Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CT TX PROX HUMERAL FX,W MANIP

Facility

$14,872.30

Service Code	HCPCS 23605
Hospital Charge Code	1600000531
Hospital Revenue Code	360
Min. Negotiated Rate	$2,230.84
Max. Negotiated Rate	$2,230.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,230.84

CT UPR XTRMTY W/&W/O CNST RGHT

Facility

$2,170.00

Service Code	HCPCS 7320250
Hospital Charge Code	2205439
Hospital Revenue Code	352
Min. Negotiated Rate	$325.50
Max. Negotiated Rate	$325.50
Rate for Payer: Qualcare PPO/HMO/WC	$325.50

CT UPR XTRMTY W/&W/O CNST RGHT

Facility

$2,170.00

Service Code	HCPCS 7320250
Hospital Charge Code	2205439
Hospital Revenue Code	352
Min. Negotiated Rate	$61.63
Max. Negotiated Rate	$3,916.00
Rate for Payer: Aetna Commercial	$824.60
Rate for Payer: Aetna Medicare Advantage	$651.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$553.35
Rate for Payer: Cigna Commercial	$1,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$564.20
Rate for Payer: Oxford Commercial	$3,774.00
Rate for Payer: Qualcare PPO/HMO/WC	$325.50
Rate for Payer: UnitedHealthcare Commercial	$3,916.00
Rate for Payer: UnitedHealthcare Community & State	$68.57
Rate for Payer: Wellpoint Medicaid Managed Care	$61.63

CUBE TRUCK MDPE BLACK

Facility

$2,235.30

Hospital Charge Code	270689583
Hospital Revenue Code	272
Min. Negotiated Rate	$63.48
Max. Negotiated Rate	$1,117.65
Rate for Payer: Aetna Commercial	$849.41
Rate for Payer: Aetna Medicare Advantage	$670.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.00
Rate for Payer: Cigna Commercial	$1,117.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.18
Rate for Payer: Oxford Commercial	$447.06
Rate for Payer: Qualcare PPO/HMO/WC	$335.30
Rate for Payer: UnitedHealthcare Commercial	$447.06
Rate for Payer: UnitedHealthcare Community & State	$70.64
Rate for Payer: Wellpoint Medicaid Managed Care	$63.48

CUBE TRUCK MDPE BLACK

Facility

$2,235.30

Hospital Charge Code	270689583
Hospital Revenue Code	272
Min. Negotiated Rate	$335.30
Max. Negotiated Rate	$335.30
Rate for Payer: Qualcare PPO/HMO/WC	$335.30

CUFF 34 SGLE TB DIS 607070106

Facility

$151.19

Hospital Charge Code	270639240
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$75.59
Rate for Payer: Aetna Commercial	$57.45
Rate for Payer: Aetna Medicare Advantage	$45.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.55
Rate for Payer: Cigna Commercial	$75.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.31
Rate for Payer: Oxford Commercial	$30.24
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$30.24
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.29

CUFF 34 SGLE TB DIS 607070106

Facility

$151.19

Hospital Charge Code	270639240
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

CUFF 45 CM

Facility

$30,590.00

Service Code	HCPCS C1815
Hospital Charge Code	270683058
Hospital Revenue Code	278
Min. Negotiated Rate	$4,588.50
Max. Negotiated Rate	$7,402.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,402.78
Rate for Payer: Qualcare PPO/HMO/WC	$4,588.50

CUFF 45 CM

Facility

$30,590.00

Service Code	HCPCS C1815
Hospital Charge Code	270683058
Hospital Revenue Code	278
Min. Negotiated Rate	$868.76
Max. Negotiated Rate	$15,295.00
Rate for Payer: Aetna Commercial	$11,624.20
Rate for Payer: Aetna Medicare Advantage	$9,177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,800.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,800.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,118.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,800.45
Rate for Payer: Cigna Commercial	$15,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,402.78
Rate for Payer: Qualcare PPO/HMO/WC	$4,588.50
Rate for Payer: UnitedHealthcare Community & State	$966.64
Rate for Payer: Wellpoint Medicaid Managed Care	$868.76

CUFF ATS DUAL PORT 18 IN

Facility

$112.29

Hospital Charge Code	270620629
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$56.15
Rate for Payer: Aetna Commercial	$42.67
Rate for Payer: Aetna Medicare Advantage	$33.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.63
Rate for Payer: Cigna Commercial	$56.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.20
Rate for Payer: Oxford Commercial	$22.46
Rate for Payer: Qualcare PPO/HMO/WC	$16.84
Rate for Payer: UnitedHealthcare Commercial	$22.46
Rate for Payer: UnitedHealthcare Community & State	$3.55
Rate for Payer: Wellpoint Medicaid Managed Care	$3.19

CUFF ATS DUAL PORT 18 IN

Facility

$112.29

Hospital Charge Code	270620629
Hospital Revenue Code	272
Min. Negotiated Rate	$16.84
Max. Negotiated Rate	$16.84
Rate for Payer: Qualcare PPO/HMO/WC	$16.84

CUFF BP DISP NEP-NATAL 1 TUBE

Facility

$197.45

Hospital Charge Code	270664141
Hospital Revenue Code	270
Min. Negotiated Rate	$5.61
Max. Negotiated Rate	$98.72
Rate for Payer: Aetna Commercial	$75.03
Rate for Payer: Aetna Medicare Advantage	$59.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.35
Rate for Payer: Cigna Commercial	$98.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.34
Rate for Payer: Oxford Commercial	$39.49
Rate for Payer: Qualcare PPO/HMO/WC	$29.62
Rate for Payer: UnitedHealthcare Commercial	$39.49
Rate for Payer: UnitedHealthcare Community & State	$6.24
Rate for Payer: Wellpoint Medicaid Managed Care	$5.61

