Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FLEX DYNAM NATRIX 0.5X16CM

Facility

$21,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704501
Hospital Revenue Code	279
Min. Negotiated Rate	$3,217.50
Max. Negotiated Rate	$3,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,217.50

FLEX HD MESH GRAFTS 6CM X 12CM

Facility

$13,105.00

Hospital Charge Code	270663194
Hospital Revenue Code	278
Min. Negotiated Rate	$372.18
Max. Negotiated Rate	$6,552.50
Rate for Payer: Aetna Commercial	$4,979.90
Rate for Payer: Aetna Medicare Advantage	$3,931.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,341.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,341.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,341.78
Rate for Payer: Cigna Commercial	$6,552.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,171.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,965.75
Rate for Payer: UnitedHealthcare Community & State	$414.12
Rate for Payer: Wellpoint Medicaid Managed Care	$372.18

FLEX HD MESH GRAFTS 6CM X 12CM

Facility

$13,105.00

Hospital Charge Code	270663194
Hospital Revenue Code	278
Min. Negotiated Rate	$1,965.75
Max. Negotiated Rate	$3,171.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,621.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,171.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,965.75

FLEX HD MESH GRAFTS 6CMX16CM

Facility

$17,480.00

Hospital Charge Code	270663195
Hospital Revenue Code	278
Min. Negotiated Rate	$2,622.00
Max. Negotiated Rate	$4,230.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,230.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,622.00

FLEX HD MESH GRAFTS 6CMX16CM

Facility

$17,480.00

Hospital Charge Code	270663195
Hospital Revenue Code	278
Min. Negotiated Rate	$496.43
Max. Negotiated Rate	$8,740.00
Rate for Payer: Aetna Commercial	$6,642.40
Rate for Payer: Aetna Medicare Advantage	$5,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,457.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,457.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,457.40
Rate for Payer: Cigna Commercial	$8,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,230.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,622.00
Rate for Payer: UnitedHealthcare Community & State	$552.37
Rate for Payer: Wellpoint Medicaid Managed Care	$496.43

FLEX HD SKIN GRAFT 12CMX 16CM

Facility

$43,590.00

Hospital Charge Code	270335971
Hospital Revenue Code	636
Min. Negotiated Rate	$1,237.96
Max. Negotiated Rate	$21,795.00
Rate for Payer: Aetna Commercial	$16,564.20
Rate for Payer: Aetna Medicare Advantage	$13,077.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,115.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,115.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,115.45
Rate for Payer: Cigna Commercial	$21,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,548.78
Rate for Payer: Qualcare PPO/HMO/WC	$6,538.50
Rate for Payer: UnitedHealthcare Community & State	$1,377.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1,237.96

FLEX HD SKIN GRAFT 12CMX 16CM

Facility

$43,590.00

Hospital Charge Code	270335971
Hospital Revenue Code	636
Min. Negotiated Rate	$6,538.50
Max. Negotiated Rate	$10,548.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,548.78
Rate for Payer: Qualcare PPO/HMO/WC	$6,538.50

FLEXIBLE DRILL ASSEMBLE 8 MM

Facility

$1,959.90

Hospital Charge Code	270690396
Hospital Revenue Code	272
Min. Negotiated Rate	$293.99
Max. Negotiated Rate	$293.99
Rate for Payer: Qualcare PPO/HMO/WC	$293.99

FLEXIBLE DRILL ASSEMBLE 8 MM

Facility

$1,959.90

Hospital Charge Code	270690396
Hospital Revenue Code	272
Min. Negotiated Rate	$55.66
Max. Negotiated Rate	$979.95
Rate for Payer: Aetna Commercial	$744.76
Rate for Payer: Aetna Medicare Advantage	$587.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.77
Rate for Payer: Cigna Commercial	$979.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$509.57
Rate for Payer: Oxford Commercial	$391.98
Rate for Payer: Qualcare PPO/HMO/WC	$293.99
Rate for Payer: UnitedHealthcare Commercial	$391.98
Rate for Payer: UnitedHealthcare Community & State	$61.93
Rate for Payer: Wellpoint Medicaid Managed Care	$55.66

FLEXIBLE ENDOSCOPIC EVAL

Facility

$361.05

Service Code	HCPCS 92612GN
Hospital Charge Code	74204034
Hospital Revenue Code	440
Min. Negotiated Rate	$54.16
Max. Negotiated Rate	$54.16
Rate for Payer: Qualcare PPO/HMO/WC	$54.16

FLEXIBLE ENDOSCOPIC EVAL

Facility

$361.05

Service Code	HCPCS 92612GN
Hospital Charge Code	74204034
Hospital Revenue Code	440
Min. Negotiated Rate	$10.25
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$137.20
Rate for Payer: Aetna Medicare Advantage	$108.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.07
Rate for Payer: Cigna Commercial	$180.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.87
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.16
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$11.41
Rate for Payer: Wellpoint Medicaid Managed Care	$10.25

