/HMO/WC	$3.87

CATH FOLEY IC SILVER 12FR 5cc

Facility

$25.77

Hospital Charge Code	270649841
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$12.88
Rate for Payer: Aetna Commercial	$9.79
Rate for Payer: Aetna Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.57
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.70
Rate for Payer: Oxford Commercial	$5.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.87
Rate for Payer: UnitedHealthcare Commercial	$5.15
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

CATH FOLEY IC SILVER 5CC 14FR

Facility

$64.79

Hospital Charge Code	270650204
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$32.40
Rate for Payer: Aetna Commercial	$24.62
Rate for Payer: Aetna Medicare Advantage	$19.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.52
Rate for Payer: Cigna Commercial	$32.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.85
Rate for Payer: Oxford Commercial	$12.96
Rate for Payer: Qualcare PPO/HMO/WC	$9.72
Rate for Payer: UnitedHealthcare Commercial	$12.96
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

CATH FOLEY IC SILVER 5CC 14FR

Facility

$64.79

Hospital Charge Code	270650204
Hospital Revenue Code	272
Min. Negotiated Rate	$9.72
Max. Negotiated Rate	$9.72
Rate for Payer: Qualcare PPO/HMO/WC	$9.72

CATH FOLEY IC SILVER 5CC 18FR

Facility

$39.35

Hospital Charge Code	270650202
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$19.68
Rate for Payer: Aetna Commercial	$14.95
Rate for Payer: Aetna Medicare Advantage	$11.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.03
Rate for Payer: Cigna Commercial	$19.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.23
Rate for Payer: Oxford Commercial	$7.87
Rate for Payer: Qualcare PPO/HMO/WC	$5.90
Rate for Payer: UnitedHealthcare Commercial	$7.87
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

CATH FOLEY IC SILVER 5CC 18FR

Facility

$39.35

Hospital Charge Code	270650202
Hospital Revenue Code	272
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$5.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.90

CATH FOLEY IC SLVR 3W18FR 30cc

Facility

$87.97

Service Code	HCPCS A4346
Hospital Charge Code	270649845
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CATH FOLEY IC SLVR 3W18FR 30cc

Facility

$87.97

Service Code	HCPCS A4346
Hospital Charge Code	270649845
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$43.98
Rate for Payer: Aetna Commercial	$33.43
Rate for Payer: Aetna Medicare Advantage	$26.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.43
Rate for Payer: Cigna Commercial	$43.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.87
Rate for Payer: Oxford Commercial	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$17.59
Rate for Payer: UnitedHealthcare Community & State	$2.78
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

CATH FOLEY IC SLVR 3W20FR 30cc

Facility

$65.35

Hospital Charge Code	270649846
Hospital Revenue Code	270
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$32.67
Rate for Payer: Aetna Commercial	$24.83
Rate for Payer: Aetna Medicare Advantage	$19.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.66
Rate for Payer: Cigna Commercial	$32.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.99
Rate for Payer: Oxford Commercial	$13.07
Rate for Payer: Qualcare PPO/HMO/WC	$9.80
Rate for Payer: UnitedHealthcare Commercial	$13.07
Rate for Payer: UnitedHealthcare Community & State	$2.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.86

Know your out-of-pocket cost for care.

All Charges