CUFF BP DISP NEP-NATAL 1 TUBE

Facility

$197.45

Hospital Charge Code	270664141
Hospital Revenue Code	270
Min. Negotiated Rate	$29.62
Max. Negotiated Rate	$29.62
Rate for Payer: Qualcare PPO/HMO/WC	$29.62

CUFF COMPLETE V-LOK ADULT

Facility

$137.00

Hospital Charge Code	270331861
Hospital Revenue Code	272
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$20.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

CUFF COMPLETE V-LOK ADULT

Facility

$137.00

Hospital Charge Code	270331861
Hospital Revenue Code	272
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$68.50
Rate for Payer: Aetna Commercial	$52.06
Rate for Payer: Aetna Medicare Advantage	$41.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.94
Rate for Payer: Cigna Commercial	$68.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.62
Rate for Payer: Oxford Commercial	$27.40
Rate for Payer: Qualcare PPO/HMO/WC	$20.55
Rate for Payer: UnitedHealthcare Commercial	$27.40
Rate for Payer: UnitedHealthcare Community & State	$4.33
Rate for Payer: Wellpoint Medicaid Managed Care	$3.89

CUFF DISP DUAL PORT 42 SINGLE

Facility

$154.65

Hospital Charge Code	270648579
Hospital Revenue Code	272
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$23.20
Rate for Payer: Qualcare PPO/HMO/WC	$23.20

CUFF DISP DUAL PORT 42 SINGLE

Facility

$154.65

Hospital Charge Code	270648579
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$77.33
Rate for Payer: Aetna Commercial	$58.77
Rate for Payer: Aetna Medicare Advantage	$46.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.44
Rate for Payer: Cigna Commercial	$77.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.21
Rate for Payer: Oxford Commercial	$30.93
Rate for Payer: Qualcare PPO/HMO/WC	$23.20
Rate for Payer: UnitedHealthcare Commercial	$30.93
Rate for Payer: UnitedHealthcare Community & State	$4.89
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

CUFF DUAL PORT DISPOSABLE 34

Facility

$151.19

Hospital Charge Code	270664114
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$75.59
Rate for Payer: Aetna Commercial	$57.45
Rate for Payer: Aetna Medicare Advantage	$45.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.55
Rate for Payer: Cigna Commercial	$75.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.31
Rate for Payer: Oxford Commercial	$30.24
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$30.24
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.29

CUFF DUAL PORT DISPOSABLE 34

Facility

$151.19

Hospital Charge Code	270664114
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

CUFF DYN GEL TOURNET 24 531124

Facility

$213.35

Hospital Charge Code	270622086
Hospital Revenue Code	272
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.00

CUFF DYN GEL TOURNET 24 531124

Facility

$213.35

Hospital Charge Code	270622086
Hospital Revenue Code	272
Min. Negotiated Rate	$6.06
Max. Negotiated Rate	$106.67
Rate for Payer: Aetna Commercial	$81.07
Rate for Payer: Aetna Medicare Advantage	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.40
Rate for Payer: Cigna Commercial	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.47
Rate for Payer: Oxford Commercial	$42.67
Rate for Payer: Qualcare PPO/HMO/WC	$32.00
Rate for Payer: UnitedHealthcare Commercial	$42.67
Rate for Payer: UnitedHealthcare Community & State	$6.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.06

CUFF NEO NATAL BP SZ 3 DISPOSA

Facility

$217.15

Hospital Charge Code	270664144
Hospital Revenue Code	270
Min. Negotiated Rate	$32.57
Max. Negotiated Rate	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$32.57

CUFF NEO NATAL BP SZ 3 DISPOSA

Facility

$217.15

Hospital Charge Code	270664144
Hospital Revenue Code	270
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$108.58
Rate for Payer: Aetna Commercial	$82.52
Rate for Payer: Aetna Medicare Advantage	$65.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.37
Rate for Payer: Cigna Commercial	$108.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.46
Rate for Payer: Oxford Commercial	$43.43
Rate for Payer: Qualcare PPO/HMO/WC	$32.57
Rate for Payer: UnitedHealthcare Commercial	$43.43
Rate for Payer: UnitedHealthcare Community & State	$6.86
Rate for Payer: Wellpoint Medicaid Managed Care	$6.17

CUFF NEO NATAL BP SZ 4 DISPOSA

Facility

$243.50

Hospital Charge Code	270664143
Hospital Revenue Code	270
Min. Negotiated Rate	$36.52
Max. Negotiated Rate	$36.52
Rate for Payer: Qualcare PPO/HMO/WC	$36.52

CUFF NEO NATAL BP SZ 4 DISPOSA

Facility

$243.50

Hospital Charge Code	270664143
Hospital Revenue Code	270
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$121.75
Rate for Payer: Aetna Commercial	$92.53
Rate for Payer: Aetna Medicare Advantage	$73.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.09
Rate for Payer: Cigna Commercial	$121.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.31
Rate for Payer: Oxford Commercial	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$36.52
Rate for Payer: UnitedHealthcare Commercial	$48.70
Rate for Payer: UnitedHealthcare Community & State	$7.69
Rate for Payer: Wellpoint Medicaid Managed Care	$6.92

Know your out-of-pocket cost for care.

All Charges