Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH MALECOT NEPHROSTOMY 16FR

Facility

$385.00

Hospital Charge Code	270655437
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

CATH MALECOT NEPHROSTOMY 24FR

Facility

$565.95

Hospital Charge Code	270662063
Hospital Revenue Code	272
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$282.98
Rate for Payer: Aetna Commercial	$215.06
Rate for Payer: Aetna Medicare Advantage	$169.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.32
Rate for Payer: Cigna Commercial	$282.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.15
Rate for Payer: Oxford Commercial	$113.19
Rate for Payer: Qualcare PPO/HMO/WC	$84.89
Rate for Payer: UnitedHealthcare Commercial	$113.19
Rate for Payer: UnitedHealthcare Community & State	$17.88
Rate for Payer: Wellpoint Medicaid Managed Care	$16.07

CATH MALECOT NEPHROSTOMY 24FR

Facility

$565.95

Hospital Charge Code	270662063
Hospital Revenue Code	272
Min. Negotiated Rate	$84.89
Max. Negotiated Rate	$84.89
Rate for Payer: Qualcare PPO/HMO/WC	$84.89

CATH MALECOT NEPHROSTOMY 24FR

Facility

$348.50

Service Code	HCPCS C1729
Hospital Charge Code	270658554
Hospital Revenue Code	278
Min. Negotiated Rate	$52.27
Max. Negotiated Rate	$84.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.27

CATH MALECOT NEPHROSTOMY 24FR

Facility

$348.50

Service Code	HCPCS C1729
Hospital Charge Code	270658554
Hospital Revenue Code	278
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$174.25
Rate for Payer: Aetna Commercial	$132.43
Rate for Payer: Aetna Medicare Advantage	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.87
Rate for Payer: Cigna Commercial	$174.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.27
Rate for Payer: UnitedHealthcare Community & State	$11.01
Rate for Payer: Wellpoint Medicaid Managed Care	$9.90

CATH MALE EXTERNAL MEDIUM

Facility

$8.12

Hospital Charge Code	270650100
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.06
Rate for Payer: Aetna Commercial	$3.09
Rate for Payer: Aetna Medicare Advantage	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.07
Rate for Payer: Cigna Commercial	$4.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.11
Rate for Payer: Oxford Commercial	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$1.62
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

CATH MALE EXTERNAL MEDIUM

Facility

$8.12

Hospital Charge Code	270650100
Hospital Revenue Code	270
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

CATH MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243N
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

CATH MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243
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 MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243N
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 MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243
Hospital Revenue Code	278
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

CATH MC SUPERCROSS 150CM 120DG

Facility

$2,550.00

Service Code	HCPCS C1887
Hospital Charge Code	270678228
Hospital Revenue Code	278
Min. Negotiated Rate	$72.42
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50
Rate for Payer: UnitedHealthcare Community & State	$80.58
Rate for Payer: Wellpoint Medicaid Managed Care	$72.42

CATH MC SUPERCROSS 150CM 120DG

Facility

$2,550.00

Service Code	HCPCS C1887
Hospital Charge Code	270678228
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

CATH MCV DILAT 10-12MM 5841

Facility

$1,070.00

Service Code	HCPCS C1726
Hospital Charge Code	270619659
Hospital Revenue Code	278
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$258.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

CATH MCV DILAT 10-12MM 5841

Facility

$1,070.00

Service Code	HCPCS C1726
Hospital Charge Code	270619659
Hospital Revenue Code	278
Min. Negotiated Rate	$30.39
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Community & State	$33.81
Rate for Payer: Wellpoint Medicaid Managed Care	$30.39

CATH MCV DILAT 12-15MM 5840

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270619661
Hospital Revenue Code	278
Min. Negotiated Rate	$30.31
Max. Negotiated Rate	$533.67
Rate for Payer: Aetna Commercial	$405.59
Rate for Payer: Aetna Medicare Advantage	$320.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.17
Rate for Payer: Cigna Commercial	$533.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10
Rate for Payer: UnitedHealthcare Community & State	$33.73
Rate for Payer: Wellpoint Medicaid Managed Care	$30.31

