Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRESSG TEGAD 4X10

Facility

$5.86

Hospital Charge Code	270350215
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$2.93
Rate for Payer: Aetna Commercial	$2.23
Rate for Payer: Aetna Medicare Advantage	$1.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.52
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.88
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

DRESSG TEGAD 5 1/2 / 7

Facility

$26.45

Hospital Charge Code	270350216
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

DRESSG TEGAD 5 1/2 / 7

Facility

$26.45

Hospital Charge Code	270350216
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$10.05
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.88
Rate for Payer: Oxford Commercial	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$5.29
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

DRESSG VERSIVA 5.5 BX 403206

Facility

$13.55

Hospital Charge Code	270350275
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$6.78
Rate for Payer: Aetna Commercial	$5.15
Rate for Payer: Aetna Medicare Advantage	$4.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.46
Rate for Payer: Cigna Commercial	$6.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.52
Rate for Payer: Oxford Commercial	$2.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.03
Rate for Payer: UnitedHealthcare Commercial	$2.71
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.38

DRESSG VERSIVA 5.5 BX 403206

Facility

$13.55

Hospital Charge Code	270350275
Hospital Revenue Code	272
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$2.03
Rate for Payer: Qualcare PPO/HMO/WC	$2.03

DRESSG VIGILON 4X4 STER

Facility

$32.00

Hospital Charge Code	270350200
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$12.16
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$6.40
Rate for Payer: UnitedHealthcare Community & State	$1.01
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

DRESSG VIGILON 4X4 STER

Facility

$32.00

Hospital Charge Code	270350200
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

DRESSG WATER STER 4X8

Facility

$13.65

Hospital Charge Code	270350015
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

DRESSG WATER STER 4X8

Facility

$13.65

Hospital Charge Code	270350015
Hospital Revenue Code	272
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

DRESSIG ALLEVYN HEEL 66007630A

Facility

$41.09

Hospital Charge Code	270639038
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$20.55
Rate for Payer: Aetna Commercial	$15.61
Rate for Payer: Aetna Medicare Advantage	$12.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.48
Rate for Payer: Cigna Commercial	$20.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.68
Rate for Payer: Oxford Commercial	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$6.16
Rate for Payer: UnitedHealthcare Commercial	$8.22
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

DRESSIG ALLEVYN HEEL 66007630A

Facility

$41.09

Hospital Charge Code	270639038
Hospital Revenue Code	272
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$6.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.16

DRESSING ACTICOAT 7 2x2 20341

Facility

$30.86

Hospital Charge Code	270639046
Hospital Revenue Code	272
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$4.63
Rate for Payer: Qualcare PPO/HMO/WC	$4.63

DRESSING ACTICOAT 7 2x2 20341

Facility

$30.86

Hospital Charge Code	270639046
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$15.43
Rate for Payer: Aetna Commercial	$11.73
Rate for Payer: Aetna Medicare Advantage	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.87
Rate for Payer: Cigna Commercial	$15.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.02
Rate for Payer: Oxford Commercial	$6.17
Rate for Payer: Qualcare PPO/HMO/WC	$4.63
Rate for Payer: UnitedHealthcare Commercial	$6.17
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

DRESSING ACTICOAT 7 4x5 SN2014

Facility

$95.83

Hospital Charge Code	270627497W
Hospital Revenue Code	272
Min. Negotiated Rate	$14.37
Max. Negotiated Rate	$14.37
Rate for Payer: Qualcare PPO/HMO/WC	$14.37

DRESSING ACTICOAT 7 4x5 SN2014

Facility

$95.83

Hospital Charge Code	270627497W
Hospital Revenue Code	272
Min. Negotiated Rate	$2.72
Max. Negotiated Rate	$47.91
Rate for Payer: Aetna Commercial	$36.42
Rate for Payer: Aetna Medicare Advantage	$28.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.44
Rate for Payer: Cigna Commercial	$47.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.92
Rate for Payer: Oxford Commercial	$19.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.37
Rate for Payer: UnitedHealthcare Commercial	$19.17
Rate for Payer: UnitedHealthcare Community & State	$3.03
Rate for Payer: Wellpoint Medicaid Managed Care	$2.72

