Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

FORCEPS CHILD MAGILL

Facility

$75.00

Hospital Charge Code	270665162
Hospital Revenue Code	270
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

FORCEPS CHILD MAGILL

Facility

$75.00

Hospital Charge Code	270665162
Hospital Revenue Code	270
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

FORCEPS MICRO BLACK DIAMOND

Facility

$1,041.67

Hospital Charge Code	270675210
Hospital Revenue Code	272
Min. Negotiated Rate	$29.58
Max. Negotiated Rate	$520.84
Rate for Payer: Aetna Commercial	$395.83
Rate for Payer: Aetna Medicare Advantage	$312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.63
Rate for Payer: Cigna Commercial	$520.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.83
Rate for Payer: Oxford Commercial	$208.33
Rate for Payer: Qualcare PPO/HMO/WC	$156.25
Rate for Payer: UnitedHealthcare Commercial	$208.33
Rate for Payer: UnitedHealthcare Community & State	$32.92
Rate for Payer: Wellpoint Medicaid Managed Care	$29.58

FORCEPS MICRO BLACK DIAMOND

Facility

$1,041.67

Hospital Charge Code	270675210
Hospital Revenue Code	272
Min. Negotiated Rate	$156.25
Max. Negotiated Rate	$156.25
Rate for Payer: Qualcare PPO/HMO/WC	$156.25

FORCEPS MICRO L4 3/8 IN 5 MM C

Facility

$3,117.35

Hospital Charge Code	270683686
Hospital Revenue Code	272
Min. Negotiated Rate	$467.60
Max. Negotiated Rate	$467.60
Rate for Payer: Qualcare PPO/HMO/WC	$467.60

FORCEPS MICRO L4 3/8 IN 5 MM C

Facility

$3,117.35

Hospital Charge Code	270683686
Hospital Revenue Code	272
Min. Negotiated Rate	$88.53
Max. Negotiated Rate	$1,558.67
Rate for Payer: Aetna Commercial	$1,184.59
Rate for Payer: Aetna Medicare Advantage	$935.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$794.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$794.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$794.92
Rate for Payer: Cigna Commercial	$1,558.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.51
Rate for Payer: Oxford Commercial	$623.47
Rate for Payer: Qualcare PPO/HMO/WC	$467.60
Rate for Payer: UnitedHealthcare Commercial	$623.47
Rate for Payer: UnitedHealthcare Community & State	$98.51
Rate for Payer: Wellpoint Medicaid Managed Care	$88.53

FORCEPS PERIARTIC REDUCT 6.5MM

Facility

$6,600.25

Hospital Charge Code	270677658
Hospital Revenue Code	272
Min. Negotiated Rate	$187.45
Max. Negotiated Rate	$3,300.12
Rate for Payer: Aetna Commercial	$2,508.09
Rate for Payer: Aetna Medicare Advantage	$1,980.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.06
Rate for Payer: Cigna Commercial	$3,300.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.07
Rate for Payer: Oxford Commercial	$1,320.05
Rate for Payer: Qualcare PPO/HMO/WC	$990.04
Rate for Payer: UnitedHealthcare Commercial	$1,320.05
Rate for Payer: UnitedHealthcare Community & State	$208.57
Rate for Payer: Wellpoint Medicaid Managed Care	$187.45

FORCEPS PERIARTIC REDUCT 6.5MM

Facility

$6,600.25

Hospital Charge Code	270677658
Hospital Revenue Code	272
Min. Negotiated Rate	$990.04
Max. Negotiated Rate	$990.04
Rate for Payer: Qualcare PPO/HMO/WC	$990.04

FORCEPS RADIAL JAW 160cm

Facility

$87.50

Hospital Charge Code	270650907
Hospital Revenue Code	272
Min. Negotiated Rate	$13.12
Max. Negotiated Rate	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$13.12

FORCEPS RADIAL JAW 160cm

Facility

$87.50

Hospital Charge Code	270650907
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$43.75
Rate for Payer: Aetna Commercial	$33.25
Rate for Payer: Aetna Medicare Advantage	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.31
Rate for Payer: Cigna Commercial	$43.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.12
Rate for Payer: UnitedHealthcare Commercial	$17.50
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

FORCEPS REDUCTION 130MM

Facility

$852.00

Hospital Charge Code	270668378
Hospital Revenue Code	272
Min. Negotiated Rate	$24.20
Max. Negotiated Rate	$426.00
Rate for Payer: Aetna Commercial	$323.76
Rate for Payer: Aetna Medicare Advantage	$255.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.26
Rate for Payer: Cigna Commercial	$426.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.52
Rate for Payer: Oxford Commercial	$170.40
Rate for Payer: Qualcare PPO/HMO/WC	$127.80
Rate for Payer: UnitedHealthcare Commercial	$170.40
Rate for Payer: UnitedHealthcare Community & State	$26.92
Rate for Payer: Wellpoint Medicaid Managed Care	$24.20

