Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH GUIDE NEURON BERN 6F125CM

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685233S
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATH GUIDE W/SH LAUN 6F JR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

CATH GUIDE W/SH LAUN 6F JR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6JR40SH

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6JR40SH

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107C
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.39

CATH GUIDING 6FR 3.0 LA6JR30

Facility

$215.00

Service Code	HCPCS C1887
Hospital Charge Code	270638298
Hospital Revenue Code	278
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$52.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CATH GUIDING 6FR 3.0 LA6JR30

Facility

$215.00

Service Code	HCPCS C1887
Hospital Charge Code	270638298
Hospital Revenue Code	278
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Community & State	$6.79
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

CATH GUIDING 6FR MACH I VL 5.0

Facility

$255.00

Hospital Charge Code	270641798
Hospital Revenue Code	278
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$127.50
Rate for Payer: Aetna Commercial	$96.90
Rate for Payer: Aetna Medicare Advantage	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.03
Rate for Payer: Cigna Commercial	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25
Rate for Payer: UnitedHealthcare Community & State	$8.06
Rate for Payer: Wellpoint Medicaid Managed Care	$7.24

CATH GUIDING 6FR MACH I VL 5.0

Facility

$255.00

Hospital Charge Code	270641798
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH HAWKONE ATHERECTOMY EXT

Facility

$16,750.00

Hospital Charge Code	270277280
Hospital Revenue Code	278
Min. Negotiated Rate	$2,512.50
Max. Negotiated Rate	$4,053.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,053.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.50

CATH HAWKONE ATHERECTOMY EXT

Facility

$16,750.00

Hospital Charge Code	270277280
Hospital Revenue Code	278
Min. Negotiated Rate	$475.70
Max. Negotiated Rate	$8,375.00
Rate for Payer: Aetna Commercial	$6,365.00
Rate for Payer: Aetna Medicare Advantage	$5,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,271.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,271.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,271.25
Rate for Payer: Cigna Commercial	$8,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,053.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.50
Rate for Payer: UnitedHealthcare Community & State	$529.30
Rate for Payer: Wellpoint Medicaid Managed Care	$475.70

CATH HEMOD DURAFLOW 15.5F 24CM

Facility

$850.00

Service Code	HCPCS C1750
Hospital Charge Code	270698674
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

CATH HEMOD DURAFLOW 15.5F 24CM

Facility

$850.00

Service Code	HCPCS C1750
Hospital Charge Code	270698674
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

CATH HEMOD DURAFLOW 15.5F 28CM

Facility

$850.00

Service Code	HCPCS C1750
Hospital Charge Code	270698675
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

CATH HEMOD DURAFLOW 15.5F 28CM

Facility

$850.00

Service Code	HCPCS C1750
Hospital Charge Code	270698675
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

CATH HEMOSPILT 42CM 5734423

Facility

$1,925.00

Hospital Charge Code	270641384
Hospital Revenue Code	278
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$465.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.85
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

CATH HEMOSPILT 42CM 5734423

Facility

$1,925.00

Hospital Charge Code	270641384
Hospital Revenue Code	278
Min. Negotiated Rate	$54.67
Max. Negotiated Rate	$962.50
Rate for Payer: Aetna Commercial	$731.50
Rate for Payer: Aetna Medicare Advantage	$577.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.88
Rate for Payer: Cigna Commercial	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.85
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Community & State	$60.83
Rate for Payer: Wellpoint Medicaid Managed Care	$54.67

CATH HEMOSPLIT STD 19CM

Facility

$1,488.00

Service Code	HCPCS C1750
Hospital Charge Code	270657877S
Hospital Revenue Code	278
Min. Negotiated Rate	$42.26
Max. Negotiated Rate	$744.00
Rate for Payer: Aetna Commercial	$565.44
Rate for Payer: Aetna Medicare Advantage	$446.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.44
Rate for Payer: Cigna Commercial	$744.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.10
Rate for Payer: Qualcare PPO/HMO/WC	$223.20
Rate for Payer: UnitedHealthcare Community & State	$47.02
Rate for Payer: Wellpoint Medicaid Managed Care	$42.26

CATH HEMOSPLIT STD 19CM

Facility

$1,488.00

Service Code	HCPCS C1750
Hospital Charge Code	270657877
Hospital Revenue Code	278
Min. Negotiated Rate	$223.20
Max. Negotiated Rate	$360.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.10
Rate for Payer: Qualcare PPO/HMO/WC	$223.20

CATH HEMOSPLIT STD 19CM

Facility

$1,488.00

Service Code	HCPCS C1750
Hospital Charge Code	270657877S
Hospital Revenue Code	278
Min. Negotiated Rate	$223.20
Max. Negotiated Rate	$360.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.10
Rate for Payer: Qualcare PPO/HMO/WC	$223.20

CATH HEMOSPLIT STD 19CM

Facility

$1,488.00

Service Code	HCPCS C1750
Hospital Charge Code	270657877
Hospital Revenue Code	278
Min. Negotiated Rate	$42.26
Max. Negotiated Rate	$744.00
Rate for Payer: Aetna Commercial	$565.44
Rate for Payer: Aetna Medicare Advantage	$446.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.44
Rate for Payer: Cigna Commercial	$744.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.10
Rate for Payer: Qualcare PPO/HMO/WC	$223.20
Rate for Payer: UnitedHealthcare Community & State	$47.02
Rate for Payer: Wellpoint Medicaid Managed Care	$42.26

CATH HEMOSPLIT STD 23CM

Facility

$1,775.00

Service Code	HCPCS C1750
Hospital Charge Code	270657882S
Hospital Revenue Code	278
Min. Negotiated Rate	$50.41
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$674.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.55
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Community & State	$56.09
Rate for Payer: Wellpoint Medicaid Managed Care	$50.41

CATH HEMOSPLIT STD 23CM

Facility

$1,775.00

Service Code	HCPCS C1750
Hospital Charge Code	270657882
Hospital Revenue Code	278
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$429.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.55
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

CATH HEMOSPLIT STD 23CM

Facility

$1,775.00

Service Code	HCPCS C1750
Hospital Charge Code	270657882S
Hospital Revenue Code	278
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$429.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.55
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

CATH HEMOSPLIT STD 23CM

Facility

$1,775.00

Service Code	HCPCS C1750
Hospital Charge Code	270657882
Hospital Revenue Code	278
Min. Negotiated Rate	$50.41
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$674.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.55
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Community & State	$56.09
Rate for Payer: Wellpoint Medicaid Managed Care	$50.41

Know your out-of-pocket cost for care.

All Charges