Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ENDOSHEARS 5MM LONG

Facility

$138.00

Hospital Charge Code	270335708
Hospital Revenue Code	272
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

ENDOSHEARS 5MM LONG

Facility

$138.00

Hospital Charge Code	270335708
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$69.00
Rate for Payer: Aetna Commercial	$52.44
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.88
Rate for Payer: Oxford Commercial	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Commercial	$27.60
Rate for Payer: UnitedHealthcare Community & State	$4.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.92

ENDO SHEARS LONG W/CAUTERY 5MM

Facility

$1,040.00

Hospital Charge Code	270600117
Hospital Revenue Code	272
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.00

ENDO SHEARS LONG W/CAUTERY 5MM

Facility

$1,040.00

Hospital Charge Code	270600117
Hospital Revenue Code	272
Min. Negotiated Rate	$29.54
Max. Negotiated Rate	$520.00
Rate for Payer: Aetna Commercial	$395.20
Rate for Payer: Aetna Medicare Advantage	$312.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.20
Rate for Payer: Cigna Commercial	$520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.40
Rate for Payer: Oxford Commercial	$208.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.00
Rate for Payer: UnitedHealthcare Commercial	$208.00
Rate for Payer: UnitedHealthcare Community & State	$32.86
Rate for Payer: Wellpoint Medicaid Managed Care	$29.54

ENDO STAPLER 45MM

Facility

$395.00

Hospital Charge Code	270338731
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

ENDO STAPLER 45MM

Facility

$395.00

Hospital Charge Code	270338731
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

ENDOSTITCH 0 BLK 18CM SOFSILK

Facility

$559.50

Hospital Charge Code	270692094
Hospital Revenue Code	272
Min. Negotiated Rate	$15.89
Max. Negotiated Rate	$279.75
Rate for Payer: Aetna Commercial	$212.61
Rate for Payer: Aetna Medicare Advantage	$167.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.67
Rate for Payer: Cigna Commercial	$279.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.47
Rate for Payer: Oxford Commercial	$111.90
Rate for Payer: Qualcare PPO/HMO/WC	$83.92
Rate for Payer: UnitedHealthcare Commercial	$111.90
Rate for Payer: UnitedHealthcare Community & State	$17.68
Rate for Payer: Wellpoint Medicaid Managed Care	$15.89

ENDOSTITCH 0 BLK 18CM SOFSILK

Facility

$559.50

Hospital Charge Code	270692094
Hospital Revenue Code	272
Min. Negotiated Rate	$83.92
Max. Negotiated Rate	$83.92
Rate for Payer: Qualcare PPO/HMO/WC	$83.92

ENDO STITCH 173016

Facility

$2,009.42

Hospital Charge Code	270600144
Hospital Revenue Code	272
Min. Negotiated Rate	$301.41
Max. Negotiated Rate	$301.41
Rate for Payer: Qualcare PPO/HMO/WC	$301.41

ENDO STITCH 173016

Facility

$2,009.42

Hospital Charge Code	270600144
Hospital Revenue Code	272
Min. Negotiated Rate	$57.07
Max. Negotiated Rate	$1,004.71
Rate for Payer: Aetna Commercial	$763.58
Rate for Payer: Aetna Medicare Advantage	$602.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.40
Rate for Payer: Cigna Commercial	$1,004.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.45
Rate for Payer: Oxford Commercial	$401.88
Rate for Payer: Qualcare PPO/HMO/WC	$301.41
Rate for Payer: UnitedHealthcare Commercial	$401.88
Rate for Payer: UnitedHealthcare Community & State	$63.50
Rate for Payer: Wellpoint Medicaid Managed Care	$57.07

ENDO STITCH 3-0 POLY 48 IN

Facility

$296.50

Hospital Charge Code	270692034
Hospital Revenue Code	272
Min. Negotiated Rate	$44.48
Max. Negotiated Rate	$44.48
Rate for Payer: Qualcare PPO/HMO/WC	$44.48

ENDO STITCH 3-0 POLY 48 IN

Facility

$296.50

Hospital Charge Code	270692034
Hospital Revenue Code	272
Min. Negotiated Rate	$8.42
Max. Negotiated Rate	$148.25
Rate for Payer: Aetna Commercial	$112.67
Rate for Payer: Aetna Medicare Advantage	$88.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.61
Rate for Payer: Cigna Commercial	$148.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.09
Rate for Payer: Oxford Commercial	$59.30
Rate for Payer: Qualcare PPO/HMO/WC	$44.48
Rate for Payer: UnitedHealthcare Commercial	$59.30
Rate for Payer: UnitedHealthcare Community & State	$9.37
Rate for Payer: Wellpoint Medicaid Managed Care	$8.42

