Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH LAB -- CPR

Facility

$6,070.00

Service Code	HCPCS 92950
Hospital Charge Code	5100632
Hospital Revenue Code	480
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

CATH LAB -- CPR

Facility

$6,070.00

Service Code	HCPCS 92950
Hospital Charge Code	5100632
Hospital Revenue Code	480
Min. Negotiated Rate	$56.98
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,578.20
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$191.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$172.39

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	366892950
Hospital Revenue Code	480
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	366892950
Hospital Revenue Code	480
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$930.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$930.53
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.20
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$31.81

CATH LAD 3.5 7FR 77806000

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636383
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH LAD 3.5 7FR 77806000

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636383N
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH LAD 3.5 7FR 77806000

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636383
Hospital Revenue Code	278
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$8.78
Rate for Payer: Wellpoint Medicaid Managed Care	$7.89

CATH LAD 3.5 7FR 77806000

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636383N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$8.78
Rate for Payer: Wellpoint Medicaid Managed Care	$7.89

CATH LAPROSCOPIC 18g 11

Facility

$145.00

Hospital Charge Code	270658591
Hospital Revenue Code	272
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.70
Rate for Payer: Oxford Commercial	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$29.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

CATH LAPROSCOPIC 18g 11

Facility

$145.00

Hospital Charge Code	270658591
Hospital Revenue Code	272
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

CATH LAUNCHER 7FR EBU 3.5

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270645940
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 LAUNCHER 7FR EBU 3.5

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270645940
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 LAUNCHER RDC 7FR 55cm

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270645469C
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 LAUNCHER RDC 7FR 55cm

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270645469C
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 LNCHR 7FR EBU 3 LA7EBU30

Facility

$245.00

Service Code	HCPCS C1887
Hospital Charge Code	270645939C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH LNCHR 7FR EBU 3 LA7EBU30

Facility

$245.00

Service Code	HCPCS C1887
Hospital Charge Code	270645939C
Hospital Revenue Code	278
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Community & State	$7.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.96

CATH LOCKING DRAIN 14F PIGTAIL

Facility

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897N
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$173.38
Rate for Payer: Aetna Commercial	$131.76
Rate for Payer: Aetna Medicare Advantage	$104.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.42
Rate for Payer: Cigna Commercial	$173.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01
Rate for Payer: UnitedHealthcare Community & State	$10.96
Rate for Payer: Wellpoint Medicaid Managed Care	$9.85

CATH LOCKING DRAIN 14F PIGTAIL

Facility

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897N
Hospital Revenue Code	278
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$83.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH LOCKING DRAIN 14F PIGTAIL

Facility

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$173.38
Rate for Payer: Aetna Commercial	$131.76
Rate for Payer: Aetna Medicare Advantage	$104.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.42
Rate for Payer: Cigna Commercial	$173.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01
Rate for Payer: UnitedHealthcare Community & State	$10.96
Rate for Payer: Wellpoint Medicaid Managed Care	$9.85

CATH LOCKING DRAIN 14F PIGTAIL

Facility

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897
Hospital Revenue Code	278
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$83.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH LOCKING DRAIN 14F PIGTAIL

Facility

$346.75

Hospital Charge Code	270673897R
Hospital Revenue Code	272
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$173.38
Rate for Payer: Aetna Commercial	$131.76
Rate for Payer: Aetna Medicare Advantage	$104.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.42
Rate for Payer: Cigna Commercial	$173.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.16
Rate for Payer: Oxford Commercial	$69.35
Rate for Payer: Qualcare PPO/HMO/WC	$52.01
Rate for Payer: UnitedHealthcare Commercial	$69.35
Rate for Payer: UnitedHealthcare Community & State	$10.96
Rate for Payer: Wellpoint Medicaid Managed Care	$9.85

CATH LOCKING DRAIN 14F PIGTAIL

Facility

$346.75

Hospital Charge Code	270673897R
Hospital Revenue Code	272
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$52.01
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH MALECOT NEPHROSTOMY 16FR

Facility

$385.00

Hospital Charge Code	270655437
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.10
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$12.17
Rate for Payer: Wellpoint Medicaid Managed Care	$10.93

CATH MALECOT NEPHROSTOMY 16FR

Facility

$596.50

Hospital Charge Code	270653637
Hospital Revenue Code	278
Min. Negotiated Rate	$89.47
Max. Negotiated Rate	$144.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.35
Rate for Payer: Qualcare PPO/HMO/WC	$89.47

CATH MALECOT NEPHROSTOMY 16FR

Facility

$596.50

Hospital Charge Code	270653637
Hospital Revenue Code	278
Min. Negotiated Rate	$16.94
Max. Negotiated Rate	$298.25
Rate for Payer: Aetna Commercial	$226.67
Rate for Payer: Aetna Medicare Advantage	$178.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.11
Rate for Payer: Cigna Commercial	$298.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.35
Rate for Payer: Qualcare PPO/HMO/WC	$89.47
Rate for Payer: UnitedHealthcare Community & State	$18.85
Rate for Payer: Wellpoint Medicaid Managed Care	$16.94

Know your out-of-pocket cost for care.

All Charges