Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FORCEP REDUCT SPEED LOCK 205mm

Facility

$3,052.90

Hospital Charge Code	270652235
Hospital Revenue Code	272
Min. Negotiated Rate	$457.94
Max. Negotiated Rate	$457.94
Rate for Payer: Qualcare PPO/HMO/WC	$457.94

FORCEP REMOVAL CRANOFIX 2

Facility

$1,613.65

Hospital Charge Code	270684902
Hospital Revenue Code	272
Min. Negotiated Rate	$242.05
Max. Negotiated Rate	$242.05
Rate for Payer: Qualcare PPO/HMO/WC	$242.05

FORCEP REMOVAL CRANOFIX 2

Facility

$1,613.65

Hospital Charge Code	270684902
Hospital Revenue Code	272
Min. Negotiated Rate	$45.83
Max. Negotiated Rate	$806.83
Rate for Payer: Aetna Commercial	$613.19
Rate for Payer: Aetna Medicare Advantage	$484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.48
Rate for Payer: Cigna Commercial	$806.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.55
Rate for Payer: Oxford Commercial	$322.73
Rate for Payer: Qualcare PPO/HMO/WC	$242.05
Rate for Payer: UnitedHealthcare Commercial	$322.73
Rate for Payer: UnitedHealthcare Community & State	$50.99
Rate for Payer: Wellpoint Medicaid Managed Care	$45.83

FORCEP RESCUE NET RETIRVAL DEV

Facility

$425.00

Hospital Charge Code	270688849
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

FORCEP RESCUE NET RETIRVAL DEV

Facility

$425.00

Hospital Charge Code	270688849
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

FORCEP RESUE COMBO RAT ALLIGAT

Facility

$425.00

Hospital Charge Code	270680398
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

FORCEP RESUE COMBO RAT ALLIGAT

Facility

$425.00

Hospital Charge Code	270680398
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

FORCEP RETRIEVAL ALLIGATOR

Facility

$61.75

Hospital Charge Code	270700754
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$30.88
Rate for Payer: Aetna Commercial	$23.46
Rate for Payer: Aetna Medicare Advantage	$18.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.75
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.05
Rate for Payer: Oxford Commercial	$12.35
Rate for Payer: Qualcare PPO/HMO/WC	$9.26
Rate for Payer: UnitedHealthcare Commercial	$12.35
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.75

FORCEP RETRIEVAL ALLIGATOR

Facility

$61.75

Hospital Charge Code	270700754
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$9.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

FORCEPS 1x2 TEETH, 6 1/4 IN OC

Facility

$79.55

Hospital Charge Code	270608501
Hospital Revenue Code	270
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$39.77
Rate for Payer: Aetna Commercial	$30.23
Rate for Payer: Aetna Medicare Advantage	$23.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.68
Rate for Payer: Oxford Commercial	$15.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.93
Rate for Payer: UnitedHealthcare Commercial	$15.91
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

FORCEPS 1x2 TEETH, 6 1/4 IN OC

Facility

$79.55

Hospital Charge Code	270608501
Hospital Revenue Code	270
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$11.93

FORCEPS ADULT MAGILL

Facility

$80.00

Hospital Charge Code	270665163
Hospital Revenue Code	270
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

FORCEPS ADULT MAGILL

Facility

$80.00

Hospital Charge Code	270665163
Hospital Revenue Code	270
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$16.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

FORCEPS BIOPSY HOT 2.0mm

Facility

$2,979.50

Hospital Charge Code	270678683
Hospital Revenue Code	272
Min. Negotiated Rate	$446.93
Max. Negotiated Rate	$446.93
Rate for Payer: Qualcare PPO/HMO/WC	$446.93

