Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRAIN BLAKE HUBLESS 19fr ROUND

Facility

$82.15

Hospital Charge Code	270646027
Hospital Revenue Code	270
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$41.08
Rate for Payer: Aetna Commercial	$31.22
Rate for Payer: Aetna Medicare Advantage	$24.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.95
Rate for Payer: Cigna Commercial	$41.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.36
Rate for Payer: Oxford Commercial	$16.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.32
Rate for Payer: UnitedHealthcare Commercial	$16.43
Rate for Payer: UnitedHealthcare Community & State	$2.60
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

DRAIN BLAKE J VAC 19FR

Facility

$198.18

Hospital Charge Code	270650812
Hospital Revenue Code	272
Min. Negotiated Rate	$29.73
Max. Negotiated Rate	$29.73
Rate for Payer: Qualcare PPO/HMO/WC	$29.73

DRAIN BLAKE J VAC 19FR

Facility

$198.18

Hospital Charge Code	270650812
Hospital Revenue Code	272
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$99.09
Rate for Payer: Aetna Commercial	$75.31
Rate for Payer: Aetna Medicare Advantage	$59.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.54
Rate for Payer: Cigna Commercial	$99.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.53
Rate for Payer: Oxford Commercial	$39.64
Rate for Payer: Qualcare PPO/HMO/WC	$29.73
Rate for Payer: UnitedHealthcare Commercial	$39.64
Rate for Payer: UnitedHealthcare Community & State	$6.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.63

DRAIN BLAKE KIT

Facility

$95.18

Hospital Charge Code	270600245
Hospital Revenue Code	270
Min. Negotiated Rate	$14.28
Max. Negotiated Rate	$14.28
Rate for Payer: Qualcare PPO/HMO/WC	$14.28

DRAIN BLAKE KIT

Facility

$95.18

Hospital Charge Code	270600245
Hospital Revenue Code	270
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$47.59
Rate for Payer: Aetna Commercial	$36.17
Rate for Payer: Aetna Medicare Advantage	$28.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.27
Rate for Payer: Cigna Commercial	$47.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.75
Rate for Payer: Oxford Commercial	$19.04
Rate for Payer: Qualcare PPO/HMO/WC	$14.28
Rate for Payer: UnitedHealthcare Commercial	$19.04
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.70

DRAIN BL W/CATH INSERTION

Facility

$16,211.70

Service Code	HCPCS 51102
Hospital Charge Code	1600000475
Hospital Revenue Code	360
Min. Negotiated Rate	$460.41
Max. Negotiated Rate	$9,008.64
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,008.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
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	$9,008.64
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,215.04
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,431.76
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$512.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$460.41

DRAIN BL W/CATH INSERTION

Facility

$16,211.70

Service Code	HCPCS 51102
Hospital Charge Code	1600000475
Hospital Revenue Code	360
Min. Negotiated Rate	$2,431.76
Max. Negotiated Rate	$2,431.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,431.76

DRAIN CEREBRO SPINAL FLUID

Facility

$4,204.50

Service Code	HCPCS 62272
Hospital Charge Code	16000592
Hospital Revenue Code	360
Min. Negotiated Rate	$119.41
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,093.17
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$630.67
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$132.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$119.41

DRAIN CEREBRO SPINAL FLUID

Facility

$4,204.50

Service Code	HCPCS 62272
Hospital Charge Code	16000592
Hospital Revenue Code	360
Min. Negotiated Rate	$630.67
Max. Negotiated Rate	$630.67
Rate for Payer: Qualcare PPO/HMO/WC	$630.67

DRAIN CHEST EXPRESS MOBILE MIN

Facility

$306.50

Hospital Charge Code	270677020
Hospital Revenue Code	272
Min. Negotiated Rate	$45.98
Max. Negotiated Rate	$45.98
Rate for Payer: Qualcare PPO/HMO/WC	$45.98

DRAIN CHEST EXPRESS MOBILE MIN

Facility

$306.50

Hospital Charge Code	270677020
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$153.25
Rate for Payer: Aetna Commercial	$116.47
Rate for Payer: Aetna Medicare Advantage	$91.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.16
Rate for Payer: Cigna Commercial	$153.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.69
Rate for Payer: Oxford Commercial	$61.30
Rate for Payer: Qualcare PPO/HMO/WC	$45.98
Rate for Payer: UnitedHealthcare Commercial	$61.30
Rate for Payer: UnitedHealthcare Community & State	$9.69
Rate for Payer: Wellpoint Medicaid Managed Care	$8.70

DRAIN FINGER ABSC,COMPLICATED

Facility

$10,031.10

Service Code	HCPCS 26011
Hospital Charge Code	16000554
Hospital Revenue Code	360
Min. Negotiated Rate	$284.88
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	$2,608.09
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,504.66
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$316.98
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	$284.88

