Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FIBER MICRON FLEXIVA 550MM

Facility

$2,350.00

Hospital Charge Code	270655921
Hospital Revenue Code	272
Min. Negotiated Rate	$352.50
Max. Negotiated Rate	$352.50
Rate for Payer: Qualcare PPO/HMO/WC	$352.50

FIBER MOXY LASER

Facility

$4,975.00

Hospital Charge Code	270644949
Hospital Revenue Code	270
Min. Negotiated Rate	$141.29
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.50
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$995.00
Rate for Payer: UnitedHealthcare Community & State	$157.21
Rate for Payer: Wellpoint Medicaid Managed Care	$141.29

FIBER MOXY LASER

Facility

$4,975.00

Hospital Charge Code	270644949
Hospital Revenue Code	270
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

FIBEROPTIC LIGHT CABLE 4.6MM

Facility

$2,750.00

Hospital Charge Code	270698067
Hospital Revenue Code	272
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

FIBEROPTIC LIGHT CABLE 4.6MM

Facility

$2,750.00

Hospital Charge Code	270698067
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

FIBERS 5CC

Facility

$5,375.00

Hospital Charge Code	270703014
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

FIBERS 5CC

Facility

$5,375.00

Hospital Charge Code	270703014
Hospital Revenue Code	278
Min. Negotiated Rate	$152.65
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$2,042.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25
Rate for Payer: UnitedHealthcare Community & State	$169.85
Rate for Payer: Wellpoint Medicaid Managed Care	$152.65

FIBER SITCH IMPLANT CURVED

Facility

$2,475.00

Service Code	HCPCS C1781
Hospital Charge Code	270688601
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

FIBER SITCH IMPLANT CURVED

Facility

$2,475.00

Service Code	HCPCS C1781
Hospital Charge Code	270688601
Hospital Revenue Code	278
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) NJ Health	$495.00
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	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

FIBER SMALL BIONEST

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270692119
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

FIBER SMALL BIONEST

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270692119
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$59.25
Rate for Payer: Wellpoint Medicaid Managed Care	$53.25

FIBERS NMPS LONG LARGE

Facility

$27,425.00

Hospital Charge Code	270703251
Hospital Revenue Code	278
Min. Negotiated Rate	$778.87
Max. Negotiated Rate	$13,712.50
Rate for Payer: Aetna Commercial	$10,421.50
Rate for Payer: Aetna Medicare Advantage	$8,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,993.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,993.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,993.38
Rate for Payer: Cigna Commercial	$13,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,636.85
Rate for Payer: Qualcare PPO/HMO/WC	$4,113.75
Rate for Payer: UnitedHealthcare Community & State	$866.63
Rate for Payer: Wellpoint Medicaid Managed Care	$778.87

FIBERS NMPS LONG LARGE

Facility

$27,425.00

Hospital Charge Code	270703251
Hospital Revenue Code	278
Min. Negotiated Rate	$4,113.75
Max. Negotiated Rate	$6,636.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,636.85
Rate for Payer: Qualcare PPO/HMO/WC	$4,113.75

FIBER STACK PATCHES

Facility

$10,500.00

Hospital Charge Code	270670494
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

FIBER STACK PATCHES

Facility

$10,500.00

Hospital Charge Code	270670494
Hospital Revenue Code	278
Min. Negotiated Rate	$298.20
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$331.80
Rate for Payer: Wellpoint Medicaid Managed Care	$298.20

FIBERSTICH IMPL 24D

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697671
Hospital Revenue Code	278
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) NJ Health	$495.00
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	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Community & State	$78.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.29

FIBERSTICH IMPL 24D

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697671
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

FIBER STICK

Facility

$250.00

Hospital Charge Code	270652152
Hospital Revenue Code	270
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

FIBER STICK

Facility

$250.00

Hospital Charge Code	270652152
Hospital Revenue Code	270
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

FIBERSTICK 1.3MM SUTURE TAPE

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	270703173
Hospital Revenue Code	278
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$94.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FIBERSTICK 1.3MM SUTURE TAPE

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	270703173
Hospital Revenue Code	278
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

FIBERSTITCH 1.5

Facility

$2,832.50

Hospital Charge Code	270702600
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$1,416.25
Rate for Payer: Aetna Commercial	$1,076.35
Rate for Payer: Aetna Medicare Advantage	$849.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$722.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$722.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$722.29
Rate for Payer: Cigna Commercial	$1,416.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.47
Rate for Payer: Qualcare PPO/HMO/WC	$424.88
Rate for Payer: UnitedHealthcare Community & State	$89.51
Rate for Payer: Wellpoint Medicaid Managed Care	$80.44

FIBERSTITCH 1.5

Facility

$2,832.50

Hospital Charge Code	270702600
Hospital Revenue Code	278
Min. Negotiated Rate	$424.88
Max. Negotiated Rate	$685.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.47
Rate for Payer: Qualcare PPO/HMO/WC	$424.88

FIBERSTITCH IMPLANT 1.5 CURVED

Facility

$2,832.50

Service Code	HCPCS C1889
Hospital Charge Code	270703169
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$1,416.25
Rate for Payer: Aetna Commercial	$1,076.35
Rate for Payer: Aetna Medicare Advantage	$849.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$722.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$722.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$722.29
Rate for Payer: Cigna Commercial	$1,416.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.47
Rate for Payer: Qualcare PPO/HMO/WC	$424.88
Rate for Payer: UnitedHealthcare Community & State	$89.51
Rate for Payer: Wellpoint Medicaid Managed Care	$80.44

FIBERSTITCH IMPLANT 1.5 CURVED

Facility

$2,832.50

Service Code	HCPCS C1889
Hospital Charge Code	270703169
Hospital Revenue Code	278
Min. Negotiated Rate	$424.88
Max. Negotiated Rate	$685.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.47
Rate for Payer: Qualcare PPO/HMO/WC	$424.88

Know your out-of-pocket cost for care.

All Charges