Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH REENTRY MALECOT 20FR 35CM

Facility

$685.25

Service Code	HCPCS C1729
Hospital Charge Code	270692873
Hospital Revenue Code	278
Min. Negotiated Rate	$19.46
Max. Negotiated Rate	$342.62
Rate for Payer: Aetna Commercial	$260.39
Rate for Payer: Aetna Medicare Advantage	$205.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.74
Rate for Payer: Cigna Commercial	$342.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.83
Rate for Payer: Qualcare PPO/HMO/WC	$102.79
Rate for Payer: UnitedHealthcare Community & State	$21.65
Rate for Payer: Wellpoint Medicaid Managed Care	$19.46

CATH REENTRY MALECOT 20FR 35CM

Facility

$685.25

Service Code	HCPCS C1729
Hospital Charge Code	270692873
Hospital Revenue Code	278
Min. Negotiated Rate	$102.79
Max. Negotiated Rate	$165.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.83
Rate for Payer: Qualcare PPO/HMO/WC	$102.79

CATH RE-ENTRY NEPHROS 410107

Facility

$596.50

Hospital Charge Code	270632773
Hospital Revenue Code	272
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) PPO	$152.11
Rate for Payer: Cigna Commercial	$298.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.09
Rate for Payer: Oxford Commercial	$119.30
Rate for Payer: Qualcare PPO/HMO/WC	$89.47
Rate for Payer: UnitedHealthcare Commercial	$119.30
Rate for Payer: UnitedHealthcare Community & State	$18.85
Rate for Payer: Wellpoint Medicaid Managed Care	$16.94

CATH RE-ENTRY NEPHROS 410107

Facility

$596.50

Hospital Charge Code	270632773
Hospital Revenue Code	272
Min. Negotiated Rate	$89.47
Max. Negotiated Rate	$89.47
Rate for Payer: Qualcare PPO/HMO/WC	$89.47

CATH RENEGADE

Facility

$1,836.80

Service Code	HCPCS C1887
Hospital Charge Code	270629051
Hospital Revenue Code	278
Min. Negotiated Rate	$275.52
Max. Negotiated Rate	$444.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.51
Rate for Payer: Qualcare PPO/HMO/WC	$275.52

CATH RENEGADE

Facility

$1,836.80

Service Code	HCPCS C1887
Hospital Charge Code	270629051
Hospital Revenue Code	278
Min. Negotiated Rate	$52.17
Max. Negotiated Rate	$918.40
Rate for Payer: Aetna Commercial	$697.98
Rate for Payer: Aetna Medicare Advantage	$551.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$468.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$468.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$468.38
Rate for Payer: Cigna Commercial	$918.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.51
Rate for Payer: Qualcare PPO/HMO/WC	$275.52
Rate for Payer: UnitedHealthcare Community & State	$58.04
Rate for Payer: Wellpoint Medicaid Managed Care	$52.17

CATH RIM ADAVANTAGE 4FR .035X6

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662849
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

CATH RIM ADAVANTAGE 4FR .035X6

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662849
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH ROBERT 5FR 90cm

Facility

$550.00

Service Code	HCPCS C1876
Hospital Charge Code	270632846
Hospital Revenue Code	278
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

CATH ROBERT 5FR 90cm

Facility

$550.00

Service Code	HCPCS C1876
Hospital Charge Code	270632846
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH ROBERT W/COATING 5FR 90cm

Facility

$1,625.00

Hospital Charge Code	270634650
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

CATH ROBERT W/COATING 5FR 90cm

Facility

$1,625.00

Hospital Charge Code	270634650
Hospital Revenue Code	272
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

CATH ROBERT W/COATING 5FR 90CM

Facility

$242.95

Service Code	HCPCS C1876
Hospital Charge Code	270634650N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$121.47
Rate for Payer: Aetna Commercial	$92.32
Rate for Payer: Aetna Medicare Advantage	$72.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.95
Rate for Payer: Cigna Commercial	$121.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.79
Rate for Payer: Qualcare PPO/HMO/WC	$36.44
Rate for Payer: UnitedHealthcare Community & State	$7.68
Rate for Payer: Wellpoint Medicaid Managed Care	$6.90

CATH ROBERT W/COATING 5FR 90CM

Facility

$242.95

Service Code	HCPCS C1876
Hospital Charge Code	270634650N
Hospital Revenue Code	278
Min. Negotiated Rate	$36.44
Max. Negotiated Rate	$58.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.79
Rate for Payer: Qualcare PPO/HMO/WC	$36.44

CATH ROBERT W/COATING 5FR 90CM

Facility

$1,625.00

Service Code	HCPCS C1876
Hospital Charge Code	270634650C
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$51.35
Rate for Payer: Wellpoint Medicaid Managed Care	$46.15

CATH ROBERT W/COATING 5FR 90CM

Facility

$1,625.00

Service Code	HCPCS C1876
Hospital Charge Code	270634650C
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

CATH ROYAL FLUSH 5FR

Facility

$74.30

Hospital Charge Code	270677002
Hospital Revenue Code	272
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$11.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

CATH ROYAL FLUSH 5FR

Facility

$74.30

Hospital Charge Code	270677002
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$37.15
Rate for Payer: Aetna Commercial	$28.23
Rate for Payer: Aetna Medicare Advantage	$22.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.95
Rate for Payer: Cigna Commercial	$37.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.32
Rate for Payer: Oxford Commercial	$14.86
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Commercial	$14.86
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

CATH SCHON D/LUMEN 20cm

Facility

$475.00

Service Code	HCPCS C1752
Hospital Charge Code	270635645S
Hospital Revenue Code	278
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$15.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

CATH SCHON D/LUMEN 20cm

Facility

$475.00

Service Code	HCPCS C1752
Hospital Charge Code	270635645
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

CATH SCHON D/LUMEN 20cm

Facility

$475.00

Service Code	HCPCS C1752
Hospital Charge Code	270635645
Hospital Revenue Code	278
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$15.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

CATH SCHON D/LUMEN 20cm

Facility

$699.95

Service Code	HCPCS C1752
Hospital Charge Code	270635645N
Hospital Revenue Code	278
Min. Negotiated Rate	$104.99
Max. Negotiated Rate	$169.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.39
Rate for Payer: Qualcare PPO/HMO/WC	$104.99

CATH SCHON D/LUMEN 20cm

Facility

$475.00

Service Code	HCPCS C1752
Hospital Charge Code	270635645S
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

CATH SCHON D/LUMEN 20cm

Facility

$699.95

Service Code	HCPCS C1752
Hospital Charge Code	270635645N
Hospital Revenue Code	278
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$349.98
Rate for Payer: Aetna Commercial	$265.98
Rate for Payer: Aetna Medicare Advantage	$209.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.49
Rate for Payer: Cigna Commercial	$349.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.39
Rate for Payer: Qualcare PPO/HMO/WC	$104.99
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

CATH SCULP 2.5x100mm 155cm BTK

Facility

$6,000.00

Service Code	HCPCS C1725
Hospital Charge Code	270665654S
Hospital Revenue Code	278
Min. Negotiated Rate	$170.40
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$189.60
Rate for Payer: Wellpoint Medicaid Managed Care	$170.40

Know your out-of-pocket cost for care.

All Charges