CATH MCV DILAT 12-15MM 5840

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270619661
Hospital Revenue Code	278
Min. Negotiated Rate	$160.10
Max. Negotiated Rate	$258.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10

CATH MICRO EXCELSIOR XT-17

Facility

$4,836.15

Service Code	HCPCS C1887
Hospital Charge Code	270695290S
Hospital Revenue Code	278
Min. Negotiated Rate	$725.42
Max. Negotiated Rate	$1,170.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$967.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.35
Rate for Payer: Qualcare PPO/HMO/WC	$725.42

CATH MICRO EXCELSIOR XT-17

Facility

$4,836.15

Service Code	HCPCS C1887
Hospital Charge Code	270695290S
Hospital Revenue Code	278
Min. Negotiated Rate	$137.35
Max. Negotiated Rate	$2,418.07
Rate for Payer: Aetna Commercial	$1,837.74
Rate for Payer: Aetna Medicare Advantage	$1,450.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,233.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,233.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$967.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,233.22
Rate for Payer: Cigna Commercial	$2,418.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,170.35
Rate for Payer: Qualcare PPO/HMO/WC	$725.42
Rate for Payer: UnitedHealthcare Community & State	$152.82
Rate for Payer: Wellpoint Medicaid Managed Care	$137.35

CATH MICRO EXCEL SL 10STR 2TIP

Facility

$4,726.25

Service Code	HCPCS C1769
Hospital Charge Code	278689725S
Hospital Revenue Code	278
Min. Negotiated Rate	$708.94
Max. Negotiated Rate	$1,143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$945.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,143.75
Rate for Payer: Qualcare PPO/HMO/WC	$708.94

CATH MICRO EXCEL SL 10STR 2TIP

Facility

$4,726.25

Service Code	HCPCS C1769
Hospital Charge Code	278689725S
Hospital Revenue Code	278
Min. Negotiated Rate	$134.23
Max. Negotiated Rate	$2,363.12
Rate for Payer: Aetna Commercial	$1,795.97
Rate for Payer: Aetna Medicare Advantage	$1,417.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,205.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,205.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$945.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,205.19
Rate for Payer: Cigna Commercial	$2,363.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,143.75
Rate for Payer: Qualcare PPO/HMO/WC	$708.94
Rate for Payer: UnitedHealthcare Community & State	$149.35
Rate for Payer: Wellpoint Medicaid Managed Care	$134.23

CATH MICRO EXCEL SL 10STR 2TIP

Facility

$4,726.25

Service Code	HCPCS C1769
Hospital Charge Code	270689725S
Hospital Revenue Code	278
Min. Negotiated Rate	$134.23
Max. Negotiated Rate	$2,363.12
Rate for Payer: Aetna Commercial	$1,795.97
Rate for Payer: Aetna Medicare Advantage	$1,417.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,205.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,205.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$945.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,205.19
Rate for Payer: Cigna Commercial	$2,363.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,143.75
Rate for Payer: Qualcare PPO/HMO/WC	$708.94
Rate for Payer: UnitedHealthcare Community & State	$149.35
Rate for Payer: Wellpoint Medicaid Managed Care	$134.23

CATH MICRO EXCEL SL 10STR 2TIP

Facility

$4,726.25

Service Code	HCPCS C1769
Hospital Charge Code	270689725S
Hospital Revenue Code	278
Min. Negotiated Rate	$708.94
Max. Negotiated Rate	$1,143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$945.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,143.75
Rate for Payer: Qualcare PPO/HMO/WC	$708.94

CATH MIK 5FR

Facility

$200.85

Service Code	HCPCS C1887
Hospital Charge Code	270677003
Hospital Revenue Code	272
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$100.42
Rate for Payer: Aetna Commercial	$76.32
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$100.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.22
Rate for Payer: Oxford Commercial	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$30.13
Rate for Payer: UnitedHealthcare Commercial	$40.17
Rate for Payer: UnitedHealthcare Community & State	$6.35
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

CATH MIK 5FR

Facility

$200.85

Service Code	HCPCS C1887
Hospital Charge Code	270677003
Hospital Revenue Code	272
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

Know your out-of-pocket cost for care.

All Charges