Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH TORCON HN5 5FR .038 100cm

Facility

$550.00

Hospital Charge Code	270624804
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH TORQR JO 100cm

Facility

$1,500.00

Service Code	HCPCS C1730
Hospital Charge Code	270675269
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

CATH TORQR JO 100cm

Facility

$1,500.00

Service Code	HCPCS C1730
Hospital Charge Code	270675269
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

CATH TRAILBLAZER .014 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849
Hospital Revenue Code	278
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$23.54
Rate for Payer: Wellpoint Medicaid Managed Care	$21.15

CATH TRAILBLAZER .014 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .014 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643849N
Hospital Revenue Code	278
Min. Negotiated Rate	$114.81
Max. Negotiated Rate	$2,021.25
Rate for Payer: Aetna Commercial	$1,536.15
Rate for Payer: Aetna Medicare Advantage	$1,212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.84
Rate for Payer: Cigna Commercial	$2,021.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: Qualcare PPO/HMO/WC	$606.38
Rate for Payer: UnitedHealthcare Community & State	$127.74
Rate for Payer: Wellpoint Medicaid Managed Care	$114.81

CATH TRAILBLAZER .014 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643849N
Hospital Revenue Code	278
Min. Negotiated Rate	$606.38
Max. Negotiated Rate	$978.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: Qualcare PPO/HMO/WC	$606.38

CATH TRAILBLAZER .014 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849S
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .014 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849S
Hospital Revenue Code	278
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$23.54
Rate for Payer: Wellpoint Medicaid Managed Care	$21.15

CATH TRAILBLAZER .018 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850
Hospital Revenue Code	278
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$23.54
Rate for Payer: Wellpoint Medicaid Managed Care	$21.15

CATH TRAILBLAZER .018 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .018 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643850N
Hospital Revenue Code	278
Min. Negotiated Rate	$114.81
Max. Negotiated Rate	$2,021.25
Rate for Payer: Aetna Commercial	$1,536.15
Rate for Payer: Aetna Medicare Advantage	$1,212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.84
Rate for Payer: Cigna Commercial	$2,021.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: Qualcare PPO/HMO/WC	$606.38
Rate for Payer: UnitedHealthcare Community & State	$127.74
Rate for Payer: Wellpoint Medicaid Managed Care	$114.81

CATH TRAILBLAZER .018 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643850N
Hospital Revenue Code	278
Min. Negotiated Rate	$606.38
Max. Negotiated Rate	$978.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: Qualcare PPO/HMO/WC	$606.38

CATH TRAILBLAZER .018 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850S
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .018 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850S
Hospital Revenue Code	278
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$23.54
Rate for Payer: Wellpoint Medicaid Managed Care	$21.15

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202S
Hospital Revenue Code	278
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22

CATH TRAILBLAZER .035 150CM

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270644202N
Hospital Revenue Code	278
Min. Negotiated Rate	$114.81
Max. Negotiated Rate	$2,021.25
Rate for Payer: Aetna Commercial	$1,536.15
Rate for Payer: Aetna Medicare Advantage	$1,212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.84
Rate for Payer: Cigna Commercial	$2,021.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: Qualcare PPO/HMO/WC	$606.38
Rate for Payer: UnitedHealthcare Community & State	$127.74
Rate for Payer: Wellpoint Medicaid Managed Care	$114.81

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1725
Hospital Charge Code	270644202A
Hospital Revenue Code	278
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22

CATH TRAILBLAZER .035 150CM

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270644202N
Hospital Revenue Code	278
Min. Negotiated Rate	$606.38
Max. Negotiated Rate	$978.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: Qualcare PPO/HMO/WC	$606.38

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1725
Hospital Charge Code	270644202C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1725
Hospital Charge Code	270644202A
Hospital Revenue Code	278
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$387.40
Rate for Payer: Aetna Commercial	$294.42
Rate for Payer: Aetna Medicare Advantage	$232.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.57
Rate for Payer: Cigna Commercial	$387.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22
Rate for Payer: UnitedHealthcare Community & State	$24.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.00

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202
Hospital Revenue Code	278
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202
Hospital Revenue Code	278
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$387.40
Rate for Payer: Aetna Commercial	$294.42
Rate for Payer: Aetna Medicare Advantage	$232.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.57
Rate for Payer: Cigna Commercial	$387.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22
Rate for Payer: UnitedHealthcare Community & State	$24.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.00

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1725
Hospital Charge Code	270644202C
Hospital Revenue Code	278
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$387.40
Rate for Payer: Aetna Commercial	$294.42
Rate for Payer: Aetna Medicare Advantage	$232.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.57
Rate for Payer: Cigna Commercial	$387.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22
Rate for Payer: UnitedHealthcare Community & State	$24.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.00

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202S
Hospital Revenue Code	278
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$387.40
Rate for Payer: Aetna Commercial	$294.42
Rate for Payer: Aetna Medicare Advantage	$232.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.57
Rate for Payer: Cigna Commercial	$387.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.22
Rate for Payer: UnitedHealthcare Community & State	$24.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.00

Know your out-of-pocket cost for care.

All Charges