Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH TURBOHAWK 9cm TIP

Facility

$16,975.00

Service Code	HCPCS C1885
Hospital Charge Code	270644412C
Hospital Revenue Code	278
Min. Negotiated Rate	$482.09
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$6,450.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25
Rate for Payer: UnitedHealthcare Community & State	$536.41
Rate for Payer: Wellpoint Medicaid Managed Care	$482.09

CATH TURBOHAWK 9cm TIP

Facility

$16,975.00

Service Code	HCPCS C1885
Hospital Charge Code	270644412C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH TWIN PASS 3FR .014 5200

Facility

$1,595.00

Service Code	HCPCS C1887
Hospital Charge Code	270639226C
Hospital Revenue Code	278
Min. Negotiated Rate	$45.30
Max. Negotiated Rate	$797.50
Rate for Payer: Aetna Commercial	$606.10
Rate for Payer: Aetna Medicare Advantage	$478.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.73
Rate for Payer: Cigna Commercial	$797.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.99
Rate for Payer: Qualcare PPO/HMO/WC	$239.25
Rate for Payer: UnitedHealthcare Community & State	$50.40
Rate for Payer: Wellpoint Medicaid Managed Care	$45.30

CATH TWIN PASS 3FR .014 5200

Facility

$1,595.00

Service Code	HCPCS C1887
Hospital Charge Code	270639226C
Hospital Revenue Code	278
Min. Negotiated Rate	$239.25
Max. Negotiated Rate	$385.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.99
Rate for Payer: Qualcare PPO/HMO/WC	$239.25

CATH ULTRA HI-FLO AORTIC FLUSH

Facility

$154.00

Hospital Charge Code	270332261
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

CATH ULTRA HI-FLO AORTIC FLUSH

Facility

$154.00

Hospital Charge Code	270332261
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$58.52
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.04
Rate for Payer: Oxford Commercial	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$30.80
Rate for Payer: UnitedHealthcare Community & State	$4.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

CATH URETERAL 5FR 70cm OPENEND

Facility

$80.56

Hospital Charge Code	270679486
Hospital Revenue Code	272
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$30.61
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.95
Rate for Payer: Oxford Commercial	$16.11
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$16.11
Rate for Payer: UnitedHealthcare Community & State	$2.55
Rate for Payer: Wellpoint Medicaid Managed Care	$2.29

CATH URETERAL 5FR 70cm OPENEND

Facility

$80.56

Hospital Charge Code	270679486
Hospital Revenue Code	272
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

CATH URETERAL CONE TIP

Facility

$1,611.15

Hospital Charge Code	270658676
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$805.58
Rate for Payer: Aetna Commercial	$612.24
Rate for Payer: Aetna Medicare Advantage	$483.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.84
Rate for Payer: Cigna Commercial	$805.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.90
Rate for Payer: Oxford Commercial	$322.23
Rate for Payer: Qualcare PPO/HMO/WC	$241.67
Rate for Payer: UnitedHealthcare Commercial	$322.23
Rate for Payer: UnitedHealthcare Community & State	$50.91
Rate for Payer: Wellpoint Medicaid Managed Care	$45.76

CATH URETERAL CONE TIP

Facility

$1,611.15

Hospital Charge Code	270658676
Hospital Revenue Code	272
Min. Negotiated Rate	$241.67
Max. Negotiated Rate	$241.67
Rate for Payer: Qualcare PPO/HMO/WC	$241.67

CATH URETERAL CONE TIP 8FR

Facility

$231.00

Service Code	HCPCS C1758
Hospital Charge Code	270331131
Hospital Revenue Code	278
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$115.50
Rate for Payer: Aetna Commercial	$87.78
Rate for Payer: Aetna Medicare Advantage	$69.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.91
Rate for Payer: Cigna Commercial	$115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Qualcare PPO/HMO/WC	$34.65
Rate for Payer: UnitedHealthcare Community & State	$7.30
Rate for Payer: Wellpoint Medicaid Managed Care	$6.56

CATH URETERAL CONE TIP 8FR

Facility

$231.00

Service Code	HCPCS C1758
Hospital Charge Code	270331131
Hospital Revenue Code	278
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$55.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Qualcare PPO/HMO/WC	$34.65

CATH URETERAL CONE TIP 8FR

Facility

$34.40

Service Code	HCPCS C1758
Hospital Charge Code	270658365
Hospital Revenue Code	278
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$17.20
Rate for Payer: Aetna Commercial	$13.07
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.77
Rate for Payer: Cigna Commercial	$17.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Qualcare PPO/HMO/WC	$5.16
Rate for Payer: UnitedHealthcare Community & State	$1.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

CATH URETERAL CONE TIP 8FR

Facility

$34.40

Service Code	HCPCS C1758
Hospital Charge Code	270658365
Hospital Revenue Code	278
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$8.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Qualcare PPO/HMO/WC	$5.16

