Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CORD ACTIVE ELECTROSURGICAL

Facility

$468.20

Hospital Charge Code	270678684
Hospital Revenue Code	272
Min. Negotiated Rate	$70.23
Max. Negotiated Rate	$70.23
Rate for Payer: Qualcare PPO/HMO/WC	$70.23

CORD DISPOSABLE ACTIVE

Facility

$151.43

Hospital Charge Code	270655412
Hospital Revenue Code	271
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$75.72
Rate for Payer: Aetna Commercial	$57.54
Rate for Payer: Aetna Medicare Advantage	$45.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.61
Rate for Payer: Cigna Commercial	$75.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.37
Rate for Payer: Oxford Commercial	$30.29
Rate for Payer: Qualcare PPO/HMO/WC	$22.71
Rate for Payer: UnitedHealthcare Commercial	$30.29
Rate for Payer: UnitedHealthcare Community & State	$4.79
Rate for Payer: Wellpoint Medicaid Managed Care	$4.30

CORD DISPOSABLE ACTIVE

Facility

$151.43

Hospital Charge Code	270655412
Hospital Revenue Code	271
Min. Negotiated Rate	$22.71
Max. Negotiated Rate	$22.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.71

CORD ELECTRO TUR E0503

Facility

$16.41

Hospital Charge Code	270608043
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.21
Rate for Payer: Aetna Commercial	$6.24
Rate for Payer: Aetna Medicare Advantage	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.18
Rate for Payer: Cigna Commercial	$8.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.27
Rate for Payer: Oxford Commercial	$3.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$3.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

CORD ELECTRO TUR E0503

Facility

$16.41

Hospital Charge Code	270608043
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

COR DISPOSABLE KIT W/PERP

Facility

$6,880.00

Hospital Charge Code	270673199
Hospital Revenue Code	272
Min. Negotiated Rate	$195.39
Max. Negotiated Rate	$3,440.00
Rate for Payer: Aetna Commercial	$2,614.40
Rate for Payer: Aetna Medicare Advantage	$2,064.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,754.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,754.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,754.40
Rate for Payer: Cigna Commercial	$3,440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,788.80
Rate for Payer: Oxford Commercial	$1,376.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,032.00
Rate for Payer: UnitedHealthcare Commercial	$1,376.00
Rate for Payer: UnitedHealthcare Community & State	$217.41
Rate for Payer: Wellpoint Medicaid Managed Care	$195.39

COR DISPOSABLE KIT W/PERP

Facility

$6,880.00

Hospital Charge Code	270673199
Hospital Revenue Code	272
Min. Negotiated Rate	$1,032.00
Max. Negotiated Rate	$1,032.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,032.00

CORDIS PTA DILATION CATHETER

Facility

$785.00

Hospital Charge Code	270335507
Hospital Revenue Code	278
Min. Negotiated Rate	$22.29
Max. Negotiated Rate	$392.50
Rate for Payer: Aetna Commercial	$298.30
Rate for Payer: Aetna Medicare Advantage	$235.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.18
Rate for Payer: Cigna Commercial	$392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.97
Rate for Payer: Qualcare PPO/HMO/WC	$117.75
Rate for Payer: UnitedHealthcare Community & State	$24.81
Rate for Payer: Wellpoint Medicaid Managed Care	$22.29

CORDIS PTA DILATION CATHETER

Facility

$785.00

Hospital Charge Code	270335507
Hospital Revenue Code	278
Min. Negotiated Rate	$117.75
Max. Negotiated Rate	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.97
Rate for Payer: Qualcare PPO/HMO/WC	$117.75

CORDIS TRAPESE VENA CAVA FILTE

Facility

$6,630.00

Service Code	HCPCS C1880
Hospital Charge Code	270657201
Hospital Revenue Code	278
Min. Negotiated Rate	$994.50
Max. Negotiated Rate	$1,604.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,604.46
Rate for Payer: Qualcare PPO/HMO/WC	$994.50

CORDIS TRAPESE VENA CAVA FILTE

Facility

$6,630.00

Service Code	HCPCS C1880
Hospital Charge Code	270657201
Hospital Revenue Code	278
Min. Negotiated Rate	$188.29
Max. Negotiated Rate	$3,315.00
Rate for Payer: Aetna Commercial	$2,519.40
Rate for Payer: Aetna Medicare Advantage	$1,989.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,690.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,690.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,326.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,690.65
Rate for Payer: Cigna Commercial	$3,315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,604.46
Rate for Payer: Qualcare PPO/HMO/WC	$994.50
Rate for Payer: UnitedHealthcare Community & State	$209.51
Rate for Payer: Wellpoint Medicaid Managed Care	$188.29

CORD STZ BIPOLAR DISP 26176LD

Facility

$102.50

Hospital Charge Code	270616247
Hospital Revenue Code	272
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$51.25
Rate for Payer: Aetna Commercial	$38.95
Rate for Payer: Aetna Medicare Advantage	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.14
Rate for Payer: Cigna Commercial	$51.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.65
Rate for Payer: Oxford Commercial	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.38
Rate for Payer: UnitedHealthcare Commercial	$20.50
Rate for Payer: UnitedHealthcare Community & State	$3.24
Rate for Payer: Wellpoint Medicaid Managed Care	$2.91

CORD STZ BIPOLAR DISP 26176LD

Facility

$102.50

Hospital Charge Code	270616247
Hospital Revenue Code	272
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$15.38

CORE DEVICE 14GA SPRING

Facility

$460.75

Service Code	HCPCS A4649
Hospital Charge Code	270697942
Hospital Revenue Code	272
Min. Negotiated Rate	$13.09
Max. Negotiated Rate	$230.38
Rate for Payer: Aetna Commercial	$175.09
Rate for Payer: Aetna Medicare Advantage	$138.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.49
Rate for Payer: Cigna Commercial	$230.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.80
Rate for Payer: Oxford Commercial	$92.15
Rate for Payer: Qualcare PPO/HMO/WC	$69.11
Rate for Payer: UnitedHealthcare Commercial	$92.15
Rate for Payer: UnitedHealthcare Community & State	$14.56
Rate for Payer: Wellpoint Medicaid Managed Care	$13.09

CORE DEVICE 14GA SPRING

Facility

$460.75

Service Code	HCPCS A4649
Hospital Charge Code	270697942
Hospital Revenue Code	272
Min. Negotiated Rate	$69.11
Max. Negotiated Rate	$69.11
Rate for Payer: Qualcare PPO/HMO/WC	$69.11

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408LT
Hospital Charge Code	404632408L
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$4,249.50
Rate for Payer: Aetna Commercial	$3,229.62
Rate for Payer: Aetna Medicare Advantage	$2,549.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.24
Rate for Payer: Cigna Commercial	$4,249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	404232408
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	404232408
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408RT
Hospital Charge Code	321032408R
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$4,249.50
Rate for Payer: Aetna Commercial	$3,229.62
Rate for Payer: Aetna Medicare Advantage	$2,549.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.24
Rate for Payer: Cigna Commercial	$4,249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	404332408
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408RT
Hospital Charge Code	321032408R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	404332408
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	404632408
Hospital Revenue Code	361
Min. Negotiated Rate	$1,274.85
Max. Negotiated Rate	$1,274.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	404632408
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

CORE NDL BX LNG/MED PERQ W/IMG

Facility

$8,499.00

Service Code	HCPCS 32408
Hospital Charge Code	321032408
Hospital Revenue Code	361
Min. Negotiated Rate	$241.37
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,209.74
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.85
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$268.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$241.37

Know your out-of-pocket cost for care.

All Charges