Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CURETTE VACUUM 9MM RIGID STR

Facility

$14.75

Hospital Charge Code	270656355
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

Curosurf 120mg/1.5ml

Facility

$4,815.63

Service Code	NDC 10122051001
Hospital Charge Code	6063943282
Hospital Revenue Code	250
Min. Negotiated Rate	$722.34
Max. Negotiated Rate	$722.34
Rate for Payer: Qualcare PPO/HMO/WC	$722.34

Curosurf 120mg/1.5ml

Facility

$4,815.63

Service Code	NDC 10122051001
Hospital Charge Code	6063943282
Hospital Revenue Code	250
Min. Negotiated Rate	$136.76
Max. Negotiated Rate	$2,407.82
Rate for Payer: Aetna Commercial	$1,829.94
Rate for Payer: Aetna Medicare Advantage	$1,444.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,227.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,227.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,227.99
Rate for Payer: Cigna Commercial	$2,407.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,252.06
Rate for Payer: Oxford Commercial	$963.13
Rate for Payer: Qualcare PPO/HMO/WC	$722.34
Rate for Payer: UnitedHealthcare Commercial	$963.13
Rate for Payer: UnitedHealthcare Community & State	$152.17
Rate for Payer: Wellpoint Medicaid Managed Care	$136.76

CURRENT EVENTS GROUP PSYCHOTPY

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246300
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

CURRENT EVENTS GROUP PSYCHOTPY

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246300
Hospital Revenue Code	915
Min. Negotiated Rate	$22.74
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.21
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: UnitedHealthcare Community & State	$25.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.74

CURVED NDLE.SPLIT CANNULA

Facility

$487.00

Hospital Charge Code	270339441
Hospital Revenue Code	272
Min. Negotiated Rate	$13.83
Max. Negotiated Rate	$243.50
Rate for Payer: Aetna Commercial	$185.06
Rate for Payer: Aetna Medicare Advantage	$146.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.19
Rate for Payer: Cigna Commercial	$243.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.62
Rate for Payer: Oxford Commercial	$97.40
Rate for Payer: Qualcare PPO/HMO/WC	$73.05
Rate for Payer: UnitedHealthcare Commercial	$97.40
Rate for Payer: UnitedHealthcare Community & State	$15.39
Rate for Payer: Wellpoint Medicaid Managed Care	$13.83

CURVED NDLE.SPLIT CANNULA

Facility

$487.00

Hospital Charge Code	270339441
Hospital Revenue Code	272
Min. Negotiated Rate	$73.05
Max. Negotiated Rate	$73.05
Rate for Payer: Qualcare PPO/HMO/WC	$73.05

CURVED ROD 100MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270702000
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$227.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

CURVED ROD 100MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270702000
Hospital Revenue Code	278
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$357.20
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Community & State	$29.70
Rate for Payer: Wellpoint Medicaid Managed Care	$26.70

CURVED ROD 5.5 X 45 MM

Facility

$2,900.00

Hospital Charge Code	270663476
Hospital Revenue Code	270
Min. Negotiated Rate	$82.36
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$754.00
Rate for Payer: Oxford Commercial	$580.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Commercial	$580.00
Rate for Payer: UnitedHealthcare Community & State	$91.64
Rate for Payer: Wellpoint Medicaid Managed Care	$82.36

CURVED ROD 5.5 X 45 MM

Facility

$2,900.00

Hospital Charge Code	270663476
Hospital Revenue Code	270
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

CURVED ROD 5.5X75MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704711
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

CURVED ROD 5.5X75MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704711
Hospital Revenue Code	278
Min. Negotiated Rate	$25.56
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$25.56

CURVED ROD 5.5X85MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704712
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

CURVED ROD 5.5X85MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270704712
Hospital Revenue Code	278
Min. Negotiated Rate	$25.56
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$25.56

