Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRESSING NASAL RIEMANN

Facility

$157.50

Hospital Charge Code	270628901
Hospital Revenue Code	272
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$78.75
Rate for Payer: Aetna Commercial	$59.85
Rate for Payer: Aetna Medicare Advantage	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.16
Rate for Payer: Cigna Commercial	$78.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.95
Rate for Payer: Oxford Commercial	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$23.62
Rate for Payer: UnitedHealthcare Commercial	$31.50
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

DRESSING NON-ADHERING 3x8 KNE

Facility

$64.38

Hospital Charge Code	270649980
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$32.19
Rate for Payer: Aetna Commercial	$24.46
Rate for Payer: Aetna Medicare Advantage	$19.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.42
Rate for Payer: Cigna Commercial	$32.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.74
Rate for Payer: Oxford Commercial	$12.88
Rate for Payer: Qualcare PPO/HMO/WC	$9.66
Rate for Payer: UnitedHealthcare Commercial	$12.88
Rate for Payer: UnitedHealthcare Community & State	$2.03
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

DRESSING NON-ADHERING 3x8 KNE

Facility

$64.38

Hospital Charge Code	270649980
Hospital Revenue Code	272
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$9.66
Rate for Payer: Qualcare PPO/HMO/WC	$9.66

DRESSING OPTIFOAM GENTLE 4x4

Facility

$14.01

Hospital Charge Code	270646071
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$2.80
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

DRESSING OPTIFOAM GENTLE 4x4

Facility

$14.01

Hospital Charge Code	270646071
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

DRESSING OPTIFOAM SACRUM 7x7

Facility

$29.60

Hospital Charge Code	270350281
Hospital Revenue Code	272
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$4.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.44

DRESSING OPTIFOAM SACRUM 7x7

Facility

$29.60

Hospital Charge Code	270350281
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$14.80
Rate for Payer: Aetna Commercial	$11.25
Rate for Payer: Aetna Medicare Advantage	$8.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.55
Rate for Payer: Cigna Commercial	$14.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.70
Rate for Payer: Oxford Commercial	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.44
Rate for Payer: UnitedHealthcare Commercial	$5.92
Rate for Payer: UnitedHealthcare Community & State	$0.94
Rate for Payer: Wellpoint Medicaid Managed Care	$0.84

DRESSING OPTILOCK 5x5.5

Facility

$10.57

Hospital Charge Code	270646073
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$5.29
Rate for Payer: Aetna Commercial	$4.02
Rate for Payer: Aetna Medicare Advantage	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.70
Rate for Payer: Cigna Commercial	$5.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.75
Rate for Payer: Oxford Commercial	$2.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
Rate for Payer: UnitedHealthcare Commercial	$2.11
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

DRESSING OPTILOCK 5x5.5

Facility

$10.57

Hospital Charge Code	270646073
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

DRESSING OPTILOCK 6.5x10

Facility

$33.25

Hospital Charge Code	270646074
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$16.62
Rate for Payer: Aetna Commercial	$12.63
Rate for Payer: Aetna Medicare Advantage	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.48
Rate for Payer: Cigna Commercial	$16.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.64
Rate for Payer: Oxford Commercial	$6.65
Rate for Payer: Qualcare PPO/HMO/WC	$4.99
Rate for Payer: UnitedHealthcare Commercial	$6.65
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

DRESSING OPTILOCK 6.5x10

Facility

$33.25

Hospital Charge Code	270646074
Hospital Revenue Code	272
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$4.99
Rate for Payer: Qualcare PPO/HMO/WC	$4.99

DRESSING PAD ABD 5x9 STERILE

Facility

$17.49

Hospital Charge Code	270350055
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$8.74
Rate for Payer: Aetna Commercial	$6.65
Rate for Payer: Aetna Medicare Advantage	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.46
Rate for Payer: Cigna Commercial	$8.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.62
Rate for Payer: UnitedHealthcare Commercial	$3.50
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.50

DRESSING PAD ABD 5x9 STERILE

Facility

$17.49

Hospital Charge Code	270350055
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.62

DRESSING POLYMEM 4x4 FE5044

Facility

$14.94

Hospital Charge Code	270639037
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$2.24
Rate for Payer: Qualcare PPO/HMO/WC	$2.24

DRESSING POLYMEM 4x4 FE5044

Facility

$14.94

Hospital Charge Code	270639037
Hospital Revenue Code	272
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 POLYMEM AG 4x4 FE1044

Facility

$30.25

Hospital Charge Code	270639101
Hospital Revenue Code	272
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$4.54
Rate for Payer: Qualcare PPO/HMO/WC	$4.54

DRESSING POLYMEM AG 4x4 FE1044

Facility

$30.25

Hospital Charge Code	270639101
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$15.12
Rate for Payer: Aetna Commercial	$11.49
Rate for Payer: Aetna Medicare Advantage	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.71
Rate for Payer: Cigna Commercial	$15.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.87
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.54
Rate for Payer: UnitedHealthcare Commercial	$6.05
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$0.86

DRESSING PREVENA 13 CM

Facility

$2,475.00

Hospital Charge Code	270682222
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

DRESSING PREVENA 13 CM

Facility

$2,475.00

Hospital Charge Code	270682222
Hospital Revenue Code	272
Min. Negotiated Rate	$70.29
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

DRESSING RELEASE

Facility

$5.00

Hospital Charge Code	270350005
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

DRESSING RELEASE

Facility

$5.00

Hospital Charge Code	270350005
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

DRESSING RENASYS-F/P LARGE

Facility

$265.69

Hospital Charge Code	270649164
Hospital Revenue Code	271
Min. Negotiated Rate	$39.85
Max. Negotiated Rate	$39.85
Rate for Payer: Qualcare PPO/HMO/WC	$39.85

DRESSING RENASYS-F/P LARGE

Facility

$265.69

Hospital Charge Code	270649164
Hospital Revenue Code	271
Min. Negotiated Rate	$7.55
Max. Negotiated Rate	$132.84
Rate for Payer: Aetna Commercial	$100.96
Rate for Payer: Aetna Medicare Advantage	$79.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.75
Rate for Payer: Cigna Commercial	$132.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.08
Rate for Payer: Oxford Commercial	$53.14
Rate for Payer: Qualcare PPO/HMO/WC	$39.85
Rate for Payer: UnitedHealthcare Commercial	$53.14
Rate for Payer: UnitedHealthcare Community & State	$8.40
Rate for Payer: Wellpoint Medicaid Managed Care	$7.55

DRESSING RENASYS-F/P SMALL

Facility

$274.95

Hospital Charge Code	270649166
Hospital Revenue Code	271
Min. Negotiated Rate	$41.24
Max. Negotiated Rate	$41.24
Rate for Payer: Qualcare PPO/HMO/WC	$41.24

DRESSING RENASYS-F/P SMALL

Facility

$274.95

Hospital Charge Code	270649166
Hospital Revenue Code	271
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.47
Rate for Payer: Aetna Commercial	$104.48
Rate for Payer: Aetna Medicare Advantage	$82.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.11
Rate for Payer: Cigna Commercial	$137.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.49
Rate for Payer: Oxford Commercial	$54.99
Rate for Payer: Qualcare PPO/HMO/WC	$41.24
Rate for Payer: UnitedHealthcare Commercial	$54.99
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

Know your out-of-pocket cost for care.

All Charges