Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP JUMBO

Facility

$96.38

Hospital Charge Code	270655594
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$14.46
Rate for Payer: Qualcare PPO/HMO/WC	$14.46

FORCEP JUMBO

Facility

$96.38

Hospital Charge Code	270655594
Hospital Revenue Code	272
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$48.19
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$28.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.58
Rate for Payer: Cigna Commercial	$48.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.06
Rate for Payer: Oxford Commercial	$19.28
Rate for Payer: Qualcare PPO/HMO/WC	$14.46
Rate for Payer: UnitedHealthcare Commercial	$19.28
Rate for Payer: UnitedHealthcare Community & State	$3.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

FORCEP PEDIATRIC SMALL

Facility

$134.00

Hospital Charge Code	270658672
Hospital Revenue Code	272
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$67.00
Rate for Payer: Aetna Commercial	$50.92
Rate for Payer: Aetna Medicare Advantage	$40.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.17
Rate for Payer: Cigna Commercial	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Oxford Commercial	$26.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.10
Rate for Payer: UnitedHealthcare Commercial	$26.80
Rate for Payer: UnitedHealthcare Community & State	$4.23
Rate for Payer: Wellpoint Medicaid Managed Care	$3.81

FORCEP PEDIATRIC SMALL

Facility

$134.00

Hospital Charge Code	270658672
Hospital Revenue Code	272
Min. Negotiated Rate	$20.10
Max. Negotiated Rate	$20.10
Rate for Payer: Qualcare PPO/HMO/WC	$20.10

FORCEP PLATE HOLDNG SWIVEL SZ0

Facility

$2,742.00

Hospital Charge Code	270677036
Hospital Revenue Code	278
Min. Negotiated Rate	$411.30
Max. Negotiated Rate	$663.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.56
Rate for Payer: Qualcare PPO/HMO/WC	$411.30

FORCEP PLATE HOLDNG SWIVEL SZ0

Facility

$2,742.00

Hospital Charge Code	270677036
Hospital Revenue Code	278
Min. Negotiated Rate	$77.87
Max. Negotiated Rate	$1,371.00
Rate for Payer: Aetna Commercial	$1,041.96
Rate for Payer: Aetna Medicare Advantage	$822.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.21
Rate for Payer: Cigna Commercial	$1,371.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.56
Rate for Payer: Qualcare PPO/HMO/WC	$411.30
Rate for Payer: UnitedHealthcare Community & State	$86.65
Rate for Payer: Wellpoint Medicaid Managed Care	$77.87

FORCEP RAD EDGE 1.8 100 1556

Facility

$154.58

Hospital Charge Code	270609316
Hospital Revenue Code	270
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$77.29
Rate for Payer: Aetna Commercial	$58.74
Rate for Payer: Aetna Medicare Advantage	$46.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.42
Rate for Payer: Cigna Commercial	$77.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.19
Rate for Payer: Oxford Commercial	$30.92
Rate for Payer: Qualcare PPO/HMO/WC	$23.19
Rate for Payer: UnitedHealthcare Commercial	$30.92
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

FORCEP RAD EDGE 1.8 100 1556

Facility

$154.58

Hospital Charge Code	270609316
Hospital Revenue Code	270
Min. Negotiated Rate	$23.19
Max. Negotiated Rate	$23.19
Rate for Payer: Qualcare PPO/HMO/WC	$23.19

FORCEP RADIAL EDGE

Facility

$240.00

Hospital Charge Code	270654571
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

FORCEP RADIAL EDGE

Facility

$240.00

Hospital Charge Code	270654571
Hospital Revenue Code	272
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.40
Rate for Payer: Oxford Commercial	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$48.00
Rate for Payer: UnitedHealthcare Community & State	$7.58
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

FORCEP RADIAL JAW

Facility

$37.50

Hospital Charge Code	270656988
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

FORCEP RADIAL JAW

Facility

$37.50

Hospital Charge Code	270656988
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.56
Rate for Payer: Cigna Commercial	$18.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$7.50
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

Forcep Radial Jaw w/needle

Facility

$72.00

Hospital Charge Code	270686400
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