FLEXIBLE IRIS RETRACTOR

Facility

$569.25

Hospital Charge Code	270666843
Hospital Revenue Code	272
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$284.62
Rate for Payer: Aetna Commercial	$216.31
Rate for Payer: Aetna Medicare Advantage	$170.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.16
Rate for Payer: Cigna Commercial	$284.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.00
Rate for Payer: Oxford Commercial	$113.85
Rate for Payer: Qualcare PPO/HMO/WC	$85.39
Rate for Payer: UnitedHealthcare Commercial	$113.85
Rate for Payer: UnitedHealthcare Community & State	$17.99
Rate for Payer: Wellpoint Medicaid Managed Care	$16.17

FLEXIBLE IRIS RETRACTOR

Facility

$569.25

Hospital Charge Code	270666843
Hospital Revenue Code	272
Min. Negotiated Rate	$85.39
Max. Negotiated Rate	$85.39
Rate for Payer: Qualcare PPO/HMO/WC	$85.39

FLEXIBLE REAMER 11 MM

Facility

$1,750.00

Hospital Charge Code	270688543
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

FLEXIBLE REAMER 11 MM

Facility

$1,750.00

Hospital Charge Code	270688543
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

FLEXIGRAFT

Facility

$15,277.50

Service Code	HCPCS C1781
Hospital Charge Code	270664582
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.62
Max. Negotiated Rate	$3,697.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,055.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,697.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,291.62

FLEXIGRAFT

Facility

$15,277.50

Service Code	HCPCS C1781
Hospital Charge Code	270664582
Hospital Revenue Code	278
Min. Negotiated Rate	$433.88
Max. Negotiated Rate	$7,638.75
Rate for Payer: Aetna Commercial	$5,805.45
Rate for Payer: Aetna Medicare Advantage	$4,583.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,895.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,895.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,055.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,895.76
Rate for Payer: Cigna Commercial	$7,638.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,697.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,291.62
Rate for Payer: UnitedHealthcare Community & State	$482.77
Rate for Payer: Wellpoint Medicaid Managed Care	$433.88

FLEXIGRAFT CONNECT PRE ZORC

Facility

$6,111.50

Service Code	HCPCS C1713
Hospital Charge Code	270693942
Hospital Revenue Code	278
Min. Negotiated Rate	$916.73
Max. Negotiated Rate	$1,478.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,222.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,478.98
Rate for Payer: Qualcare PPO/HMO/WC	$916.73

FLEXIGRAFT CONNECT PRE ZORC

Facility

$6,111.50

Service Code	HCPCS C1713
Hospital Charge Code	270693942
Hospital Revenue Code	278
Min. Negotiated Rate	$173.57
Max. Negotiated Rate	$3,055.75
Rate for Payer: Aetna Commercial	$2,322.37
Rate for Payer: Aetna Medicare Advantage	$1,833.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,558.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,558.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,222.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,558.43
Rate for Payer: Cigna Commercial	$3,055.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,478.98
Rate for Payer: Qualcare PPO/HMO/WC	$916.73
Rate for Payer: UnitedHealthcare Community & State	$193.12
Rate for Payer: Wellpoint Medicaid Managed Care	$173.57

FLEXIGRAFT MENISCUS MEDIAL RT

Facility

$23,523.75

Service Code	HCPCS C1762
Hospital Charge Code	270697618
Hospital Revenue Code	278
Min. Negotiated Rate	$668.07
Max. Negotiated Rate	$11,761.88
Rate for Payer: Aetna Commercial	$8,939.02
Rate for Payer: Aetna Medicare Advantage	$7,057.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,998.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,998.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,704.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,998.56
Rate for Payer: Cigna Commercial	$11,761.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,692.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,528.56
Rate for Payer: UnitedHealthcare Community & State	$743.35
Rate for Payer: Wellpoint Medicaid Managed Care	$668.07

FLEXIGRAFT MENISCUS MEDIAL RT

Facility

$23,523.75

Service Code	HCPCS C1762
Hospital Charge Code	270697618
Hospital Revenue Code	278
Min. Negotiated Rate	$3,528.56
Max. Negotiated Rate	$5,692.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,704.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,692.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,528.56

Flexima Biliary Catheter 8Fr

Facility

$405.00

Service Code	HCPCS C1729
Hospital Charge Code	270688760
Hospital Revenue Code	272
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

Flexima Biliary Catheter 8Fr

Facility

$405.00

Service Code	HCPCS C1729
Hospital Charge Code	270688760
Hospital Revenue Code	272
Min. Negotiated Rate	$11.50
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Commercial	$81.00
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.50

FLEXI-SEAL COLLECTION BAG

Facility

$30.60

Hospital Charge Code	270646932
Hospital Revenue Code	272
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.59

FLEXI-SEAL COLLECTION BAG

Facility

$30.60

Hospital Charge Code	270646932
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$15.30
Rate for Payer: Aetna Commercial	$11.63
Rate for Payer: Aetna Medicare Advantage	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.80
Rate for Payer: Cigna Commercial	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.96
Rate for Payer: Oxford Commercial	$6.12
Rate for Payer: Qualcare PPO/HMO/WC	$4.59
Rate for Payer: UnitedHealthcare Commercial	$6.12
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

Know your out-of-pocket cost for care.

All Charges