Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ADAPTER TAPER NEUTRAL

Facility

$1,500.00

Hospital Charge Code	270676241
Hospital Revenue Code	272
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

ADAPTER T-BAR

Facility

$4.00

Hospital Charge Code	270600608
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ADAPTER T-BAR

Facility

$4.00

Hospital Charge Code	270600608
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ADAPTER T-BAR 15MM X 22 MM

Facility

$196.90

Hospital Charge Code	270651379
Hospital Revenue Code	270
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$98.45
Rate for Payer: Aetna Commercial	$74.82
Rate for Payer: Aetna Medicare Advantage	$59.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.21
Rate for Payer: Cigna Commercial	$98.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.19
Rate for Payer: Oxford Commercial	$39.38
Rate for Payer: Qualcare PPO/HMO/WC	$29.54
Rate for Payer: UnitedHealthcare Commercial	$39.38
Rate for Payer: UnitedHealthcare Community & State	$6.22
Rate for Payer: Wellpoint Medicaid Managed Care	$5.59

ADAPTER T-BAR 15MM X 22 MM

Facility

$196.90

Hospital Charge Code	270651379
Hospital Revenue Code	270
Min. Negotiated Rate	$29.54
Max. Negotiated Rate	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$29.54

ADAPTER TITANIUM 2 PART

Facility

$625.00

Hospital Charge Code	270674105
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

ADAPTER TITANIUM 2 PART

Facility

$625.00

Hospital Charge Code	270674105
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

ADAPTER TYPE1 TPER SZ6 6501064

Facility

$1,110.00

Service Code	HCPCS C1776
Hospital Charge Code	270644873
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

ADAPTER TYPE1 TPER SZ6 6501064

Facility

$1,110.00

Service Code	HCPCS C1776
Hospital Charge Code	270644873
Hospital Revenue Code	278
Min. Negotiated Rate	$31.52
Max. Negotiated Rate	$555.00
Rate for Payer: Aetna Commercial	$421.80
Rate for Payer: Aetna Medicare Advantage	$333.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.05
Rate for Payer: Cigna Commercial	$555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50
Rate for Payer: UnitedHealthcare Community & State	$35.08
Rate for Payer: Wellpoint Medicaid Managed Care	$31.52

ADAPTER UNIVERSAL METER DOSE

Facility

$24.50

Hospital Charge Code	270688935
Hospital Revenue Code	272
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$3.67
Rate for Payer: Qualcare PPO/HMO/WC	$3.67

ADAPTER UNIVERSAL METER DOSE

Facility

$24.50

Hospital Charge Code	270688935
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$12.25
Rate for Payer: Aetna Commercial	$9.31
Rate for Payer: Aetna Medicare Advantage	$7.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.25
Rate for Payer: Cigna Commercial	$12.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.37
Rate for Payer: Oxford Commercial	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.67
Rate for Payer: UnitedHealthcare Commercial	$4.90
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

ADAPTER UROLOK MCV 730-140

Facility

$90.00

Hospital Charge Code	270601031
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

ADAPTER UROLOK MCV 730-140

Facility

$90.00

Hospital Charge Code	270601031
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

ADAPTER VACUTAINER 200-964

Facility

$4.00

Hospital Charge Code	270600741
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ADAPTER VACUTAINER 200-964

Facility

$4.00

Hospital Charge Code	270600741
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ADAPTER VAPORIZER EASYFIL

Facility

$545.00

Hospital Charge Code	270681361
Hospital Revenue Code	272
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

ADAPTER VAPORIZER EASYFIL

Facility

$545.00

Hospital Charge Code	270681361
Hospital Revenue Code	272
Min. Negotiated Rate	$15.48
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$207.10
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.70
Rate for Payer: Oxford Commercial	$109.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Commercial	$109.00
Rate for Payer: UnitedHealthcare Community & State	$17.22
Rate for Payer: Wellpoint Medicaid Managed Care	$15.48

ADAPTER VERSA-DIAL STD TAPER

Facility

$1,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270664886
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

ADAPTER VERSA-DIAL STD TAPER

Facility

$1,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270664886
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

ADAPTER VERSO ADULT/PED 90 DE

Facility

$27.15

Hospital Charge Code	270689127
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$13.57
Rate for Payer: Aetna Commercial	$10.32
Rate for Payer: Aetna Medicare Advantage	$8.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.92
Rate for Payer: Cigna Commercial	$13.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.06
Rate for Payer: Oxford Commercial	$5.43
Rate for Payer: Qualcare PPO/HMO/WC	$4.07
Rate for Payer: UnitedHealthcare Commercial	$5.43
Rate for Payer: UnitedHealthcare Community & State	$0.86
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

ADAPTER VERSO ADULT/PED 90 DE

Facility

$27.15

Hospital Charge Code	270689127
Hospital Revenue Code	272
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$4.07
Rate for Payer: Qualcare PPO/HMO/WC	$4.07

ADAPTER WIRE BOLT 1.5/2MM LONG

Facility

$1,762.90

Service Code	HCPCS A4649
Hospital Charge Code	270674291
Hospital Revenue Code	272
Min. Negotiated Rate	$264.44
Max. Negotiated Rate	$264.44
Rate for Payer: Qualcare PPO/HMO/WC	$264.44

ADAPTER WIRE BOLT 1.5/2MM LONG

Facility

$1,762.90

Service Code	HCPCS A4649
Hospital Charge Code	270674291
Hospital Revenue Code	272
Min. Negotiated Rate	$50.07
Max. Negotiated Rate	$881.45
Rate for Payer: Aetna Commercial	$669.90
Rate for Payer: Aetna Medicare Advantage	$528.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$449.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$449.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$449.54
Rate for Payer: Cigna Commercial	$881.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.35
Rate for Payer: Oxford Commercial	$352.58
Rate for Payer: Qualcare PPO/HMO/WC	$264.44
Rate for Payer: UnitedHealthcare Commercial	$352.58
Rate for Payer: UnitedHealthcare Community & State	$55.71
Rate for Payer: Wellpoint Medicaid Managed Care	$50.07

ADAPTER Y GATEWAY

Facility

$113.48

Hospital Charge Code	270623274
Hospital Revenue Code	272
Min. Negotiated Rate	$17.02
Max. Negotiated Rate	$17.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.02

ADAPTER Y GATEWAY

Facility

$113.48

Hospital Charge Code	270623274
Hospital Revenue Code	272
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$56.74
Rate for Payer: Aetna Commercial	$43.12
Rate for Payer: Aetna Medicare Advantage	$34.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.94
Rate for Payer: Cigna Commercial	$56.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.50
Rate for Payer: Oxford Commercial	$22.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.02
Rate for Payer: UnitedHealthcare Commercial	$22.70
Rate for Payer: UnitedHealthcare Community & State	$3.59
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

Know your out-of-pocket cost for care.

All Charges