Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FIBER HOLMION 356 MICRON

Facility

$5,250.00

Hospital Charge Code	270675974
Hospital Revenue Code	272
Min. Negotiated Rate	$149.10
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,365.00
Rate for Payer: Oxford Commercial	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Commercial	$1,050.00
Rate for Payer: UnitedHealthcare Community & State	$165.90
Rate for Payer: Wellpoint Medicaid Managed Care	$149.10

FIBER HOLMION 356 MICRON

Facility

$5,250.00

Hospital Charge Code	270675974
Hospital Revenue Code	272
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$787.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

FIBER HOLMIUM

Facility

$1,985.00

Hospital Charge Code	270692104
Hospital Revenue Code	272
Min. Negotiated Rate	$56.37
Max. Negotiated Rate	$992.50
Rate for Payer: Aetna Commercial	$754.30
Rate for Payer: Aetna Medicare Advantage	$595.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$506.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$506.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$506.18
Rate for Payer: Cigna Commercial	$992.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.10
Rate for Payer: Oxford Commercial	$397.00
Rate for Payer: Qualcare PPO/HMO/WC	$297.75
Rate for Payer: UnitedHealthcare Commercial	$397.00
Rate for Payer: UnitedHealthcare Community & State	$62.73
Rate for Payer: Wellpoint Medicaid Managed Care	$56.37

FIBER HOLMIUM

Facility

$1,985.00

Hospital Charge Code	270692104
Hospital Revenue Code	272
Min. Negotiated Rate	$297.75
Max. Negotiated Rate	$297.75
Rate for Payer: Qualcare PPO/HMO/WC	$297.75

FIBERLASE 30X450MM(LASERFIBER)

Facility

$706.00

Hospital Charge Code	270335437
Hospital Revenue Code	272
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$353.00
Rate for Payer: Aetna Commercial	$268.28
Rate for Payer: Aetna Medicare Advantage	$211.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.03
Rate for Payer: Cigna Commercial	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.56
Rate for Payer: Oxford Commercial	$141.20
Rate for Payer: Qualcare PPO/HMO/WC	$105.90
Rate for Payer: UnitedHealthcare Commercial	$141.20
Rate for Payer: UnitedHealthcare Community & State	$22.31
Rate for Payer: Wellpoint Medicaid Managed Care	$20.05

FIBERLASE 30X450MM(LASERFIBER)

Facility

$706.00

Hospital Charge Code	270335437
Hospital Revenue Code	272
Min. Negotiated Rate	$105.90
Max. Negotiated Rate	$105.90
Rate for Payer: Qualcare PPO/HMO/WC	$105.90

FIBER LASER

Facility

$2,337.50

Hospital Charge Code	270661301
Hospital Revenue Code	270
Min. Negotiated Rate	$350.62
Max. Negotiated Rate	$350.62
Rate for Payer: Qualcare PPO/HMO/WC	$350.62

FIBER LASER

Facility

$2,337.50

Hospital Charge Code	270661301
Hospital Revenue Code	270
Min. Negotiated Rate	$66.39
Max. Negotiated Rate	$1,168.75
Rate for Payer: Aetna Commercial	$888.25
Rate for Payer: Aetna Medicare Advantage	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.06
Rate for Payer: Cigna Commercial	$1,168.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.75
Rate for Payer: Oxford Commercial	$467.50
Rate for Payer: Qualcare PPO/HMO/WC	$350.62
Rate for Payer: UnitedHealthcare Commercial	$467.50
Rate for Payer: UnitedHealthcare Community & State	$73.86
Rate for Payer: Wellpoint Medicaid Managed Care	$66.39

FIBER LASER 1470

Facility

$3,500.00

Hospital Charge Code	270662161
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

FIBER LASER 1470

Facility

$3,500.00

Hospital Charge Code	270662161
Hospital Revenue Code	272
Min. Negotiated Rate	$99.40
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$700.00
Rate for Payer: UnitedHealthcare Community & State	$110.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.40

