Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CATH XB LAD 4.0 7FR

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636385N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$8.78
Rate for Payer: Wellpoint Medicaid Managed Care	$7.89

CATH XB LAD 4.0 7FR

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636385
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$6.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

CATH XB LAD 4.0 7FR

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636385
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH XB LAD 4.0 7FR

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636385N
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH XB RCA SH 6FR 67012700

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636343
Hospital Revenue Code	278
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

CATH XB RCA SH 6FR 67012700

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636343N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$8.78
Rate for Payer: Wellpoint Medicaid Managed Care	$7.89

CATH XB RCA SH 6FR 67012700

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636343N
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH XB RCA SH 6FR 67012700

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636343
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077S
Hospital Revenue Code	278
Min. Negotiated Rate	$415.35
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$5,557.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75
Rate for Payer: UnitedHealthcare Community & State	$462.15
Rate for Payer: Wellpoint Medicaid Managed Care	$415.35

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077N
Hospital Revenue Code	278
Min. Negotiated Rate	$415.35
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$5,557.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75
Rate for Payer: UnitedHealthcare Community & State	$462.15
Rate for Payer: Wellpoint Medicaid Managed Care	$415.35

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077A
Hospital Revenue Code	278
Min. Negotiated Rate	$415.35
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$5,557.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75
Rate for Payer: UnitedHealthcare Community & State	$462.15
Rate for Payer: Wellpoint Medicaid Managed Care	$415.35

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077A
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077
Hospital Revenue Code	278
Min. Negotiated Rate	$415.35
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$5,557.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75
Rate for Payer: UnitedHealthcare Community & State	$462.15
Rate for Payer: Wellpoint Medicaid Managed Care	$415.35

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892
Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.00
Max. Negotiated Rate	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.00
Max. Negotiated Rate	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892N
Hospital Revenue Code	272
Min. Negotiated Rate	$275.48
Max. Negotiated Rate	$4,850.00
Rate for Payer: Aetna Commercial	$3,686.00
Rate for Payer: Aetna Medicare Advantage	$2,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,473.50
Rate for Payer: Cigna Commercial	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,522.00
Rate for Payer: Oxford Commercial	$1,940.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00
Rate for Payer: UnitedHealthcare Commercial	$1,940.00
Rate for Payer: UnitedHealthcare Community & State	$306.52
Rate for Payer: Wellpoint Medicaid Managed Care	$275.48

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892
Hospital Revenue Code	272
Min. Negotiated Rate	$275.48
Max. Negotiated Rate	$4,850.00
Rate for Payer: Aetna Commercial	$3,686.00
Rate for Payer: Aetna Medicare Advantage	$2,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,473.50
Rate for Payer: Cigna Commercial	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,522.00
Rate for Payer: Oxford Commercial	$1,940.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00
Rate for Payer: UnitedHealthcare Commercial	$1,940.00
Rate for Payer: UnitedHealthcare Community & State	$306.52
Rate for Payer: Wellpoint Medicaid Managed Care	$275.48

CAT RX

Facility

$9,700.00

Hospital Charge Code	270685892S
Hospital Revenue Code	272
Min. Negotiated Rate	$275.48
Max. Negotiated Rate	$4,850.00
Rate for Payer: Aetna Commercial	$3,686.00
Rate for Payer: Aetna Medicare Advantage	$2,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,473.50
Rate for Payer: Cigna Commercial	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,522.00
Rate for Payer: Oxford Commercial	$1,940.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00
Rate for Payer: UnitedHealthcare Commercial	$1,940.00
Rate for Payer: UnitedHealthcare Community & State	$306.52
Rate for Payer: Wellpoint Medicaid Managed Care	$275.48

CAT RX

Facility

$9,700.00

Hospital Charge Code	270685892S
Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.00
Max. Negotiated Rate	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00

CAT SCRATCH DISEASE AB PA I

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028A
Hospital Revenue Code	302
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.48
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

CAT SCRATCH DISEASE AB PA I

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028A
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA II

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.48
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

Know your out-of-pocket cost for care.

All Charges