DRESSING ADAPTIC 3X3 2012

Facility

$23.90

Hospital Charge Code	270620473
Hospital Revenue Code	272
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$3.58
Rate for Payer: Qualcare PPO/HMO/WC	$3.58

DRESSING ADAPTIC 3X3 2012

Facility

$23.90

Hospital Charge Code	270620473
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$11.95
Rate for Payer: Aetna Commercial	$9.08
Rate for Payer: Aetna Medicare Advantage	$7.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.09
Rate for Payer: Cigna Commercial	$11.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.21
Rate for Payer: Oxford Commercial	$4.78
Rate for Payer: Qualcare PPO/HMO/WC	$3.58
Rate for Payer: UnitedHealthcare Commercial	$4.78
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

DRESSING ADHESIVE SURG 4X8 STR

Facility

$14.94

Hospital Charge Code	270649154
Hospital Revenue Code	270
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$7.47
Rate for Payer: Aetna Commercial	$5.68
Rate for Payer: Aetna Medicare Advantage	$4.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.81
Rate for Payer: Cigna Commercial	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.88
Rate for Payer: Oxford Commercial	$2.99
Rate for Payer: Qualcare PPO/HMO/WC	$2.24
Rate for Payer: UnitedHealthcare Commercial	$2.99
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

DRESSING ADHESIVE SURG 4X8 STR

Facility

$14.94

Hospital Charge Code	270649154
Hospital Revenue Code	270
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$2.24
Rate for Payer: Qualcare PPO/HMO/WC	$2.24

DRESSING AG AQUACEL 3.5X3.75

Facility

$101.44

Hospital Charge Code	270678573
Hospital Revenue Code	272
Min. Negotiated Rate	$15.22
Max. Negotiated Rate	$15.22
Rate for Payer: Qualcare PPO/HMO/WC	$15.22

DRESSING AG AQUACEL 3.5X3.75

Facility

$101.44

Hospital Charge Code	270678573
Hospital Revenue Code	272
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$50.72
Rate for Payer: Aetna Commercial	$38.55
Rate for Payer: Aetna Medicare Advantage	$30.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.87
Rate for Payer: Cigna Commercial	$50.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.37
Rate for Payer: Oxford Commercial	$20.29
Rate for Payer: Qualcare PPO/HMO/WC	$15.22
Rate for Payer: UnitedHealthcare Commercial	$20.29
Rate for Payer: UnitedHealthcare Community & State	$3.21
Rate for Payer: Wellpoint Medicaid Managed Care	$2.88

DRESSING ALGIDEX AG TRACH 4X4

Facility

$41.10

Hospital Charge Code	270677760
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$6.17
Rate for Payer: Qualcare PPO/HMO/WC	$6.17

DRESSING ALGIDEX AG TRACH 4X4

Facility

$41.10

Hospital Charge Code	270677760
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$20.55
Rate for Payer: Aetna Commercial	$15.62
Rate for Payer: Aetna Medicare Advantage	$12.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.48
Rate for Payer: Cigna Commercial	$20.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.69
Rate for Payer: Oxford Commercial	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$6.17
Rate for Payer: UnitedHealthcare Commercial	$8.22
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

DRESSING ALGISTE M 4x4

Facility

$15.47

Hospital Charge Code	270661088
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.32

DRESSING ALGISTE M 4x4

Facility

$15.47

Hospital Charge Code	270661088
Hospital Revenue Code	272
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$7.74
Rate for Payer: Aetna Commercial	$5.88
Rate for Payer: Aetna Medicare Advantage	$4.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.94
Rate for Payer: Cigna Commercial	$7.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.02
Rate for Payer: Oxford Commercial	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$2.32
Rate for Payer: UnitedHealthcare Commercial	$3.09
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

Know your out-of-pocket cost for care.

All Charges