Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE DRILL 2.7MM UNIVERSAL

Facility

$1,708.75

Hospital Charge Code	270678120
Hospital Revenue Code	272
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$854.38
Rate for Payer: Aetna Commercial	$649.33
Rate for Payer: Aetna Medicare Advantage	$512.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.73
Rate for Payer: Cigna Commercial	$854.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.27
Rate for Payer: Oxford Commercial	$341.75
Rate for Payer: Qualcare PPO/HMO/WC	$256.31
Rate for Payer: UnitedHealthcare Commercial	$341.75
Rate for Payer: UnitedHealthcare Community & State	$54.00
Rate for Payer: Wellpoint Medicaid Managed Care	$48.53

GUIDE DRILL 2.7MM UNIVERSAL

Facility

$1,708.75

Hospital Charge Code	270678120
Hospital Revenue Code	272
Min. Negotiated Rate	$256.31
Max. Negotiated Rate	$256.31
Rate for Payer: Qualcare PPO/HMO/WC	$256.31

GUIDE DRILL 3.5 UNIVERSAL

Facility

$1,903.25

Hospital Charge Code	270614773
Hospital Revenue Code	272
Min. Negotiated Rate	$285.49
Max. Negotiated Rate	$285.49
Rate for Payer: Qualcare PPO/HMO/WC	$285.49

GUIDE DRILL 3.5 UNIVERSAL

Facility

$1,903.25

Hospital Charge Code	270614773
Hospital Revenue Code	272
Min. Negotiated Rate	$54.05
Max. Negotiated Rate	$951.62
Rate for Payer: Aetna Commercial	$723.24
Rate for Payer: Aetna Medicare Advantage	$570.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$485.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$485.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$485.33
Rate for Payer: Cigna Commercial	$951.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.85
Rate for Payer: Oxford Commercial	$380.65
Rate for Payer: Qualcare PPO/HMO/WC	$285.49
Rate for Payer: UnitedHealthcare Commercial	$380.65
Rate for Payer: UnitedHealthcare Community & State	$60.14
Rate for Payer: Wellpoint Medicaid Managed Care	$54.05

GUIDE DRILL PRE-CUT TM 4MM

Facility

$1,050.00

Hospital Charge Code	270697187
Hospital Revenue Code	272
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$157.50
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

GUIDE DRILL PRE-CUT TM 4MM

Facility

$1,050.00

Hospital Charge Code	270697187
Hospital Revenue Code	272
Min. Negotiated Rate	$29.82
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.00
Rate for Payer: Oxford Commercial	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Commercial	$210.00
Rate for Payer: UnitedHealthcare Community & State	$33.18
Rate for Payer: Wellpoint Medicaid Managed Care	$29.82

GUIDE DRILL THREADED 3.5

Facility

$448.05

Hospital Charge Code	270646926
Hospital Revenue Code	272
Min. Negotiated Rate	$67.21
Max. Negotiated Rate	$67.21
Rate for Payer: Qualcare PPO/HMO/WC	$67.21

GUIDE DRILL THREADED 3.5

Facility

$448.05

Hospital Charge Code	270646926
Hospital Revenue Code	272
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$224.03
Rate for Payer: Aetna Commercial	$170.26
Rate for Payer: Aetna Medicare Advantage	$134.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.25
Rate for Payer: Cigna Commercial	$224.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.49
Rate for Payer: Oxford Commercial	$89.61
Rate for Payer: Qualcare PPO/HMO/WC	$67.21
Rate for Payer: UnitedHealthcare Commercial	$89.61
Rate for Payer: UnitedHealthcare Community & State	$14.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.72

GUIDE INSERT 3.5 W/STOP

Facility

$864.00

Hospital Charge Code	270657125
Hospital Revenue Code	272
Min. Negotiated Rate	$24.54
Max. Negotiated Rate	$432.00
Rate for Payer: Aetna Commercial	$328.32
Rate for Payer: Aetna Medicare Advantage	$259.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.32
Rate for Payer: Cigna Commercial	$432.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.64
Rate for Payer: Oxford Commercial	$172.80
Rate for Payer: Qualcare PPO/HMO/WC	$129.60
Rate for Payer: UnitedHealthcare Commercial	$172.80
Rate for Payer: UnitedHealthcare Community & State	$27.30
Rate for Payer: Wellpoint Medicaid Managed Care	$24.54

GUIDE INSERT 3.5 W/STOP

Facility

$864.00

Hospital Charge Code	270657125
Hospital Revenue Code	272
Min. Negotiated Rate	$129.60
Max. Negotiated Rate	$129.60
Rate for Payer: Qualcare PPO/HMO/WC	$129.60

GUIDE NEEDLE

Facility

$71.88

Hospital Charge Code	270667234
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$35.94
Rate for Payer: Aetna Commercial	$27.31
Rate for Payer: Aetna Medicare Advantage	$21.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.33
Rate for Payer: Cigna Commercial	$35.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.69
Rate for Payer: Oxford Commercial	$14.38
Rate for Payer: Qualcare PPO/HMO/WC	$10.78
Rate for Payer: UnitedHealthcare Commercial	$14.38
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

GUIDE NEEDLE

Facility

$71.88

Hospital Charge Code	270667234
Hospital Revenue Code	272
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$10.78
Rate for Payer: Qualcare PPO/HMO/WC	$10.78

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615R
Hospital Revenue Code	272
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$24.25
Rate for Payer: Aetna Commercial	$18.43
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.37
Rate for Payer: Cigna Commercial	$24.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.61
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$7.28
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: UnitedHealthcare Community & State	$1.53
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615
Hospital Revenue Code	272
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$24.25
Rate for Payer: Aetna Commercial	$18.43
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.37
Rate for Payer: Cigna Commercial	$24.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.61
Rate for Payer: Oxford Commercial	$9.70
Rate for Payer: Qualcare PPO/HMO/WC	$7.28
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: UnitedHealthcare Community & State	$1.53
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

GUIDE NEEDLE EVIVA 9G

Facility

$42.25

Hospital Charge Code	270642615N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.98
Rate for Payer: Oxford Commercial	$8.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.45
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.20

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615
Hospital Revenue Code	272
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$7.28
Rate for Payer: Qualcare PPO/HMO/WC	$7.28

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615R
Hospital Revenue Code	272
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$7.28
Rate for Payer: Qualcare PPO/HMO/WC	$7.28

GUIDE NEEDLE EVIVA 9G

Facility

$42.25

Hospital Charge Code	270642615N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

GUIDE NEEDLE SITERITE

Facility

$85.00

Hospital Charge Code	270658267
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

GUIDE NEEDLE SITERITE

Facility

$85.00

Hospital Charge Code	270658267
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.69
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

GUIDEPIN

Facility

$500.00

Hospital Charge Code	270703487
Hospital Revenue Code	278
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

GUIDEPIN

Facility

$500.00

Hospital Charge Code	270703487
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDE PIN .062x4

Facility

$480.00

Hospital Charge Code	270656319
Hospital Revenue Code	272
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$182.40
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.80
Rate for Payer: Oxford Commercial	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Commercial	$96.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.63

GUIDE PIN .062x4

Facility

$480.00

Hospital Charge Code	270656319
Hospital Revenue Code	272
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

GUIDE PIN 2.0

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270688881
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

Know your out-of-pocket cost for care.

All Charges