Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ADAPTER HEMOSTASIS VALVE 8FR

Facility

$100.00

Hospital Charge Code	270645891
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

ADAPTER HEMO VALVE 9F POLY

Facility

$57.20

Hospital Charge Code	270698324S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$8.58
Rate for Payer: Qualcare PPO/HMO/WC	$8.58

ADAPTER HEMO VALVE 9F POLY

Facility

$57.20

Hospital Charge Code	270698324S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$28.60
Rate for Payer: Aetna Commercial	$21.74
Rate for Payer: Aetna Medicare Advantage	$17.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.59
Rate for Payer: Cigna Commercial	$28.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.87
Rate for Payer: Oxford Commercial	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$8.58
Rate for Payer: UnitedHealthcare Commercial	$11.44
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

ADAPTER HIP NECK LENGTH 6MM

Facility

$1,425.00

Service Code	HCPCS C1776
Hospital Charge Code	270686604
Hospital Revenue Code	278
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

ADAPTER HIP NECK LENGTH 6MM

Facility

$1,425.00

Service Code	HCPCS C1776
Hospital Charge Code	270686604
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

ADAPTER II FLOWPORT FG

Facility

$4,538.45

Hospital Charge Code	270691411
Hospital Revenue Code	272
Min. Negotiated Rate	$128.89
Max. Negotiated Rate	$2,269.22
Rate for Payer: Aetna Commercial	$1,724.61
Rate for Payer: Aetna Medicare Advantage	$1,361.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,157.30
Rate for Payer: Cigna Commercial	$2,269.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,180.00
Rate for Payer: Oxford Commercial	$907.69
Rate for Payer: Qualcare PPO/HMO/WC	$680.77
Rate for Payer: UnitedHealthcare Commercial	$907.69
Rate for Payer: UnitedHealthcare Community & State	$143.42
Rate for Payer: Wellpoint Medicaid Managed Care	$128.89

ADAPTER II FLOWPORT FG

Facility

$4,538.45

Hospital Charge Code	270691411
Hospital Revenue Code	272
Min. Negotiated Rate	$680.77
Max. Negotiated Rate	$680.77
Rate for Payer: Qualcare PPO/HMO/WC	$680.77

ADAPTER IRRIGATION DUAL

Facility

$65.58

Hospital Charge Code	270657565
Hospital Revenue Code	270
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$9.84
Rate for Payer: Qualcare PPO/HMO/WC	$9.84

ADAPTER IRRIGATION DUAL

Facility

$65.58

Hospital Charge Code	270657565
Hospital Revenue Code	270
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$32.79
Rate for Payer: Aetna Commercial	$24.92
Rate for Payer: Aetna Medicare Advantage	$19.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.72
Rate for Payer: Cigna Commercial	$32.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.05
Rate for Payer: Oxford Commercial	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.84
Rate for Payer: UnitedHealthcare Commercial	$13.12
Rate for Payer: UnitedHealthcare Community & State	$2.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.86

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773S
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773N
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773N
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773S
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

ADAPTER LATITUDE 3GU CELLULAR

Facility

$1,250.00

Hospital Charge Code	270683773
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

ADAPTER LATITUDE 3GU CELLULAR

Facility

$1,250.00

Hospital Charge Code	270683773
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131S
Hospital Revenue Code	272
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$12.21

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131N
Hospital Revenue Code	272
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$12.21

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$40.70
Rate for Payer: Aetna Commercial	$30.93
Rate for Payer: Aetna Medicare Advantage	$24.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.76
Rate for Payer: Cigna Commercial	$40.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.16
Rate for Payer: Oxford Commercial	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.21
Rate for Payer: UnitedHealthcare Commercial	$16.28
Rate for Payer: UnitedHealthcare Community & State	$2.57
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$40.70
Rate for Payer: Aetna Commercial	$30.93
Rate for Payer: Aetna Medicare Advantage	$24.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.76
Rate for Payer: Cigna Commercial	$40.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.16
Rate for Payer: Oxford Commercial	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.21
Rate for Payer: UnitedHealthcare Commercial	$16.28
Rate for Payer: UnitedHealthcare Community & State	$2.57
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131
Hospital Revenue Code	272
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$40.70
Rate for Payer: Aetna Commercial	$30.93
Rate for Payer: Aetna Medicare Advantage	$24.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.76
Rate for Payer: Cigna Commercial	$40.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.16
Rate for Payer: Oxford Commercial	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.21
Rate for Payer: UnitedHealthcare Commercial	$16.28
Rate for Payer: UnitedHealthcare Community & State	$2.57
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131
Hospital Revenue Code	272
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$12.21

ADAPTER MALE DBL LUER LOCK

Facility

$13.65

Hospital Charge Code	270600731
Hospital Revenue Code	270
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.55
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

ADAPTER MALE DBL LUER LOCK

Facility

$13.65

Hospital Charge Code	270600731
Hospital Revenue Code	270
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

ADAPTER OMNIFLEX

Facility

$162.15

Hospital Charge Code	270651377
Hospital Revenue Code	270
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$81.08
Rate for Payer: Aetna Commercial	$61.62
Rate for Payer: Aetna Medicare Advantage	$48.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.35
Rate for Payer: Cigna Commercial	$81.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.16
Rate for Payer: Oxford Commercial	$32.43
Rate for Payer: Qualcare PPO/HMO/WC	$24.32
Rate for Payer: UnitedHealthcare Commercial	$32.43
Rate for Payer: UnitedHealthcare Community & State	$5.12
Rate for Payer: Wellpoint Medicaid Managed Care	$4.61

ADAPTER OMNIFLEX

Facility

$162.15

Hospital Charge Code	270651377
Hospital Revenue Code	270
Min. Negotiated Rate	$24.32
Max. Negotiated Rate	$24.32
Rate for Payer: Qualcare PPO/HMO/WC	$24.32

Know your out-of-pocket cost for care.

All Charges