Forcep Radial Jaw w/needle

Facility

$72.00

Hospital Charge Code	270686400
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$27.36
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$14.40
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

FORCEP RAD JAW HOT BX 1550-20

Facility

$187.50

Hospital Charge Code	270607143
Hospital Revenue Code	270
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$93.75
Rate for Payer: Aetna Commercial	$71.25
Rate for Payer: Aetna Medicare Advantage	$56.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.81
Rate for Payer: Cigna Commercial	$93.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.12
Rate for Payer: UnitedHealthcare Commercial	$37.50
Rate for Payer: UnitedHealthcare Community & State	$5.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.33

FORCEP RAD JAW HOT BX 1550-20

Facility

$187.50

Hospital Charge Code	270607143
Hospital Revenue Code	270
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$28.12
Rate for Payer: Qualcare PPO/HMO/WC	$28.12

FORCEP RAD JAW LG W/NDL 1598

Facility

$704.00

Hospital Charge Code	270606231
Hospital Revenue Code	270
Min. Negotiated Rate	$19.99
Max. Negotiated Rate	$352.00
Rate for Payer: Aetna Commercial	$267.52
Rate for Payer: Aetna Medicare Advantage	$211.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.52
Rate for Payer: Cigna Commercial	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.04
Rate for Payer: Oxford Commercial	$140.80
Rate for Payer: Qualcare PPO/HMO/WC	$105.60
Rate for Payer: UnitedHealthcare Commercial	$140.80
Rate for Payer: UnitedHealthcare Community & State	$22.25
Rate for Payer: Wellpoint Medicaid Managed Care	$19.99

FORCEP RAD JAW LG W/NDL 1598

Facility

$704.00

Hospital Charge Code	270606231
Hospital Revenue Code	270
Min. Negotiated Rate	$105.60
Max. Negotiated Rate	$105.60
Rate for Payer: Qualcare PPO/HMO/WC	$105.60

FORCEP RAD JAW PULM 111 1523

Facility

$154.50

Hospital Charge Code	270603912
Hospital Revenue Code	270
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$58.71
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Oxford Commercial	$30.90
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Commercial	$30.90
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

FORCEP RAD JAW PULM 111 1523

Facility

$154.50

Hospital Charge Code	270603912
Hospital Revenue Code	270
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$23.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

FORCEP RAD JAW PULM 111 1524

Facility

$154.58

Hospital Charge Code	270603913
Hospital Revenue Code	270
Min. Negotiated Rate	$23.19
Max. Negotiated Rate	$23.19
Rate for Payer: Qualcare PPO/HMO/WC	$23.19

FORCEP RAD JAW PULM 111 1524

Facility

$154.58

Hospital Charge Code	270603913
Hospital Revenue Code	270
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$77.29
Rate for Payer: Aetna Commercial	$58.74
Rate for Payer: Aetna Medicare Advantage	$46.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.42
Rate for Payer: Cigna Commercial	$77.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.19
Rate for Payer: Oxford Commercial	$30.92
Rate for Payer: Qualcare PPO/HMO/WC	$23.19
Rate for Payer: UnitedHealthcare Commercial	$30.92
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

FORCEP RAT TOOTH

Facility

$375.00

Hospital Charge Code	270680382
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

FORCEP RAT TOOTH

Facility

$375.00

Hospital Charge Code	270680382
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

FORCEP REDUCT SPEED LOCK 205mm

Facility

$3,052.90

Hospital Charge Code	270652235
Hospital Revenue Code	272
Min. Negotiated Rate	$86.70
Max. Negotiated Rate	$1,526.45
Rate for Payer: Aetna Commercial	$1,160.10
Rate for Payer: Aetna Medicare Advantage	$915.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$778.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$778.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$778.49
Rate for Payer: Cigna Commercial	$1,526.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.75
Rate for Payer: Oxford Commercial	$610.58
Rate for Payer: Qualcare PPO/HMO/WC	$457.94
Rate for Payer: UnitedHealthcare Commercial	$610.58
Rate for Payer: UnitedHealthcare Community & State	$96.47
Rate for Payer: Wellpoint Medicaid Managed Care	$86.70

Know your out-of-pocket cost for care.

All Charges