FORCEPS REDUCTION 130MM

Facility

$852.00

Hospital Charge Code	270668378
Hospital Revenue Code	272
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$127.80
Rate for Payer: Qualcare PPO/HMO/WC	$127.80

FORCEPS REDUCTION LARGE

Facility

$13,253.00

Hospital Charge Code	270649819
Hospital Revenue Code	272
Min. Negotiated Rate	$1,987.95
Max. Negotiated Rate	$1,987.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.95

FORCEPS REDUCTION LARGE

Facility

$13,253.00

Hospital Charge Code	270649819
Hospital Revenue Code	272
Min. Negotiated Rate	$376.39
Max. Negotiated Rate	$6,626.50
Rate for Payer: Aetna Commercial	$5,036.14
Rate for Payer: Aetna Medicare Advantage	$3,975.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,379.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,379.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,379.51
Rate for Payer: Cigna Commercial	$6,626.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,445.78
Rate for Payer: Oxford Commercial	$2,650.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.95
Rate for Payer: UnitedHealthcare Commercial	$2,650.60
Rate for Payer: UnitedHealthcare Community & State	$418.79
Rate for Payer: Wellpoint Medicaid Managed Care	$376.39

FORCEPS REDUCT W/POINTS BROAD

Facility

$1,820.00

Hospital Charge Code	270614780
Hospital Revenue Code	272
Min. Negotiated Rate	$51.69
Max. Negotiated Rate	$910.00
Rate for Payer: Aetna Commercial	$691.60
Rate for Payer: Aetna Medicare Advantage	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$464.10
Rate for Payer: Cigna Commercial	$910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$473.20
Rate for Payer: Oxford Commercial	$364.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.00
Rate for Payer: UnitedHealthcare Commercial	$364.00
Rate for Payer: UnitedHealthcare Community & State	$57.51
Rate for Payer: Wellpoint Medicaid Managed Care	$51.69

FORCEPS REDUCT W/POINTS BROAD

Facility

$1,820.00

Hospital Charge Code	270614780
Hospital Revenue Code	272
Min. Negotiated Rate	$273.00
Max. Negotiated Rate	$273.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.00

FORCEPS REDUCT W/POINTS NARROW

Facility

$1,874.60

Hospital Charge Code	270607305
Hospital Revenue Code	272
Min. Negotiated Rate	$281.19
Max. Negotiated Rate	$281.19
Rate for Payer: Qualcare PPO/HMO/WC	$281.19

FORCEPS REDUCT W/POINTS NARROW

Facility

$1,874.60

Hospital Charge Code	270607305
Hospital Revenue Code	272
Min. Negotiated Rate	$53.24
Max. Negotiated Rate	$937.30
Rate for Payer: Aetna Commercial	$712.35
Rate for Payer: Aetna Medicare Advantage	$562.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.02
Rate for Payer: Cigna Commercial	$937.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.40
Rate for Payer: Oxford Commercial	$374.92
Rate for Payer: Qualcare PPO/HMO/WC	$281.19
Rate for Payer: UnitedHealthcare Commercial	$374.92
Rate for Payer: UnitedHealthcare Community & State	$59.24
Rate for Payer: Wellpoint Medicaid Managed Care	$53.24

FORCEPS SCREW

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270614770
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$66.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

FORCEPS SCREW

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270614770
Hospital Revenue Code	278
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

FORCEP STD RADIAL JAW 240CC

Facility

$77.04

Hospital Charge Code	270655593
Hospital Revenue Code	272
Min. Negotiated Rate	$11.56
Max. Negotiated Rate	$11.56
Rate for Payer: Qualcare PPO/HMO/WC	$11.56

FORCEP STD RADIAL JAW 240CC

Facility

$77.04

Hospital Charge Code	270655593
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$38.52
Rate for Payer: Aetna Commercial	$29.28
Rate for Payer: Aetna Medicare Advantage	$23.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.65
Rate for Payer: Cigna Commercial	$38.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.03
Rate for Payer: Oxford Commercial	$15.41
Rate for Payer: Qualcare PPO/HMO/WC	$11.56
Rate for Payer: UnitedHealthcare Commercial	$15.41
Rate for Payer: UnitedHealthcare Community & State	$2.43
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

FOREARM AP & LAT-BILAT

Facility

$6,601.19

Service Code	HCPCS 7309050
Hospital Charge Code	94061223
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

FOREARM AP & LAT-BILAT

Facility

$6,601.19

Service Code	HCPCS 7309050
Hospital Charge Code	94061223
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

FOREARM AP & LAT-LT

Facility

$6,601.19

Service Code	HCPCS 73090LT
Hospital Charge Code	94061305
Hospital Revenue Code	320
Min. Negotiated Rate	$187.47
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,716.31
Rate for Payer: Oxford Commercial	$1,955.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$2,231.00
Rate for Payer: UnitedHealthcare Community & State	$208.60
Rate for Payer: Wellpoint Medicaid Managed Care	$187.47

Know your out-of-pocket cost for care.

All Charges