FORCEPS BIOPSY HOT 2.0mm

Facility

$2,979.50

Hospital Charge Code	270678683
Hospital Revenue Code	272
Min. Negotiated Rate	$84.62
Max. Negotiated Rate	$1,489.75
Rate for Payer: Aetna Commercial	$1,132.21
Rate for Payer: Aetna Medicare Advantage	$893.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$759.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$759.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$759.77
Rate for Payer: Cigna Commercial	$1,489.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$774.67
Rate for Payer: Oxford Commercial	$595.90
Rate for Payer: Qualcare PPO/HMO/WC	$446.93
Rate for Payer: UnitedHealthcare Commercial	$595.90
Rate for Payer: UnitedHealthcare Community & State	$94.15
Rate for Payer: Wellpoint Medicaid Managed Care	$84.62

FORCEPS BIPOLAR

Facility

$1,250.00

Hospital Charge Code	270692669
Hospital Revenue Code	270
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

FORCEPS BIPOLAR

Facility

$1,250.00

Hospital Charge Code	270692669
Hospital Revenue Code	270
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

FORCEPS BIPOLAR DISP 1.0MM TIP

Facility

$2,196.00

Hospital Charge Code	270692063
Hospital Revenue Code	272
Min. Negotiated Rate	$329.40
Max. Negotiated Rate	$329.40
Rate for Payer: Qualcare PPO/HMO/WC	$329.40

FORCEPS BIPOLAR DISP 1.0MM TIP

Facility

$2,196.00

Hospital Charge Code	270692063
Hospital Revenue Code	272
Min. Negotiated Rate	$62.37
Max. Negotiated Rate	$1,098.00
Rate for Payer: Aetna Commercial	$834.48
Rate for Payer: Aetna Medicare Advantage	$658.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.98
Rate for Payer: Cigna Commercial	$1,098.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$570.96
Rate for Payer: Oxford Commercial	$439.20
Rate for Payer: Qualcare PPO/HMO/WC	$329.40
Rate for Payer: UnitedHealthcare Commercial	$439.20
Rate for Payer: UnitedHealthcare Community & State	$69.39
Rate for Payer: Wellpoint Medicaid Managed Care	$62.37

FORCEPS BIPOLAR SNGL SITE 5MM

Facility

$1,500.00

Hospital Charge Code	270677925
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

FORCEPS BIPOLAR SNGL SITE 5MM

Facility

$1,500.00

Hospital Charge Code	270677925
Hospital Revenue Code	272
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

FORCEPS BITE SPYGLASS

Facility

$2,580.00

Hospital Charge Code	270664633
Hospital Revenue Code	272
Min. Negotiated Rate	$387.00
Max. Negotiated Rate	$387.00
Rate for Payer: Qualcare PPO/HMO/WC	$387.00

FORCEPS BITE SPYGLASS

Facility

$2,580.00

Hospital Charge Code	270664633
Hospital Revenue Code	272
Min. Negotiated Rate	$73.27
Max. Negotiated Rate	$1,290.00
Rate for Payer: Aetna Commercial	$980.40
Rate for Payer: Aetna Medicare Advantage	$774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$657.90
Rate for Payer: Cigna Commercial	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$670.80
Rate for Payer: Oxford Commercial	$516.00
Rate for Payer: Qualcare PPO/HMO/WC	$387.00
Rate for Payer: UnitedHealthcare Commercial	$516.00
Rate for Payer: UnitedHealthcare Community & State	$81.53
Rate for Payer: Wellpoint Medicaid Managed Care	$73.27

FORCEPS CADIERE

Facility

$10,500.00

Hospital Charge Code	270675536
Hospital Revenue Code	272
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) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,730.00
Rate for Payer: Oxford Commercial	$2,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Commercial	$2,100.00
Rate for Payer: UnitedHealthcare Community & State	$331.80
Rate for Payer: Wellpoint Medicaid Managed Care	$298.20

FORCEPS CADIERE

Facility

$10,500.00

Hospital Charge Code	270675536
Hospital Revenue Code	272
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$1,575.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

Know your out-of-pocket cost for care.

All Charges