CUSHING RONG-IVD 7 1.5 10M

Facility

$3,573.33

Hospital Charge Code	270665554
Hospital Revenue Code	278
Min. Negotiated Rate	$101.48
Max. Negotiated Rate	$1,786.66
Rate for Payer: Aetna Commercial	$1,357.87
Rate for Payer: Aetna Medicare Advantage	$1,072.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$911.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$911.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$911.20
Rate for Payer: Cigna Commercial	$1,786.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.75
Rate for Payer: Qualcare PPO/HMO/WC	$536.00
Rate for Payer: UnitedHealthcare Community & State	$112.92
Rate for Payer: Wellpoint Medicaid Managed Care	$101.48

CUSHING RONG-IVD 7 1.5 10M

Facility

$3,573.33

Hospital Charge Code	270665554
Hospital Revenue Code	278
Min. Negotiated Rate	$536.00
Max. Negotiated Rate	$864.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.75
Rate for Payer: Qualcare PPO/HMO/WC	$536.00

CUSHION COMFORT AIR RING

Facility

$16.55

Hospital Charge Code	270300775
Hospital Revenue Code	270
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$2.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.48

CUSHION COMFORT AIR RING

Facility

$16.55

Hospital Charge Code	270300775
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.28
Rate for Payer: Aetna Commercial	$6.29
Rate for Payer: Aetna Medicare Advantage	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.22
Rate for Payer: Cigna Commercial	$8.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.30
Rate for Payer: Oxford Commercial	$3.31
Rate for Payer: Qualcare PPO/HMO/WC	$2.48
Rate for Payer: UnitedHealthcare Commercial	$3.31
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

CUSHION FOAM RING

Facility

$76.18

Hospital Charge Code	270649400
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$38.09
Rate for Payer: Aetna Commercial	$28.95
Rate for Payer: Aetna Medicare Advantage	$22.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.43
Rate for Payer: Cigna Commercial	$38.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.81
Rate for Payer: Oxford Commercial	$15.24
Rate for Payer: Qualcare PPO/HMO/WC	$11.43
Rate for Payer: UnitedHealthcare Commercial	$15.24
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

CUSHION FOAM RING

Facility

$76.18

Hospital Charge Code	270649400
Hospital Revenue Code	272
Min. Negotiated Rate	$11.43
Max. Negotiated Rate	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$11.43

CUSHION WHEELCHAIR W/SOFT-SKIN

Facility

$124.28

Hospital Charge Code	270653258
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$62.14
Rate for Payer: Aetna Commercial	$47.23
Rate for Payer: Aetna Medicare Advantage	$37.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.69
Rate for Payer: Cigna Commercial	$62.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.31
Rate for Payer: Oxford Commercial	$24.86
Rate for Payer: Qualcare PPO/HMO/WC	$18.64
Rate for Payer: UnitedHealthcare Commercial	$24.86
Rate for Payer: UnitedHealthcare Community & State	$3.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.53

CUSHION WHEELCHAIR W/SOFT-SKIN

Facility

$124.28

Hospital Charge Code	270653258
Hospital Revenue Code	272
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$18.64
Rate for Payer: Qualcare PPO/HMO/WC	$18.64

CUSTOM CATARACT PACK

Facility

$761.00

Hospital Charge Code	270331751
Hospital Revenue Code	272
Min. Negotiated Rate	$21.61
Max. Negotiated Rate	$380.50
Rate for Payer: Aetna Commercial	$289.18
Rate for Payer: Aetna Medicare Advantage	$228.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.06
Rate for Payer: Cigna Commercial	$380.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.86
Rate for Payer: Oxford Commercial	$152.20
Rate for Payer: Qualcare PPO/HMO/WC	$114.15
Rate for Payer: UnitedHealthcare Commercial	$152.20
Rate for Payer: UnitedHealthcare Community & State	$24.05
Rate for Payer: Wellpoint Medicaid Managed Care	$21.61

CUSTOM CATARACT PACK

Facility

$761.00

Hospital Charge Code	270331751
Hospital Revenue Code	272
Min. Negotiated Rate	$114.15
Max. Negotiated Rate	$114.15
Rate for Payer: Qualcare PPO/HMO/WC	$114.15

Know your out-of-pocket cost for care.

All Charges