Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH SUCTION 14F

Facility

$5.65

Hospital Charge Code	270300585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

CATH SUCTION 14F

Facility

$5.65

Hospital Charge Code	270300585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.47
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

CATH SUCTION STD 14FR 22 T260

Facility

$1.80

Hospital Charge Code	270649066
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.27

CATH SUCTION STD 14FR 22 T260

Facility

$1.80

Hospital Charge Code	270649066
Hospital Revenue Code	272
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.90
Rate for Payer: Aetna Commercial	$0.68
Rate for Payer: Aetna Medicare Advantage	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.46
Rate for Payer: Cigna Commercial	$0.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.47
Rate for Payer: Oxford Commercial	$0.36
Rate for Payer: Qualcare PPO/HMO/WC	$0.27
Rate for Payer: UnitedHealthcare Commercial	$0.36
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

CATH SUPRAPUBIC ONE STEP

Facility

$360.80

Hospital Charge Code	270647887
Hospital Revenue Code	271
Min. Negotiated Rate	$54.12
Max. Negotiated Rate	$54.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.12

CATH SUPRAPUBIC ONE STEP

Facility

$360.80

Hospital Charge Code	270647887
Hospital Revenue Code	271
Min. Negotiated Rate	$10.25
Max. Negotiated Rate	$180.40
Rate for Payer: Aetna Commercial	$137.10
Rate for Payer: Aetna Medicare Advantage	$108.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.00
Rate for Payer: Cigna Commercial	$180.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.81
Rate for Payer: Oxford Commercial	$72.16
Rate for Payer: Qualcare PPO/HMO/WC	$54.12
Rate for Payer: UnitedHealthcare Commercial	$72.16
Rate for Payer: UnitedHealthcare Community & State	$11.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.25

CATH SURECROSS 5FX 150CM .014

Facility

$675.00

Hospital Charge Code	270670718
Hospital Revenue Code	272
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SURECROSS 5FX 150CM .014

Facility

$675.00

Hospital Charge Code	270670718
Hospital Revenue Code	272
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$135.00
Rate for Payer: UnitedHealthcare Community & State	$21.33
Rate for Payer: Wellpoint Medicaid Managed Care	$19.17

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719N
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719N
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720N
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720N
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH SWAN GANZ THERMODILUTION

Facility

$74.64

Service Code	HCPCS C1714
Hospital Charge Code	270649976N
Hospital Revenue Code	278
Min. Negotiated Rate	$11.20
Max. Negotiated Rate	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.20

CATH SWAN GANZ THERMODILUTION

Facility

$74.64

Service Code	HCPCS C1714
Hospital Charge Code	270649976N
Hospital Revenue Code	278
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$37.32
Rate for Payer: Aetna Commercial	$28.36
Rate for Payer: Aetna Medicare Advantage	$22.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.03
Rate for Payer: Cigna Commercial	$37.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.20
Rate for Payer: UnitedHealthcare Community & State	$2.36
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976S
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976S
Hospital Revenue Code	278
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976
Hospital Revenue Code	278
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315S
Hospital Revenue Code	278
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Community & State	$21.33
Rate for Payer: Wellpoint Medicaid Managed Care	$19.17

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315C
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315S
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

Know your out-of-pocket cost for care.

All Charges