FIBER LASER HOLMIUM 550

Facility

$1,340.00

Hospital Charge Code	270673456
Hospital Revenue Code	272
Min. Negotiated Rate	$38.06
Max. Negotiated Rate	$670.00
Rate for Payer: Aetna Commercial	$509.20
Rate for Payer: Aetna Medicare Advantage	$402.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.70
Rate for Payer: Cigna Commercial	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.40
Rate for Payer: Oxford Commercial	$268.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.00
Rate for Payer: UnitedHealthcare Commercial	$268.00
Rate for Payer: UnitedHealthcare Community & State	$42.34
Rate for Payer: Wellpoint Medicaid Managed Care	$38.06

FIBER LASER HOLMIUM 550

Facility

$1,340.00

Hospital Charge Code	270673456
Hospital Revenue Code	272
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$201.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270661067
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270661067
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270672233
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

FIBER LOOP #2

Facility

$250.00

Hospital Charge Code	270672233
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FIBERLOOP SUTURETAPE TIGER STR

Facility

$350.00

Hospital Charge Code	270683448
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

FIBERLOOP SUTURETAPE TIGER STR

Facility

$350.00

Hospital Charge Code	270683448
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$70.00
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

FIBER MEDIUM BIONEST

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692121
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

FIBER MEDIUM BIONEST

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692121
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

FIBER MICRON FLEXIVA 1000MM

Facility

$4,924.90

Hospital Charge Code	270655920
Hospital Revenue Code	272
Min. Negotiated Rate	$738.74
Max. Negotiated Rate	$738.74
Rate for Payer: Qualcare PPO/HMO/WC	$738.74

FIBER MICRON FLEXIVA 1000MM

Facility

$4,924.90

Hospital Charge Code	270655920
Hospital Revenue Code	272
Min. Negotiated Rate	$139.87
Max. Negotiated Rate	$2,462.45
Rate for Payer: Aetna Commercial	$1,871.46
Rate for Payer: Aetna Medicare Advantage	$1,477.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,255.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,255.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,255.85
Rate for Payer: Cigna Commercial	$2,462.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,280.47
Rate for Payer: Oxford Commercial	$984.98
Rate for Payer: Qualcare PPO/HMO/WC	$738.74
Rate for Payer: UnitedHealthcare Commercial	$984.98
Rate for Payer: UnitedHealthcare Community & State	$155.63
Rate for Payer: Wellpoint Medicaid Managed Care	$139.87

FIBER MICRON FLEXIVA 200MM

Facility

$6,056.40

Hospital Charge Code	270655917
Hospital Revenue Code	272
Min. Negotiated Rate	$908.46
Max. Negotiated Rate	$908.46
Rate for Payer: Qualcare PPO/HMO/WC	$908.46

FIBER MICRON FLEXIVA 200MM

Facility

$6,056.40

Hospital Charge Code	270655917
Hospital Revenue Code	272
Min. Negotiated Rate	$172.00
Max. Negotiated Rate	$3,028.20
Rate for Payer: Aetna Commercial	$2,301.43
Rate for Payer: Aetna Medicare Advantage	$1,816.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,544.38
Rate for Payer: Cigna Commercial	$3,028.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,574.66
Rate for Payer: Oxford Commercial	$1,211.28
Rate for Payer: Qualcare PPO/HMO/WC	$908.46
Rate for Payer: UnitedHealthcare Commercial	$1,211.28
Rate for Payer: UnitedHealthcare Community & State	$191.38
Rate for Payer: Wellpoint Medicaid Managed Care	$172.00

FIBER MICRON FLEXIVA 550MM

Facility

$2,350.00

Hospital Charge Code	270655921
Hospital Revenue Code	272
Min. Negotiated Rate	$66.74
Max. Negotiated Rate	$1,175.00
Rate for Payer: Aetna Commercial	$893.00
Rate for Payer: Aetna Medicare Advantage	$705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.25
Rate for Payer: Cigna Commercial	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.00
Rate for Payer: Oxford Commercial	$470.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.50
Rate for Payer: UnitedHealthcare Commercial	$470.00
Rate for Payer: UnitedHealthcare Community & State	$74.26
Rate for Payer: Wellpoint Medicaid Managed Care	$66.74

Know your out-of-pocket cost for care.

All Charges