CATH URETERAL DUAL LUMAN

Facility

$167.40

Service Code	HCPCS C1758
Hospital Charge Code	270647884
Hospital Revenue Code	278
Min. Negotiated Rate	$25.11
Max. Negotiated Rate	$40.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.51
Rate for Payer: Qualcare PPO/HMO/WC	$25.11

CATH URETERAL DUAL LUMAN

Facility

$167.40

Service Code	HCPCS C1758
Hospital Charge Code	270647884
Hospital Revenue Code	278
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$83.70
Rate for Payer: Aetna Commercial	$63.61
Rate for Payer: Aetna Medicare Advantage	$50.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.69
Rate for Payer: Cigna Commercial	$83.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.51
Rate for Payer: Qualcare PPO/HMO/WC	$25.11
Rate for Payer: UnitedHealthcare Community & State	$5.29
Rate for Payer: Wellpoint Medicaid Managed Care	$4.75

CATH URETERAL OLIVE TIP 3FR

Facility

$213.80

Service Code	HCPCS C1758
Hospital Charge Code	270650800
Hospital Revenue Code	278
Min. Negotiated Rate	$6.07
Max. Negotiated Rate	$106.90
Rate for Payer: Aetna Commercial	$81.24
Rate for Payer: Aetna Medicare Advantage	$64.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.52
Rate for Payer: Cigna Commercial	$106.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.74
Rate for Payer: Qualcare PPO/HMO/WC	$32.07
Rate for Payer: UnitedHealthcare Community & State	$6.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6.07

CATH URETERAL OLIVE TIP 3FR

Facility

$213.80

Service Code	HCPCS C1758
Hospital Charge Code	270650800
Hospital Revenue Code	278
Min. Negotiated Rate	$32.07
Max. Negotiated Rate	$51.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.74
Rate for Payer: Qualcare PPO/HMO/WC	$32.07

CATH URETERAL OLIVETIP 4FR

Facility

$190.55

Service Code	HCPCS C1758
Hospital Charge Code	270644065
Hospital Revenue Code	278
Min. Negotiated Rate	$28.58
Max. Negotiated Rate	$46.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.11
Rate for Payer: Qualcare PPO/HMO/WC	$28.58

CATH URETERAL OLIVETIP 4FR

Facility

$190.55

Service Code	HCPCS C1758
Hospital Charge Code	270644065
Hospital Revenue Code	278
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$95.28
Rate for Payer: Aetna Commercial	$72.41
Rate for Payer: Aetna Medicare Advantage	$57.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.59
Rate for Payer: Cigna Commercial	$95.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.11
Rate for Payer: Qualcare PPO/HMO/WC	$28.58
Rate for Payer: UnitedHealthcare Community & State	$6.02
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

CATH URETERAL OLIVE TIP 6FR

Facility

$373.20

Service Code	HCPCS C1758
Hospital Charge Code	270646263
Hospital Revenue Code	278
Min. Negotiated Rate	$55.98
Max. Negotiated Rate	$90.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.31
Rate for Payer: Qualcare PPO/HMO/WC	$55.98

CATH URETERAL OLIVE TIP 6FR

Facility

$373.20

Service Code	HCPCS C1758
Hospital Charge Code	270646263
Hospital Revenue Code	278
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$186.60
Rate for Payer: Aetna Commercial	$141.82
Rate for Payer: Aetna Medicare Advantage	$111.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.17
Rate for Payer: Cigna Commercial	$186.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.31
Rate for Payer: Qualcare PPO/HMO/WC	$55.98
Rate for Payer: UnitedHealthcare Community & State	$11.79
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

CATH URETERAL POLY WHIS TIP

Facility

$32.65

Service Code	HCPCS C1729
Hospital Charge Code	270659735
Hospital Revenue Code	278
Min. Negotiated Rate	$4.90
Max. Negotiated Rate	$7.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.90

CATH URETERAL POLY WHIS TIP

Facility

$32.65

Service Code	HCPCS C1729
Hospital Charge Code	270659735
Hospital Revenue Code	278
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$16.32
Rate for Payer: Aetna Commercial	$12.41
Rate for Payer: Aetna Medicare Advantage	$9.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.33
Rate for Payer: Cigna Commercial	$16.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.90
Rate for Payer: UnitedHealthcare Community & State	$1.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

CATH URETERAL TIGERTAIL 5FR

Facility

$49.75

Service Code	HCPCS C1758
Hospital Charge Code	270660500
Hospital Revenue Code	278
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$24.88
Rate for Payer: Aetna Commercial	$18.91
Rate for Payer: Aetna Medicare Advantage	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.69
Rate for Payer: Cigna Commercial	$24.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.04
Rate for Payer: Qualcare PPO/HMO/WC	$7.46
Rate for Payer: UnitedHealthcare Community & State	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

Know your out-of-pocket cost for care.

All Charges