DRAIN FINGER ABSC,COMPLICATED

Facility

$10,031.10

Service Code	HCPCS 26011
Hospital Charge Code	16000554
Hospital Revenue Code	360
Min. Negotiated Rate	$1,504.66
Max. Negotiated Rate	$1,504.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,504.66

DRAIN FINGER ABSC:SIMPLE

Facility

$1,800.90

Service Code	HCPCS 26010
Hospital Charge Code	1600000446
Hospital Revenue Code	360
Min. Negotiated Rate	$270.13
Max. Negotiated Rate	$270.13
Rate for Payer: Qualcare PPO/HMO/WC	$270.13

DRAIN FINGER ABSC:SIMPLE

Facility

$1,800.90

Service Code	HCPCS 26010
Hospital Charge Code	1600000446
Hospital Revenue Code	360
Min. Negotiated Rate	$51.15
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
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	$864.65
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.23
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.13
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$56.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$51.15

DRAIN FLAT 7mm 3/4 PERF

Facility

$231.10

Hospital Charge Code	270655684
Hospital Revenue Code	271
Min. Negotiated Rate	$34.66
Max. Negotiated Rate	$34.66
Rate for Payer: Qualcare PPO/HMO/WC	$34.66

DRAIN FLAT 7mm 3/4 PERF

Facility

$231.10

Hospital Charge Code	270655684
Hospital Revenue Code	271
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$115.55
Rate for Payer: Aetna Commercial	$87.82
Rate for Payer: Aetna Medicare Advantage	$69.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.93
Rate for Payer: Cigna Commercial	$115.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.09
Rate for Payer: Oxford Commercial	$46.22
Rate for Payer: Qualcare PPO/HMO/WC	$34.66
Rate for Payer: UnitedHealthcare Commercial	$46.22
Rate for Payer: UnitedHealthcare Community & State	$7.30
Rate for Payer: Wellpoint Medicaid Managed Care	$6.56

DRAIN FLAT JACKSON PRATT 10MM

Facility

$30.69

Hospital Charge Code	270645145
Hospital Revenue Code	270
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.60

DRAIN FLAT JACKSON PRATT 10MM

Facility

$30.69

Hospital Charge Code	270645145
Hospital Revenue Code	270
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$15.35
Rate for Payer: Aetna Commercial	$11.66
Rate for Payer: Aetna Medicare Advantage	$9.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.83
Rate for Payer: Cigna Commercial	$15.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.98
Rate for Payer: Oxford Commercial	$6.14
Rate for Payer: Qualcare PPO/HMO/WC	$4.60
Rate for Payer: UnitedHealthcare Commercial	$6.14
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

DRAIN FLAT PERFOR 06200071360

Facility

$46.95

Hospital Charge Code	270635478
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$23.48
Rate for Payer: Aetna Commercial	$17.84
Rate for Payer: Aetna Medicare Advantage	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.97
Rate for Payer: Cigna Commercial	$23.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.21
Rate for Payer: Oxford Commercial	$9.39
Rate for Payer: Qualcare PPO/HMO/WC	$7.04
Rate for Payer: UnitedHealthcare Commercial	$9.39
Rate for Payer: UnitedHealthcare Community & State	$1.48
Rate for Payer: Wellpoint Medicaid Managed Care	$1.33

DRAIN FLAT PERFOR 06200071360

Facility

$46.95

Hospital Charge Code	270635478
Hospital Revenue Code	272
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$7.04
Rate for Payer: Qualcare PPO/HMO/WC	$7.04

DRAIN FULLY PERFORATED 10MM

Facility

$725.00

Hospital Charge Code	270654982
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

DRAIN FULLY PERFORATED 10MM

Facility

$725.00

Hospital Charge Code	270654982
Hospital Revenue Code	272
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$22.91
Rate for Payer: Wellpoint Medicaid Managed Care	$20.59

DRAIN/INJ INTER JOINT/BURSA W/

Facility

$2,930.12

Service Code	HCPCS 20606
Hospital Charge Code	1600000714
Hospital Revenue Code	360
Min. Negotiated Rate	$439.52
Max. Negotiated Rate	$439.52
Rate for Payer: Qualcare PPO/HMO/WC	$439.52

DRAIN/INJ INTER JOINT/BURSA W/

Facility

$2,930.12

Service Code	HCPCS 20606
Hospital Charge Code	1600000714
Hospital Revenue Code	360
Min. Negotiated Rate	$83.22
Max. Negotiated Rate	$3,629.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,042.06
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.83
Rate for Payer: Oxford Commercial	$3,505.00
Rate for Payer: Qualcare PPO/HMO/WC	$439.52
Rate for Payer: UnitedHealthcare Commercial	$3,629.00
Rate for Payer: UnitedHealthcare Community & State	$92.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$83.22

Know your out-of-pocket cost for care.

All Charges