ENDO STITCH 3-0 POLY 7 IN

Facility

$295.00

Hospital Charge Code	270692035
Hospital Revenue Code	272
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$44.25
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

ENDO STITCH 3-0 POLY 7 IN

Facility

$295.00

Hospital Charge Code	270692035
Hospital Revenue Code	272
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$112.10
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.70
Rate for Payer: Oxford Commercial	$59.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.25
Rate for Payer: UnitedHealthcare Commercial	$59.00
Rate for Payer: UnitedHealthcare Community & State	$9.32
Rate for Payer: Wellpoint Medicaid Managed Care	$8.38

ENDOSTITCH APPLIER

Facility

$326.00

Hospital Charge Code	270338703
Hospital Revenue Code	272
Min. Negotiated Rate	$48.90
Max. Negotiated Rate	$48.90
Rate for Payer: Qualcare PPO/HMO/WC	$48.90

ENDOSTITCH APPLIER

Facility

$326.00

Hospital Charge Code	270338703
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$163.00
Rate for Payer: Aetna Commercial	$123.88
Rate for Payer: Aetna Medicare Advantage	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.13
Rate for Payer: Cigna Commercial	$163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.76
Rate for Payer: Oxford Commercial	$65.20
Rate for Payer: Qualcare PPO/HMO/WC	$48.90
Rate for Payer: UnitedHealthcare Commercial	$65.20
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: Wellpoint Medicaid Managed Care	$9.26

ENDO STITCH SUT DEVICE 10MM

Facility

$1,800.53

Hospital Charge Code	270658698
Hospital Revenue Code	272
Min. Negotiated Rate	$51.14
Max. Negotiated Rate	$900.26
Rate for Payer: Aetna Commercial	$684.20
Rate for Payer: Aetna Medicare Advantage	$540.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.14
Rate for Payer: Cigna Commercial	$900.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.14
Rate for Payer: Oxford Commercial	$360.11
Rate for Payer: Qualcare PPO/HMO/WC	$270.08
Rate for Payer: UnitedHealthcare Commercial	$360.11
Rate for Payer: UnitedHealthcare Community & State	$56.90
Rate for Payer: Wellpoint Medicaid Managed Care	$51.14

ENDO STITCH SUT DEVICE 10MM

Facility

$1,800.53

Hospital Charge Code	270658698
Hospital Revenue Code	272
Min. Negotiated Rate	$270.08
Max. Negotiated Rate	$270.08
Rate for Payer: Qualcare PPO/HMO/WC	$270.08

ENDOSTITCH SUTURE

Facility

$66.00

Hospital Charge Code	270338704
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$25.08
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$13.20
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

ENDOSTITCH SUTURE

Facility

$66.00

Hospital Charge Code	270338704
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

ENDO THORACIC STAPLER

Facility

$395.00

Hospital Charge Code	270338730
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

ENDO THORACIC STAPLER

Facility

$395.00

Hospital Charge Code	270338730
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

ENDOTRACH IN-LINE SUCTION CATH

Facility

$85.65

Hospital Charge Code	270650303R
Hospital Revenue Code	272
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$32.55
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.27
Rate for Payer: Oxford Commercial	$17.13
Rate for Payer: Qualcare PPO/HMO/WC	$12.85
Rate for Payer: UnitedHealthcare Commercial	$17.13
Rate for Payer: UnitedHealthcare Community & State	$2.71
Rate for Payer: Wellpoint Medicaid Managed Care	$2.43

ENDOTRACH IN-LINE SUCTION CATH

Facility

$85.65

Hospital Charge Code	270650303R
Hospital Revenue Code	272
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

ENDOTREACHEAL SHER 1 BRONCH

Facility

$268.33

Hospital Charge Code	270660426
Hospital Revenue Code	272
Min. Negotiated Rate	$40.25
Max. Negotiated Rate	$40.25
Rate for Payer: Qualcare PPO/HMO/WC	$40.25

Know your out-of-pocket cost for care.

All Charges